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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  Birmingham and Solihull CCG Policy for items which should not be prescribed in primary care
    Link  NHS Clinical Commissioners Items which should not routinely be prescribed in primary care: Guidance for CCGs
    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 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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