netFormulary Northern Lincolnshire NHS
Formulary  
 Search
 Formulary Chapter 4: Central nervous system - Full Chapter
Notes:

Pain and Symptom Management Guidance in the Last Days of Life 

 

North East Lincolnshire Shared Care guidelines by NAVIGO Can be accessed here :

http://www.northernlincolnshireapc.nhs.uk/shared-care-guidelines/

 

 Details...
04.07.02  Expand sub section  Opioid analgesics
Controlled Drug Alfentanyl
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Red

Injection

 
   
Codeine
(analgesia)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green

Tablets

 
Link  MHRA Drug Safety Update: restricted use as analgesic in children and adolescents June 2013
   
Codeine Phosphate
(Codeine linctuses)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Red
 
Controlled Drug Injection Only
   
Controlled Drug Diamorphine
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Red

 Tablets, Injection

 

Red Diamorphine hydrochloride (Ayendi ) 720microgram/actuation Nasal Spray, CD

 

*Please see information regarding current shortage: Patient Information *Patient information – diamorphine *

 

Further information regarding Diamorphine Shortage (mainly applicable for Secondary Care prescribing)
Unfortunately Accord have advised that there has been a further delay to their resupply date for diamorphine 5mg and 10mg injection and they are now expecting stock to be available during the week commencing 10th September. Wockhardt’s position remains unchanged, so please can all hospitals continue with current management plans as per previous communications in email chain below until the middle of September. There have been no changes to the supply position for the alternatives, so please refer to below communication for information about this.
We will communicate further information about the recovery plan in early September.

 

 

 
   
Dihydrocodeine
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green

Tablets

 

Red Injection

Amber oral Liquid

 
Controlled Drug Injection Only
   
Controlled Drug Fentanyl
(Patch)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green

Patches

 
Link  MHRA Drug Safety Update - Transdermal fentanyl “patches”: reminder of potential for life-threatening harm from accidental exposure, particularly in children - July 2014
   
Controlled Drug Fentanyl
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Red

Injection

 
   
Controlled Drug Fentanyl (Instanyl® nasal spray)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Red

Nasal Spray – Lindsey Lodge Hospice Only CD

 
   
Controlled Drug Fentanyl Nasal Spray (PecFent®)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Red
 
   
Controlled Drug Fentanyl sublingual tablets (Abstral®)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Red

Sublingual Tablets

 
   
Controlled Drug Methadone
(Analgesic)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Red

tablets

 
   
Controlled Drug Morphine Salts
(Morphine sulphate)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green

 Normal relase (~4 hours effect): Oral solution (e.g. Oramorph®), Tablet (Sevredol®)


Slow release (~12hr effect): Modified Release Capsule  Approved brands are Zormorph and Morphgesic SR

MST Continous® Tablet MR

Injection

Red Morphine Sulphate MR Sachets, Suppositories

 

 
   
Controlled Drug Oxycodone
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Amber

Liquid

MR Tablets

Capsules

Red Injection

 

 
   
Controlled Drug Pethidine
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Red

Tablets, Injection

 
   
Controlled Drug Tapentadol (Palexia®)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Red

Modified release tablets

 
   
Controlled Drug Tramadol
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green

Capsules

Tablets

 

Red Injection

 
   
 ....
 Non Formulary Items
Controlled Drug  Buprenorphine  (BuTrans® patch)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Controlled Drug  Buprenorphine  (Temgesic®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Controlled Drug  Buprenorphine  (Transtec® patch)

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

Green

Green -Medicines suitable for routine use within primary care and Secondary care Can be initiated within primary care within their licensed indication, in accordance with nationally recognised formularies  

Amber

Amber- Medicines suitable to be prescribed in primary care after specialist /Consultant recommendation or initiation. A supporting prescribing guideline may be requested which must have been agreed by the relevant secondary care trust Medicines and Therapeutic Committee and approved by the Area Prescribing Committee.   

Red

Red-Hospital initiation and continuation only  

Amber Shared Care Protocol

AMBER SHARE CARE PROTOCOL- 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  

Blue

To be supplied from the appropriate commissioned provider.   

Green 2

GREEN 2- to be prescribed by primary care only   

Grey

GREY- NON FORMULARY (As agreed by Area Prescribing Committee)  

netFormulary