nhs forth valley formulary 11 - Community Pharmacy

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ContentsChapter 14: Immunological products and vaccines 4614.4 Vaccines and antisera 4614.5 Immunoglobulins 46Chapter 15: Anaesthesia 4715.1 General anaesthesia 4715.2 Local anaesthesia 48Appendices 491 NHS FV Prescribing of New Medicine Flowchart 502 Non Formulary Request Form (Acute Hospital) 513 Treatment Algorithm for Dyspepsia Guidance 524 Guidelines for The Prevention of Constipation in Adults 535 Lipid Lowering Guidelines 556 Guidance on Issuing Steroid Cards 647 The Use of Oral Analgesics for Pain in Primary Care 658 Neuropathic Pain Guideline 689 FVAH Acute Pain Stepladder 6910 Acute Services Phenytoin Guidelines 7011 Stop Smoking Guidance 7212 Therapeutic Drug Monitoring Guidelines 7913 Genito-Urinary Medicine List 8014 Recommendations for Blood Glucose Monitoring 8115 Blood Glucose Meters-Formulary Choices 8216 Beatson West of Scotland Cancer Centre 8317 Patients Receiving Chemotherapy Who Become Unwell – 84Guidance for Community Healthcare Practitioners18 Suspected Neutropenic Sepsis 8619 Hypercalcaemia of Malignancy Treatment Guideline 8820 Suspected Hypercalcaemia of Malignancy Guideline for 89Primary Care21 Superior Vena Cava Obstruction Treatment Guidance for 90Acute Services-Patients with known Malignancy22 Superior Vena Cava Obstruction Guidance for Primary 92Care23 Malignant Spinal Cord Compression Guideline (Secondary 93Care)24 Malignant Spinal Cord Compression Guideline (Primary 95Care)25 Hypomagnesaemia In Adults 9626 Hypophosphataemia In Adults 9827 Forth Valley Wound Management Formulary 100Index 102Page 4
IntroductionThe formulary is produced by the New Drugs Sub Group of the Forth Valley Area Drugand Therapeutics Committee (ADTC), and the contents reflect wide consultation with arange of practitioners in medicine and pharmacy.Aims and objectivesThe main aim of this formulary is to promote rational, safe, clinical- and cost-effectiveprescribing in both Primary and Secondary Care. The BNF contains several thousandmedicines and is designed to be comprehensive. The Forth Valley Formulary is a listcontaining fewer medicines, which provide appropriate treatment for the vast majority ofpatients, are approved for use in hospital and general practice. The modest size of the listshould enhance the quality of prescribing as familiarity with the limited range ofmedicines will be readily acquired. Clinical units, Community Health Partnerships (CHPs)and general medical practices may wish to use the complete Forth Valley Formulary ormay restrict the number of items further to suit local circumstances.Using the FormularyMedicines are presented according to the BNF classification. This enables the formularyto be used in conjunction with the current BNF, which prescribers are asked to use as theirprimary reference source for information regarding dosages, contra-indications andadverse reactions. Generally, formulations and strengths of preparations have beenomitted to allow flexibility of prescribing, except when a particular formulation is notapproved. Drugs are referred to throughout by generic name, with some exceptions.Where proprietary names are given, this indicates either a compound product or a productwith unique characteristics and no substitutions should be made. Some brief prescribingpoints have been added and have been reviewed by general practitioners and specialistsworking together.Page 5
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