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Herefordshire & Worcestershire
Medicines and Prescribing Committee
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 Formulary Chapter 4: Central nervous system - Full Chapter
04.07.01  Expand sub section  Non-opioid analgesics and compound analgesic preparations
Aspirin Tablets (Dispersible 300mg)
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Green

  • Available over the counter for some conditions.

  • Consider self care.

 
 
Nefopam Hydrochloride
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Green

Tablets and injection

 
 
Paracetamol
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Green

  • Availble over the counter.

  • Consider self care.

 
 
04.07.01  Expand sub section  Compound analgesic preparations
 note  Paracetamol and codeine should be prescribed separately if possible.
Paracetamol and codeine (Co-codamol® 30/500)
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Green




 
 
Paracetamol and codeine (Co-codamol® 8/500)
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Green 		 
 
Paracetamol and dihydrocodeine (Co-dydramol®)
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Green 		 
Link  MHRA Drug Safety Update (Jan 18): Co-dydramol: prescribe and dispense by strength to minimise risk of medication error
 
 ....
 Non Formulary Items
Co-proxamol (paracetamol 325mg, dextropropoxyphene 32.5mg)

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In line with NHSE guidance the use of co-proxamol (paracetamol 325mg, dextropropoxyphene 32.5mg) tablets is not supported.



Patients currently prescribed Co-proxamol should be reviewed and assessed for suitability for switching to alternative analgesics.


 
Link  NHSE/I: Items which should not routinely be prescribed in primary care: Guidance for CCGs
  
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
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 Link to adult BNF
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 Link to children's BNF
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 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

Red

 Secondary care only, not to be prescribed in primary care.   

Amber 2

 Specialist initiation with shared care guidance Medicines which should be initiated in secondary care by the specialist with follow-on prescription and monitoring according to a specific Shared Care (SC) Guideline. Prescribing may be continued in primary care in line with a shared care guideline   

Amber with Shared Care

 Specialist initiation with shared care guidance Medicines which should be initiated in secondary care by the specialist with follow-on prescription and monitoring according to a specific Shared Care (SC) Guideline. Prescribing may be continued in primary care in line with a shared care guideline   

Amber

 Considered suitable for primary care prescribing following specialist initiation/recommendation.  

Green

 Considered appropriate for prescribing in both secondary and primary care. Suitable for initiation in primary care.   

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