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 Formulary Chapter 21: Palliative Care Formulary - Full Chapter
Notes:

APRIL 2020 BSW End of life COVID palliative care guidance EOL COVID prescription support v5 Note this contains options that may be suitable to use in EoL patients with swallowing difficulties and where syringe drivers may be unavailable.

NICE NG163 - COVID-19 rapid guideline: managing symptoms (including at the end of life) in the community

The Wessex Palliative Care handbook contains guidance to help GPs, community nurses and hospital staff as well as specialist palliative care teams. It aims to provide a checklist for the management of common problems in palliative care, with some information on drug treatment. It is not a comprehensive textbook. The Palliative Care Handbook: A Good Practice Guide Wessex Palliative Physicians Ninth Edition 2019 

For contact details of hospices and emergency drug lists and pharmacies participating across Bath, Swindon and Wiltshire scroll to bottom of chapter or click here Community Pharmacy Emergency Drugs List & Contact Details

 Details...
21.06  Expand sub section  Community Pharmacy Emergency Drugs List & Contact Details
 note 

The table below lists BaNES/Swindon/Wilts community pharmacies that routinely hold the Emergency Medicines stock subject to replenishment and availability. Please note the Emergency Medicines stock lists vary slightly for the three areas – scroll down for more detail.

Please also consider calling your closest pharmacy first which may also hold Emergency or End of Life medicines. Click here for contact details of all pharmacies.


Details of BaNES pharmacies keeping Emergency Medicines

Boots Southgate, The Southgate Centre, Bath, BA1 1AT

01225 461251

Clements, 7 The Street, Radstock, BA3 3PL

01761 434687

LloydsPharmacy, 54 High Street, Keynsham,  BS31 1DX

0117 9863678

LloydsPharmacy inside Sainsbury Green Park, Green Park Station, Bath, BA1 2DR

01225422740

Midsomer Pharmacy, 98 High Street, Midsomer Norton, BA3 2DE

01761 568202

LloydsPharmacy, The Avenue, Combe Down, Bath, BA2 5EG

01225 833195

LloydsPharmacy, St Chad's Surgery, Gullock Tyning, Midsomer Norton, BA3 2UH

01761 412249

LloydsPharmacy, Elm Hayes Health Centre, Clandown Road, Paulton, BS39 7SF

01761 412146

Day Lewis Pharmacy,493 Bath Road, Saltford BS31 3HQ

01225 874454

Lloyds Pharmacy, Keynsham Health Centre, St Clements Road, Keynsham, BS31 1AG

0117 986 4578


Details of Wiltshire pharmacies keeping Emergency Medicines

Asda Pharmacy Bradford Road Melksham Wiltshire SN12 8LQ

01225 491400

Boots the Chemist Unit 4, Gateway Centre Bythesea Road Trowbridge Wiltshire BA14 8FZ

01225 752068

Lloyds Pharmacy Hathaway Medical Centre Chippenham Wiltshire   SN14 6GT

02476 432442

Pharmacy at Northlands 30-32 North Street Calne Wiltshire SN11 0HH

01249 812889

Tesco In-Store Pharmacy Tesco Stores Ltd Bourne Centre Southampton Road Salisbury Wiltshire SP1 2NY

0345 677 9592

The Pharmacy Drummer Lane Tidworth Wiltshire SP9 7FH

01980 843368

Boots Pharmacy Primary Care Centre Priory Way Burton Hill Malmesbury Wiltshire SN16 0FB

01666 826115

Morrisons Pharmacy 15-16 Estcourt Street Devizes Wiltshire SN10 1LA

01380 720615


Details of Swindon pharmacies keeping Emergency Medicines

Lloyds Pharmacy Unit 1 Royston Road, Park South, Swindon, SN3 2GD

01793 521379

Jephson, Wroughton health Centre, Barret Way, Wroughton, SN4 9LW

01793 812250

Hawthorn Pharmacy, 261 Cricklade Road, Swindon, SN2 1AE

01793 522430

Emergency Drug List for BANES [*note new additions April 2020]

Drug

Strength & Form

Quantity

Buprenorphine ( Butec®) [*new]

5mcg patch

2 x 4

Buprenorphine ( Butec®)

10mcg patch

2 x 4

Buprenorphine ( Butec®) [*new]

20mcg patch

1 x 4

Cyclizine

50mg/ml injection

3 x 5

Cyclizine

50mg tabs

1 x 100

Dexamethasone sodium phosphate

3.3mg/ml injection

1 x 10

Diamorphine

5mg injection

1 x 5

Diamorphine

10mg injection

2 x 5

Diamorphine

30mg injection

2 x 5

Diazepam Rectal Tubes (stesolid)

10mg

1 x 5

Diclofenac sodium

100mg suppositories

1 x 10

Fentanyl TTS (Mezolar® )

12mcg/hour

1 x 5

Fentanyl TTS  (Mezolar®)

25mcg/hour

1 x 5

Fentanyl TTS (Mezolar®)

50mcg/hour

1 x 5

Glycopyrronium

200 microgram/ml inj.

1 x 10

Haloperidol

5mg/1ml injection

1 x 5

Haloperidol  

500mcg capsules

1 x 30

Hyoscine Butylbromide (Buscopan)

20mg/ml injection

1 x 10

Hyoscine (scopaderm) [*new]

1.5mg patch

3x 2

Konakion MM (vitamin K injection)

10mg/ml – 1ml ampoules

1 x 10

Konakion MM Paediatric (vit k inj)

10mg/ml – 0.2ml ampoules

1 x 10

Lorazepam [*new]

1mg tablets ((ideally blue tablets or Metwest/Genesis brand )

3x28

Levomepromazine

25mg tablets

1 x 84

Levomepromazine NEW 2018

25mg/ ml injections

1 x 10

Metoclopramide

10mg/2ml

1 x 10

Midazolam

10mg/2ml injections

2 x 10

Morphine Sulphate

10mg/1ml injection ampoules

1 x 10

Morphine Sulphate (Zomorph)

10mg, 30mg and 100mg

1 x 60

Morphine Sulphate (Oramorph)

10mg/5ml

1 x 100

Morphine Sulphate concentrate (Oramorph)

20mg/ml liquid

1 x 120

Olanzapine (Orodispersible)   [*new]

5mg tablets

3x28

Oxycodone HCl

10mg/ml 1ml

1 x 5

Oxycodone HCl

20mg/ 2ml

1 x 5

Sodium Chloride 0.9%

10ml injection

2 x 10

Sodium Chloride 0.9%

0.9% infusion 1L

1 x 10

Water for injections (Steriamps/miniplasco)

10ml injection

2 x 10

Oseltamivir (Tamiflu) [Oct to May]

30mg, 45mg, 75mg capsules

2x10

Oseltamivir (Tamiflu) [Oct to May]

6mg/1ml Suspension

1x65mL

Zanamivir (Relenza) [Oct to May]

5mg/ blister

1 x 5 Disks

 

Swindon area Emergency Drugs list for community pharmacies

 

Drug

Quantity

Cyclizine 50mg/ml Inj

30x1ml

Dexamethasone 4mg/ml Inj

10x2ml

Diamorphine 10mg inj

10

Diamorphine 30mg inj

10

Diamorphine 100mg inj

10

Diazepam 5mg/ml Inj

10x2ml

Glycopyrronium Bromide 200mcg/ml inj

30x1ml

Haloperidol 5mg/ml inj

5x2ml

Hyoscine Butylbromide 20mg/ml inj

30x1ml

Levomepromazine (Methotrimeprazine)25mg/ml inj

10x1ml

Metoclopramide 5mg/ml inj

12x2ml

Midazolam 2mg/ml inj

30x5ml

Octreotide 50mcg/ml inj

5x1ml

Octreotide 100mcg/ml

5x1ml

Sodium chloride 0.9% inj

10x10ml

Water for injection

30x10ml

Diclofenac 100mg Suppositories

10

Oramorph Oral Solution 10mg/5ml

1x100ml

Oramorph Concentrated Oral Solution 100mg/5ml

1x30ml

Morphine sulphate 10mg/ml inj

3x5

Morphine sulphate 15mg/ml inj

3x5

Morphine sulphate 30mg/ml inj

3x5

Oxycodone 10mg/ml 2ml inj

3x5

Oxycodone liquid 5mg/5ml

1x250ml

Oxycodone concentrate 10mg/ml

1x120ml

Fentanyl 12 Patch

1x5

Fentanyl 25 Patch

1x5

Fentanyl 75 Patch

1x5

Fentanyl 100 Patch

1x5

Naloxone 1mg/1ml in a 2ml syringe.

1 syringe

Midazolam oromucosal solution 10mg/1ml pre-filled syringes

2x1

Additions:

 

Buprenorphine patch 5mg

2x4

Buprenorphine patch 10mg

2x4

Methadone 1mg/ml oral solution

1x500ml

Oxycodone 50mg/ml injection

3x5

Alfentanil 1mg/2ml

1x10

Ondansetron 8mg/4ml injection

1x5

Tranexamic acid injection 500mg/5ml

1x10

Adrenaline 1mg/ml, 1 in 1000 x 10ml

1x10

Lorazepam 1mg tablets (ideally blue tablets or Metwest/Genesis brand )

3x28

Hyoscine 1.5mg patches

3x2

Orodispersible olanzapine 5mg tablets

3x28

 

 

Wiltshire area Emergency Drugs list for community pharmacies

 

 

Drug

Quantity

 

Ceftriaxone Injection 250mg

2x1

     

Alfentanil 500mcg/ml (1mg/2ml) (Rapifen)

10x2ml

     

Cyclizine 50mg/ml Inj

10x1ml

     

Cyclizine 50mg tabs

1x100

     

Dexamethasone 3.8mg/ml

10x1ml

     

Diazepam 10mg/2.5ml Rectal Tubes

5

     

Diazepam 10mg/2ml Inj

10

     

Diclofenac 100mg Suppositories

10

     

Epistatus 10mg/1ml oral syringes

4

     

Fentanyl 100 Patch (prescribe by brand as Mezolar)

1x5

     

Fentanyl 12 Patch (prescribe by brand as Mezolar)

1x5

     

Fentanyl 25 Patch (prescribe by brand as Mezolar)

1x5

     

Fentanyl 50 Patch (prescribe by brand as Mezolar)

1x5

     

Fentanyl 75 Patch (prescribe by brand as Mezolar)

1x5

     

Furosemide 40mg tablets

1 x 28

     

Glycopyrronium Bromide 200mcg/ml inj

20x1ml

     

Haloperidol 500mcg capsules

30

     

Haloperidol 5mg/ml inj

20x1ml

     

Hyoscine Butylbromide 20mg/ml inj (Buscopan)

20x1ml

     

Hyoscine 1.5mg patch

3x 2

     

Hyoscine Hydrobromide 400mcg/ml inj

10x1ml

     

Konakion MM 10mg/ml (Phytomenadione)                                   Dose to be administered ORALLY is 2mg so appropriate syringes must be kept in stock too

10x1ml

     

Levomepromazine 25mg tablets

1x84

     

Levomepromazine (Methotrimeprazine) 25mg/ml inj

20x1ml

     

Lorazepam 1mg tablets

2x 28

     

Metoclopramide 10mg/2ml inj

10x2ml

     

Midazolam 10mg/2ml inj (Hypnovel)

10x5ml

     

Morphine sulphate 10mg/ml inj

20 x1ml

     

Morphine sulphate 15mg/ml inj

1x10

     

Morphine sulphate 30mg/ml inj

1x10

     

Morphine sulfate 10mg/5ml oral solution

2x300ml

     

Olanzapine 5mg Orodispersible tablets SF

2x 28

     

Ondansetron 8mg tablets

1x10

     

Oxycodone 10mg/ml 1ml inj

1x5

     

Oxycodone 10mg/ml 2ml inj (20mg/2ml)

1x5

     

Oxycodone liquid 5mg/5ml

1x250ml

     

Phenobarbital sodium 200mg/ml inj

10

     

Relenza 5mg inh powder blisters + inhaler

1x20 blisters

     

Tamiflu 6mg/ml oral suspension

1x65 ml

     

Tamiflu 75mg capsules

3x10

     

Sodium chloride 0.9% inj

20x10ml

     

Water for injection

20x10ml

     

Zomorph 10mg capsules

1x60

     

Zomorph 30mg capsules

1x60

     

 

 

 

 ....
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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