NHS Greater Glasgow & Clyde Area Drug and Therapeutics Committee
Greater Glasgow and Clyde Prescribing
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15 Anaesthesia

15.2 Local anaesthesia

Total Formulary
LEVOBUPIVACAINE

Restrictions: Restricted to specialist initiation.

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/86456.htm

LIDOCAINE (VERSATIS) (MEDICATED PLASTER)

Restrictions: Restricted to patients who are intolerant of first line therapies for post-herpetic neuralgia or where these therapies have been ineffective. Use for other indications remain non-Formulary.

Prescribing Notes:

If lidocaine plasters are initiated for analgesia (in accordance with formulary restrictions), the patient should be reviewed at 4 weeks and treatment only continued if the patient demonstrates a response.  If no response, treatment should be discontinued.

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/130131.htm#_130131

LIDOCAINE AND PHENYLEPHRINE

Restrictions: Restricted to specialist initiation.

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/74859.htm#_74859

EMLA

Restrictions: Restricted to specialist initiation.

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/6693.htm#_6693

PHENOL

Restrictions: Restricted to specialist initiation.

PRILOCAINE

Restrictions: Restricted to specialist initiation.

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/6702.htm

PROCAINE

Restrictions: Restricted to specialist initiation.

LIDOCAINE (LMX4) (CREAM)

Restrictions: Restricted to use in hospitals only.

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/202238.htm#_202238

PRILOCAINE HYDROCHLORIDE (PRILOTEKAL) (SOLUTION)

Restrictions: Restricted to use in spinal anaesthesia in ambulatory surgery settings such as day surgery units.

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/6702.htm

BUPIVACAINE

Restrictions: Restricted to specialist initiation.

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/6697.htm

BUPIVICAINE AND FENTANYL (BUFYL) (epidural)

Restrictions: Restricted to specialist use for epidural analgesia to relieve pain during labour and to control post operative pain.

COCAINE

Restrictions: Restricted to specialist initiation.

Prescribing Notes:

Exludes spray formulations.

LIDOCAINE (injection)
TETRACAINE (GEL)

Restrictions: Restricted to specialist initiation.

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/40703.htm