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Formulary 12 Edition

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Formulary 12 Edition Drug and Therapeutics Committee Formulary 12 th Edition Version14.3 July 2015 Compiled on behalf of the Drug and Therapeutics Committee by Eleanore Atkinson Medicines Information Pharmacist Formulary 12 th Edition [v14.3] Contents Introduction ..................................................................................................................................... 11 Purpose ............................................................................................................................................... 11 How to use this Formulary .................................................................................................................. 11 Prescribing Formulary drugs............................................................................................................... 11 Prescribing a non-Formulary drug ...................................................................................................... 11 Procedure for additions to and amendment of the Formulary ............................................................. 11 Prescribing information ....................................................................................................................... 12 Filling in prescription charts ............................................................................................................... 12 Intravenous antibiotics ........................................................................................................................ 12 Controlled drugs ................................................................................................................................. 12 Discharge prescriptions ...................................................................................................................... 12 Out-patient prescriptions .................................................................................................................... 13 Hospital staff prescriptions ................................................................................................................. 13 Policy for personal prescribing by medical staff ................................................................................. 13 Unlicensed medicines ......................................................................................................................... 14 Policy for the use of unlicensed medicinal products ........................................................................... 14 Ward stock .......................................................................................................................................... 15 Patients own drugs .............................................................................................................................. 15 Substitution ......................................................................................................................................... 15 Clinical trials....................................................................................................................................... 15 Pharmacy information ......................................................................................................................... 16 Opening Hours .................................................................................................................................... 16 Medicines Information service - RBH ext. 7803 ................................................................................ 16 Ward pharmacy ................................................................................................................................... 16 Other information................................................................................................................................. 16 Drug representatives ........................................................................................................................... 16 Drug samples ...................................................................................................................................... 16 Adverse drug reaction (ADR) reporting ............................................................................................. 16 Other relevant publications ................................................................................................................. 16 Acknowledgements ............................................................................................................................. 17 0: Emergency treatment of poisoning .............................................................................................. 18 0.1 General Management of Poisoning ............................................................................................... 18 0.2 Activated charcoal .......................................................................................................................... 18 0.3 Availability of Antidotes ................................................................................................................ 19 1: Gastro-intestinal system .............................................................................................................. 20 1.1. Antacids and other drugs for dyspepsia ................................................................................. 20 1.2. Antispasmodics and other drugs altering gut motility .......................................................... 20 NICE approved medicines for specified indications are automatically added to this Formulary 2 Formulary 12 th Edition [v14.3] 1.3. Ulcer healing drugs ................................................................................................................... 21 1.3.1 H2 receptor antagonists ...................................................................................................... 21 1.3.3 Chelates and complexes ..................................................................................................... 21 1.3.4 Prostaglandin analogues .................................................................................................... 21 1.3.5 Proton pump inhibitors ...................................................................................................... 21 1.4. Acute diarrhoea ........................................................................................................................ 21 1.4.2 Antimotility drugs ...................................................................................................................... 21 1.5. Chronic diarrhoeas ................................................................................................................... 22 1.6. Laxatives .................................................................................................................................... 22 1.6.1 Bulk forming drugs .................................................................................................................... 22 1.6.2 Stimulant laxatives ..................................................................................................................... 22 1.6.3 Faecal softener ........................................................................................................................... 22 1.6.4 Osmotic laxatives ....................................................................................................................... 22 1.6.5 Bowel cleansing solutions.......................................................................................................... 23 1.7. Local preparations for anal and rectal disorders .................................................................. 23 1.7.1 Soothing haemorrhoidal preparations ........................................................................................ 23 1.7.3 Rectal sclerosants ...................................................................................................................... 23 1.8. Stoma care ................................................................................................................................. 23 1.9. Drugs affecting intestinal secretions ....................................................................................... 23 1.9.1. Drugs affecting biliary composition & flow ............................................................................. 23 1.9.4 Pancreatin ........................................................................................................................... 23 2: Cardiovascular system .................................................................................................................. 25 2.1 Positive inotropic drugs ............................................................................................................ 25 2.1.1 Cardiac glycosides ..................................................................................................................... 25 2.2 Diuretics ..................................................................................................................................... 25 2.2.1 Thiazides and related diuretics .................................................................................................. 25 2.2.2 Loop diuretics ............................................................................................................................ 25 2.2.3 Potassium-sparing diuretics ......................................................................................................
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