Lancashire and South Cumbria
Formulary
 
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21 Palliative Care Formulary

This chapter of the formulary is under continual development, please let the team know if you have any comments about the contents: mlcsu.lscformulary@nhs.net

For more information about the formulary development process, please see: https://www.lancsmmg.nhs.uk/lancashire-and-south-cumbria-icb-formulary-development/

21 Palliative Care Formulary Drugs

Amitriptyline
Formulary

Palliative care

Neuropathic pain


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Bisacodyl
Formulary

Palliative care

Constipation


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Celecoxib
Formulary

Palliative care

Pain: Anti-inflammatory


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Co-danthramer
Formulary

Palliative care

Constipation

Opiod-induced constipation


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Cyclizine
Formulary

Palliative care

Nausea and vomiting

Nausea and vomiting in the last days of life

Opioid-induced nausea and vomiting


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Dexamethasone
Formulary

Palliative care

Bowel obstruction - reduction of tumour oedema associated with bowel obstruction

Breathlessness

Corticosteroids in palliative care - Anorexia, Adjuvant analgesic, Nausea and vomiting associated with chemotherapy, Obstructive syndromes, Raised intracranial pressure, Spinal cord compression

Nausea and vomiting - raised Intracranial Pressure

Palliative care emergencies - SVC obstruction AND Metastatic spinal cord compression


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Diazepam
Formulary

Palliative care

Seizures


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Docusate
Formulary

Palliative care

Constipation

Opioid-induced constipation


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Domperidone
Formulary

Palliative care

Nausea and vomiting


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Duloxetine
Formulary

Palliative care

Neuropathic pain


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Fentanyl
Formulary

Palliative care

Pain

Link  MHRA: Fentanyl skin patches: How to use and dispose of them safely
Link  MHRA: Serious and fatal overdose of fentanyl patches

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Gabapentin
Formulary

Palliative care

Neuropathic pain


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Glycopyrronium
Formulary

Palliative care

Bowel obstruction - colic associated with bowel obstruction AND GI secretions associated with bowel obstruction

Respiratory tract secretions in the last days of life


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Haloperidol
Formulary

Palliative care

Care in the last weeks or days of life - Nausea and vomiting in the last days of life AND Agitation/terminal restlessness in the last days of life

Nausea and vomiting

Opioid-induced nausea and vomiting


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Hyoscine butylbromide
Formulary

Palliative care

Bowel obstruction - colic associated with bowel obstruction AND GI secretions associated with bowel obstruction

Respiratory tract secretions in the last days of life


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Hyoscine hydrobromide
Formulary

Palliative care

Respiratory tract secretions in the last days of life


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Ibuprofen
Formulary

Palltiave care

Pain: Anti-inflammatory


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Lactulose
Formulary

Palliative care

Constipation


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Levomepromazine
Formulary

Palliative care

Care in the last weeks or days of life - Nausea and vomiting in the last days of life AND Agitation/terminal restlessness in the last days of life

Nausea and vomiting

Opioid-induced nausea and vomiting


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Lorazepam
Formulary

Palliative care

Breathlessness

Breathlessness in the last days of life


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Metoclopramide
Formulary

Palliative care

Nausea and vomiting

Opioid-induced nausea and vomiting


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Midazolam
Formulary

Palliative care

Breathlessness

Care in the last weeks or days of life - Breathlessness in the last days of life AND Agitation/terminal restlessness in the last days of life

Palliative care emergencies - Seizures AND Anixolytic following major blood loss


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Morphine
Formulary

Palliative care 

Breathlessness

Pain in the last weeks or days of life

Breathlessness in the last days of life

Pain


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Naloxegol
Formulary

Palliative care

Opioid-induced constipation


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Naproxen
Formulary

Palliative care

Pain: Anti-inflammatory


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Octreotide
Formulary

Palliative care

Bowel obstruction - GI secretions associated with bowel obstruction. 


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Ondansetron
Formulary

Palliative care

Bowel obstruction - nausea and vomiting associated with bowel obstruction


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Oxycodone
Formulary

Palliative care

Breathlessness in the last days of life (on the advice of a specialist)


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Oxygen
Formulary

Palliative care

Breathlessness


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Pregabalin
Formulary

Palliative care

Neuropathic pain


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Prochlorperazine (buccal)
Formulary

Palliative care

Nausea and vomiting in the last days of life


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Salbutamol 2.5mg nebules
Formulary

Palliative care

Breathlessness


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Senna
Formulary

Palliative care

Constipation

Opioid-induced constipation


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Sodium chloride 0.9% nebules
Formulary

Palliative care

Breathlessness


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