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 Formulary Chapter 15: Anaesthesia - Full Chapter
15.01  General anaesthesia
15.01  Anaesthesia, sedation and resuscitation in dental practice
15.01  Gas cylinders
15.01.01  Intravenous anaesthetics
15.01.01  Barbiturates to top
Thiopental Sodium
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Formulary injection 500mg 
   
15.01.01  Other intravenous anaesthetics
Etomidate (Etomidate-Lipuro®)
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Formulary injection (emulsion) 2mg/ml 
   
Controlled Drug Ketamine (Ketalar®)
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Formulary Injection 100mg/ml, 200mg/20ml, and 500mg/5ml 
   
Propofol
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Formulary Infusion 1% (1g/100ml and 500mg/50ml)
Injection 1% (200mg/20ml)
Injection 2% (1g/50ml)
Syringe 1% (500mg/50ml)
 
   
15.01.02  Inhalational anaesthetics
15.01.02  Volatile liquid anaesthetics
Desflurane (Suprane®)
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Formulary Bottle 240ml 
   
Isoflurane
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Formulary Bottle 250ml 
   
Methoxyflurane inhalation vapour 3ml (Penthrox®)
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Formulary

For use in A&E only

 
   
Sevoflurane
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Formulary Bottle 250ml 
   
15.01.02  Nitrous oxide
15.01.03  Antimuscarinic drugs to top
Atropine Sulphate
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Formulary Injection 600mcg/ml 
   
Atropine Sulphate (minijet® Atropine)
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Formulary Pre-filled syringe 500mcg/5ml 
   
Glycopyrronium Bromide (Glycopyrrolate) (Robinul®)
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Formulary Injection 200mcg/ml and 600mcg/3ml 
   
Hyoscine Hydrobromide
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Formulary Injection 400mcg/ml 
   
15.01.04  Sedative and analgesic peri-operative drugs
15.01.04.01  Anxiolytics
15.01.04.01  Benzodiazepines
Diazepam
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Formulary Tablets 2mg and 5mg
Oral solution 2mg/5ml and 5mg/5ml
Injection (emulsion) 10mg/2ml
Injection (solution) 10mg/2ml
Rectal tubes 2.5mg, 5mg, and 10mg
 
   
Lorazepam
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Formulary Tablets 1mg and 2.5mg
Injection 4mg/ml 
   
Controlled Drug Midazolam
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Formulary Oral (buccal) liquid 2.5mg/ml
Injection 10mg/2ml, 10mg/5ml, 2mg/2ml, 5mg/5ml, and 50mg/50ml
 
   
Controlled Drug Temazepam
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Formulary note Until 31 May 2015 Temazepam is exempted from the CD prescription writing requirements, but from 1 June 2015, the exemption is being removed, meaning that prescriptions will need to comply fully with the requirements for Schedule 3 controlled drugs.

Tablets 10mg
Oral solution 10mg/5ml 
   
15.01.04.02  Non-opioid analgesics
Parecoxib (Dynastat®)
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Restricted Drug Restricted Restricted to consultants only.

Injection (with solvent) 40mg 
   
15.01.04.03  Opioid analgesics to top
Controlled Drug Alfentanil (Rapifen®)
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Formulary

Injection 1mg/2ml
Intensive care injection 5mg/ml


Infusion bags 25mg/50ml (ICU only)

 
   
Controlled Drug Fentanyl
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Formulary Injection 100mcg/2ml
 
   
Controlled Drug Remifentanil (Ultiva®)
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Formulary Injection 1mg and 2mg 
   
15.01.04.04  Other drugs for sedation
Dexmedetomidine injection 100mg/ml (Dexdor ®)
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Restricted Drug Restricted To be initiated by Consultants Anaesthetists for ICU patients only 
   
15.01.05  Neuromuscular blocking drugs
15.01.05  Non-depolarising muscle relaxants
Atracurium Besilate
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Formulary Injection 25mg/2.5ml, 50mg/5ml, and 250mg/25ml 
   
Mivacurium Chloride (Mivacron®)
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Formulary Injection 10mg/5ml 
   
Pancuronium Bromide
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Formulary Injection 4mg/2ml 
   
Rocuronium Bromide (Esmeron®)
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Restricted Drug Restricted For use while vecuronium unavailable 
   
Vecuronium Bromide (Norcuron®)
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Formulary Injection (with WFI) 10mg

**NOTE - due to mannufacturing problems, vecuronium is unlikely to be available before the end of 2013**

 
   
15.01.05  Depolarising muscle relaxants
Suxamethonium Chloride
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Formulary Injection 100mg/2ml
Syringe 100mg/2ml 
   
15.01.06  Drugs for reversal of neuromuscular blockade to top
15.01.06  Anticholinesterases
Edrophonium Chloride
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Restricted Drug Restricted CURRENTLY UNAVAILABLE (UNLICENSED PREPARATION PENDING)
Injection 10mg/ml 
   
Neostigmine Metilsulfate
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Formulary Injection 2.5mg/ml 
   
Neostigmine Metilsulfate with Glycopyrronium (Robinul-Neostigmine®)
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Formulary Injection 2.5mg/500mcg/ml 
   
15.01.06  Other drugs for reversal of neuromuscular blockade
Sugammadex (Bridion®)
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Restricted Drug Restricted Sugammadex is restricted to consultants and anaesthetists only.

Injection 200mg/2ml and 500mg/5ml 
   
15.01.07  Antagonists for central and respiratory depression
Doxapram Hydrochloride (Dopram®)
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Formulary Of limited value in anaesthesia

Injection 100mg/5ml
Infusion 1g in 500ml 
   
Flumazenil
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Formulary Injection 500mcg/5ml 
   
Naloxone Hydrochloride (Naloxone®)
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Formulary Injection 400mcg/ml
Syringe (Minijet) 400mcg/ml 
   
15.01.08  Drugs for malignant hyperthermia
Dantrolene Sodium (Dantrium Intravenous®)
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Formulary Injection 20mg 
   
15.01.09  Prophylaxis of acid aspiration to top
15.02  Local anaesthesia
Hydrocaine gel
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Formulary 6ml and 11ml  
   
15.02  Articaine
15.02  Bupivacaine
Bupivacaine and Adrenaline
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Formulary Injection bupivacaine 0.25% adrenaline 1:200000
Injection bupivacaine 0.5% adrenaline 1:200000 
   
Bupivacaine Hydrochloride
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Formulary Injection 0.25% and 0.5% 
   
Bupivacaine Hydrochloride with Glucose (Marcaine Heavy®)
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Formulary Injection bupivacaine 20mg glucose 320mg (4ml) 
   
Controlled Drug Bupivacaine with Fentanyl
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Formulary Injection bupivacaine 0.1% fentanyl 20mcg (10ml)
Infusion bupivacaine 0.1% fentanyl 1mg (500ml)
Infusion bupivacaine 0.1% fentanyl 500mcg (250ml) 
   
15.02  Levobupivacaine
Levobupivacaine (Chirocaine®)
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Formulary Injection 25mg/10ml, 50mg/10ml, and 75mg/10ml
Infusion levobupivacaine 0.1% fentanyl 1mg (500ml)
Infusion levobupivacaine 0.1% fentanyl 500mcg (250ml) 
   
15.02  Lidocaine to top
Lidocaine 2% (minijet®)
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Formulary Pre-filled syringe 2% 
   
Lidocaine 2.5% with Prilocaine 2.5% (EMLA®)
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Formulary Cream (premedication pack) 
   
Lidocaine cream 4% (LMX4®)
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Formulary  
   
Lidocaine HCL 2% with Chlorhexidine dihydrochloride 0.05%  (Cathejell®)
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Formulary Syringe (8.5g and 12.5g)  
   
Lidocaine HCl 2% with Chlorhexidine gluconate 0.25% (Instillagel®)
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Restricted Drug Restricted Syringe (6ml and 11ml)

For dental use only 
   
Lidocaine HCl with Adrenaline
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Formulary Injection lidocaine 1% adrenaline 1:200000
Injection lidocaine 2% adrenaline 1:200000
Cartridge lidocaine 2% adrenaline 1:80000 
   
Lidocaine Hydrochloride
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Formulary Injection 0.5%
Injection 1% (2ml, 5ml, 10ml, and 20ml)
Injection 2% (2ml, 5ml, and 20ml)
Syringe 4% 
   
Lidocaine in Glucose
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Formulary Infusion 0.2% lidocaine in 5% glucose (500ml)
Infusion 0.4% lidocaine in 5% glucose (500ml) 
   
15.02  Mepivacaine
15.02  Prilocaine
Prilocaine Hydrochloride (Citanest®)
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Formulary Injection 1%
 
   
15.02  Procaine
15.02  Ropivacaine
15.02  Tetracaine to top
Tetracaine (Amethocaine) gel 4% (Ametop®)
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Alternatives

October 2018 - replaced with lidocaine cream (LMX4)

 
   
15.02  Other local anaesthetics
Antacid with Oxetacaine
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Restricted Drug Restricted

Last line option for severe chemotherapy induced mucositis.

 
   
Controlled Drug Cocaine
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Restricted Drug Restricted For the use of ENT only.

Solution 10%
Paste 25% 
   
Ethyl Chloride (Cryogesic® Spray)
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Formulary Spray 
   
 ....
 Non Formulary Items
Atracurium Besilate  (Tracrium®)

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Non Formulary
 
Atropine Sulphate

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Non Formulary Syringe 1mg/10ml
 
Benzocaine

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Non Formulary
 
Benzocaine 20% Gel  (Ultracare® Bubble Gum)

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Non Formulary
 
Bupivacaine hydrochloride  (Marcain heavy®)

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Non Formulary
 
Bupivacaine hydrochloride  (Marcain®)

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Non Formulary
 
Cistracurium  (Nimbex®)

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Non Formulary
 
Controlled Drug  Cocaine with Adrenaline

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Non Formulary
 
Dermogesic spray

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Non Formulary
 
Etomidate  (Hypnomidate®)

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Non Formulary
 
Controlled Drug  Fentanyl  (Sublimaze®)

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Non Formulary
 
Flumazenil  (Anexate®)

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Non Formulary
 
Isoflurane  (AErrane®)

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Non Formulary
 
Controlled Drug  Ketamine Oral Solution

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Non Formulary
 
Ketorolac Trometamol  (Toradol®)

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Non Formulary
 
Controlled Drug  Levobupivacaine with Fentanyl

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Non Formulary
 
Lidocaine  (laryngojet®)

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Non Formulary
 
Lidocaine  (Xylocaine®)

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Non Formulary
 
Lidocaine and chlorhexidine

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Non Formulary
 
Lidocaine HCl 5% and Phenylephrine HCl 0.5%

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Non Formulary
 
Lidocaine Hydrochloride  (Xylocaine®)

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Non Formulary
 
Lidocaine Plasters 5% (700mg/medicated plaster)  (Versatis®)

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Non Formulary
RedRed
For the management of post herpetic neuralgia with allodynia, requests for Versatis may be made via the Prior Approval process
 
Midazolam  (Hypnovel®)

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Non Formulary
 
Prilocaine Hydrochloride  (Prilotekal®)

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Non Formulary
 
Prilocaine Hydrochloride with Felypressin  (Citanest with Octapressin®)

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Non Formulary
 
Procaine Hydrochloride

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Non Formulary
 
Propofol  (Diprivan®)

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Non Formulary
 
Ropivacaine Hydrochloride  (Naropin®)

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Non Formulary
 
Suxamethonium Chloride  (Anectine®)

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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
Display tracking information
click to search medicines.org.uk
Link to adult BNF
click to search medicines.org.uk
Link to children's BNF
click to search medicines.org.uk
Link to SPCs
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

Amber 1

"Amber 1" - These are medicines that require significant monitoring and the decision to treat with an AMBER medicine should be made by specialists only  

Amber 2

"Amber 2" - These are medicines that require little or no monitoring by the GP, but should only be prescribed in general practice after they have been recommended following specialist referral.  

Red

"Red" - Secondary care only  

RedRed

"Double Red" - NOT recommended for prescribing in either primary or secondary care  

Grey

Traffic light status to be confirmed  

Green

May be prescribed in primary and secondary care  

netFormulary