BNF for Children 2011-2012

BNFC 2011–2012 4.7.1 Non-opioid analgesics 201Post-immunisation pyrexia in infants (see alsop. 600). By mouthChild 2–3 months 60 mg as a single doserepeated once after 4–6 hours if necessaryParacetamol (Non-proprietary)Tablets and capletsA 1 , paracetamol 500 mg, netprice 16-tab pack = 17p, 32-tab pack = £1.00, 100-tabpack = £1.44. Label: 29, 30Brands include Panadol c D,Dental prescribing on NHS Paracetamol Tablets may beprescribedCapsulesA 1 , paracetamol 500 mg, net price 32-cappack = £1.00, 100-cap pack = £3.34. Label: 29, 30Brands include Panadol Capsules c DSoluble tablets (= Dispersible tablets)A 2 , paracetamol500 mg, net price 60-tab pack = £4.39.Label: 13, 29, 30Brands include Panadol Soluble c D (contains Na + 18.6 mmol/tablet), Paracetamol Seltzer c (contains Na + 16.9 mmol/tablet)Dental prescribing on NHS Paracetamol Soluble Tablets500 mg may be prescribedPaediatric soluble tablets (= Paediatric dispersibletablets), paracetamol 120 mg, net price 16-tab pack =89p. Label: 13, 30Brands include Disprol c Soluble Paracetamol DOral suspension 120 mg/5 mL (= Paediatric Mixture),paracetamol 120 mg/5 mL, net price 100 mL =72p, 150 mL = 84p, 200 mL = £1.05, 500 mL = £2.00.Label: 30Note BP directs that when Paediatric Paracetamol OralSuspension or Paediatric Paracetamol Mixture is prescribedParacetamol Oral Suspension 120 mg/5 mL should be dispensed;sugar-free versions can be ordered by specifying‘sugar-free’on the prescriptionBrands include Calpol c Paediatric, Calpol c Paediatric sugarfree,Disprol c Paediatric, Medinol c Paediatric sugar-free,Panadol c sugar-freeOral suspension 250 mg/5 mL (= Mixture), paracetamol250 mg/5 mL, net price 100 mL = 82p,200 mL = £1.10, 500 mL = £3.29. Label: 30Brands include Calpol c 6 Plus D, Medinol c Over 6 DDental prescribing on NHS Paracetamol Oral Suspensionmay be prescribedSuppositories, paracetamol 60 mg, net price 10 =£9.96; 125 mg, 10 = £11.50; 250 mg, 10 = £23.00;500 mg, 10 = £36.80; 1 g, 12 = £60.00. Label: 30Brands include Alvedon cNote Other strengths available from ‘special-order’ manufacturersor specialist importing companies, see p. 809Perfalgan c (Bristol-Myers Squibb) TAIntravenous infusion, paracetamol 10 mg/mL, netprice 50-mL vial = £1.39, 100-mL vial = £1.52Administration give undiluted or dilute to a concentration of1 mg/mL in Glucose 5% or Sodium Chloride 0.9%; use within 1hour of dilutionWith codeineFor prescribing information on codeine, see p. 204.When co-codamol tablets, dispersible (or effervescent)tablets, or capsules are prescribed and nostrength is stated, tablets, dispersible (or effervescent)tablets, or capsules, respectively, containingcodeine phosphate 8 mg and paracetamol 500 mgshould be dispensed.2Co-codamol 8/500 (Non-proprietary) AUTablets, co-codamol 8/500 (codeine phosphate 8 mg,paracetamol 500 mg), net price 30-tab pack = £1.25,32-tab pack = 50p, 100-tab pack = £1.35. Label: 29, 30DosePain, pyrexia. By mouthChild 6–12 years ½–1 tablet every 4–6 hours; max. 4tablets dailyChild 12–18 years 1–2 tablets every 4–6 hours; max. 8tablets dailyEffervescent or dispersible tablets, co-codamol 8/500 (codeine phosphate 8 mg, paracetamol 500 mg),net price 32-tab pack = £1.00, 100-tab pack = £4.32.Label: 13, 29, 30Brands include Paracodol c DNote The Drug Tariff allows tablets of co-codamol labelled‘dispersible’ to be dispensed against an order for ‘effervescent’and vice versaDosePain, pyrexia. By mouthChild 6–12 years ½–1 tablet in water every 4–6 hours;max. 4 tablets dailyChild 12–18 years 1–2 tablets in water every 4–6 hours;max. 8 tablets dailyCapsules, co-codamol 8/500 (codeine phosphate8 mg, paracetamol 500 mg), net price 10-cap pack =£1.10, 20-cap pack = £1.71. Label: 29, 30Brands include Paracodol c DDosePain, pyrexia. By mouthChild 12–18 years 1–2 capsules every 4 hours; max. 8capsules daily4 Central nervous systemPanadol OA c (GSK) ATablets, f/c, paracetamol 1 g, net price 100-tab pack= £3.30. Label: 30DosePain, pyrexia. By mouthChild 12–18 years 1 tablet up to 4 times daily, not moreoften than every 4 hours1. Can be sold to the public provided packs contain no morethan 32 capsules or tablets; pharmacists can sell multiplepacks up to a total quantity of 100 capsules or tablets injustifiable circumstances; for details see Medicines, Ethicsand Practice, London, Pharmaceutical Press (alwaysconsult latest edition)2. Can be sold to the public under certain circumstances; forexemptions see Medicines, Ethics and Practice, London,Pharmaceutical Press (always consult latest edition)With dihydrocodeine tartrate 10 mgFor prescribing information on dihydrocodeine, seep. 205See notes, p. 200When co-dydramol tablets are prescribed and no strength isstated, tablets containing dihydrocodeine tartrate 10 mg andparacetamol 500 mg should be dispensedCo-dydramol (Non-proprietary) AUTablets, scored, co-dydramol 10/500 (dihydrocodeinetartrate 10 mg, paracetamol 500 mg), net price30-tab pack = £1.21. Label: 29, 30DoseMild to moderate pain. By mouthChild 12–18 years 1–2 tablets every 4–6 hours; max. 8tablets daily