netFormulary NHS
NHS Bath and North East Somerset, Swindon and Wiltshire CCG
Royal United Hospitals Bath NHS Foundation Trust
Great Western Hospitals NHS Foundation Trust
Salisbury NHS Foundation Trust
 Formulary Chapter 15: Anaesthesia - Full Chapter
15.02  Expand sub section  Local anaesthesia
15.02  Expand sub section  Bupivacaine
Bupivacaine and Adrenaline
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traffic lightRed
  • 0.25% w/v
  • 0.5% w/v
  • 1 in 200,000 
Bupivacaine Hydrochloride
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traffic lightRed
  • 25mg in 10ml (0.25%) amp
  • 50mg in 10ml (0.5%) amp
  • 75mg in 10ml (0.75%) amp
  • GWH only: 0.1% and 0.125% epidural infusion bags used.
Bupivacaine Hydrochloride with Glucose
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traffic lightRed
  • 0.5% solution for injection, 4ml ampoule
  • Not routinely stocked at RUH
15.02  Expand sub section  Levobupivacaine
15.02  Expand sub section  Lidocaine
15.02  Expand sub section  Prilocaine to top
15.02  Expand sub section  Tetracaine
15.02  Expand sub section  Other local anaesthetics
 Non Formulary Items
Controlled Drug  Bupivacaine with Fentanyl

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Non Formulary
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
Track Changes
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Link to adult BNF
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Link to SPCs
Scottish Medicines Consortium
Cytotoxic Drug
Cytotoxic Drug
Controlled Drug
High Cost Medicine
High Cost Medicine
Cancer Drugs Fund
Cancer Drugs Fund
NHS England
High Cost Drug Approval System

Traffic Light Status Information

Status Description

Traffic LightRed

RED - Hospital only to be prescribed by a specialist and supplied from secondary care ONLY throughout treatment.  

Traffic LightAmber

Amber medicines are considered suitable for GP prescribing following specialist initiation or recommendation.  

Traffic LightAmber with Shared Care

Shared Care - these medicines require specialist initiation and stabilisation. Ongoing division of responsibility for drug and disease monitoring between specialist and GP by a Shared Care Guideline (SCG). If no SCG in place status reverts to red.  

Traffic LightGreen

These medicines are appropriate for initiation in both primary and secondary care. Prescribing is appropriate within licensed or local recommendations.  

Traffic LightSelf

Suitable for patient to be directed to buy themselves  

Traffic LightGrey

Not currently used. We intend to include this TLS in future to highlight where a decision to use this medicine is under review.   

Traffic LightBlack

(In use from Oct 2020) Used where a decision has been made by the BSW APC not to routinely commission this preparation for its licensed indications. Do not prescribe.   

Traffic LightRed Specialist Centre

Not currently used. We intend to include this TLS in future to highlight where this medicine and indication is ONLY available through a Specialist Centre according to a NICE Highly Specialised Technology or NHSE Specialised Commission Circular / Policy.