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 Formulary Chapter 4: Central nervous system - Full Chapter
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04.07.01  Expand sub section  Non-opioid analgesics and compound analgesic preparations
04.07.01  Expand sub section  Compound analgesic preparations
Aspirin
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Formulary
Green
Tablet dispersible and E/C, 75mg and 300mg, Suppository
 
   
Paracetamol
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Formulary
Green
Tablet, Soluble tablet, Injection, Liquid, Suppositories
  • The dose of IV paracetamol should be reduced in patients weighing less than 50Kg, the dose should be calculated as 15mg/kg four times a day.
  • The maximum daily infusion dose should be 3g in patients greater than 50 kg body-weight who have risk factors for hepatotoxicity such as: alcohol dependence; hepatocellular insufficiency, chronic alcoholism, chronic malnutrition, or dehydration.
     
  • Link  Guidance on the use of Parvolex (acetylcysteine) infusion for the treatment of paracetamol overdose
    Link  UKMI Q&A: Can Breastfeeding mothers take paracetamol?
       
    Paracetamol (Perfalgan)
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    Formulary  
       
    Paracetamol and codeine (Co-codamol 30/500)
    View adult BNF View SPC online View childrens BNF  Track Changes
    Formulary
    Green
    Tablet, Effervescent tablet 
       
    Paracetamol and codeine (Co-codamol 8/500)
    View adult BNF View SPC online View childrens BNF  Track Changes
    Formulary
    Green
    Tablet, Soluble tablet.

     
       
     ....
     Non Formulary Items
    Aspirin and codeine  (Co-codaprin)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Aspirin and papaveretum  (Aspav)

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    Non Formulary
     
    Nefopam

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    Non Formulary
     
    Nefopam  (Acupan)

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    Non Formulary
     
    Paracetamol and codeine  (Co-codamol 15/500)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Paracetamol and dihydrocodeine  (Co-dydramol)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Paracetamol and dihydrocodeine  (Remedeine)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Paracetamol and methionine  (Pardote)

    View adult BNF View SPC online View childrens BNF
    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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