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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...
18  Poisoning
Acetylcysteine (Parvolex)
(Paracetamol overdose)
View adult BNF
Formulary
Red

Used at RUH

 
   
Activated charcoal 
(antidote)
View adult BNF View SPC online
Formulary
Red

Used at RUH

 
   
Atropine 
(Antidote)
View adult BNF View SPC online
Formulary  
   
Calcium gluconate gel

(antidote)
View adult BNF View SPC online
Formulary
Red

Used at RUH

 
   
Cyproheptadine (Periactin®)
View adult BNF
Formulary
Red

Used at RUH

 
   
Dicobalt edetate 
(cyanide poisoning)
View adult BNF View SPC online
Formulary
Red

Used at RUH

 
   
Ethanol (alcohol) injection

(antidote)
View adult BNF View SPC online
Formulary
Red

Used at RUH

 
   
European Viper Venom Antivenom

(antiserum / antidote)
Formulary
Red

Used at RUH

 
   
Flumazenil 
(antidote)
View adult BNF View SPC online
Formulary

Used at RUH

 
   
Fomepizole 
View adult BNF
Formulary
Red
High Cost Medicine

Used at RUH

 
   
Hydroxocobalamin (Cyanokit®)
(antidote)
View adult BNF View SPC online
Formulary
Red

Used at RUH

 
   
Intralipid  
View adult BNF View SPC online
Formulary
Red

Used at RUH

 
   
Methylthioninium chloride
(Proveblue®)
(methylene blue antidote)
View adult BNF View SPC online
Formulary
Red

Used at RUH

 
   
Phentolamine 
(antidote)
View adult BNF View SPC online
Formulary
Red

Used at RUH

 
   
Procyclidine 
(Poisoning)
View adult BNF View SPC online
Formulary

Used at RUH

 
   
Pyridoxine  
(antidote)
View adult BNF View SPC online
Formulary
Red

Used at RUH

 
   
Sodium bicarbonate 
(Poisoning)
Formulary
Red

Used at RUH

 
   
Sodium nitrite 
(antidote)
View adult BNF View SPC online
Formulary
Red

Used at RUH

 
   
Sodium thiosulphate

(antidote)
Formulary
Red

Used at RUH

 
   
 ....
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 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

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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