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This is intended to be an addendum to the full Highland Formulary. It contains drugs that should be directly available to a practitioner in the out of hours period to provide medical care to patients. Where patient packs are listed the full pack should be given to the patient complete with the patient information leaflet.
For full information on prescribing see BNF or BNF for Children, and the Highland Formulary for additional advice on using these drugs.
| Drug | Form, Strength, Pack size |
| Lidocaine | Injection 1% Injection 2% |
| Lidocaine with adrenaline | Injection 1% Injection 2% |
| Ametop (tetracaine) | 4% gel |
| Emla (lidocaine 2·5% with prilocaine 2·5%) | Cream |
| Flumazenil | Injection 500 micrograms/5mL |
| Naloxone | Injection 400 micrograms/1mL (Minijet®) 400 micrograms/1mL |
| Drug classification | Drug | Form, Strength, Pack size | Directions |
| Cardiovascular - general | Furosemide | tablets 40mg x 28 oral solution 50mg/5mL x 150mL injection 20mg/2mL |
|
| Adenosine | injection 6mg/2mL | ||
| Amiodarone | injection, prefilled syringe 300mg/10mL | ||
| Propranolol | tablets 10mg x 28 | ||
| Bisoprolol | tablets 1·25mg x 28 | ||
| Labetalol | tablets 100mg x 56 | Take one twice daily | |
| Glyceryl trinitrate | Aerosol spray 400microgram per dose, 200 dose unit | ||
| CPR drugs | Adrenaline/epinephrine | 1 in 10,000 (1mg/10mL) (Minijet®) 1 in 1,000 (1mg/1mL) vial 1 in 1,000 (5mg/5mL) vial |
|
| Amiodarone injection | Prefilled syringe 300mg/10mL (Minijet®) | ||
| Atropine injection | 1mg/10mL (Minijet®) 600 microgram/1mL vial |
||
| Anticoagulants, antiplatelets & fibrinolytics | Heparin sodium | Injection 5000 units/5mL | |
| Enoxaparin injection | Pre-filled syringe 100mg/1mL | ||
| Rivaroxaban | Tablets 15mg x 2 | ||
| Aspirin | Dispersible tablets 75mg x 28, 300mg x 28 | ||
| Clopidogrel | Tablets 75mg x 28 | ||
| Tenecteplase | Injection 50mg (10 000 units)/50mL | ||
| Tranexamic acid | Tablets 500mg x 60 Injection 500mg/5mL |
1 gram to be given over 10 minutes for prevention and treatment of significant haemorrhage following trauma |
| Drug classification | Drug | Form, Strength, Pack size | Directions |
| Anxiety & agitation | Diazepam | Tablets 2mg x 2 |
Take ONE tablet TWICE daily |
| Tablets 5mg x 2 | Take ONE tablet TWICE daily | ||
| Tablets 5mg x 14 |
take ONE tablet THREE times daily | ||
| Injection (emulsion) 10mg/2mL | |||
| Lorazepam |
Tablets 1mg x 2 |
Take HALF to ONE tablet when required for agitation | |
|
Tablets 1mg x 28 |
|||
| Propranolol | Tablets 10mg x 28 | ||
| Haloperidol | Tablets 500 micrograms x 28 Tablets 5mg x 28 Injection 1mg/1mL Injection 5mg/5mL |
||
| Extrapyramidal dysfunction (EPS) | Procyclidine | Tablets 5mg x 28 Injection 10mg/2mL |
|
| Nausea & vomiting | Cyclizine | Injection 50mg/1mL | |
| Prochlorperazine | Tablets 5mg x 28 |
||
| Buccal tablets (Buccastem®) 3mg x 10 | Take ONE or TWO tablets TWICE daily. Place between upper lip and gum and allow to dissolve. | ||
| Injection 12·5mg/1mL | |||
| Levomepromazine | Injection 25mg/mL | ||
| Domperidone | Tablets 10mg x 30 | ||
| Metoclopramide | Tablets 10mg x 14 |
Take ONE tablet THREE times daily | |
| Injection 10mg/1mL | |||
| Hyoscine Hydrobromide | tablets 300 micrograms x 30 | ||
| Dexamethasone |
Tablet 2mg x 50 |
||
| Analgesia | Paracetamol | Tablets 500mg x 16 | Take TWO tablets every FOUR to SIX hours if required for relief of pain. |
| Oral suspension 120mg/5mL x 100mL | Take ...... mL every FOUR to SIX hours when required. | ||
| Oral suspension 250mg/5mL x 100mL | Take ...... mL every FOUR to SIX hours when required. | ||
| Suppositories 120mg x 10, 240mg x 10, 500mg x 10 | |||
| Solution for intravenous infusion 1gram/100mL | For use in mild to moderate pain | ||
| Codeine phosphate | Tablets 30mg x 28 | ||
| Co-codamol | Tablets 30/500mg x 10 | Take TWO tablets every FOUR to SIX hours if required for relief of PAIN | |
| Dihydrocodeine | Tablets 30mg x 10 | Take ONE tablet every FOUR hours when required for PAIN | |
| TramadolCD | Tablets 50mg x100 | ||
| Morphine | Oral solution (Oramorph®) 10mg/5mL x 100mL |
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| MorphineCD | Injection 10mg/1mL | ||
| DiamorphineCD | Injection 5mg Injection 10mg |
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| Migraine | Propranolol | Tablets 10mg x 28 | |
| Sumatriptan | Tablets 50mg x 6 | Take ONE or TWO tablets. The dose may be repeated after at least TWO hours if migraine recurs | |
| Injection, pre-filled syringe 6mg/0·5mL x 2 with autoinjector | |||
| Rizatriptan | Orodispersible tablets 10mg | ||
| Status epilepticus | MidazolamCD (Epistatus®) |
Oromucosal solution 50mg/5mL | Unlicensed |
| Lorazepam | Injection 4mg/1mL | ||
| Diazepam | Enema 5mg x 5, 10mg x 5 |
| Drug | Form, Strength, Pack size | Direction |
| Naseptin (chlorhexidine 0·1%, neomycin 0·5%) | Cream 15g | For eradication of nasal carriage of staphylococci, apply to nostrils 4 times daily for 10 days. Naseptin® is also used for the treatment of epistaxis and following minor procedures. |
| Drug classification | Drug | Form, Strength, Pack size | Directions |
| Insulin | Actrapid | Injection 100 units/mL x 10mL | |
| Hypoglycaemic agents | Glucose | Oral gel 40% Injection 20% |
|
| Glucagon | |||
| Steroids | Prednisolone | Tablets 5mg x 28 Soluble tablets 5mg x 28 |
Take ...... tablets ONCE daily in the morning for ...... days. Discard remainder. |
| Hydrocortisone | Injection 100mg/1mL | ||
| Dexamethasone |
Tablets 2mg x 50 |
||
| Haemostatic | Tranexamic Acid | Tablets 500mg x 60 | Menorrhagia |
| Drug | Form, Strength, Pack size | Directions |
| Chloramphenicol | eye ointment 1% 4g | Apply to ...... eye(s) FOUR times a day for ...... days |
| eye drops 0·5% 10mL | Put ONE drop FOUR times a day in ...... eye(s) for ONE week | |
| Prednisolone (Pred Forte) | Eye drops 1% 5mL | Only to be started in patients with previous confirmed diagnosis or after discussion with consultant ophthalmologist. Urgent review must be arranged – see ophthalmology out of hours guidelines for referral pathways. |
| Fusidic acid | Eye drops 1% | |
| Ganciclovir | Eye gel 0·15% | Apply ONE drop of gel in each infected eye FIVE times daily until healed, then THREE times daily for 7 days |
| Tropicamide | Preservative-free eye drops 1% 0·5mL x 20 units | |
| Cyclopentolate | Eye drops 1% 5mL | |
| Diclofenac | Preservative-free eye drops 0·1% 0·3mL x 5 units | Put ONE drop into ....... eye(s) THREE times a day for ONE day, then TWICE daily thereafter |
| Proxymetacaine | Preservative-free eye drops 1% 0·5mL x 20 units | |
| Fluorescein Sodium | Preservative-free eye drops 2% 0·5mL x 20 units |
| Drug classification | Drug | Form, Strength, Pack size | Directions |
| Antacids |
Compound Aliginate (Peptac) oral suspension |
500mL |
Take .....mL as required for heartburn. |
| Antispasmodics and drugs altering gut motility | Mebeverine | 135mg tablet x 100 | |
| Metoclopramide | 10mg tablet x 14 | Take ONE tablet THREE times daily | |
| Hyoscine Butylbromide injection 20mg/1mL | The oral formulation of hyoscine butylbromide is poorly absorbed and therefore not recommended. | ||
| Domperidone | 10mg tablet x 30 | Take ONE tablet THREE times daily when required for nausea | |
| Proton pump inhibitors |
Omeprazole |
20mg capsule x 7 20mg capsule x 28 |
Take ONE capsule in the morning |
| Acute diarrhoea | Oral rehydration salts powder sachet | ||
| Loperamide | 2mg capsule x 20 | Take TWO capsules to start with, then ONE capsule after each loose bowel motion. Do not take more than 8 in 24 hours. | |
| Laxatives |
Macrogol oral powder, compound (Laxido) ‘3350’ oral powder sachet |
13·125 grams/sachet | |
| Senna/sennosides | 7.5mg tablet | ||
| Bisacodyl | 5mg suppository x 5 10mg suppository x 5 |
||
| Glycerol |
Adult 4g suppository x 12 |
||
| Phosphates (rectal) | enema with standard rectal tube | ||
| Sodium citrate (rectal) | enema with nozzle |
| Drug | Form, Strength, Pack size |
| Revaxsis | Injection |
| Anti-D (Rho) Immunoglobulin | Injection |
| Tetanus immunoglobulin | injection |
| Drug classification | Drug | Form, Strength, Pack size | Directions |
| Penicillins | Amoxicillin | Capsules 250mg x 21 Capsules 500mg x 21 |
Take ONE capsule THREE times a day for ...... days. Discard remainder. |
| Oral suspension 125mg/5mL x 100mL, 250mg/5mL x 100mL | Take ...... mL THREE times a day for ...... days. Discard remainder. | ||
| Benzylpenicillin | Injection 600mg, 1·2g |
Adult: 1·2g, 4mL WFI or saline per 600mg vial; administer 1·2g over 4 minutes. Use 2mL for intramuscular injection. |
|
| Co-amoxiclav | Tablets 250mg/125mg x 21, 500.125mg x 21 |
Take ONE tablet THREE times a day for ..... days. Discard remainder. |
|
| Oral suspension 125/31mg per 5mL x 100mL |
Take ..... mL THREE times a day for ..... days. Discard remainder. |
||
| Flucloxacillin | Capsules 250mg x 28, 500mg x 28 | Take ...... tablet(s) FOUR times a day for ...... days. Discard remainder. |
|
| Oral suspension 125mg/5mL x 100mL, 250mg/5mL x 100mL | Take ...... mL FOUR times a day for ...... days. Discard remainder. | ||
| Phenoxy-methlpenicillin | Tablets 250mg x 28 | Take ...... tablet(s) FOUR times a day for ...... days. Discard remainder. | |
| Oral solution 125mg/5mL x 100mL, 250mg/5mL x 100mL |
Take ...... mL FOUR times a day for ...... days. Discard remainder. | ||
| Cephalosporins | Cefalexin | 250mg capsules x 28 | Take ONE capsule FOUR times daily for ...... days. Discard remainder. |
| Cefotaxime | Injection 1g, 2g | For intramuscular/intravenous use in sepsis Adult: 1gram (regardless of weight) 2mL WFI per 500mg vial or 4mL WFI per 1g vial. Administer intravenously over 3 to 5 minutes. Can be given intramuscularly at same dilution. Neonate: 50mg/kg/day in 4 doses Child: 100mg/kg/day in 4 doses Add 1·8 mL water to 500mg vial, 3·6mL WFI to 1g vial = 250mg/mL solution. Administer intravenously/ IO over 3 to 5 minutes. Can be given intramuscularly at same dilution. |
|
| Ceftriaoxone | Injection 1g | For use in meningococcal meningitis and known penicillin allergy | |
| Tetracyclines | Doxycycline Capsules 100mg x 8 |
For lower respiratory-tract infections. | Take TWO capsules on the first day then take ONE capsule DAILY for ...... days |
| For cellulitis and Lyme disease | Pre-pack: take ONE capsule twice daily for ...... days. | ||
| Macrolides | Clarithromycin | Tablets 250mg x 14 | Take ...... tablet(s) TWICE a day for ...... days. |
| Oral suspension 125mg/5mL x 100mL | Take ...... mL TWICE a day for ...... days. | ||
| Erythromycin (ethylsuccinate) |
Tablets 250mg x 28 | Take ...... tablets(s) FOUR times a day for ...... day(s). | |
| Oral suspension 125mg/5mL x 100mL, 250mg/5mL | Take ...... mL FOUR times a day for ...... days. Discard remainder. | ||
| Quinolones | Ciprofloxacin | 250mg tablets x 20 | Take TWO tablets TWICE a day for ...... days |
| Other antibiotics | Trimethoprim | 200mg tablets x 14 | Take ONE tablet TWICE a day for ...... day(s). |
| Oral suspension 50mg/5mL x 100mL | Take ...... mL ...... a day for ...... days. Discard remainder. | ||
| Metronidazole | 400mg tablets x 14 | Take ONE tablet TWICE a day for ..... days. | |
| 400mg tablets x 21 | Take ONE tablet THREE times a day for ..... days (used for dental, dirty skin infections or bites with a penicillin allergy) | ||
| Nitrofurantoin | M/R capsules 100mg x 6 | Urinary tract infection: Take ONE capsule TWICE a day for THREE days. | |
| M/R capsules 100mg x 14 | Take ONE capsule TWICE a day for ...... days. | ||
| Chloramphenicol | Injection 1 gram | For intravenous use in meningitis or sepsis of unknown origin. For use in patients with confirmed anaphylaxis to penicillin as use of cephalosporin is not advised in these patients. Adult: 25mg/kg Children: 12·5mg/kg |
|
| Antifungals | Nystatin | Oral suspension 100,000 units/1mL x 30mL | Oral candidiasis |
| Antiviral drugs | Aciclovir | Tablets 800mg x 35 | Take ONE tablet FIVE times a day for ...... days |
Nil relevant specifically to OOH
| Drug | Form, Strength, Pack size | Directions |
| Ibuprofen | Tablets 200mg x 24 | Take ...... tablet(s) every SIX to EIGHT hours |
| Oral suspension 100mg/5mL x 100mL | ...... mL to be taken THREE, to FOUR times daily | |
| Gel 5% x 100g | ||
| Naproxen | Tablets 250mg x 14 | take TWO tablets initially, then ONE tablet every EIGHT hours as required |
| Diclofenac |
Injection 75mg/3mL |
| Drug | Form, Strength, Pack size | Directions |
| Phytomenadione | Injection 10mg/1mL | |
| Dioralyte | Oral rehydration sachets x 6 | To be taken when required for diarrhoea as directed by your doctor. Dissolve or mix with water before taking as directed on the patient information leaflet. |
| Water for injections | ||
| Sodium chloride | Injection 0.9% |
| Drug | Form, Strength, Pack size |
| Clotrimazole | Pessary 500mg Cream 1% |
| Syntometrine (ergometrine /oxytocin) | 500micrograms /5 units per 1mL injection |
| Levonorgestrel | Tablet 1·5mg x 1 |
| Ulipristal (EllaOne®) | Tablet 30mg x 1 |
| Catheter Patency Solution (Solution G) | For crystalline dissolution |
| Diclofenac | Suppositories 50mg x 10 |
| Drug classification | Drug | Form, Strength, Pack size | Directions |
| Respiratory - general | Salbutamol | Aerosol inhalation 100 micrograms/metered inhalation 1 x 200 dose unit Nebuliser solution 2·5mg/2·5mL x 20 units, 5mg/5mL x 20 units Oral solution 2mg/5mL x 150mL |
|
| Budesonide | Nebuliser liquid 1mg/2mL x 20 units | ||
| Ipratropium bromide | Nebuliser solution 250 micrograms/1mL x20 units 500 micrograms/2mL x 20 units |
||
| Magnesium sulfate | Injection 50% 1 x 10mL | ||
| Volumatic® | |||
| Aerochamber® Plus | standard, child, infant | ||
| Antihistamines and allergic emergencies | Cetirizine | Tablet 10mg x 10 | Take ONE tablet daily or HALF a tablet TWICE daily if you feel dizzy or drowsy. |
| Loratadine | Tablet 10mg x 28 | ||
| Chlorphenamine | Tablet 4mg x 14 | Take ONE tablet every FOUR to SIX hours as required. Maximum of ...... tablets in 24 hours. | |
| Oral solution 2mg/5mL x 150mL | Take ...... mL every FOUR to SIX hours as required. Maximum of ...... mL in 24 hours. | ||
| Injection 10mg/1mL | |||
| Oxygen | both cylinders and oxygen concentrators should be available locally | ||
| Dexamethasone | Tablet 2mg x 50 Oral solution 2mg/5mL x 150mL Injection 4mg/1mL |
||
| Prednisolone | Tablet 5mg x 28 Soluble tablet 5mg x 30 |
Take ..... tablets ONCE daily in the morning for ...... days. Discard remainder. |
| Drug | Form, Strength, Pack size |
| Diprobase | Cream 50g |
| Hydrocortisone | Cream 1% 30g |
| Drug | Form, Strength, Pack size |
| HIV PEP | Starter pack |
| Activated charcoal (Charcodote®) | Oral suspension 1g/5mL 250mL |
