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 Formulary Chapter 16: Emergency Treatment of Poisoning - Full Chapter
16  Expand sub section  Poisoning
16  Expand sub section  Body Temperature
16  Expand sub section  Nerve agents
16  Expand sub section  Pesticides
16  Expand sub section  Snake bites and animal stings to top
16  Expand sub section  Convulsion
16  Expand sub section  Removal and Elimination
16  Expand sub section  Removal from the Gastro-intestinal tract
16  Expand sub section  Prevention of absorption
16  Expand sub section  Active elimination techniques to top
16  Expand sub section  Specific Drugs
16  Expand sub section  Alcohol
16  Expand sub section  Analgesics (non-opioid)
16  Expand sub section  Analgesics (opioid)
Naloxone
View adult BNF View SPC online View childrens BNF 		Formulary
  • 400 microgram injection – ampoules and prefilled syringes Green
  • 1.8mg/0.1ml nasal spray (single use)  Red
    • approved to offer a more convenient method of administration by non-healthcare professionals from Drug and Alcohol Services in accordance with local written protocols.
 
 
16  Expand sub section  Antidepressants to top
16  Expand sub section  Antimalarials
16  Expand sub section  Beta Blockers
16  Expand sub section  Calcium-channel blockers
16  Expand sub section  Hypnotics and anxiolytics
16  Expand sub section  Iron Salts to top
16  Expand sub section  Lithium
16  Expand sub section  Phenothiazines and related drugs
16  Expand sub section  Stimulants
16  Expand sub section  Theophylline
16  Expand sub section  Other poisons to top
16  Expand sub section  Cyanides
16  Expand sub section  Ethylene glycol and methanol
16  Expand sub section  Heavy Metals
16  Expand sub section  Noxious gases
16  Expand sub section  CS Spray to top
16.01  Expand sub section  Other items
 ....
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
NHSE
 NHS England
Homecare
 Homecare
CCG
 CCG

Traffic Light Status Information

Status Description

Red

 Drugs for hospital use only. The responsibility for initiation and monitoring treatment should rest with an appropriate hospital clinician and the drug should be supplied through the hospital throughout the duration of treatment. In some very exceptional circumstances (e.g. due to distance from the hospital, storage, supply or mobility/transport problems) it may be appropriate for the GP to be asked to prescribe a Red drug. This should be negotiated on an individual patient basis and should only be done with the GP’s prior informed agreement where the roles of the GP and hospital services are clearly defined and agreed. The GP should not feel under pressure to prescribe in these circumstances. For all RED drugs automatically added to the formulary in response to a positive NICE TA: Prescribers need to ensure that local Trust new drug governance procedures and pharmacy processes are followed before any prescribing.  

Amber

 Drugs initiated by hospital specialist, but where continuing treatment by GPs may be appropriate under a shared care arrangement. The specialist should send the GP a copy of the shared care agreement to sign. The GP should sign the shared care agreement, or indicate they do not want to be part of such an agreement, and return a copy back to the specialist. Shared care guidelines are available or are being developed for most of the drugs listed as Amber. If no shared care guideline is available, the hospital specialist should provide the patient’s GP with sufficient information and support to allow treatment to be continued and managed safely in primary care.  

Green plus

 Drugs normally recommended or initiated by a specialist (hospital or GP with an extended role https://www.rcgp.org.uk/gpwer), but can be safely maintained in primary care with very little or no monitoring required. In some cases there may be a further restriction for use outlined - these will be defined in each case. Provision of additional information, or an information leaflet, may be appropriate in some cases to facilitate continuing treatment by GPs.  

Green

 Drugs where prescribing by GPs is appropriate. Can be initiated and prescribed in all care settings, and if appropriate, discontinued without recourse to secondary care.  

Black

 NOT APPROVED: Drugs that have been considered by NTAG or the NENC ICB Medicines Subcommittee (or other approved body) and are not approved for prescribing within the North East and North Cumbria.   

Brown

 UNDER REVIEW: drugs whose current formulary status or RAG status is currently under review.  

Not Recomended

 NOT REVIEWED: Drugs that haven not been reviewed yet. This usually means that an application is in progress. These drugs are not normally considered appropriate for prescribing in the North East and North Cumbria until such time that a decision is taken on their formulary status.  

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