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 Formulary Chapter 18: Emergency Treatment of Poisoning - Full Chapter
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18  Poisoning
18  Body Temperature
18  Nerve agents
18  Pesticides
Atropine
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18  Snake bites and animal stings to top
18  Convulsion
18  Removal and Elimination
18  Removal from the Gastro-intestinal tract
18  Prevention of absorption
Activated charcoal
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18  Active elimination techniques to top
18  Specific Drugs
18  Alcohol
18  Analgesics (non-opioid)
Acetylcysteine (Parvolex)
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Link  Guidance on the use of Parvolex (acetylcysteine) infusion for the treatment of paracetamol overdose
   
18  Analgesics (opioid)
Naloxone
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18  Antidepressants to top
18  Antimalarials
18  Beta Blockers
18  Calcium-channel blockers
18  Hypnotics and anxiolytics
18  Iron Salts to top
Desferrioxamine
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Red
 
   
18  Lithium
18  Phenothiazines and related drugs
18  Stimulants
18  Theophylline
18  Other poisons to top
18  Cyanides
Dicobalt edetate
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Sodium nitrite 3% Injection
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Sodium thiosulphate
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18  Ethylene glycol and methanol
18  Heavy Metals
Sodium calcium edetate
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18  Noxious gases
18  CS Spray to top
 ....
 Non Formulary Items
Calcium chloride

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Non Formulary
 
Calcium folinate

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Non Formulary
 
Calcium gluconate

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Non Formulary
 
Calcium gluconate gel

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Non Formulary
 
Dantrolene

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Non Formulary
 
Dimercaprol

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Non Formulary
 
DMPS (unithiol)

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Non Formulary
 
DMSA (succimer)

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Non Formulary
 
Ethanol (alcohol) injection

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Non Formulary
 
Flumazenil

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Non Formulary
 
Fomepizole

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Non Formulary
Red
 
Glucagon

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Non Formulary
 
Hydroxocobalamin  (Cyanokit®)

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Non Formulary
 
Methionine

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Non Formulary
 
Methylthioninium chloride (methylene blue)

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Non Formulary
 
Phentolamine

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Non Formulary
 
Potassium ferric hexacyanoferrate

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Non Formulary
 
Pralidoxime chloride

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Non Formulary
 
Procyclidine

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Non Formulary
 
Sodium bicarbonate 8.4%

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Non Formulary
 
Viper Venom antisurem

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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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