Lancashire and South Cumbria
Formulary
 
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4 Central nervous system
04-07-01 Non-opioid analgesics and compound analgesic preparations

For relief of mild to moderate pain


Co-codamol
Formulary

Tablets 30/500 (codeine 30mg/paracetamol 500mg),
tablets effervescent 30/500

Compound analgesic preparations (containing opioids) should not be used routinely. Patients should be given the individual components where possible to allow titration of dose. Where these preparations are used, they should be for short term use only, for relief of moderate pain.

Link  LSCMMG: Over the Counter Items that Should not be Routinely Prescribed in Primary Care Policy
Link  MHRA: Codeine for analgesia: restricted use in children because of reports of morphine toxicity

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Paracetamol
Formulary

Tablets 500mg
Dispersible tablets 500mg
Liquid 120mg/5mL, 250mg/5mL, 1g/10mL

Suppositories

Liquid and dispersible oral preparations reserved for when patients have with swallowing difficulties.

Consider OTC purchase

Some patients may be at increased risk of experiencing toxicity at therapeutic doses, particularly those with a body-weight under 50 kg and those with risk factors for hepatotoxicity. Clinical judgement should be used to adjust the dose of oral and intravenous paracetamol in these patients.

Link  LSCMMG: Over the Counter Items that Should not be Routinely Prescribed in Primary Care Policy

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Paracetamol
Formulary

Intravenous infusion 1g/100mL

For short term treatment of moderate pain or fever when the oral route is not available.

Some patients may be at increased risk of experiencing toxicity at therapeutic doses, particularly those with a body-weight under 50 kg and those with risk factors for hepatotoxicity. Clinical judgement should be used to adjust the dose of oral and intravenous paracetamol in these patients.


Red View adult BNF  View SPC online  View childrens BNF