Formulary


	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 18: Emergency Treatment of Poisoning - Full Chapter

Notes:

PLEASE NOTE THIS CHAPTER IS STILL UNDER CONSTRUCTION.

The antidotes listed include those recommended by the Royal College of Emergency Medicine and UK National Poisons Information Service (NPIS). They are included in the Formulary as RED traffic light medicines.

Please contact the pharmacy department at your trust for local availability of antidotes.

In cases of poisoning it is strongly recommended that advice is sought from NPIS by telephone on 0344 892 0111 or online using Toxbase. Advice is available 24/7/365.

See the current BNF for notes on the emergency treatment of poisoning (click on the BNF icon adjacent to individual drugs for further details).

Details...

Poisoning

Acetylcysteine (Parvolex)
(Paracetamol overdose)

Formulary

Used at RUH

Activated charcoal
(antidote)

Formulary

Used at RUH

Atropine
(Antidote)

Formulary

Calcium gluconate gel

(antidote)

Formulary

Used at RUH

Cyproheptadine (Periactin^®)

Formulary

Used at RUH

Dicobalt edetate
(cyanide poisoning)

Formulary

Used at RUH

Ethanol (alcohol) injection

(antidote)

Formulary

Used at RUH

European Viper Venom Antivenom

(antiserum / antidote)

Formulary

Used at RUH

Flumazenil
(antidote)

Formulary

Used at RUH

Fomepizole

Formulary

Used at RUH

Hydroxocobalamin (Cyanokit®)
(antidote)

Formulary

Used at RUH

Intralipid

Formulary

Used at RUH

Methylthioninium chloride
(Proveblue^®)
(methylene blue antidote)

Formulary

Used at RUH

Phentolamine
(antidote)

Formulary

Used at RUH

Procyclidine
(Poisoning)

Formulary

Used at RUH

Pyridoxine
(antidote)

Formulary

Used at RUH

Sodium bicarbonate
(Poisoning)

Formulary

Used at RUH

Sodium nitrite
(antidote)

Formulary

Used at RUH

Sodium thiosulphate

(antidote)

Formulary

Used at RUH

....

Key

	Notes
	Section Title (top level)
	Section Title (sub level)
	First Choice item
	Non Formulary section
	Restricted Drug
	Unlicensed
	Display tracking information
	Link to adult BNF
	Link to SPCs
	Scottish Medicines Consortium

	Cytotoxic Drug
	Controlled Drug
	High Cost Medicine
	Cancer Drugs Fund
	NHS England
	Homecare
	CCG
	High Cost Drug Approval System

Traffic Light Status Information

Status	Description
	RED - Hospital only – to be prescribed by a specialist and supplied from secondary care ONLY throughout treatment.
	Amber medicines are considered suitable for GP prescribing following specialist initiation or recommendation.
	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.
	These medicines are appropriate for initiation in both primary and secondary care. Prescribing is appropriate within licensed or local recommendations.
	Suitable for patient to be directed to buy themselves
	Not currently used. We intend to include this TLS in future to highlight where a decision to use this medicine is under review.
	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.
	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.