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/
| Cyclizine |
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Formulary
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Palliative care Nausea and vomiting Nausea and vomiting in the last days of life Opioid-induced nausea and vomiting |
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| Fentanyl |
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Formulary
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Palliative care Pain |
 MHRA: Fentanyl skin patches: How to use and dispose of them safely MHRA: Serious and fatal overdose of fentanyl patches |
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| Hyoscine hydrobromide |
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Formulary
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Palliative care Respiratory tract secretions in the last days of life |
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| Levetiracetam |
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Formulary
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Palliative care Concentrate for solution for infusion 500mg/5ml Management for prolonged seizures or status epilepticus in palliative and end of life care. |
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| Lidocaine 5% medicated plasters |
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Formulary
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Palliative care 5% medicated plasters Complex neuropathic pain. |
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| Morphine |
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Formulary
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Palliative care Breathlessness Pain in the last weeks or days of life Breathlessness in the last days of life Pain |
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| Morphine sulfate orodispersible tablets Actimorph® |
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Formulary
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Palliative care Orodispersible tablets (Actimorph) 1mg, 2.5mg, 5mg, 10mg, 20mg, 30mg |
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| Nefopam tablets |
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Formulary
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Palliative care 30mg tablets Pain in palliative care including in patients with liver failure. |
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| Octreotide |
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Formulary
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Palliative care Bowel obstruction - GI secretions associated with bowel obstruction. |
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| Olanzapine |
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Formulary
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Palliative care Tablets, orodispersible tablets, powder for solution for injection Nausea and vomiting, appetite stimulant. |
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| Ondansetron |
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Formulary
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Palliative care Bowel obstruction - nausea and vomiting associated with bowel obstruction |
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| Oxycodone |
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Formulary
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Palliative care Breathlessness in the last days of life (on the advice of a specialist) |
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Links
- Enoxaparin Shared Care Guideline **FOR USE IN THE MORECAMBE BAY REGION ONLY**
- Low Molecular Weight Heparins - Use in Primary care Best Practice Guideline *FOR USE IN PENNINE REGION ONLY*
- LSCMMG: Atrial Fibrillation Pathway for the prevention of stroke and systemic embolism in AF in the absence of valvular heart disease
- LSCMMG: Heart Failure - Primary Care Guideline for the Use of SGLT-2 Inhibitors in Reduced Ejection Fraction Heart Failure
- LSCMMG: Lipid Management Pathway for Primary Prevention of Cardiovascular Disease
- LSCMMG: Lipid Management Pathway for Secondary Prevention of Cardiovascular Disease
- LSCMMG: Low Molecular Weight Heparins (LMWHs) Summary Prescribing Guide
- MHRA Drug Safety Update : Methylphenidate long-acting (modified-release) preparations: caution if switching between products due to differences in formulations
- MHRA Drug Safety Update Jan 2019: Tapentadol (Palexia): risk of seizures and reports of serotonin syndrome when co-administered with other medicines
- MHRA: Clopidogrel and proton pump inhibitors: interaction—updated advice
- MHRA: Fentanyl skin patches: How to use and dispose of them safely
- MHRA: Serious and fatal overdose of fentanyl patches
- MHRA: Tapentadol (Palexia): risk of seizures and reports of serotonin syndrome when co-administered with other medicines
- NG 185 - Acute coronary syndromes
- NG 196 - Atrial fibrillation: diagnosis and management
- NICE NG106: Chronic heart failure in adults: diagnosis and management
- NICE NG136: Hypertension in adults: diagnosis and management
- NICE NG187: Acute heart failure: diagnosis and management
- NICE NG203: Chronic kidney disease: assessment and management
- NICE NG95: Recent-onset chest pain of suspected cardiac origin: assessment and diagnosis
- Palliative care: Bowel obstruction
- Palliative care: Breathlessness
- Palliative care: Care in the last weeks or days of life
- Palliative care: Complex pain
- Palliative care: Constipation
- Palliative care: Corticosteroids
- Palliative care: Emergencies
- Palliative care: Nausea & vomiting
- Palliative care: Pain