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 Formulary Chapter 4: Central nervous system - Full Chapter
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04.07.01  Expand sub section  Non-opioid analgesics and compound analgesic preparations
04.07.01  Expand sub section  Compound analgesic preparations
Paracetamol
(Injection)
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Formulary
Red

Restricted to patients requiring pain relief but who have no reliable enteral route of administration in secondary care only.

APCO January 2006.

 
Link  MHRA: Intravenous paracetamol (Perfalgan ▼) - risk of accidental overdose
   
Paracetamol (Tablets)
(Pain)
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Restricted Drug Restricted
Brown

Only prescribe if more than 32 tablets per week are required for a chronic condition, in line with Clinical Commissioning Policy 88D

See Opioid Prescribing Guidelines for Non Cancer Pain.

APCO September 2015. 

 
Link  UKMI Q&A: Breastfeeding and paracetamol
   
Naproxen
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Formulary
Green
 
   
Paracetamol and codeine (Co-codamol® 15/500)
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Formulary
Green

In line with Opioid Prescribing Guidelines for Non Cancer Pain.

APCO September 2015. 

 
   
Paracetamol and codeine (Co-codamol® 30/500)
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Formulary
Green

In line with Opioid Prescribing Guidelines for Non Cancer Pain.

APCO September 2015. 

 
   
Paracetamol and codeine (Co-codamol® 8/500)
(Tablet)
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Restricted Drug Restricted
Brown

In line with Opioid Prescribing Guidelines for Non Cancer Pain.

See Clinical Commissioning Policy 88D on prescribing of OTC products

APCO September 2015. 

 
   
 ....
 Non Formulary Items
Aspirin and codeine  (Co-codaprin®)

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Non Formulary
 
Aspirin and papaveretum  (Aspav®)

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Non Formulary
 
Aspirin dispersible tablets
(Pain)

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Non Formulary

Available to purchase over the counter. 

See Clinical Commissioning Policy 88D on prescribing of OTC products. 

 
Aspirin enteric-coated
(Pain)

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Non Formulary

Please consider aspirin dispersible tablets:

  • Aspirin causes GI irritation by systemic effect.
  • There is no evidence that EC coating of low dose aspirin reduced GI side effects.
  • EC preparations are more expensive than plain tablets

 
Nefopam

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Non Formulary
 
Nefopam  (Acupan®)

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Non Formulary
 
Paracetamol and codeine  (Co-codamol® 8/500)
(Capsule)

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Non Formulary

Tablets are more cost-effective.

 
Paracetamol and dextropropoxyphene  (Co-proxamol®)

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Non Formulary
Black

Previously ‘non-formulary’. Updating in line with NHS England Items which should not routinely be prescribed in primary care guidance

APCO September 2019.

 
Paracetamol and dihydrocodeine  (Co-dydramol®)

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Non Formulary

Now available as:

  • Co-dydramol 10/500 mg
  • Co-dydramol 20/500 mg
  • Co-dydramol 30/500 mg

It is therefore important that co-dydramol products are prescribed and dispensed by strength to minimise dispensing errors and the risk of accidental opioid overdose.

Link  MHRA: Prescribe co-dydramol by strength
 
Paracetamol and methionine  (Pardote®)

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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
Track Changes
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Link to adult BNF
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Link to children's BNF
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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

Traffic Light Status Information

Status Description

Red

Red: Medicines which should only be prescribed in secondary care by a specialist.  

Amber Continuation

Amber Continuation: Medicines which should be initiated or recommended by a specialist for continuation in primary care. The specialist must notify the GP that the prescribing responsibility has been transferred.   

Amber Shared Care Protocol

Amber Shared Care Protocol: Medicines which are appropriate to be initiated and stabilised by a specialist, once stabilised the medicine may be appropriate for responsibility to be transferred from secondary to primary care with the agreement of a GP and a formal ‘shared care’ agreement. The shared care protocol must be approved by the Area Prescribing Committee Oxfordshire (APCO).   

Green

Green: Medicines which are suitable for initiation and ongoing prescribing within primary care.   

Brown

Brown: Medicines which should only be prescribed in restricted circumstances.  

Black

Black: Medicines which are not recommended for use because of lack of evidence of clinical effectiveness, cost effectiveness or safety.  

OCCG Green

not used  

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