To relax the abdominal wall in preparation of abdominal wall reconstruction. 300 units to be administered 2 to 4 weeks before the procedure (300 units reconstituted in 150ml sodium chloride 0.9%)

NICE Guidelines:Botulinum toxin type A for the prevention of headaches in adults with chronic migraine

• NICE TA 260

Overactive Bladder algorithm

• Overactive bladder -algorithm FINAL update oct 2015.doc

HOSPITAL ONLY

On Formulary - Approved for use in October 2019 at Drugs and Therapeutics Committee (DTC) - Xeomin brand ONLY

Clonidine transdermal patches approved at NEL FPG for dystonia in paediatrics (unlicensed).

For severe dystonia in patients who could not be adequately managed on oral medications either due to side effects from
higher doses or the burden of increased frequency of dosing administered by carers and families

Formulary Status: Hospital Only

Hospital only for ADHD

Clonidine Patches are for specialist initation only within the hypertension clinic. These are used for the  treatment of hypertension where the oral route is inappropriate or there is a lactose allergy to tablets. Doses are initated and titrated within clinic.

Clozapine supply is monitored in the UK by one of three main companies depending on the Brand used.  Service users should not have a supply made or drug administered  without a current blood test showing showing a 'GREEN' result.   Users may be on a weekly, fortnightly or monthly testing scheme. If patient has missed a dose within 48 hours a supply may be made by ELFT (patient should be transferred from a Psychiatric Consultant to an ELFT one) but if longer than this time then re-titration from  12.5mg dosage is usually required with Consultant and Pharmacist involvement.

Zaponex Treatment Access Scheme: 0207 3655842
Clozapine Patient Monitoring Service: 0845 769 8269
DMS:Denzepine Monitoring Service: 0333 200 4121

GREEN blood result = dose can be supplied/administered providing dose confirmed
AMBER blood result = the frequency of blood monitoring must increase to twice weekly but the dose can be given.
RED blood result = stop clozapine.

THIS DRUG IS ONLY FOR USE IN HOSPITAL

Clozapine Pathway

• Trust guideline- Clozapine Pathway.docx

Intravenous Preparations Hospital-Only

As a skeletal muscle relaxant in conditions such as Multiple Sclerosis and for control of seizures.

see attached

• Trust Core Policy Delirium

• Rapid Tranquilisation Policy for Adults and Older People 2014 v1 East London (2).pdf

• LPP Delirium bulletin Final.pdf

This is considered a Tier 2 shortage, medium impact. This product will be out of stock until April 2021.

Please see attached memo

• Trifluoperazine 1mg 5ml syrup.pdf

Amantadine is not recommended for prophylaxis of influenza(NICE September 2008).

Amantadine is not recommended for treatment of infuenza(NICE February 2009).

• NICE CG35

 Frequent, unpredictable motor fluctuations that are not adequately controlled by oral therapies (generally used as an adjunct to other dopaminergic drugs)

For acromegaly-use on alternate days (or even daily) in some circumstances

Refer to psychiatric liason nurse for use in essential tremor, chorea, tics anad related disorders

For full monograph see https://www.formularycomplete.com/view/drug/monograph/50676

lorazepam

• Delirium Trust Policy

lorazepam

• Rapid Tranquilisation Policy for Adults and Older People 2014 v1 East London (2).pdf

lorazepam

• NICE CG100

Barts & The London sites: Acute alcohol withdrawal in patients with severe  or  acute hepatic dysfunction  (i.e raised INR and/or bilirubin) 
*To be prescribed under advice of  hepatology only*

Whipps Cross: Alternative to Chlordiazepoxide for acute alcohol withdrawal in elderly and/or patients with severe hepatic dysfunction

Newham: IV Lorazepam for alcohol withdrawal seizures


refer to lorazepan monograph for further information

refer to lorazepam monograph for further information https://www.formularycomplete.com/view/drug/monograph/31697

see attached memo

• Memo lorazepam injection Shortage 010620.pdf

see attached

• Delirium Trust Policy

Whipps Cross: Alternative to chlordiazepoxide for acute alcohol withdrawal in hospital in-patients with liver dysfunction

.

• Rapid Tranquilisation Policy for Adults and Older People 2014 v1 East London (2).pdf

NICE GUIDANCE

• NICE CG100

Barts & The London sites: Acute alcohol withdrawal in patients with severe  or  acute hepatic dysfunction  (i.e raised INR and/or bilirubin) 
*To be prescribed under advice of  hepatology only*

Whipps Cross: Alternative to Chlordiazepoxide for acute alcohol withdrawal in elderly and/or patients with severe hepatic dysfunction

Newham: IV Lorazepam for alcohol withdrawal seizures

Chlordiazepoxide is for hospital use only  

Chloridapoxide Shortage Oct 2019

There is currently a supply issue affecting Chlordiazepoxide 5 mg and 10 mg. It is currently unclear how long this issue will last. In the interim we are using Diazepam. Please read memo attached.

• Memo - Chlordiazepoxide Shortage 301019.docx

For use in acute alcohol withdrawal-see section 4.10

Intravenous Preparations Hospital-Only

Second line  for acute alcohol withdrawal (greater potential for abuse than chlordiazepoxide)

THIS DRUG IS FOR USE IN HOSPITAL ONLY

• NICE TA 115

THIS DRUG IS FOR USE IN HOSPITAL ONLY

Second line opioid receptor antagonist

see attached

• NICE TA114

http://www.pallcare.info/ - seek advice from Macmillan Team or Palliative Care teams before using information from this website:

Palliative Care Team Contacts:

St Bartholomew's, Royal London, Mile End and London Chest
Phone: 020 3465 5600 (internal: 55600)Fax: 020 3465 5389 (internal: 55389)

Newham Phone: 020 7363 8105 Fax: 020 7363 9432

Whipps Cross – Margaret Centre Phone: 020 8535 6604 Fax: 020 8535 6952

• Trust Policy End-of Life
• Trust Policy Syringe Driver
• Opioid side effects.docx
• opioid conversion table August 2017.docx
• ToptipsPalliativeCareAM28Jan14.doc
• Palliative care guidelines vs3 August 2017.doc

http://www.pallcare.info/ - seek advice from Macmillan Team or Palliative Care teams before using information from this website:

http://bartshealthintranet/About-Us/CAGs/Cancer/Palliative-care/Index.aspx
Palliative Care Team Contacts:

St Bartholomew's, Royal London, Mile End and London Chest
Phone: 020 3465 5600 (internal: 55600)Fax: 020 3465 5389 (internal: 55389)

Newham Phone: 020 7363 8105 Fax: 020 7363 9432

Whipps Cross – Margaret Centre Phone: 020 8535 6604 Fax: 020 8535 6952

• Opioid side effects.docx
• opioid conversion table August 2017.docx
• ToptipsPalliativeCareAM28Jan14.doc
• Palliative care guidelines vs3 August 2017.doc
• End of Life TRust Policy
• Syringe Driver Trust Policy

• Opioid Conversion Guidelines - updated 23 Feb 2016.pdf

• NICE TA114

INJECTION IS HOSPITAL ONLY

• NICE TA 115

THIS DRUG IS FOR USE IN HOSPITAL ONLY

Second line opioid receptor antagonist

see attached

• Epidural Infusion Guidelines

• Levobupivacaine TAP block in Renal Transplant - Guidelines Aug 2014 v 1 1.pdf

Hospital-Only Drug

Hospital Only Drug

Ropivacaine admixture is approved for local infiltration of the knee during total knee replacement.
The admixture formulation is 0.2% ropivacaine (200ml bag) with addition of 1mg adrenaline and 30mg ketorolac.

Hospital-Only Drug

Ropivacaine Admixture

• Ropivacaine mix-dec.doc

HOSPITAL ONLY unless part of shared care agreements

• NICE TA217

HOSPITAL ONLY unless part of shared care agreements

• NICE TA217

HOSPITAL ONLY unless part of shared care agreements

• NICE TA217

• Rapid Tranquilisation Policy for Adults and Older People 2014 v1 East London (2).pdf

HOSPITAL ONLY unless part of shared care agreements

• NICE TA217

Aprepitant for treatment of refractory nausea in Adult Cystic Fibrosis (CF) patients receiving treatment for Non-tuberculosis mycobacterium when other anti-emetics have failed. Initiation will be under recommendation by the Adult CF consultant only, Hospital Only.

Approved at March 2019 DTC 

THIS DRUG IS FOR HOSPITAL USE ONLY

First line for hyperemesis in pregnancy

Droperidol approved at NEL FPG for Rapid Tranquilisation in emergency departments at BH    

Formulary Status: Hospital Only

see attached

• Trust Core Policy Delirium

• Rapid Tranquilisation Policy for Adults and Older People 2014 v1 East London (2).pdf

• LPP Delirium bulletin Final.pdf

http://www.pallcare.info/ - seek advice from Macmillan Team or Palliative Care teams before using information from this website:

http://bartshealthintranet/About-Us/CAGs/Cancer/Palliative-care/Index.aspx
Palliative Care Team Contacts:

St Bartholomew's, Royal London, Mile End and London Chest
Phone: 020 3465 5600 (internal: 55600)Fax: 020 3465 5389 (internal: 55389)

Newham Phone: 020 7363 8105 Fax: 020 7363 9432

Whipps Cross – Margaret Centre Phone: 020 8535 6604 Fax: 020 8535 6952

• Opioid side effects.docx
• opioid conversion table August 2017.docx
• ToptipsPalliativeCareAM28Jan14.doc
• Palliative care guidelines vs3 August 2017.doc
• End of Life TRust Policy
• Syringe Driver Trust Policy

INJECTION FORMULATION IS FOR HOSPITAL USE ONLY

THIS DRUG IS FOR HOSPITAL USE ONLY
 

See attached

• Delirium-Guideline.pdf

There is currently a shortage of Ativan® and paediatric Ativan® (lorazepam) 4mg/ml Injections. We anticipate there will be limited supply of lorazepam until early December 2020

Please see attached memos

• Ativan (lorazepam) Injection Medicine Shortage Memo 081020.pdf
• Ativan (lorazepam) Injection Medicine Shortage Paediatric Memo 081020.pdf

Alternative to cyclizine for hyperemesis in pregnancy

INJECTION FORMULATION IS FOR HOSPITAL USE ONLY
Ondansetron is preferred IV and granisetron orally

INJECTION FORMULATION IS FOR HOSPITAL USE ONLY

Alternative to cyclizine for hyperemesis in pregnancy

• Rapid Tranquilisation Policy for Adults and Older People 2014 v1 East London (2).pdf

This is considered a Tier 2 shortage, medium impact. This product will be out of stock until April 2021.

Please see attached memo

• Trifluoperazine 1mg 5ml syrup.pdf

Hospital-Only Drug

http://www.pallcare.info/ - seek advice from Macmillan Team or Palliative Care teams before using information from this website:

Palliative Care Team Contacts:

St Bartholomew's, Royal London, Mile End and London Chest
Phone: 020 3465 5600 (internal: 55600)Fax: 020 3465 5389 (internal: 55389)

Newham Phone: 020 7363 8105 Fax: 020 7363 9432

Whipps Cross – Margaret Centre Phone: 020 8535 6604 Fax: 020 8535 6952

• Trust Core Policy End of Life
• Trust Core Policy Syringe Driver
• opioid conversion table August 2017.docx
• ToptipsPalliativeCareAM28Jan14.doc
• Palliative care guidelines vs3 August 2017.doc

http://www.pallcare.info/ - seek advice from Macmillan Team or Palliative Care teams before using information from this website:

Palliative Care Team Contacts:

St Bartholomew's, Royal London, Mile End and London Chest
Phone: 020 3465 5600 (internal: 55600)Fax: 020 3465 5389 (internal: 55389)

Newham Phone: 020 7363 8105 Fax: 020 7363 9432

Whipps Cross – Margaret Centre Phone: 020 8535 6604 Fax: 020 8535 6952

• Prescribing in Palliative Care
• Trust Core Policy End of Life
• Trust Core Policy Syringe Driver
• Palliative care guidelines vs3 August 2017.doc
• ToptipsPalliativeCareAM28Jan14.doc

Should not routinely used for primary prevention of cardiovascular disease.

Enteric coated aspirin should not be used as it has a poor cost:benefit ratio. There is no convincing evidence that it reduces gastrointestinal bleeding (Drug Ther Bulletin, Jan 1997, p.7-8) and it has a lower bioavailability vs dispersable.

Gastroprotection with lansoprazole is advised.

Aspirin has multiple indications, follow the links below for more information

Unstable angina and NSTEMI guidelines

http://www.nice.org.uk/guidance/CG94

Stroke guidelines

http://www.nice.org.uk/Guidance/CG68

STEMI guidelines

http://www.nice.org.uk/guidance/CG167

AF guidelines

http://www.nice.org.uk/guidance/cg180

Hypertension in pregnancy guidelines

http://www.nice.org.uk/guidance/CG107

see attached

• Epidural Infusion Guidelines

Shortage of Fentanyl 2mcg/ml/Bupivacaine 0.1% (250ml & 500ml) Epidural Bags.

Chairs action has been approved to use Fentanyl 2mcg/ml/Levobupivacaine 0.1% (250ml) Epidural Bags as an alternative.

see attached

• Opioid Conversion Guidelines - updated 23 Feb 2016.pdf

Prescribe patches by brandname as the frequency of application differs

Injection is HOSPITAL ONLY unless part of palliative care package

http://www.pallcare.info/ - seek advice from Macmillan Team or Palliative Care teams before using information from this website:

Palliative Care Team Contacts:

St Bartholomew's, Royal London, Mile End and London Chest
Phone: 020 3465 5600 (internal: 55600)Fax: 020 3465 5389 (internal: 55389)

Newham Phone: 020 7363 8105 Fax: 020 7363 9432

Whipps Cross – Margaret Centre Phone: 020 8535 6604 Fax: 020 8535 6952

• Trust Policy End-of Life
• Trust Policy Syringe Driver
• Opioid side effects.docx
• opioid conversion table August 2017.docx
• ToptipsPalliativeCareAM28Jan14.doc
• Palliative care guidelines vs3 August 2017.doc

For Patient Controlled analgesia Guidelines see link
For Trust Epidural Guidelines see link

• Epidural Infusion Guidelines
• PCA and NCA Guidelines
• opioid conversion table August 2017.docx
• Opioid side effects v2.docx
• BH treatment algorithm for pain in adults.pdf

http://www.pallcare.info/ - seek advice from Macmillan Team or Palliative Care teams before using information from this website:

Palliative Care Team Contacts:

St Bartholomew's, Royal London, Mile End and London Chest
Phone: 020 3465 5600 (internal: 55600)Fax: 020 3465 5389 (internal: 55389)

Newham Phone: 020 7363 8105 Fax: 020 7363 9432

Whipps Cross – Margaret Centre Phone: 020 8535 6604 Fax: 020 8535 6952

• Prescribing in Palliative Care
• Trust Core Policy End of Life
• Trust Core Policy Syringe Driver
• Palliative care guidelines vs3 August 2017.doc
• ToptipsPalliativeCareAM28Jan14.doc

The lower strength 8/500) will be supplied where no strength is specified on the presciption

http://www.pallcare.info/ - seek advice from Macmillan Team or Palliative Care teams before using information from this website:

Palliative Care Team Contacts:

St Bartholomew's, Royal London, Mile End and London Chest
Phone: 020 3465 5600 (internal: 55600)Fax: 020 3465 5389 (internal: 55389)

Newham Phone: 020 7363 8105 Fax: 020 7363 9432

Whipps Cross – Margaret Centre Phone: 020 8535 6604 Fax: 020 8535 6952

• Prescribing in Palliative Care
• Trust Core Policy End of Life
• Trust Core Policy Syringe Driver
• Palliative care guidelines vs3 August 2017.doc
• ToptipsPalliativeCareAM28Jan14.doc

For Patient Controlled analgesia Guidelines see link
For Trust Epidural Guidelines see link

• Epidural Continuous Infusion Guidelines
• PCA and NCA Guidelines
• opioid conversion table August 2017.docx
• BH treatment algorithm for pain in adults.pdf

• Opioid Conversion Guidelines - updated 23 Feb 2016.pdf

Second line for mild to moderate pain-'add on' treatment to paracetamol (+/- NSAIDs)

Also used for GI surgery 'short bowel' patients-requests for this indication should be annotated accordingly

Note: Injection is subject to controlled drug storage and register requirements

The therapeutic indication is as an anti-tussive in a non-productive cough.

• Opioid Conversion Guidelines - updated 23 Feb 2016.pdf

http://www.pallcare.info/ - seek advice from Macmillan Team or Palliative Care teams before using information from this website:

Palliative Care Team Contacts:

St Bartholomew's, Royal London, Mile End and London Chest
Phone: 020 3465 5600 (internal: 55600)Fax: 020 3465 5389 (internal: 55389)

Newham Phone: 020 7363 8105 Fax: 020 7363 9432

Whipps Cross – Margaret Centre Phone: 020 8535 6604 Fax: 020 8535 6952

• Trust Core Policy End of Life
• Trust Core Policy Syringe Driver
• opioid conversion table August 2017.docx
• ToptipsPalliativeCareAM28Jan14.doc
• Palliative care guidelines vs3 August 2017.doc

The trust has received notification from the Department of Health & Social Care regarding a national supply shortage of Diamorphine 5mg and 10mg Injections. This shortage is anticipated to last until summer 2020. Please see the memo attached for further information for this drug shortage.

• Medicine Shortage Diamorphine 5mg and 10mg Injections April 2020.pdf

http://www.pallcare.info/ - seek advice from Macmillan Team or Palliative Care teams before using information from this website:

Palliative Care Team Contacts:

St Bartholomew's, Royal London, Mile End and London Chest
Phone: 020 3465 5600 (internal: 55600)Fax: 020 3465 5389 (internal: 55389)

Newham Phone: 020 7363 8105 Fax: 020 7363 9432

Whipps Cross – Margaret Centre Phone: 020 8535 6604 Fax: 020 8535 6952

• Prescribing in Palliative Care
• Trust Core Policy End of Life
• Trust Core Policy Syringe Driver
• Palliative care guidelines vs3 August 2017.doc
• ToptipsPalliativeCareAM28Jan14.doc

Oral diclofenac no longer recommended as per MHRA alert. 

Reserved for use as suppositories in maternities and injection for renal colic.

Topical diclofenac may still be used as indicated.

INJECTION FORMULATION IS FOR HOSPITAL USE ONLY

• Opioid Conversion Guidelines - updated 23 Feb 2016.pdf

Note: Dihydrocodeine injection is subject to controlled drug storage and register requirements

http://www.pallcare.info/ - seek advice from Macmillan Team or Palliative Care teams before using information from this website:

Palliative Care Team Contacts:

St Bartholomew's, Royal London, Mile End and London Chest
Phone: 020 3465 5600 (internal: 55600)Fax: 020 3465 5389 (internal: 55389)

Newham Phone: 020 7363 8105 Fax: 020 7363 9432

Whipps Cross – Margaret Centre Phone: 020 8535 6604 Fax: 020 8535 6952

• Prescribing in Palliative Care
• Trust Core Policy End of Life
• Trust Core Policy Syringe Driver
• Palliative care guidelines vs3 August 2017.doc
• ToptipsPalliativeCareAM28Jan14.doc

http://www.pallcare.info/ - seek advice from Macmillan Team or Palliative Care teams before using information from this website:

Palliative Care Team Contacts:

St Bartholomew's, Royal London, Mile End and London Chest
Phone: 020 3465 5600 (internal: 55600)Fax: 020 3465 5389 (internal: 55389)

Newham Phone: 020 7363 8105 Fax: 020 7363 9432

Whipps Cross – Margaret Centre Phone: 020 8535 6604 Fax: 020 8535 6952

• Prescribing in Palliative Care
• Trust Core Policy End of Life
• Trust Core Policy Syringe Driver
• Palliative care guidelines vs3 August 2017.doc
• ToptipsPalliativeCareAM28Jan14.doc

Opioid Conversion Guidelines updated 23.02.16

• Opioid Conversion Guidelines - updated 23 Feb 2016.pdf

Hospital-Only Drug

The DTC committee have Approved Sub-lingual Fentanyl for the management of pain in adult sickle patients.

For ICU analgesia/sedation

• Fentanyl infusion - ITU sedation Jan 2019.pdf

http://www.pallcare.info/ - seek advice from Macmillan Team or Palliative Care teams before using information from this website:

Palliative Care Team Contacts:

St Bartholomew's, Royal London, Mile End and London Chest
Phone: 020 3465 5600 (internal: 55600)Fax: 020 3465 5389 (internal: 55389)

Newham Phone: 020 7363 8105 Fax: 020 7363 9432

Whipps Cross – Margaret Centre Phone: 020 8535 6604 Fax: 020 8535 6952

• Prescribing in Palliative Care
• Trust Core Policy End of Life
• Trust Core Policy Syringe Driver
• Palliative care guidelines vs3 August 2017.doc
• ToptipsPalliativeCareAM28Jan14.doc

see attached

• Opioid conversion table 2019.pdf

For Patient Controlled Analgesia Guidelines see link
For Trust Epidural Guidelines see link

• PCA and NCA Guidelines
• Epidural Infusion Guidelines
• Opioid side effects v2.docx
• BH treatment algorithm for pain in adults.pdf

http://www.pallcare.info/ - seek advice from Macmillan Team or Palliative Care teams before using information from this website:

Palliative Care Team Contacts:

St Bartholomew's, Royal London, Mile End and London Chest
Phone: 020 3465 5600 (internal: 55600)Fax: 020 3465 5389 (internal: 55389)

Newham Phone: 020 7363 8105 Fax: 020 7363 9432

Whipps Cross – Margaret Centre Phone: 020 8535 6604 Fax: 020 8535 6952

• ToptipsPalliativeCareAM28Jan14.doc
• End of Life TRust Policy
• Syringe Driver Trust Policy

• Opioid Conversion Guidelines - updated 23 Feb 2016.pdf

For Patient Controlled analgesia Trust Policy see link
For Trust Epidural Policy see link

• opioid conversion table August 2017.docx
• BH treatment algorithm for pain in adults.pdf
• PCA Trust Policy
• Epidural Trust Policy

see attached

• NSAIDs BH 2014.doc

For patent ductus arteriosus - please refer to children's BNF

• Levobupivacaine TAP block in Renal Transplant - Guidelines Aug 2014 v 1 1.pdf

THIS DRUG IS FOR HOSPITAL USE ONLY
 

Only tablets and capsules on formulary

• Opioid Conversion Guidelines - updated 23 Feb 2016.pdf

• Opioid Conversion Guidelines - updated 23 Feb 2016.pdf

• NICE TA114

INJECTION IS HOSPITAL ONLY

Penthrax Patient Alert Card

• Penthrox Patient Alert Card-Patient Use.pdf

Penthrox (methoxyflurane) 3 mL, inhalation vapour, liquid

Appoved for use at Royal London Emergency Department  conscious adult patients with moderate to severe pain arising from trauma. Use at NUH and WCUH Emmergency Departments for the same indication agreed at Feb 2020 DTC.

  

For Patient Controlled Analgesia Guidelines see link
For Trust Epidural Guidelines see link

• PCA and NCA Guidelines
• Epidural Infusion Guidelines
• opioid conversion table August 2017.docx
• Opioid side effects v2.docx
• BH treatment algorithm for pain in adults.pdf

Morphine sulphate can be used intrathecally at low doses for pain relief e.g. 200-300mcg.  It can take 2-3 hours to take effect necessitating IV morphine as well.

It is also available as a 30mg in 10mL high viscosity ampoule which is inserted into a pump and slowly delivered over approximately two months.  This is for Consultant use only e.g. Neurosurgery

http://www.pallcare.info/ - seek advice from Macmillan Team or Palliative Care teams before using information from this website:

Palliative Care Team Contacts:

St Bartholomew's, Royal London, Mile End and London Chest
Phone: 020 3465 5600 (internal: 55600)Fax: 020 3465 5389 (internal: 55389)

Newham Phone: 020 7363 8105 Fax: 020 7363 9432

Whipps Cross – Margaret Centre Phone: 020 8535 6604 Fax: 020 8535 6952

• Prescribing in Palliative Care
• Trust Core Policy End of Life
• Trust Core Policy Syringe Driver
• Palliative care guidelines vs3 August 2017.doc
• ToptipsPalliativeCareAM28Jan14.doc

See Palliative Care Summary

• Opioid conversion table 2019.pdf

Hospital-Only Drug

see attached

• Oxycodone memo - brands.pdf

see attached

• Opioid Conversion Guidelines - updated 23 Feb 2016.pdf

Alternative for moderate to severe pain if morphine is ineffective or patient experiencing unmanageable side effects.
Titrate up to maximum tolerable dose

For Patient Controlled Analgesia Guidelines see link
For Trust Epidural Guidelines see link

• Epidural Infusion Guidelines
• PCA and NCA Guidelines
• opioid conversion table August 2017.docx
• Opioid side effects v2.docx
• BH treatment algorithm for pain in adults.pdf

http://www.pallcare.info/ - seek advice from Macmillan Team or Palliative Care teams before using information from this website:

Palliative Care Team Contacts:

St Bartholomew's, Royal London, Mile End and London Chest
Phone: 020 3465 5600 (internal: 55600)Fax: 020 3465 5389 (internal: 55389)

Newham Phone: 020 7363 8105 Fax: 020 7363 9432

Whipps Cross – Margaret Centre Phone: 020 8535 6604 Fax: 020 8535 6952

• Trust Cire Policy Syringe Driver
• Trust Core Policy End of Life
• opioid conversion table August 2017.docx
• ToptipsPalliativeCareAM28Jan14.doc
• Palliative care guidelines vs3 August 2017.doc

http://www.pallcare.info/ - seek advice from Macmillan Team or Palliative Care teams before using information from this website:

Palliative Care Team Contacts:

St Bartholomew's, Royal London, Mile End and London Chest
Phone: 020 3465 5600 (internal: 55600)Fax: 020 3465 5389 (internal: 55389)

Newham Phone: 020 7363 8105 Fax: 020 7363 9432

Whipps Cross – Margaret Centre Phone: 020 8535 6604 Fax: 020 8535 6952

• Prescribing in Palliative Care
• Trust Core Policy End of Life
• Trust Core Policy Syringe Driver
• Palliative care guidelines vs3 August 2017.doc
• ToptipsPalliativeCareAM28Jan14.doc