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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
15.02  Expand sub section  Prilocaine to top
15.02  Expand sub section  Tetracaine
15.02  Expand sub section  Other local anaesthetics
Articaine Hydrochloride with Adrenaline
(injection)
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Formulary
Red
  • Articaine hydrochloride 40mg/ml, adrenaline 1 in 100,000 (10 micrograms/ml), 2.2ml cartridge for dental use
 
   
Controlled Drug Cocaine HCl 
(Solution 10% w/v)
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Formulary
Red
  • GWH only
  • Sterile oromucosal solution 10% 
  • For topical use only. Not for injection or to be taken.
  • Cocaine Hydrochloride Solution is indicated to provide local anaesthesia and vasoconstriction of accessible mucous membranes prior to surgery especially in the oral, laryngeal, and nasal cavities.
 
   
Ethyl Chloride 
(Spray)
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Formulary
Red
  • 100ml
  • CAUTION: Extremely flammable liquified gas under pressure. Stable at room temperature 8ºC-20ºC. Use only with good ventilation. Avoid use near electrical equipment, naked flames or high temperature surfaces. Store in a metal cupboard in a ventilated room- never in a refridgerator. All empty or unused containers must be returned to pharmacy for destruction.
 
   
Ropivacaine hydrochloride

(Injection)
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Formulary
Red
  • SFT only
  • 2mg/ml, 7.5mg/ml or 10mg/ml
 
   
Cocaine 5% with adrenaline 1:2000

(Topical gel)
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Unlicensed Drug Unlicensed
Red
  • GWH A&E only 
 
   
 ....
 Non Formulary Items
Benzocaine 

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Non Formulary
 
Benzocaine 20% Gel (Ultracare Bubble Gum)

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Non Formulary
 
Dermogesic spray 

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Non Formulary
 
Mepivacaine (Scandonest Plain)

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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
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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

Red

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

Amber

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

Amber 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.  

Green

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

Self

Suitable for patient to be directed to buy themselves  

Grey

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

Black

Not currently used. We intend to include this TLS in future to highlight where a decision has been made by either or both the local or national NHS not to routinely commission this preparation for its licensed indications. Do not prescribe.  

Red 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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