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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
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 Formulary Chapter 15: Anaesthesia - Full Chapter
15.02  Expand sub section  Local anaesthesia
15.02  Expand sub section  Bupivacaine
15.02  Expand sub section  Levobupivacaine
15.02  Expand sub section  Lidocaine
Lidocaine (Xylocaine)
(Spray 10%)
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Formulary
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  • SFT only
  • This product is non-sterile and therefore not recommended for use prior to procedures that require aseptic techniques
  • Lidocaine 10 mg/metered dose.
  • Used for the prevention of pain related to specific procedures
  • Contains ethanol
  • 50 ml glass spray bottles (approx. 500 spray doses) with a metering spray pump.
 
 
Lidocaine 2.5% with Prilocaine 2.5%
(EMLA)
(cream)
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Formulary
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  •  Lidocaine 2.5%, Priolocaine 2.5%, 30g, 5g with dressings
 
 
Lidocaine 5% and Phenylephrine 0.5%
(spray)
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Formulary
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  •  Each bottle contains 2.5ml of solution to be used as a spray, equivalent to 125mg lidocaine and 12.5mg phenylephrine hydrochloride.
 
 
Lidocaine Hydrochloride (injection)
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Formulary
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  • 50mg in 10ml (0.5%) vial
  • 20mg in 2ml (1%) amp
  • 50mg in 5ml (1%) amp
  • 200mg in 20ml (1%) amp
  • 200mg in 20ml (1%) vial preserved
  • 100mg in 5ml (2%) amp
  • 100mg in 5ml (2%) prefilled syringe
  • 400mg in 20ml (2%) amp
 
 
Lidocaine with Adrenaline
(injection)
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Formulary
  • Xylocaine 1% with adrenaline 1:200,000 multi-dose vial, 20ml and xylocaine 2% with adrenaline 1:200,000 multidose vial, 20ml.
  • Red for use in acute trusts
  • Green for use by GPs in primary care undertaking minor procedures/surgery
  • Red for GWH only: Lidocaine dental cartridges -Lignospan Special® (Lidocaine hydrochloride 2% + adrenaline 1:80000).
 
 
Lidocaine2% with Chlorhexidine 0.25%
(Instillagel)
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Formulary
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  •  Lidocaine 20mg/ml and chlorhexidine gluconate 500mcg/ml. 60ml or 110ml
 
 
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
Lidocaine
(laryngojet®)

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Non Formulary
 
Lidocaine 4% cream
(LMX4)

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Non Formulary
 
Lidocaine with Adrenaline
(Lignospan)

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Non Formulary
 
Lidocaine with Prilocaine
(Fortacin)

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Non Formulary
 
Lignocaine

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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
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Link to adult BNF
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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
Blueteq
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.  

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