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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 4: Central nervous system - Full Chapter
Notes:

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

 Details...
04.07.01  Expand sub section  Non-opioid analgesics and compound analgesic preparations
04.07.01  Expand sub section  Compound analgesic preparations
Paracetamol 500mg/ 50mL
(Solution for Infusion)
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Restricted Drug Restricted
Red

Restricted to paediatrics.

 
   
Aspirin
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Formulary
Green
300mg Dispersible Tablets
 
   
Paracetamol
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Formulary
Green

500mg Tablets
120mg & 250mg in 5mL Suspension (Sugar free solutions available)
120mg, 240mg & 1000mg Suppositories
500mg Soluble Tablets

For short term acute use in Primary Care patients should be advised to purchase over the counter

 
Link  UKMI Q&A - Can breastfeeding mothers take paracetamol?
   
Paracetamol 1g / 100mL
(Solution for IV infusion)
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Restricted Drug Restricted
Red

For adults

Restricted - only to be used when the oral route is not available. The rectal route is an alternative to the I.V. route where appropriate.

Please ensure weight is documented on ePMA and dose adjusted accordingly. N.B. for patients < 50kg maximum dose is 15mg/kg QDS.

 

Patient Group

 

Dose

 

Minimum dosing interval

 

Maximum daily dose

 

More than 50kg

 

1g max QDS

 

Every 4 hours

 

4g

 

 

Less than 50kg

 

15mg/kg max QDS

 

Every 4 hours

 

 

60mg/kg (or max 3g daily)

CrCl less than 30mL/min

According weight

(more than or less than 50kg)

 

Every 6 hours

According weight

(more than or less than 50kg)

 
Link  MHRA Drug Safety Update (July 2010) - Intravenous paracetamol: risk of accidental overdose
   
Paracetamol 500mg and codeine 30mg (Co-codamol 30/500)
(Tablets)
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Formulary
Green
Tablets and effervescent tablets 
   
Paracetamol 500mg and codeine 8mg (Co-codamol 8/500)
(Tablets)
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Formulary
Green
Tablets and effervescent tablets

 
   
Paracetamol and dihydrocodeine (Co-dydramol)
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Formulary
Green
10mg/500mg Tablets 
   
 ....
 Non Formulary Items
Aspirin  (Nu-Seals® Aspirin)

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Non Formulary
 
Aspirin and codeine  (Co-codaprin)

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Non Formulary
 
Aspirin and papaveretum  (Aspav)

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Non Formulary
 
Co-proxamol

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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)

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Non Formulary
 
Paracetamol and methionine  (Pardote)

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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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