BNF for Children 2011-2012

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742 Appendix 1: Interactions BNFC 2011–2012Zonisamide. Antidepressants (continued)lowered); avoid concomitant use of antiepilepticswith .St John’s wortAntiepileptics: plasma concentration of zonisamidereduced by carbamazepine, phenobarbital andphenytoin. Antimalarials: possible increased risk of convulsionswhen antiepileptics given with chloroquine andhydroxychloroquine; anticonvulsant effect of antiepilepticsantagonised by .mefloquine. Antipsychotics: anticonvulsant effect of antiepilepticsantagonised by .antipsychotics (convulsive thresholdlowered). Orlistat: possible increased risk of convulsions whenantiepileptics given with .orlistatZopiclone see Anxiolytics and HypnoticsZuclopenthixol see AntipsychoticsAppendix 1: Interactions
BNFC 2011–2012 743A2Borderline substancesA2.1 Enteral feeds (non-diseasespecific) 744A2.1.1 Enteral feeds (non-diseasespecific): less than 5 g protein/100 mL 744A2.1.2 Enteral feeds (non-diseasespecific): 5 g (or more) protein/100 mL 747A2.1.3 Enteral feeds (non-diseasespecific): Child under 12 years 750A2.2 Nutritional supplements (nondiseasespecific) 756A2.2.1 Nutritional supplements: lessthan 5 g protein/100 mL 756A2.2.2 Nutritional supplements: 5 g(or more) protein/100 mL 758A2.3 Specialised formulas 763A2.3.1 Specialised formulas: Infantand child 763A2.3.2 Specialised formulas for specificclinical conditions 768A2.4 Feed supplements 771A2.4.1 High-energy supplements 771A2.4.2 Fibre, vitamin, and mineralsupplements 776A2.5 Feed additives 777A2.5.1 Special additives for conditionsof intolerance 777A2.5.2 Feed thickeners and pre-thickeneddrinks 777A2.5.3 Flavouring preparations 777A2.6 Foods for special diets 777A2.6.1 Gluten-free foods 777A2.6.2 Low-protein foods 780A2.7 Nutritional supplements formetabolic diseases 781In certain conditions some foods (and toilet preparations)have characteristics of drugs and the AdvisoryCommittee on Borderline Substances (ACBS) advisesas to the circumstances in which such substances maybe regarded as drugs. Prescriptions issued in accordancewith the Committee’s advice and endorsed‘ACBS’ will normally not be investigated.General Practitioners are reminded that the ACBSrecommends products on the basis that they may beregarded as drugs for the management of specifiedconditions. Doctors should satisfy themselves thatthe products can safely be prescribed, that patientsare adequately monitored and that, where necessary,expert hospital supervision is available.Foods which may be prescribed on FP10, GP10(Scotland), or WP10 (Wales) All the food productslisted in this appendix have ACBS approval. The clinicalcondition for which the product has been approved isincluded with each entry.Note Foods included in this appendix may contain cariogenicsugars and appropriate oral hygiene measures should be taken.Enteral feeds and nutritional supplements Formost enteral feeds and nutritional supplements, themain source of carbohydrate is either maltodextrin orglucose syrup; other carbohydrate sources are listed inthe relevant table, below. Feeds containing residuallactose (less than 1 g lactose/100 mL formula) aredescribed as ‘clinically lactose-free’ or ‘lactose-free’ bysome manufacturers. The presence of lactose (includingresidual lactose) in feeds is indicated in the relevanttable, below. The primary sources of protein or aminoacids are included with each product entry. The fat oroil content is derived from a variety of sources such asvegetables, soya bean, corn, palm nuts, and seeds;where the fat content is derived from animal or fishsources, this information is included in the relevanttable, below. The presence of medium chain triglycerides(MCT) is also noted where the quantityexceeds 30% of the fat content.Enteral feeds and nutritional supplements can containvarying amounts of vitamins, minerals, and trace elements—themanufacturer’s product literature should beconsulted for more detailed information. For furtherinformation on enteral nutrition, see section 9.4.2.Feeds containing vitamin K may affect the INR inchildren receiving warfarin; see interactions: Appendix1 (vitamins).The suitability of food products for patients requiring avegan, kosher, halal, or other compliant diet should beconfirmed with individual manufacturers.Note Feeds containing more than 6 g/100 mL protein or 2 g/100 mL fibre should be avoided in children unless recommendedby an appropriate specialist or dietician.Standard ACBS indications: Disease-related malnutrition,intractable malabsorption, pre-operativepreparation of malnourished patients, dysphagia,proven inflammatory bowel disease, following totalgastrectomy, short-bowel syndrome, bowel fistulaPaediatric ACBS indications: Disease-relatedmalnutrition, intractable malabsorption, growth failure,pre-operative preparation of malnourishedpatients, dysphagia, short-bowel syndrome, bowelfistulaAppendix 2: Borderline substances
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Medicines information servicesInfor
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Published byBMJ GroupTavistock Squa
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iv BNFC 2011-2012PrefaceBNF for Chi
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vi BNFC 2011-2012BNF StaffDigital D
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viii BNFC 2011-2012Nurse Prescriber
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x BNFC 2011-2012. incorporating the
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xii BNFC 2011-2012prescribing notes
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Branded oral liquid preparations th
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xvi BNFC 2011-2012Finding significa
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xviii BNFC 2011-2012Epilim Chronosp
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xx BNFC 2011-2012Tears Naturale c S
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2 General guidance BNFC 2011-2012Ge
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4 Prescription writing BNFC 2011-20
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6 Supply of medicines BNFC 2011-201
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8 Emergency supply of medicines BNF
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10 Prescribing Controlled Drugs BNF
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Adverse reactions to drugs12 Advers
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Prescribing in hepatic impairment14
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Prescribing in pregnancy16 Prescrib
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18 Prescribing in palliative care B
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20 Prescribing in palliative care B
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22 Prescribing in dental practice B
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Emergency treatment of poisoning24
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26 Emergency treatment of poisoning
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36 1.1.1 Antacids and simeticone BN
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38 1.1.2 Compound alginate preparat
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40 1.2 Antispasmodics and other dru
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42 1.3 Antisecretory drugs and muco
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44 1.3.3 Chelates and complexes BNF
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46 1.4 Acute diarrhoea BNFC 2011-20
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48 1.5 Chronic bowel disorders BNFC
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50 1.5.1 Aminosalicylates BNFC 2011
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52 1.5.1 Aminosalicylates BNFC 2011
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54 1.5.3 Drugs affecting the immune
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56 1.5.4 Food allergy BNFC 2011-201
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58 1.6.1 Bulk-forming laxatives BNF
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60 1.6.2 Stimulant laxatives BNFC 2
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62 1.6.4 Osmotic laxatives BNFC 201
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64 1.6.5 Bowel cleansing preparatio
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66 1.7 Local preparations for anal
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68 1.8 Stoma and enteral feeding tu
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70 1.9.2 Bile acid sequestrants BNF
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72 1.9.4 Pancreatin BNFC 2011-20121
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74 2.1.1 Cardiac glycosides BNFC 20
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76 2.2 Diuretics BNFC 2011-20122 Ca
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78 2.2.2 Loop diuretics BNFC 2011-2
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BNFC 2011-2012 2.2.4 Potassium-spar
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BNFC 2011-2012 2.3.2 Drugs for arrh
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BNFC 2011-2012 2.3.2 Drugs for arrh
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BNFC 2011-2012 2.4 Beta-adrenocepto
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BNFC 2011-2012 2.5.1 Vasodilator an
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BNFC 2011-2012 2.5.4 Alpha-adrenoce
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BNFC 2011-2012 2.5.5 Drugs affectin
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BNFC 2011-2012 2.5.5 Drugs affectin
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BNFC 2011-2012 2.6.2 Calcium-channe
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BNFC 2011-2012 2.7.1 Inotropic symp
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BNFC 2011-2012 2.7.2 Vasoconstricto
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BNFC 2011-2012 2.8.1 Parenteral ant
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BNFC 2011-2012 2.8.1 Parenteral ant
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BNFC 2011-2012 2.8.2 Oral anticoagu
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BNFC 2011-2012 2.10 Myocardial infa
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BNFC 2011-2012 2.11 Antifibrinolyti
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BNFC 2011-2012 2.12 Lipid-regulatin
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BNFC 2011-2012 2.14 Drugs affecting
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BNFC 2011-2012 1333 Respiratory sys
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BNFC 2011-2012 3.1 Bronchodilators
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BNFC 2011-2012 3.1.1 Adrenoceptor a
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BNFC 2011-2012 3.1.1 Adrenoceptor a
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BNFC 2011-2012 3.1.2 Antimuscarinic
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BNFC 2011-2012 3.1.3 Theophylline 1
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BNFC 2011-2012 3.1.5 Peak flow mete
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BNFC 2011-2012 3.2 Corticosteroids
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BNFC 2011-2012 3.3 Cromoglicate and
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BNFC 2011-2012 3.4 Antihistamines,
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BNFC 2011-2012 3.4.1 Antihistamines
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BNFC 2011-2012 3.4.2 Allergen immun
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BNFC 2011-2012 3.4.3 Allergic emerg
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BNFC 2011-2012 3.4.3 Allergic emerg
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BNFC 2011-2012 3.6 Oxygen 163ment
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BNFC 2011-2012 3.7 Mucolytics 165HO
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BNFC 2011-2012 3.9 Cough preparatio
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BNFC 2011-2012 1694 Central nervous
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BNFC 2011-2012 4.1.2 Anxiolytics 17
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BNFC 2011-2012 4.2.1 Antipsychotic
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BNFC 2011-2012 4.3 Antidepressant d
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BNFC 2011-2012 4.3.1 Tricyclic anti
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BNFC 2011-2012 4.3.3 Selective sero
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BNFC 2011-2012 4.4 CNS stimulants a
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BNFC 2011-2012 4.5 Drugs used in th
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BNFC 2011-2012 4.6 Drugs used in na
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BNFC 2011-2012 4.7 Analgesics 199Sc
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BNFC 2011-2012 4.7.1 Non-opioid ana
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BNFC 2011-2012 4.7.2 Opioid analges
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BNFC 2011-2012 4.7.4 Antimigraine d
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BNFC 2011-2012 4.8 Antiepileptics 2
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BNFC 2011-2012 4.8.1 Control of the
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BNFC 2011-2012 4.8.2 Drugs used in
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BNFC 2011-2012 4.8.3 Febrile convul
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BNFC 2011-2012 4.9.2 Antimuscarinic
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BNFC 2011-2012 4.10.2 Nicotine depe
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BNFC 2011-2012 4.10.2 Nicotine depe
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BNFC 2011-2012 5.1 Antibacterial dr
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BNFC 2011-2012 5.1.1 Penicillins 25
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BNFC 2011-2012 5.1.2 Cephalosporins
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BNFC 2011-2012 5.1.3 Tetracyclines
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BNFC 2011-2012 5.1.4 Aminoglycoside
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BNFC 2011-2012 5.1.4 Aminoglycoside
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BNFC 2011-2012 5.1.5 Macrolides 281
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BNFC 2011-2012 5.1.6 Clindamycin 28
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BNFC 2011-2012 5.1.7 Some other ant
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BNFC 2011-2012 5.1.7 Some other ant
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BNFC 2011-2012 5.1.8 Sulfonamides a
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BNFC 2011-2012 5.1.9 Antituberculos
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BNFC 2011-2012 5.1.9 Antituberculos
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BNFC 2011-2012 5.1.11 Metronidazole
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BNFC 2011-2012 5.1.12 Quinolones 29
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BNFC 2011-2012 5.1.13 Urinary-tract
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BNFC 2011-2012 5.2.1 Triazole antif
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BNFC 2011-2012 5.2.1 Triazole antif
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BNFC 2011-2012 5.2.2 Imidazole anti
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BNFC 2011-2012 5.2.4 Echinocandin a
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BNFC 2011-2012 5.3 Antiviral drugs
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BNFC 2011-2012 5.3.1 HIV infection
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BNFC 2011-2012 5.3.2 Herpesvirus in
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BNFC 2011-2012 5.3.2 Herpesvirus in
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BNFC 2011-2012 5.3.3 Viral hepatiti
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BNFC 2011-2012 5.3.5 Respiratory sy
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BNFC 2011-2012 5.4 Antiprotozoal dr
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BNFC 2011-2012 5.4.1 Antimalarials
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BNFC 2011-2012 5.4.2 Amoebicides 33
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BNFC 2011-2012 5.4.6 Trypanocides 3
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BNFC 2011-2012 5.4.8 Drugs for pneu
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BNFC 2011-2012 5.5.2 Ascaricides 34
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BNFC 2011-2012 5.5.8 Drugs for stro
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BNFC 2011-2012 6.1.1 Insulins 349Tr
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BNFC 2011-2012 6.1.1 Insulins 351So
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BNFC 2011-2012 6.1.1 Insulins 353IN
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BNFC 2011-2012 6.1.1 Insulins 355Hi
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BNFC 2011-2012 6.1.2 Antidiabetic d
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BNFC 2011-2012 6.1.2 Antidiabetic d
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BNFC 2011-2012 6.1.4 Treatment of h
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BNFC 2011-2012 6.1.6 Diagnostic and
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BNFC 2011-2012 6.2 Thyroid and anti
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BNFC 2011-2012 6.2.2 Antithyroid dr
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BNFC 2011-2012 6.3.2 Glucocorticoid
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BNFC 2011-2012 6.4 Sex hormones 377
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BNFC 2011-2012 6.4.2 Male sex hormo
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BNFC 2011-2012 6.4.3 Anabolic stero
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BNFC 2011-2012 6.5.1 Hypothalamic a
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BNFC 2011-2012 6.5.2 Posterior pitu
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BNFC 2011-2012 6.5.2 Posterior pitu
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BNFC 2011-2012 6.6.2 Bisphosphonate
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BNFC 2011-2012 6.7.3 Metyrapone 391
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BNFC 2011-2012 3937 Obstetrics, gyn
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BNFC 2011-2012 7.2.2 Vaginal and vu
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BNFC 2011-2012 7.3.1 Combined hormo
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BNFC 2011-2012 7.3.2 Progestogen-on
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BNFC 2011-2012 7.3.2 Progestogen-on
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BNFC 2011-2012 7.3.4 Contraceptive
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BNFC 2011-2012 7.4 Drugs for genito
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BNFC 2011-2012 7.4.2 Drugs for urin
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BNFC 2011-2012 7.4.5 Drugs for erec
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BNFC 2011-2012 8.1 Cytotoxic drugs
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BNFC 2011-2012 8.1 Cytotoxic drugs
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BNFC 2011-2012 8.1.1 Alkylating dru
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BNFC 2011-2012 8.1.2 Cytotoxic anti
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BNFC 2011-2012 8.1.3 Antimetabolite
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BNFC 2011-2012 8.1.3 Antimetabolite
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BNFC 2011-2012 8.1.5 Other antineop
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BNFC 2011-2012 8.1.5 Other antineop
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BNFC 2011-2012 8.2 Drugs affecting
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BNFC 2011-2012 8.2.2 Corticosteroid
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BNFC 2011-2012 8.2.4 Other immunomo
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BNFC 2011-2012 8.2.4 Other immunomo
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BNFC 2011-2012 9.1.1 Iron-deficienc
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BNFC 2011-2012 9.2.1 Oral preparati
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BNFC 2011-2012 9.2.1 Oral preparati
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BNFC 2011-2012 9.2.2 Parenteral pre
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BNFC 2011-2012 9.3 Intravenous nutr
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BNFC 2011-2012 9.4.2 Enteral nutrit
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BNFC 2011-2012 9.5 Minerals 471dren
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BNFC 2011-2012 9.5.1 Calcium and ma
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BNFC 2011-2012 9.5.2 Phosphorus 475
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BNFC 2011-2012 9.5.3 Fluoride 477Ch
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BNFC 2011-2012 9.6.2 Vitamin B grou
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BNFC 2011-2012 9.6.3 Vitamin C 481I
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BNFC 2011-2012 9.6.4 Vitamin D 483N
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BNFC 2011-2012 9.6.5 Vitamin E 4851
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BNFC 2011-2012 9.6.7 Multivitamin p
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BNFC 2011-2012 9.8.2 Acute porphyri
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BNFC 2011-2012 49910 Musculoskeleta
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BNFC 2011-2012 10.1.1 Non-steroidal
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BNFC 2011-2012 10.1.3 Drugs that su
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BNFC 2011-2012 10.1.3 Drugs that su
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BNFC 2011-2012 10.1.4 Gout and cyto
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BNFC 2011-2012 10.2.2 Skeletal musc
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BNFC 2011-2012 10.2.2 Skeletal musc
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BNFC 2011-2012 51711 Eye11.1 Admini
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BNFC 2011-2012 11.3.1 Antibacterial
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BNFC 2011-2012 11.3.3 Antivirals 52
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BNFC 2011-2012 11.4.2 Other anti-in
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BNFC 2011-2012 11.6 Treatment of gl
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BNFC 2011-2012 11.6 Treatment of gl
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BNFC 2011-2012 11.7 Local anaesthet
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BNFC 2011-2012 11.8.1 Tear deficien
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BNFC 2011-2012 11.9 Contact lenses
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BNFC 2011-2012 12.1.1 Otitis extern
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BNFC 2011-2012 12.1.2 Otitis media
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BNFC 2011-2012 12.2.2 Topical nasal
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BNFC 2011-2012 12.3 Drugs acting on
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BNFC 2011-2012 12.3.2 Oropharyngeal
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BNFC 2011-2012 12.3.4 Mouthwashes a
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BNFC 2011-2012 12.3.5 Treatment of
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BNFC 2011-2012 13.1.1 Vehicles 551m
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BNFC 2011-2012 13.2.1 Emollients 55
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BNFC 2011-2012 13.2.1 Emollients 55
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BNFC 2011-2012 13.3 Topical antipru
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BNFC 2011-2012 13.4 Topical cortico
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BNFC 2011-2012 13.5 Preparations fo
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BNFC 2011-2012 13.5.2 Preparations
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BNFC 2011-2012 13.5.3 Drugs affecti
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BNFC 2011-2012 13.6.1 Topical prepa
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BNFC 2011-2012 13.6.1 Topical prepa
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BNFC 2011-2012 13.6.2 Oral preparat
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BNFC 2011-2012 13.7 Preparations fo
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BNFC 2011-2012 13.8.2 Camouflagers
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BNFC 2011-2012 13.10 Anti-infective
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BNFC 2011-2012 13.10.1 Antibacteria
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BNFC 2011-2012 13.10.2 Antifungal p
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BNFC 2011-2012 13.10.3 Antiviral pr
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BNFC 2011-2012 13.11.2 Chlorhexidin
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BNFC 2011-2012 13.12 Antiperspirant
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BNFC 2011-2012 59914 Immunological
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BNFC 2011-2012 14.1 Active immunity
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BNFC 2011-2012 14.4 Vaccines and an
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BNFC 2011-2012 14.5.1 Normal Immuno
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BNFC 2011-2012 14.5.2 Disease-speci
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BNFC 2011-2012 14.6 International t
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BNFC 2011-2012 15.1.1 Intravenous a
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BNFC 2011-2012 15.1.1 Intravenous a
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BNFC 2011-2012 15.1.2 Inhalational
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BNFC 2011-2012 15.1.3 Antimuscarini
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BNFC 2011-2012 15.1.4 Sedative and
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BNFC 2011-2012 15.1.5 Neuromuscular
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BNFC 2011-2012 15.1.5 Neuromuscular
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BNFC 2011-2012 15.1.7 Antagonists f
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BNFC 2011-2012 15.2 Local anaesthes
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BNFC 2011-2012 655A1InteractionsTwo
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Page 787 and 788: Nutramigen c Lipil 2(Mead Johnson)S
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Page 793 and 794: A2.4 Feed supplementsA2.4.1 High-en
Page 795 and 796: Medium-chainTriglyceride (MCT)Oil(S
Page 797 and 798: Calshake c(Fresenius Kabi)Powderper
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BNFC 2011-2012 Dental Practitioners
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BNFC 2011-2012 Nurse Prescribers’
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BNFC 2011-2012 799Non-medical presc
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BNFC 2011-2012 Index of manufacture
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BNFC 2011-2012 809Special-orderManu
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BNFC 2011-2012 Abacavir—Alfacalci
Page 835 and 836:
BNFC 2011-2012 Anthelios—Arthrofe
Page 837 and 838:
BNFC 2011-2012 Benzodiazepines—Bu
Page 839 and 840:
BNFC 2011-2012 Cetrimide—Cocaine
Page 841 and 842:
BNFC 2011-2012 Coumarins—Dermatop
Page 843 and 844:
BNFC 2011-2012 Disinfectants—Emer
Page 845 and 846:
BNFC 2011-2012 Eye—Formaldehyde 8
Page 847 and 848:
BNFC 2011-2012 Glycogen—Homatropi
Page 849 and 850:
BNFC 2011-2012 Ibuprofen—Iodide 8
Page 851 and 852:
BNFC 2011-2012 Laxatives—Magnesiu
Page 853 and 854:
BNFC 2011-2012 Methylenedioxymetham
Page 855 and 856:
BNFC 2011-2012 Nicardipine—Oftaqu
Page 857 and 858:
BNFC 2011-2012 Paramax—Plaquenil
Page 859 and 860:
BNFC 2011-2012 Procarbazine—Regul
Page 861 and 862:
BNFC 2011-2012 Scottish—Sodium 83
Page 863 and 864:
BNFC 2011-2012 Syringes—Tocophero
Page 865 and 866:
BNFC 2011-2012 Ursofalk—Waxsol 84
Page 869 and 870:
NEWBORN LIFE SUPPORTDry the babyRem
Page 871 and 872:
PAEDIATRIC ADVANCED LIFE SUPPORTUnr
Page 873 and 874:
BODY SURFACE AREA IN CHILDRENBody-w
Page 875 and 876:
Croup(section 3.1)Dexamethasone ora
Page 877 and 878:
Recommended wording of cautionaryan
show all

BNF for Children 2011-2012

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