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Class 4 MHRA Drug Alert – Ativan 4mg/1ml Solution for injection (Lorazepam) (Pfizer Limited) Caution in use

Drug Alert No: EL (19) A/10 Date Issued: 24th April 2019 The Medicines and Healthcare products Regulatory Agency (MHRA) has issued a class 4 drug alert for certain batches of Ativan 4mg/1ml Solution for Injection (Lorazepam) (Pfizer Limited) Ativan 4mg/1ml Solution for Injection (Lorazepam) (Pfizer Limited) PL 00057/1279 Batch Number Expiry Date Pack Size First...

12 hours ago

April 2019 Price Concessions – 2nd update

Department of Health and Social Care (DHSC) has today granted the following list of price concessions: Drug Pack size Price Concession Betahistine 8mg tablets 84 £1.38 Betahistine 16mg tablets 84 £2.70 Candesartan 16mg tablets 28 £2.90 Carvedilol 12.5mg tablets 28 £2.10 Celecoxib 200mg capsules 30 £13.76 Diamorphine 10mg powder for solution for injection ampoules 5...

6 days ago

MHRA Drug Safety Update April 2019

Date issued: 16th April 2019 A new Medicines and Healthcare products Regulatory Agency (MHRA) Drug Safety Update (Vol 12 Issue 9 March 2019:1) has been published and includes articles on: Yellow fever vaccine (Stamaril) and fatal adverse reactions: extreme caution needed in people who may be immunosuppressed and those 60 years and older. Valproate medicines...

8 days ago

Palliative Care Formulary Service

 

West Yorkshire-wide Palliative Care Formulary Service


West Yorkshire Palliative Care SLA

Appendix Two - Selection Criteria & EOI 

Appendix Three - Information Sheet for Healthcare Professionals

Appendix Four - PharmOutcomes - Instructions for Use 

Contact Details for Specialist Palliative Care Services


Pharmacies commissioned to provide this service stock a locally agreed list of medicines and make a commitment to ensure that the users of the service have prompt access to these medicines, in response to the presentation of an NHS prescription, during the pharmacies' contracted opening hours.

Please note: Other pharmacies will routinely stock many, if not all, of these drugs as part of their usual dispensary stock.

In the event of there being insufficient stock to fill an immediate need the pharmacy will liaise with another community pharmacy in the service with stock and/or other local community pharmacies.  The pharmacy will aim to locate a pharmacy with sufficient in-date stock and request that they reserve that stock for collection by the user.  If no further stock can be located the pharmacy will contact the prescriber to discuss a suitable alternative.

This service is available within the pharmacies opening hours only (available from NHS Choices www.nhs.uk).  Outside these hours requests should be directed to the Out of Hours Service Provider for the relevant area.

 

The previous service ended on 30th April 2018.   Please see Termination Letter below.

 Palliative Care - Termination Letter - 15th January 2018

  

 

Palliative Care - General

The novel “wheel” or “spider diagram” format of this guideline was developed by St Gemma’s Hospice over 15 years ago, to support

  • the safe conversion between different opioids
  • enable the safe administration of the same opioid by a different route
  •  to calculate and check the accuracy of “PRN” doses of opioids for patients receiving regular opioids

St Gemma’s clinical team, including Professor Michael Bennett, St Gemma’s Professor of Palliative Medicine, have updated the guideline in line with current company data and seminal specialist palliative care resources.

Although the current (2006) version of the guideline was never formally distributed to non-specialist palliative care providers across Leeds, many have a copy and have found it a useful resource.

The updated 2016 guideline is now approved for use by both specialist and non-specialist palliative care use across Leeds, supported by a project led by the Leeds Palliative Care Managed Clinical Network (MCN).

It is expected that non-specialists will predominantly continue to use the guide as a checking tool. If any discrepancies or queries arise during this checking process the prescriber must be contacted.

Prescribers are responsible for their own decisions. It is imperative to read the notes on the right hand side of the document and seek specialist palliative care advice as needed.

The Leeds Opioid Conversion Guide For Adult Palliative Care Patients 2016 is available as a PDF document on:

PLEASE REPLACE ANY PREVIOUS VERSIONS OF THE GUIDELINE WITH THIS 2016 UPDATE

Opioid Wheel

 

 

Resources / Guidance

 

 

Bradford



Calderdale

Guidance on Prescribing Anticipatory Drugs

Guidance on Prescribing Anticipatory Drugs - Patients with Advanced Kidney Disease

Guidance on Titrating Syringe Driver Medication


Kirklees



Leeds



Wakefield

Guidance on Prescribing Anticipatory Drugs and Syringe Drivers 

Palliative Care Chart

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Last Updated: 29th March 2019