netFormulary South East London Joint Medicines Formulary NHS
Guy's and St Thomas' NHS Foundation Trust
Kings College Hospital NHS Foundation Trust
Lewisham and Greenwich NHS Trust
 
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 Formulary Chapter 4: Central nervous system - Full Chapter
Notes:
In this section "SPECIALISTS" refer to medical prescribers specialising in Mental Health unless otherwise stated. At Guy's and St Thomas' and Lewisham Hospitals this would refer to SLAM employed consultants
 Details...
04.07.01  Expand sub section  Non-opioid analgesics and compound analgesic preparations
Aspirin tabs

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Formulary
   
Dilofenac sodium tabs, m/r tabs, dispersible tabs, suppositories

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Formulary

Link  MHRA Jun 2013: Diclofenac: new contraindications and warnings    
Ibuprofen tabs, suspension

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Formulary

Link  MHRA Jun 2015: High-dose ibuprofen (≥2400mg/day): small increase in cardiovascular risk    
Nefopam tabs

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Formulary
   
Paracetamol injection

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Formulary Patients weighing less than 50 kg:
  • Max dose = 15 mg/kg
  • Minimum dose interval of 4 hours
  • Maximum daily dose must not exceed 60 mg/kg (without exceeding 3g)

    In severe renal insufficiency (creatinine clearance ≤30 mL/min):
  • Minimum dose interval of 6 hours

    Not to exceed 3g as total daily dose in the following patients:
  • Hepatocellular insufficiency
  • Chronic alcoholism
  • Chronic malnutrition or dehydration

    Short-term treatment of moderate pain and fever when administration by the intravenous route is clinically justified
  •    
    Paracetamol tabs, soluble tabs, oral suspension, suppositories

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    Formulary
       
    04.07.01  Expand sub section  Compound analgesic preparations
    Co-codamol tabs, dispersible tabs (paracetamol and codeine)

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    Formulary Strengths available:
  • Co-codamol 8/500
  • Co-codamol 30/500
  •    
    Co-dydramol 10/500 tabs (paracetamol and dihydrocodeine)

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    Formulary
       
     ....
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    Section Title Section Title (top level) Non Formulary Item Non Formulary section
    Section Title Section Title (sub level)
    Cytotoxic Drug
    Cytotoxic Drug
    Restricted Drug
    Restricted Drug
    CD
    Controlled Drug
    Unlicensed Drug
    Unlicensed
    High Cost Medicine
    High Cost Medicine
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    Track Changes
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    Cancer Drugs Fund
    Cancer Drugs Fund
       

     

    Traffic Light Status Information

    Status Description
      Red   Specialist Prescribing only. The responsibility for prescribing, monitoring, dose adjustment and review should remain with the specialist. In very exceptional circumstances a specialist may discuss individual patient need for a RED drug to be prescribed by a GP and the GP should consider informing the Medicines Management team before a decision is made to prescribe for individual patients.   
      Amber 1   Treatment can be initiated in primary care after a recommendation from an appropriate specialist  
      Amber 2   Specialist initiation followed by maintenance prescribing in primary care  
      Amber 3   Specialist initiation with ongoing monitoring required. After dose stabilisation GPs can be requested to take over prescribing responsibilities using the approved APC shared care documentation  
      Green   Specialist and non-specialist initiation  
      Grey   Not recommended for prescribing  

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