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 Formulary Chapter 15: Anaesthesia - Full Chapter
15.01  General anaesthesia
15.01  Anaesthesia, sedation and resuscitation in dental practice
15.01  Gas cylinders
15.01.01  Intravenous anaesthetics
15.01.01  Barbiturates to top
Thiopental
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Restricted Drug Restricted  
   
15.01.01  Other intravenous anaesthetics
Etomidate (Etomidate-Lipuro)
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Restricted Drug Restricted  
   
Etomidate (Hypnomidate®)
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Restricted Drug Restricted  
   
Controlled Drug Ketamine injection (Ketalar)
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Restricted Drug Restricted
Red
 
   
Propofol
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Restricted Drug Restricted
Red
 
   
Propofol (Diprivan®)
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Restricted Drug Restricted  
   
15.01.02  Inhalational anaesthetics
15.01.02  Volatile liquid anaesthetics
Desflurane (Suprane)
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Formulary  
   
Isoflurane
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Sevoflurane
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Restricted Drug Restricted  
   
15.01.02  Nitrous oxide
Nitrous oxide
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Restricted Drug Restricted  
Link  UKMI Q&A: What effect does low temperature have on cylinders containing a mixture of 50% nitrous oxide and 50% oxygen?
   
15.01.03  Antimuscarinic drugs to top
Atropine
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Glycopyrronium
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Hyoscine Hydrobromide
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15.01.04  Sedative and analgesic peri-operative drugs
15.01.04.01  Benzodiazepines
Diazepam
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Lorazepam
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Formulary  
   
Midazolam
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Formulary
Green
Injection 5mg/ml, 10mg/5ml
Management of disturbed behaviour
  • Max daily dose 2.5mg-7.5mg (15mg in 24 hours)
  • Max single dose 7.5mg
     
  •    
    Controlled Drug Temazepam
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    Formulary  
       
    15.01.04.01  Benzodiazepines
    15.01.04.02  Non-opioid analgesics
    Ketorolac (Toradol)
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    Formulary  
       
    Parecoxib (Dynastat)
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    Formulary  
       
    15.01.04.03  Opioid analgesics to top
    Controlled Drug Alfentanil
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    Formulary  
       
    Controlled Drug Fentanyl
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    Formulary  
       
    Controlled Drug Remifentanil
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    Formulary  
       
    15.01.04.04  Other drugs for sedation
    Dexmedetomidine
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    Restricted Drug Restricted  
       
    15.01.05  Neuromuscular blocking drugs
    15.01.05  Non-depolarising muscle relaxants
    Atracurium Besilate
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    Formulary  
       
    Atracurium Besilate (Tracrium®)
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    Formulary  
       
    Mivacurium Chloride
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    Formulary  
       
    Pancuronium Bromide
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    Formulary  
       
    Rocuronium Bromide
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    Formulary  
       
    Vecuronium Bromide
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    Formulary  
       
    15.01.05  Depolarising muscle relaxants
    Suxamethonium Chloride
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    Formulary  
       
    15.01.06  Drugs for reversal of neuromuscular blockade to top
    15.01.06  Anticholinesterases
    Neostigmine
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    Formulary  
       
    Neostigmine with Glycopyrronium
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    Formulary  
       
    15.01.06  Other drugs for reversal of neuromuscular blockade
    15.01.07  Antagonists for central and respiratory depression
    Doxapram (Dopram)
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    Formulary  
       
    Flumazenil (Anexate)
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    Formulary  
       
    Naloxone
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    Formulary  
       
    15.01.08  Drugs for malignant hyperthermia
    Dantrolene Sodium
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    Formulary  
       
    15.02  Local anaesthesia to top
    15.02  Articaine
    15.02  Bupivacaine
    Bupivacaine Hydrochloride
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    Formulary  
       
    Controlled Drug Bupivacaine with Fentanyl
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    Formulary  
       
    15.02  Levobupivacaine
    Levobupivacaine (Chirocaine)
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    Formulary  
       
    15.02  Lidocaine
    Lidocaine  (Versatis)
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    Formulary
    Green Specialist Recomendation
    Medicated plasters 5%

  • Restricted for pain management service recommendation only
  • Apply for 12 hours followed by a 12 hour plaster-free period
  • Discontinue if no repsonse after 4 weeks 
  •    
    Lidocaine 2.5% with Prilocaine 2.5% (EMLA)
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    Formulary  
       
    Lidocaine2% with Chlorhexidine 0.25% (Instillagel)
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    Formulary  
       
    Lignocaine
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    Formulary  
       
    15.02  Mepivacaine to top
    15.02  Prilocaine
    Prilocaine Hydrochloride (Citanest)
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    Formulary  
       
    15.02  Procaine
    15.02  Ropivacaine
    Ropivacaine Hydrochloride (Naropin)
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    Restricted Drug Restricted  
       
    15.02  Tetracaine
    Tetracaine (Amethocaine)
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    Formulary  
       
    15.02  Other local anaesthetics to top
    Articaine Hydrochloride with Adrenaline (Septanest)
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    Formulary  
       
    Mepivacaine (Scandonest Plain)
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    Formulary  
       
     ....
     Non Formulary Items
    Atropine  (minijet)

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    Non Formulary
     
    Benzocaine

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    Non Formulary
     
    Benzocaine 20% Gel  (Ultracare Bubble Gum)

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    Non Formulary
     
    Bupivacaine and Adrenaline

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    Non Formulary
     
    Bupivacaine hydrochloride  (Marcain®)

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    Non Formulary
     
    Bupivacaine Hydrochloride with Glucose  (Marcain Heavy)

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    Non Formulary
     
    Cisatracurium  (Nimbex)

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    Non Formulary
     
    Controlled Drug  Cocaine

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    Non Formulary
     
    Controlled Drug  Cocaine with Adrenaline

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    Non Formulary
     
    Dermogesic spray

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    Non Formulary
     
    Edrophonium

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    Non Formulary
     
    Entonox

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    Non Formulary
     
    Ethyl Chloride  (Cryogesic Spray)

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    Non Formulary
     
    Flumazenil  (Anexate®)

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    Non Formulary
     
    Isoflurane  (AErrane®)

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    Non Formulary
     
    Controlled Drug  Levobupivacaine with Fentanyl

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    Non Formulary
     
    Lidocaine

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    Non Formulary
     
    Lidocaine

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    Non Formulary
     
    Lidocaine

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    Non Formulary
     
    Lidocaine

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    Non Formulary
     
    Lidocaine  (laryngojet®)

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    Non Formulary
     
    Lidocaine 5% and Phenylephrine 0.5%

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    Non Formulary
     
    Lidocaine with Adrenaline  (Lignospan)

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    Non Formulary
     
    Lidocaine with Adrenaline  (Xylocaine)

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    Non Formulary
     
    Lidocaine with tetracaine  (Pliaglis)

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    Non Formulary
     
    Midazolam  (pre-med)

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    Non Formulary
     
    Naloxone  (Prenoxad)

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    Non Formulary
     
    Prilocaine Hydrochloride  (Prilotekal)

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    Non Formulary
     
    Prilocaine Hydrochloride with Felypressin  (Citanest with Octapressin)

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    Non Formulary
     
    Procaine Hydrochloride

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    Non Formulary
     
    Sugammadex  (Bridion)

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    Non Formulary
     
    Suxamethonium Chloride  (Anectine®)

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    Non Formulary
     
      
    Key
    note Notes
    Section Title Section Title (top level)
    Section Title Section Title (sub level)
    First Choice Item First Choice item
    Non Formulary Item Non Formulary section
    Restricted Drug
    Restricted Drug
    Unlicensed Drug
    Unlicensed
    Track Changes
    Display tracking information
    click to search medicines.org.uk
    Link to adult BNF
    click to search medicines.org.uk
    Link to children's BNF
    click to search medicines.org.uk
    Link to SPCs
    SMC
    Scottish Medicines Consortium
    Cytotoxic Drug
    Cytotoxic Drug
    CD
    Controlled Drug
    High Cost Medicine
    High Cost Medicine
    Cancer Drugs Fund
    Cancer Drugs Fund
    NHSE
    NHS England
    Homecare
    Homecare
    CCG
    CCG

    Traffic Light Status Information

    Status Description

    Amber

    Medicines suitable to be prescribed in primary care after Specialist* recommendation or initiation. A supporting prescribing guideline may be requested which must have been agreed by the relevant secondary care trust D&TC(s). *Specialist is defined as a clinician who has undertaken an appropriate formal qualification or recognised training programme within the described area of practice.   

    Amber 1

    Medicines that should be initiated by a specialist and prescribed by primary care prescribers only under a shared care protocol, once the patient has been stabilised. Prior agreement must be obtained by the specialist from the primary care provider before prescribing responsibility is transferred. The shared care protocol must have been agreed by the relevant secondary care trust Drugs and Therapeutics Committee(s) (D&TC) * All drugs awaiting the production or approval of a shared care guideline default to RED   

    Cancer Drug Fund

    Cancer Drug Fund   

    Green

    Medicines suitable for routine use and can be prescribed within primary care within their licensed indication, in accordance with nationally recognised formularies, for example the BNF, BNF for Children, Medicines for Children or Palliative Care Formulary. Primary care prescribers take full responsibility for prescribing.  

    Green Specialist Initiation

    These drugs should be initiated only by a hospital or specialist clinician (GPSi) but there is no requirement for additional monitoring over the general requirements for all medicines. Some may require short or medium specialist monitoring of efficacy or dose titration before transferring in Primary care. The GP should have all the information they require to support continued prescribing.   

    Green Specialist Recomendation

      

    Grey

    Grey - Medicines, which the Drug & therapeutics Committee has actively reviewed and does not recommend for use at present following a review of clinical and/or cost effective data. Grey (assessment in progress) - will be reviewed at a future D&T meeting. Grey (awaiting submission) - The D&T are awaiting a submission from an appropriate practitioner. If you wish to make a submission for this medicine to be added to the formulary please email drug.information@bthft.nhs.uk .   

    Non Formulary

    Not recommended for prescribing as initial therapy, but can be continued if patient already stable on treatment   

    Red

    Medicines which should normally be prescribed by specialists only. ** For patients already receiving prescriptions in primary care - continue. No new patients to receive prescriptions in primary care   

    RED ULM

    Unlicensed Medication  

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