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 Formulary Chapter 15: Anaesthesia - Full Chapter
15.01  General anaesthesia
15.01  Anaesthesia, sedation and resuscitation in dental practice
15.01  Gas cylinders
15.01.01  Intravenous anaesthetics
15.01.01  Barbiturates to top
Thiopental
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15.01.01  Other intravenous anaesthetics
Etomidate (Etomidate-Lipuro)
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Controlled Drug Ketamine injection
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Propofol
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15.01.02  Inhalational anaesthetics
15.01.02  Volatile liquid anaesthetics
Isoflurane (AErrane)
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First Choice  
Sevoflurane
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Restricted Drug Restricted

For paediatric induction and in adults know to be a high risk i.e. patients with myocardial ischaemia

 
   
15.01.02  Nitrous oxide
Nitrous oxide
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15.01.03  Antimuscarinic drugs to top
Atropine
(injection)
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Glycopyrronium
(injection)
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Glycopyrronium Liquid 1mg/5mL
(Hypersalivation)
Restricted Drug Restricted
Amber

Restricted for patients with hypersalivation and swallowing difficulties.

For initation by palliative care and parkinsons teams

 
   
Hyoscine Hydrobromide
(injection)
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15.01.04  Sedative and analgesic peri-operative drugs
15.01.04.01  Benzodiazepines
Diazepam
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Lorazepam
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Midazolam (Hypnovel)
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Controlled Drug Temazepam
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15.01.04.01  Benzodiazepines
15.01.04.02  Non-opioid analgesics
Ketorolac (Toradol)
(Pain)
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15.01.04.03  Opioid analgesics to top
Controlled Drug Alfentanil (Rapifen)
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Controlled Drug Fentanyl
(Injection)
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Controlled Drug Remifentanil (Ultiva)
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15.01.04.04  Other drugs for sedation
15.01.05  Neuromuscular blocking drugs
15.01.05  Non-depolarising muscle relaxants
Atracurium
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Mivacurium (Mivacron)
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Pancuronium
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Rocuronium (Esmeron)
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Vecuronium (Norcuron)
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15.01.05  Depolarising muscle relaxants
Suxamethonium Chloride
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15.01.06  Drugs for reversal of neuromuscular blockade to top
15.01.06  Anticholinesterases
Neostigmine
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Neostigmine with Glycopyrronium
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15.01.06  Other drugs for reversal of neuromuscular blockade
Sugammadex (Bridion)
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15.01.07  Antagonists for central and respiratory depression
Doxapram (Dopram)
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Flumazenil (Anexate)
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Naloxone
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15.01.08  Drugs for malignant hyperthermia
15.02  Local anaesthesia to top
15.02  Articaine
15.02  Bupivacaine
Bupivacaine and Adrenaline
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Bupivacaine Hydrochloride
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Bupivacaine Hydrochloride with Glucose (Marcain Heavy)
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Controlled Drug Bupivacaine with Fentanyl
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15.02  Levobupivacaine
Controlled Drug Levobupivacaine with Fentanyl
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15.02  Lidocaine
Lidocaine
(injection)
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Lidocaine
(patch 5% (700mg))
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Restricted Drug Restricted
Amber

Hospital only for acute respiratory injury, not for long term use

Primary Care - Prescribe as Ralvo®

Indicated for the symptomatic relief of neuropathic pain associated with previous herpes zoster infection (post-herpetic neuralgia, PHN) in adults only. (See LPT guidance)

Max use 12 hours per day re-evaluate need every 2 weeks.

Long term use not recommended.

 
Link  LPT Guidance
   
15.02  Mepivacaine to top
15.02  Prilocaine
Prilocaine Hydrochloride (Prilotekal)
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15.02  Chloroprocaine
15.02  Ropivacaine
Ropivacaine Hydrochloride (Naropin)
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15.02  Tetracaine
Tetracaine (Amethocaine) (Ametop)
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15.02  Other local anaesthetics to top
 ....
 Non Formulary Items
Articaine Hydrochloride with Adrenaline  (Septanest)

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Non Formulary
 
Benzocaine

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Non Formulary
 
Benzocaine 20% Gel  (Ultracare Bubble Gum)

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Non Formulary
 
Chloroprocaine hydrochloride  (Ampres)

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Non Formulary
 
Cisatracurium  (Nimbex)

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Non Formulary
 
Controlled Drug  Cocaine

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Non Formulary
 
Controlled Drug  Cocaine with Adrenaline

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Non Formulary
 
Dantrolene Sodium  (Dantrium Intravenous)

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Non Formulary
 
Dermogesic spray

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Non Formulary
 
Desflurane  (Suprane)

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Non Formulary
 
Dexmedetomidine  (Dexdor)

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Non Formulary
 
Edrophonium

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Non Formulary
 
Ethyl Chloride  (Cryogesic Spray)

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Non Formulary
 
Levobupivacaine  (Chirocaine)

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Non Formulary
 
Lidocaine
(ointment 5%)

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Non Formulary
 
Lidocaine
(Spray 10%)

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Non Formulary
 
Lidocaine
(Topical solution 4%)

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Non Formulary
 
Lidocaine  (laryngojet®)

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Non Formulary
 
Lidocaine 2.5% with Prilocaine 2.5%  (EMLA)

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Non Formulary

Limited use in Primary Care. DO NOT prescribe for renal dialysis patients (provided by dialysis unit)

 

 
Lidocaine 4% cream  (LMX4)

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Non Formulary
 
Lidocaine 5% and Phenylephrine 0.5%
(topical solution)

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Non Formulary
 
Lidocaine with Adrenaline  (Lignospan)

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Non Formulary
 
Lidocaine with Adrenaline  (Xylocaine)

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Non Formulary
 
Lidocaine with Prilocaine  (Fortacin)

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Non Formulary
 
Lidocaine with tetracaine  (Pliaglis)

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Non Formulary
 
Lidocaine2% with Chlorhexidine 0.25%  (Instillagel)

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Non Formulary
 
Lignocaine

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Non Formulary
 
Mepivacaine  (Scandonest Plain)

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Non Formulary
 
Midazolam  (pre-med)

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Non Formulary
 
Naloxone pre-filled syringes  (Prenoxad)

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Non Formulary
 
Parecoxib  (Dynastat)

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Non Formulary
 
Prilocaine Hydrochloride  (Citanest)

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Non Formulary
 
Prilocaine Hydrochloride with Felypressin  (Citanest with Octapressin)

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Non Formulary
 
Procaine Hydrochloride

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Non Formulary
 
Suxamethonium Chloride  (Anectine®)

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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
SMC
Scottish Medicines Consortium
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

Green

Suitable for use in primary care  

Amber

Specialist initiation. Shared care in place  

Red

Red do not use..  

Advice

Some formulations restricted  

Black

NICE "Do not do"  

Green 1

1st line option  

Green 2

2nd line option  

Green 3

3rd line option only  

Not Recomended / Black

Low Value Medicine not recommended for use - see NHSE guidelines  

OTC

This preparation should be bought over the counter for self-care  

Red Amber

Check product description for traffic light status  

Red Black

Low Value Medicine  

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