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 Formulary Chapter 15: Anaesthesia - Full Chapter
15.01  General anaesthesia
15.01  Anaesthesia, sedation and resuscitation in dental practice
15.01  Gas cylinders
15.01.01  Intravenous anaesthetics
15.01.01  Barbiturates to top
15.01.01  Other intravenous anaesthetics
15.01.02  Inhalational anaesthetics
15.01.02  Volatile liquid anaesthetics
15.01.02  Nitrous oxide
15.01.03  Antimuscarinic drugs to top
Atropine SF solution
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Amber Recommended
 
   
Atropine sulphate
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Amber Recommended
 
   
Atropine tablets
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Amber Recommended
  • For Myaesthenia Gravis only.
 
   
Hyoscine Hydrobromide
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Green
For hyoscine patch, See chapter 4.6
 
   
15.01.04  Sedative and analgesic peri-operative drugs
15.01.04.01  Anxiolytics
15.01.04.01  Benzodiazepines
15.01.04.02  Non-opioid analgesics
15.01.04.03  Opioid analgesics to top
15.01.04.04  Other drugs for sedation
15.01.05  Neuromuscular blocking drugs
15.01.05  Non-depolarising muscle relaxants
15.01.05  Depolarising muscle relaxants
15.01.06  Drugs for reversal of neuromuscular blockade to top
15.01.06  Anticholinesterases
15.01.06  Other drugs for reversal of neuromuscular blockade
15.01.07  Antagonists for central and respiratory depression
15.01.08  Drugs for malignant hyperthermia
15.02  Local anaesthesia to top
15.02  Articaine
15.02  Bupivacaine
15.02  Levobupivacaine
15.02  Lidocaine
Lidocaine (laryngojet®)
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Restricted Drug Restricted
Red
  • Hospital only

  • Dental use under review 
  •    
    Lidocaine 2.5% with Prilocaine 2.5% (EMLA®)
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    Green
     
       
    Lidocaine 4% cream  (LMX®)
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    Restricted Drug Restricted
    Red
  • Paediatrics only 
  •    
    Lidocaine 5% ointment
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    Formulary
    Green
     
       
    Lidocaine injection
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    Formulary
    Green
     
       
    Lidocaine with Adrenaline (Lignospan®)
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    Formulary
    Green
     
       
    Lidocaine with Adrenaline (Xylocaine®)
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    Formulary
    Green
     
       
    Lidocaine2% with Chlorhexidine 0.25% (Instillagel®)
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    Green
     
       
    15.02  Mepivacaine to top
    15.02  Prilocaine
    15.02  Procaine
    15.02  Ropivacaine
    15.02  Tetracaine
    Tetracaine (Amethocaine) (Ametop®)
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    Green
  • First line at Birmingham Children's Hospital 
  •    
    15.02  Other local anaesthetics to top
    Articaine Hydrochloride with Adrenaline (Septanest®)
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    Formulary
    Red
  • Dental use 
  •    
     ....
     Non Formulary Items
    Dexmedetomidine  (Dexdor®)

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    Non Formulary
    Black
     
    Lidocaine 5% medicated plasters  (Versatis®)

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    Non Formulary New drug application to be considered
    Link  Birmingham and Solihull CCG Policy for items which should not be prescribed in primary care
    Link  Link to section 4.07.03
    Link  NHS Clinical Commissioners Items which should not routinely be prescribed in primary care: Guidance for CCGs
    Link  Patient Information Leaflet
     
    Vecuronium Bromide  (Norcuron®)

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    Non Formulary
    Black
    Discontinued
     
      
    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
    click to search medicines.org.uk
    Link to adult BNF
    click to search medicines.org.uk
    Link to children's BNF
    click to search medicines.org.uk
    Link to SPCs
    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

    Prescribing in children

    The APC notes that the informed use of unlicensed medicines or of licensed medicines for unlicensed applications (‘off-label’ use) is often necessary in paediatric practice.

    The APC advises GPs to consider specialist prescribing recommendations for Green and Amber medicines that are not subject to ESCAs or RICaDs in combination with the information provided in the BNFC which goes beyond that of marketing authorisations. The BNFC has been designed for rapid reference and the information presented has been carefully selected to aid decisions on prescribing.
      

    Green

    Medicines suitable for routine use within primary care. Initiation and maintenance of prescribing by Specialists, GPs and other qualified clinicians.   

    Amber Initiation

    Amber Specialist Initiation: Initiation and maintenance of prescribing by Specialists and transfer to Primary Care prescribing when appropriate. This may be supported by a RICaD, annotated within the formulary entry.  

    Amber Recommended

    Amber Specialist Recommendation: Initiation and maintenance of prescribing in Primary Care following recommendation from a Specialist.  

    Amber SC

    Amber Shared Care: Initiation and maintenance of prescribing by Specialists and transfer to Primary Care prescribing, in accordance with an ESCA, annotated within the formulary entry.  

    Red

    Medicines for initiation and maintenance prescribing by Specialists only.  

    Black

    Non-formulary Medicines which APC/Trust DTC has actively reviewed and do not recommend for use.  

    Grey

    Positive NICE TA and/or awaiting local clarification on place in therapy; Please contact your Medicines Optimisation team for more information.  

    The term 'Specialist' refers to Consultants, General Practitioners and Independant Prescribers with a Specialist Interest.  

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