NHS Greater Glasgow & Clyde Area Drug and Therapeutics Committee
Greater Glasgow and Clyde Prescribing
  • Key to symbols

10 Musculoskeletal and joint diseases

10.2 Drugs used in neuromuscular disorders

10.2.1 Drugs that enhance neuromuscular transmission

Preferred list
PYRIDOSTIGMINE BROMIDE

Restrictions: Restricted to specialist initiation.

Prescribing Notes:

This medication is used for myasthenia gravis.

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/5331.htm

Total Formulary
EDROPHONIUM

Restrictions: Restricted to specialist use only.

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/5329.htm

NEOSTIGMINE

Restrictions: Restricted to specialist initiation.

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/5325.htm

10.2.2 Skeletal muscle relaxants

Preferred list
BACLOFEN

Restrictions: Baclofen injection is restricted to use in specialist units only. Slow withdrawal of baclofen over one to two weeks is recommended.

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/5335.htm

QUININE

Prescribing Notes:

Available as quinine sulphate and quinine bisulphate tablets, oral quinine is used primarily for nocturnal leg cramps. Patients should be reviewed regularly to establish benefit.

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/31769.htm

Total Formulary
DANTROLENE

Restrictions: Restricted to specialist initiation.

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/5338.htm

TIZANIDINE

Restrictions: Restricted to specialist initiation. Restricted to recommendation by designated specialists.

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/64100.htm