Tablets 10mg, 25mg, 50mg
Liquid 25mg/5mL
Sugar Free oral solution 50mg/5mL

Use in line with NICE and LSCMMG guidelines.

There can be variation in the licensing of different medicines containing the same drug.

Capsules 100mg, 400mg, 400mg

Liquid 50mg/5mL

 Unlicensed

Fo r chronic pain - Prescribing retained within NHS commissioned specialist pain services in Lancashire and South Cumbria.

 For palliative care only AMBER0 - under review

5% Medicated Plasters

Post Herpetic Neuralgia

 For off-label indications.

In UHMB, only indicated (off-label) use endorsed by UHMB acute pain team is for prescribing in rib fractures

Maximum of 4 weeks supply to be given on discharge and not to be continued in primary care.

If required for longer than 4 weeks then GP should refer to chronic pain team for review and not issue a prescription

Any other off label use must be on the advice of the acute pain team and must only be prescribed by secondary care.

For use in Palliative care/EoL settings discuss with the Palliative Care team.

Tablets 10mg, 25mg

Use in line with NICE and LSCMMG guidelines.

 Unlicensed indication.

Capsules 25mg, 50mg, 75mg, 100mg, 150mg, 200mg

Use in line with NICE and LSCMMG guidelines.