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Birmingham, Sandwell, Solihull and environs APC Formulary
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 Formulary Chapter 15: Anaesthesia - Full Chapter
15.02  Expand sub section  Local anaesthesia
15.02  Expand sub section  Articaine
15.02  Expand sub section  Bupivacaine
15.02  Expand sub section  Levobupivacaine
15.02  Expand sub section  Lidocaine to top
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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    Formulary
    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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    Formulary
    Green
     
       
    15.02  Expand sub section  Mepivacaine
    15.02  Expand sub section  Prilocaine
    15.02  Expand sub section  Procaine
    15.02  Expand sub section  Ropivacaine
    15.02  Expand sub section  Tetracaine to top
    15.02  Expand sub section  Other local anaesthetics
     ....
     Non Formulary Items
    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
     
      
    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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