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Bedfordshire and Luton Joint Formulary
Bedford Hospital NHS Trust
Bedfordshire CCG
Luton & Dunstable University Hospital NHS Foundation Trust
Luton CCG
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 Formulary Chapter 3: Respiratory system - Full Chapter
Notes:

Any drug not listed on the Formulary should be considered Non-Formulary - Not recommended for prescribing

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 Details...
03.04.03  Expand sub section  Allergic emergencies
03.04.03  Expand sub section  Anaphylaxis
Adrenaline / epinephrine (Emerade)
(Auto-injector)
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Formulary
Green
150micrograms for children between 15 and 30kg
300micrograms for children over 30kg and adults
500micrograms an option for adolescents and adults over 60kg (recommended dose 5 to 10 micrograms/ kg)
The Emerade device has a longer needle length and may be more suitable for patients with a thick sub-cutaneous fat layer.
NOTE: Ensure that training is given to all patients, for all prescriptions, irrespective of whether patients have received or used the product previously.
All prescribing to ensure patient has 2 devices.  
   
Adrenaline / epinephrine (EpiPen )
(Auto-injector)
View adult BNF View SPC online View childrens BNF
Formulary
Green
Adult: 300micrograms
Junior:150micrograms

NOTE: Ensure that training is given to all patients, for all prescriptions, irrespective of whether patients have received or used the product previously.
All prescribing to ensure patient has 2 devices.

 
   
Adrenaline / Epinephrine (Jext)
(Auto-injector)
View adult BNF View SPC online View childrens BNF
Formulary
Green
Adult: 300micrograms
Junior:150micrograms

N.B. Most cost-effective pen.

NOTE: Ensure that training is given to all patients, for all prescriptions, irrespective of whether patients have received or used the product previously.
All prescribing to ensure patient has 2 devices.
 
   
Adrenaline / epinephrine 1 in 10,000 (dilute)
View adult BNF View SPC online View childrens BNF
Formulary
Red
1 in 10,000 10mL Pre-filled syringe.

Available on crash trolley.

 
   
Adrenaline / epinephrine 1 in 10,000 (dilute)
View adult BNF View SPC online View childrens BNF
Formulary
Red
1 in 10,000 1mL Injection
1 in 10,000 10mL Injection

Available on crash trolley. 
   
Adrenaline / epinephrine 1 in 1,000
View adult BNF View SPC online View childrens BNF
Formulary
Red
1 in 1000 1mL Anaphylaxis Pre-filled syringe

Available in anaphylaxis box. 
   
Adrenaline / epinephrine 1 in 1,000
View adult BNF View SPC online View childrens BNF
Formulary
Red
1 in 1000 1mL Injection
1 in 1000 5mL Injection  
   
03.04.03  Expand sub section  Angioedema
03.04.03  Expand sub section  Intramuscular adrenaline (epinephrine)
03.04.03  Expand sub section  Intravenous adrenaline (epinephrine) to top
03.04.03  Expand sub section  Self-administration of adrenaline (epinephrine)
 ....
 Non Formulary Items
Adrenaline / Epinephrine  (Anapen)

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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
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Link to adult BNF
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Link to children's BNF
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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

Red

RED - Hospital only to be prescribed by a specialist and supplied from secondary care ONLY throughout treatment  

Amber

Amber medicines are considered suitable for GP prescribing following specialist initiation.  

Green

These medicines are appropriate for initiation in both primary and secondary care. Prescribing is appropriate within licensed or local recommendations   

Amber SCG

Shared Care - these medicines require specialist initiation and stabilisation. Ongoing division of responsibility for drug and disease monitoring between specialist and GP by a Shared Care Guideline (SCG). If no SCG in place status reverts to red.   

Black

A decision has been made by either or both the local or national NHS not to routinely commission this preparation for its licensed indications. Do not prescribe.   

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