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Birmingham, Sandwell, Solihull and environs APC Formulary
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 Formulary Chapter 4: Central nervous system - Full Chapter
04.07.01  Expand sub section  Non-opioid analgesics and compound analgesic preparations
04.07.01  Expand sub section  Compound analgesic preparations
Aspirin 300mg dispersible tablets
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Formulary
Green
  • topical analgesia- for gargling 
  •    
    Paracetamol
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    Formulary
    Green
  • tablets
  • SF suspension
  • 500mg soluble tablets- high sodium content.Only for patients with swallowing difficulties. 
  • Link  UKMI Q&A: Can Breastfeeding mothers take paracetamol?
       
    Paracetamol
    (suppositories)
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    Formulary
    Red
     
       
    Paracetamol (Perfalgan®)
    (intravenous infusion)
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    Formulary
    Red
     
       
    Paracetamol and codeine (Co-codamol ®15/500)
    (tablets/ capsules)
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    Formulary
    Green
  • £££
  • Limited evidence.
  • For elderly community who would not tolerate separate ingredients or to support a step down review. 
  •    
    Paracetamol and codeine (Co-codamol ®15/500)
    (effervescent tablets)
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    Formulary
    Green
  • £££
  • Limited evidence.
  • High sodium content.
  • For elderly community who would not tolerate separate ingredients or to support a step down review. 
  •    
    Paracetamol and codeine (Co-codamol® 30/500)
    (effervescent tablets)
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    Formulary
    Green
  • £££
  • High sodium content
  • Use in chronic pain only, and for patients with swallowing difficulties. 
  •    
    Paracetamol and codeine (Co-codamol® 30/500)
    (tablets/capsules)
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    Formulary
    Green
    • Use with caution in patients aged over 65
    • Contraindicated in children below the age of 12
     
       
     ....
     Non Formulary Items
    Aspirin  (Caprin®)

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    Non Formulary
     
    Aspirin  (Nu-Seals® Aspirin)

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    Non Formulary
     
    Aspirin and codeine  (Co-codaprin®)

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    Non Formulary
     
    Aspirin and papaveretum  (Aspav®)

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    Non Formulary
     
    Co-proxamol

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    Non Formulary
    Black
  • In line with NHS England's Guidance for CCGs: Items which should not routinely be prescribed in primary care (Dec 2017)

    Click here to access guidance
  • Link  Patient Information Leaflet
     
    Nefopam

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    Non Formulary
    Black
     
    Nefopam  (Acupan®)

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    Non Formulary
     
    Paracetamol  (Panadol OA®)

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    Non Formulary
     
    Paracetamol and codeine  (Co-codamol® 8/500)

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    Non Formulary
     
    Paracetamol and dihydrocodeine  (Co-dydramol®)

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    Non Formulary
    Black
     
    Paracetamol and dihydrocodeine  (Remedeine®)

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    Non Formulary
     
    Paracetamol and methionine  (Pardote®)

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    Non Formulary
     
      
    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 which are suitable for initiation and maintenance prescribing by primary and secondary care clinicians. These medicines should be initiated and prescribed within their licensed indications.  

    Amber

    Initiation and maintenance of prescribing by Specialists and transfer to Primary Care prescribing when appropriate, or initiation and maintenance of prescribing in Primary Care following recommendation from a Specialist.

    Some amber medicines require agreement with the local (internal) medicines committee prior to initiation; others may require a framework to support safe transfer and maintenance of care such as a RICaD or ESCA. The Formulary will be annotated to reflect these requirements.   

    Red

    Medicines for initiation and maintenance prescribing by Specialists only  

    Black

    Non-formulary medicines- medicines not recommended for routine primary care prescribing.  

    Grey

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

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