Microsoft word - second edition sept 2012.doc

Directors of Pharmacy


NHS Scotland Formulary of
Pre-Labelled Medicines for
Unscheduled Care

Second Edition
September 2012

FOREWORD
This Second Edition of the NHS Scotland Formulary of Pre-Labelled
Medicines for Unscheduled Care has built upon the principles of
rationalisation outlined in the 1st Edition and has widened the scope of the
document to produce a Formulary containing those pre-labelled medicines
that are required in unscheduled care settings. In addition, extensive
information on anti-infective prescribing and preparations has been included
based on best practice outlined with current HPA Guidance.
This document is a valuable resource for NHS Scotland and should help to
standardise practice across Health Boards.
The Working Group is to be congratulated on the work undertaken to review
and up-date this guidance and is asked to continue this valuable work in the
future.
The Directors of Pharmacy will support the local implementation of this
revised Formulary and commend this document to you.

Evelyn McPhail
Chair
Directors of Pharmacy
NHS Scotland
Acknowledgements
The Working Group is indebted to colleagues throughout NHS Scotland
who have contributed to revision of this important national document. Their
contributions have resulted in a document that reflects current best practice
and takes account of differing requirements across NHS Scotland.
APPENDIX 3
The First Edition of this Formulary was published in September 2009 and Membership of the Working Group
for the first time, a document was available that reflected a national approach to the provision of pre-labelled medicines for unscheduled care. Dr Baxter Millar (Chair)
Tayside Pharmaceuticals NHS Tayside This second edition has built on the approach taken with the First Edition and has widened the scope of the document by: Andrew Stewart
Acting Category Manager National Procurement • representation from the Scottish Ambulance Service and NHS 24; (Secretary)
NHS National Services Scotland • expanding the Anti-Infectives section by inclusion of Health Protection Stephen Bowhay
Lead Clinical Pharmacist NHS Greater Glasgow & Clyde Agency evidence-based template for the management of infection; • taking on board comments from colleagues across NHS Scotland Margaret Dolan
Pharmaceutical Adviser National Procurement relating to the need for an expanded range of analgesics. NHS National Services Scotland Jacqueline Kelland
The Working Group was conscious of the large range of different presentations being requested by Health Boards and have rationalised a Dr John McAnaw
Head of Pharmacy number of the sections to take account of:
James McDade
Head of Quality Assurance • medicines that are commonly used in emergency situations; • medicines listed in the First Edition that have not been required; Evelyn McPhail
Director of Pharmacy • national contract arrangements to ensure the particular products listed represent value for money; Kay Pollock
Deputy Production Pharmacy Production Unit • licensed pre-labelled products that are now available; Western Infirmary Glasgow • standardisation of presentation of pre-labelled medicines both in terms of Susan Roberts
Pharmacist Team Manager NHS Dumfries & Galloway pack size and labelling. Prescribing Development Compliance with this Formulary will also aid initiatives such as the National Margaret Ryan
Lead Clinician Prescribing NHS Greater Glasgow & Clyde Therapeutic Indicators for Primary Care and Quality Indicators for Out-of- Hours Services (Appendix 2). Dr Jacqueline Sneddon
Scottish Antimicrobial Prescribing Finally, it is recognised that the information contained in this document needs to be shared widely across the service and to that end, the document Dr Marion Storrie
General Practitioner is to be held and circulated electronically. Allan Thomas
Lead Pharmacist – Public NHS Ayrshire & Arran Health and Community A review of the Formulary will be undertaken within 2 years and it is therefore important that any omissions or changes in practice are Margaret Vass
Lead Community Services Pharmacy Technician highlighted and communicated to the Chair of this Working Group. Dr Baxter W. Millar Chair Directors of Pharmacy Working Group APPENDIX 2
Useful Reference Sources
1. Management of Infection Guidance for Primary Care for
Consultation and Local Adaptation
British Infection Association and Health Protection Agency (July 2010)
2. National Therapeutic Indicators


Quality and Efficiency Support Team – Scottish Government Health and Social Care Directorates (March 2012)
3. Quality Indicators for Primary Care Out-of-Hours Services

Health Improvement Scotland (July 2012) PENICILLIN ALLERGY
Metronidazole Tablets 400mg Take ONE tablet THREE times a day for 5 days BNF Category
Page
Clarithromycin Tablets 500mg Take ONE tablet TWICE a day for 5 days Gastro-Intestinal System Cardiovascular System Respiratory System Central Nervous System Anti-Infectives Obstetrics, Gynaecology & Urinary Tract Disorders Musculoskeletal & Joint Disease Appendix 1 – Management of Infection Guidance for Primary Care Appendix 2 – Useful Reference Sources Appendix 3 – Membership of the Working Group Acknowledgements Gastro-Intestinal System
ORAL CANDIDIASIS

FIRST LINE
Nystatin Suspension 100,000 units/ml Use a 1ml dose FOUR times a day Drug and presentation
Labelling details
Bisacodyl E/C Tablets 5mg x 4
Take as directed BITES – HUMAN, CAT, DOG
Dioralyte Sachets x 6
To be taken, dissolved in water, according to the enclosed PIL FIRST LINE
Co-Amoxiclav Tablets 625mg Take ONE tablet THREE times a day for 7 days Domperidone Tablets 10mg x 30
Take ONE tablet THREE times a day Co-Amoxiclav Suspension 125/31 Give ……….ml THREE times a day for 7 days Peptac Liquid x 500ml
Take . ml FOUR times a day when required for indigestion Co-Amoxiclav Suspension 250/62 Give ……….ml THREE times a day for 7 days Hyoscine Butylbromide Tablets 10mg x 10
Take ONE tablet FOUR times a day Co-Amoxiclav Tablets 375mg x 21 Give ONE tablet THREE times a day for 7 days Laxido Sachets x 20
Take as directed PENICILLIN ALLERGY - HUMAN
Metronidazole Tablets 400mg Take ONE tablet THREE times a day Loperamide Capsules 2mg x 30
Take TWO capsules initially, then ONE capsule after each loose stool or as directed Clarithromycin Tablets 500mg Take ONE tablet TWICE a day for 7 days Omeprazole Capsules 20mg x 7
Take ONE capsule in the MORNING PENICILLIN ALLERGY –ANIMAL or HUMAN
Metronidazole Tablets 400mg Take ONE tablet THREE times a day for 7 days Prochlorperazine Tablets 5mg x 28
Take ONE tablet THREE times a day Doxycycline Capsules 100mg Take ONE capsule TWICE a day for 7 days Prochlorperazine Buccal Tablets 3mg x 10
Use ………. tablets TWICE a day Senna Tablets 7.5mg x 60
Take TWO tablets at NIGHT HERPES SIMPLEX or HERPES ZOSTER
Senna Syrup 7.5mg/5ml x 150ml
Take ………ml at BEDTIME as directed Aciclovir Dispersible Tablets 800mg Take ONE tablet FIVE times a day for 7 days Aciclovir Dispersible Tablets 200mg Give ONE tablet FIVE times a day for 7 days Aciclovir Dispersible Tablets 400mg Give ONE tablet FIVE times a day for 7 days Cardiovascular System
DENTAL ABSCESS
Drug and presentation
Labelling details
FIRST LINE
Amoxicillin Capsules 500mg Take ONE capsule THREE times a day for 5 Glyceryl Trinitrate Spray 400 micrograms
Spray ONE or TWO metered doses under the tongue as required for chest pain Amoxicillin Syrup 125mg/5ml Give ……….ml THREE times a day for 5 days Amoxicillin Syrup 250mg/5ml Give ……….ml THREE times a day for 5 days Amoxicillin Capsules 250mg Give ONE capsule THREE times a day for 5 ACUTE PROSTATITIS
Respiratory System

FIRST LINE
Ciprofloxacin Tablets 500mg Take ONE tablet TWICE a day for 28 days Drug and presentation
Labelling details
Ofloxacin Tablets 200mg Take ONE tablet TWICE a day for 28 days Cetirizine Tablets 10mg x 30
Take ONE tablet in the MORNING SECOND LINE
Trimethoprim Tablets 200mg Take ONE tablet TWICE a day for 28 days Chlorphenamine Tablets 4mg x 28
Take ONE tablet every 4 to 6 hours when Chlorphenamine Syrup 2mg/5ml x 150ml
Skin and Soft Tissue Infections
Give …………ml ………. times a day Prednisolone Tablets 5mg x 28
Take .tablet(s) in the MORNING for . days CELLULITIS & INFECTED LEG ULCERS
Prednisolone Soluble Tablets 5mg x 30
Give/Take . tablets in the MORNING for FIRST LINE
Flucloxacillin Capsules 500mg Take ONE capsule FOUR times a day for 7 Salbutamol Inhaler 100 micrograms x 1
Inhale . puffs via spacer as directed Flucloxacillin Syrup 125mg/5ml Give ……….ml FOUR times a day for 7 days Flucloxacillin Syrup 250mg/5ml Give ……….ml FOUR times a day for 7 days Flucloxacillin Capsules 250mg x 28 Take ONE capsule FOUR times a day for 7 Central Nervous System
PENICILLIN ALLERGY
Clarithromycin Tablets 500mg Take ONE tablet TWICE a day for 7 days Drug and presentation
Labelling details
Clarithromycin Suspension 125mg/5ml Give ……….ml TWICE a day for 7 days Co-Codamol Tablets 30/500 x 30
Take ONE or TWO tablets every 4 to 6 hours Clarithromycin Tablets 250mg Give ONE tablet TWICE a day for 7 days as required for pain relief Erythromycin Tablets 250mg Take TWO tablets FOUR times a day for 7 days Diazepam Tablets 2mg x 6
Take as directed Erythromycin Tablets 250mg Give ONE tablet FOUR times a day for 7 days Diazepam Tablets 5mg x 6
Take as directed Erythromycin Suspension S/F 125mg/5ml Give .ml FOUR times a day for 7 days Paracetamol Tablets 500mg x 32
Take TWO tablets every 4 to 6 hours as required for pain relief Erythromycin Suspension S/F 250mg/5ml Give . ml FOUR times a day for 7 days Paracetamol Susp S/F 120mg/5ml x 100ml
Give.…ml every 4 to 6 hours as required for FACIAL CELLULITIS
Paracetamol Susp S/F 250mg/5ml x 100ml
Give….ml every 4 to 6 hours as required for Co-Amoxiclav Tablets 625mg Take ONE tablet THREE times a day for 7 days Sumatriptan Tablets 50mg x 6
Take as directed Co-Amoxiclav Suspension 125/31 Give ……….ml THREE times a day for 7 days Tramadol Capsules 50mg x 30
Take . tablet(s) every SIX hours as Co-Amoxiclav Suspension 250/62 Give ……….ml THREE times a day for 7 days required for pain relief Co-Amoxiclav Tablets 375mg Give ONE tablet THREE times a day for 7 days UTI IN CHILDREN

FIRST LINE
All local primary care policies in NHS Scotland are based on the Health Protection Nitrofurantoin Suspension 25mg/5ml Give ……….ml FOUR times a day for 3 days Agency evidence-based template for management of infection (see Appendix 2). The template allows some local variation in antibiotic choice therefore prescribers SECOND LINE
should follow guidance in their local NHS Board Policy. Trimethoprim Suspension 50mg/5ml Give ……….ml TWICE a day for 3 days Key points when prescribing an antibiotic:
Cefalexin Suspension 125mg/5ml Give ……….ml THREE times a day for 3 days Prescribe an antibiotic only when there is likely to be a clear clinical benefit and consider a no, or delayed, antibiotic strategy for acute self-limiting upper respiratory Cefalexin Suspension 250mg/5ml Give ……….ml THREE times a day for 3 days tract infections. ACUTE PYELONEPHRITIS
cephalosporins) as they increase risk of Clostridium difficile, MRSA and UTIs due to FIRST LINE
resistant organisms. Ciprofloxacin Tablets 500mg Take ONE tablet TWICE a day for 7 days Recommended adult dose of amoxicillin, erythromycin, flucloxacillin and penicillin V Co-Amoxiclav Tablets 625mg Take ONE tablet THREE times a day for 14 SECOND LINE
Trimethoprim Tablets 200mg Take ONE tablet TWICE a day for 14 days Drug and presentation
Labelling details
Co-trimoxazole Tablets 480mg Take TWO tablets TWICE a day for 14 days Aciclovir Dispersible Tablets 200mg x 25
Take ONE tablet FIVE times a day Aciclovir Dispersible Tablets 400mg x 56
Take ONE tablet ……. times a day Genital Tract Infections
Aciclovir Dispersible Tablets 800mg x 35
Take ONE tablet FIVE times a day UNCOMPLICATED CHLAMYDIA
Amoxicillin Capsules 250mg x 15
Give/ Take ONE capsule THREE times a FIRST LINE
Azithromycin Capsules 250mg Take FOUR capsules as a single dose Amoxicillin Capsules 250mg x 21
Give/ Take ONE capsule THREE times a SECOND LINE
Amoxicillin Capsules 500mg x 15
Take ONE capsule THREE times a day Doxycycline Capsules100mg x 14 Take ONE capsule TWICE a day for 7 days Amoxicillin Capsules 500mg x 21
Take ONE capsule THREE times a day PELVIC INFLAMMATORY DISEASE
Amoxicillin Syrup 125mg/5ml x 100ml
Give ……….ml THREE times a day for Ofloxacin Tablets 400mg Take ONE tablet TWICE a day for 14 days Amoxicillin Syrup 250mg/5ml x 100ml
Give ……….ml THREE times a day for MetronidazoleTablets 400mg Take ONE tablet TWICE a day for 14 days Azithromycin Tablets 250mg x 4
Take FOUR tablets as a single dose
Azithromycin Suspension 200mg/5ml x 15ml
Give ……….ml ONCE daily for 3 days
Cefalexin Capsules 500mg x 14
Take ONE capsule TWICE a day N.B. only indicated for UTI in pregnancy
MENINGITIS - Prevention of secondary cases
Cefalexin Suspension 125mg/5ml x 100ml
Give ……….ml THREE times a day for N.B. only indicated for UTI
ADULTS AND CHILDREN OVER 12 YEARS
Ciprofloxacin Tablets 500mg x 1 Take ONE tablet as a single dose Cefalexin Suspension 250mg/5ml x 100ml
Give ……….ml THREE times a day for N.B. only indicated for UTI
CHILDREN 5-12 YEARS and 1 MONTH-4 YEARS
Ciprofloxacin Tablets 500mg x 14
Take ONE tablet TWICE a day Ciprofloxacin Tablets 250mg x 2 Give . tablet(s) as a single dose N.B. only indicated for acute pyelonephritis
Ciprofloxacin Tablets 500mg x 56
Take ONE tablet TWICE a day Urinary Tract Infections
N.B. only indicated for acute prostatitis
Ciprofloxacin Tablets 500mg x 1
Take ONE tablet as a single dose LOWER UTI IN WOMEN
Ciprofloxacin Tablets 250mg x 2
Give . tablet(s) as a single dose FIRST LINE (Second line guided by urine culture)
Clarithromycin Tablets 250mg x 10
Take ONE tablet TWICE a day Trimethoprim Tablets 200mg Take ONE tablet TWICE a day for THREE days Clarithromycin Tablets 250mg x 14
Take ONE tablet TWICE a day Nitrofurantoin Tablets 50mg Take ONE tablet FOUR times daily for 3 days Clarithromycin Tablets 500mg x 10
Take ONE tablet TWICE a day Nitrofurantoin M/R Capsules 100mg Take ONE capsule TWICE a day for 3 days Clarithromycin Tablets 500mg x 14
Take ONE tablet TWICE a day LOWER UTI IN MEN
Clarithromycin Suspension 125mg/5ml x
Give ……….ml TWICE a day for FIRST LINE (Second line guided by urine culture)
Co-Amoxiclav Tablets 375mg x 15
Take ONE tablet THREE times a day Trimethoprim Tablets 200mg Take ONE tablet TWICE a day for 7 days Co-Amoxiclav Tablets 375mg x 21
Take ONE tablet THREE times a day Nitrofurantoin Tablets 50mg Take ONE tablet FOUR times daily for 7 days Co-Amoxiclav Tablets 625mg x 15
Take ONE tablet THREE times a day Nitrofurantoin M/R Capsules 100mg Take ONE capsule TWICE a day for 7days Co-Amoxiclav Tablets 625mg x 21
Take ONE tablet THREE times a day Co-Amoxiclav Suspension 125/31 x 100ml
Give ……….ml THREE times a day for UTI IN PREGNANCY
FIRST LINE
Co-Amoxiclav Suspension 250/62 x 100ml
Give ……….ml THREE times a day for Nitrofurantoin Tablets 50mg Take ONE tablet FOUR times daily for 7 days Nitrofurantoin M/R Capsules 100mg Take ONE capsule TWICE a day for 7days Co-Amoxiclav Duo Suspension 400/57 x
Give ……….ml TWICE a day for SECOND LINE
Trimethoprim Tablets 200mg Take ONE tablet TWICE a day for 7 days Co-Amoxiclav Duo Suspension 400/57 x
Give ……….ml TWICE a day for Cefalexin Capsules 500mg Take ONE capsule TWICE a day for 7 days Co-Trimoxazole Tablets 480mg x 28
Take TWO tablets TWICE a day Doxycycline Capsules 100mg x 8
Take TWO capsules on first day then take ONE capsule daily for .days Doxycycline Capsules 100mg x 14
Take ONE capsule TWICE daily Lower Respiratory Tract Infections
Erythromycin Tablets 250mg x 20
Take ONE tablet FOUR times a day ACUTE COUGH/ BRONCHITIS
Erythromycin Tablets 250mg x 28
Take ONE tablet FOUR times a day FIRST LINE
Erythromycin Tablets 250mg x 40
Take TWO tablets FOUR times a day Amoxicillin Capsules 500mg Take ONE capsule THREE times a day for 5 Erythromycin Tablets 250mg x 56
Take TWO tablets FOUR times a day SECOND LINE
Doxycycline Capsules100mg Take TWO capsules on the first day then ONE Erythromycin Suspension S/F 125mg/5ml x
Give ……….ml FOUR times a day for capsule a day for a further 4 days Erythromycin Tablets 250mg Take TWO tablets FOUR times a day for 5 days Erythromycin Suspension S/F 250mg/5ml x
Give ……….ml FOUR times a day for ACUTE EXACERBATION OF COPD
Flucloxacillin Capsules 250mg x 28
Give/Take ONE capsule FOUR times a day FIRST LINE
Amoxicillin Capsules 500mg Take ONE capsule THREE times a day for 5 Flucloxacillin Capsules 500mg x 28
Take . capsule(s) FOUR times a day SECOND LINE
Flucloxacillin Syrup 125mg/5ml x 100ml
Give ……….ml FOUR times a day for Doxycycline Capsules100mg Take TWO capsules on the first day then ONE capsule a day for a further 4 days Flucloxacillin Syrup 250mg/5ml x 100ml
Give ……….ml FOUR times a day for Clarithromycin Tablets 500mg Take ONE tablet TWICE a day for 5 days Erythromycin Tablets 250mg Take TWO tablets FOUR times a day for 5 days Metronidazole Tablets 200mg x 21
Take ONE tablet THREE times a day RESISTANCE RISK FACTORS
Metronidazole Tablets 400mg x 28
Take ONE tablet TWICE a day Co-Amoxiclav Tablets 625mg Take ONE tablet THREE times a day for 5 days N.B. only indicated for pelvic inflammatory
COMMUNITY ACQUIRED PNEUMONIA
Metronidazole Tablets 400mg x 15
Take ONE tablet THREE times a day Metronidazole Tablets 400mg x 21
Use CRB65 score to help guide and review: Each of the following scores 1: Take ONE tablet THREE times a day Confusion (AMT<8); Respiratory rate >30/min; BP systolic <90 or diastolic
Nitrofurantoin Tablets 50mg x 12
Take ONE tablet FOUR times daily Score 0: suitable for home treatment; Score 1-2: hospital assessment or admission Nitrofurantoin Tablets 50mg x 28
Take ONE tablet FOUR times daily Score 3-4: urgent hospital admission Nitrofurantoin M/R Capsules 100mg x 6
Take ONE capsule TWICE a day FIRST LINE
Amoxicillin Capsules 500mg Take ONE capsule THREE times a day for 7 Nitrofurantoin M/R Capsules 100mg x 14
Take ONE capsule TWICE a day SECOND LINE
Nitrofurantoin Suspension 25mg/5ml x 50ml
Give .ml FOUR times daily for . Doxycycline Capsules100mg Take TWO capsules on the first day then ONE capsule a day for a further 6 days Nystatin Suspension 100,000 units/ml x
Use a 1ml dose FOUR times a day Clarithromycin Tablets 500mg Take ONE tablet TWICE a day for 7 days Erythromycin Tablets 250mg Take TWO tablets FOUR times a day for 7 days Ofloxacin Tablets 200mg x 56
Take ONE tablet TWICE a day Ofloxacin Tablets 400mg x 28
Take ONE tablet TWICE a day ACUTE OTITIS MEDIA
Penicillin V Tablets 250mg x 28
Give/Take ONE tablet FOUR times a day FIRST LINE
Penicillin V Tablets 250mg x 40
Give/Take ONE tablet FOUR times a day Amoxicillin Syrup 125mg/5ml Give ……….ml THREE times a day for 5 days Penicillin V Tablets 250mg x 56
Take TWO tablets FOUR times a day Amoxicillin Syrup 250mg/5ml Give ……….ml THREE times a day for 5 days Penicillin V Solution 125mg/5ml x 100ml
Give ……….ml FOUR times a day for Amoxicillin Capsules 250mg Give ONE capsule THREE times a day for 5 Penicillin V Solution 250mg/5ml x 100ml
Give ……….ml FOUR times a day for PENICILLIN ALLERGY
Clarithromycin Suspension 125mg/5ml Give ……….ml TWICE a day for 5 days Trimethoprim Tablets 200mg x 6
Take ONE tablet TWICE a day Clarithromycin Tablets 250mg Give ONE tablet TWICE a day for 5 days Trimethoprim Tablets 200mg x 14
Take ONE tablet TWICE a day Erythromycin Suspension S/F 125mg/5ml Give ONE ml FOUR times a day for 5 days Trimethoprim Suspension 50mg/5ml x
Give ……….ml TWICE a day for . Erythromycin Suspension S/F 250mg/5ml Give ONE ml FOUR times a day for 5 days Erythromycin Tablets 250mg Give ONE tablet FOUR times a day for 5 days Azithromycin Suspension 200mg/5ml Give …….ml ONCE daily for 3 days Obstetrics, Gynaecology & Urinary Tract
ACUTE RHINOSINUSITIS

Drug and presentation
Labelling details
FIRST LINE
Amoxicillin Capsules 500mg Take ONE capsule THREE times a day for 7 Clotrimazole Cream 1% x 20g
Apply sparingly as directed SECOND LINE
Clotrimazole Pessary 500mg x 1
Insert ONE pessary into the vagina at NIGHT Doxycycline Capsules100mg Take TWO capsules on the first day then ONE capsule a day for a further 6 days Erythromycin Tablets 250mg Take TWO tablets FOUR times a day for 7 days Levonelle 1500 Tablet x 1
Take tablet as soon as possible, preferably within 12 hours, but no later than 72 hours PERSISTENT SYMPTOMS
after unprotected sex Co-Amoxiclav Tablets 625mg Take ONE tablet THREE times a day for 7 days Musculoskeletal & Joint Disease

Labelling details
Drug and presentation

Diclofenac Sodium Tablets 50mg x 28
Take ONE tablet THREE times a day Ibuprofen Tablets 400mg x 24
Take ONE tablet every 4 to 6 hours as required for pain relief Ibuprofen Syrup 100mg/5ml x 100ml
Give ……. ml ………… times a day as required for pain relief The Eye
APPENDIX 1
MANAGEMENT OF INFECTION GUIDANCE FOR PRIMARY CARE
Drug and presentation
Labelling details
Aciclovir Eye Ointment x 4.5g
Apply into the LEFT/RIGHT eye 5 times a day Extract from HPA template http://www.hpa.org.uk/web/HPAwebFile/HPAweb_C/1279888711402
Chloramphenicol Eye Drops 0.5% x 10ml
Put 2 drops…. times a day into the …. eye(s) Upper Respiratory Tract Infections
Chloramphenicol Eye Ointment 1% x 4g
Apply……times a day into the ….eye(s) ACUTE SORE THROAT
Fucithalmic Viscous Eye Drops 1% x 5g
Put 1 drop TWICE a day into ………. eye(s) Adults and children over 12 years:
FIRST LINE
Penicillin V Tablets 250mg Take TWO tablets FOUR times a day Penicillin V Tablets 250mg Take TWO tablets FOUR times a day PENICILLIN ALLERGY
Clarithromycin Tablets 250mg Give ONE tablet TWICE a day for 5 days Clarithromycin Tablets 500mg Take ONE tablet TWICE a day for 5 days Erythromycin Tablets 250mg Give ONE tablet FOUR times a day for 5 days Erythromycin Tablets 250mg Take TWO tablets FOUR times a day for 5
Children under 12 years:
FIRST LINE
Penicillin V Solution 125mg/5ml Give ……….ml FOUR times a day for 10 days Up to 6 years Penicillin V Solution 250mg/5ml Give 5ml FOUR times a day for 10 days 6-12 years Penicillin V Tablets 250mg Give ONE tablet FOUR times a day for 10 days 6-12 years
PENICILLIN ALLERGY
Clarithromycin Suspension 125mg/5ml Give ……….ml TWICE a day for 5 days Erythromycin Suspension S/F 125mg/5ml Give 5ml FOUR times a day for 5 days Under 2 years Erythromycin Suspension S/F 250mg/5ml Give 5ml FOUR times a day for 5 days Over 2 years Erythromycin Tablets 250mg Give ONE tablet FOUR times a day for 5 days The Eye
APPENDIX 1
MANAGEMENT OF INFECTION GUIDANCE FOR PRIMARY CARE
Drug and presentation
Labelling details
Aciclovir Eye Ointment x 4.5g
Apply into the LEFT/RIGHT eye 5 times a day Extract from HPA template http://www.hpa.org.uk/web/HPAwebFile/HPAweb_C/1279888711402
Chloramphenicol Eye Drops 0.5% x 10ml
Put 2 drops…. times a day into the …. eye(s) Upper Respiratory Tract Infections
Chloramphenicol Eye Ointment 1% x 4g
Apply……times a day into the ….eye(s) ACUTE SORE THROAT
Fucithalmic Viscous Eye Drops 1% x 5g
Put 1 drop TWICE a day into ………. eye(s) Adults and children over 12 years:
FIRST LINE
Penicillin V Tablets 250mg Take TWO tablets FOUR times a day Penicillin V Tablets 250mg Take TWO tablets FOUR times a day PENICILLIN ALLERGY
Clarithromycin Tablets 250mg Give ONE tablet TWICE a day for 5 days Clarithromycin Tablets 500mg Take ONE tablet TWICE a day for 5 days Erythromycin Tablets 250mg Give ONE tablet FOUR times a day for 5 days Erythromycin Tablets 250mg Take TWO tablets FOUR times a day for 5
Children under 12 years:
FIRST LINE
Penicillin V Solution 125mg/5ml Give ……….ml FOUR times a day for 10 days Up to 6 years Penicillin V Solution 250mg/5ml Give 5ml FOUR times a day for 10 days 6-12 years Penicillin V Tablets 250mg Give ONE tablet FOUR times a day for 10 days 6-12 years
PENICILLIN ALLERGY
Clarithromycin Suspension 125mg/5ml Give ……….ml TWICE a day for 5 days Erythromycin Suspension S/F 125mg/5ml Give 5ml FOUR times a day for 5 days Under 2 years Erythromycin Suspension S/F 250mg/5ml Give 5ml FOUR times a day for 5 days Over 2 years Erythromycin Tablets 250mg Give ONE tablet FOUR times a day for 5 days ACUTE OTITIS MEDIA
Penicillin V Tablets 250mg x 28
Give/Take ONE tablet FOUR times a day FIRST LINE
Penicillin V Tablets 250mg x 40
Give/Take ONE tablet FOUR times a day Amoxicillin Syrup 125mg/5ml Give ……….ml THREE times a day for 5 days Penicillin V Tablets 250mg x 56
Take TWO tablets FOUR times a day Amoxicillin Syrup 250mg/5ml Give ……….ml THREE times a day for 5 days Penicillin V Solution 125mg/5ml x 100ml
Give ……….ml FOUR times a day for Amoxicillin Capsules 250mg Give ONE capsule THREE times a day for 5 Penicillin V Solution 250mg/5ml x 100ml
Give ……….ml FOUR times a day for PENICILLIN ALLERGY
Clarithromycin Suspension 125mg/5ml Give ……….ml TWICE a day for 5 days Trimethoprim Tablets 200mg x 6
Take ONE tablet TWICE a day Clarithromycin Tablets 250mg Give ONE tablet TWICE a day for 5 days Trimethoprim Tablets 200mg x 14
Take ONE tablet TWICE a day Erythromycin Suspension S/F 125mg/5ml Give ONE ml FOUR times a day for 5 days Trimethoprim Suspension 50mg/5ml x
Give ……….ml TWICE a day for . Erythromycin Suspension S/F 250mg/5ml Give ONE ml FOUR times a day for 5 days Erythromycin Tablets 250mg Give ONE tablet FOUR times a day for 5 days Azithromycin Suspension 200mg/5ml Give …….ml ONCE daily for 3 days Obstetrics, Gynaecology & Urinary Tract
ACUTE RHINOSINUSITIS

Drug and presentation
Labelling details
FIRST LINE
Amoxicillin Capsules 500mg Take ONE capsule THREE times a day for 7 Clotrimazole Cream 1% x 20g
Apply sparingly as directed SECOND LINE
Clotrimazole Pessary 500mg x 1
Insert ONE pessary into the vagina at NIGHT Doxycycline Capsules100mg Take TWO capsules on the first day then ONE capsule a day for a further 6 days Erythromycin Tablets 250mg Take TWO tablets FOUR times a day for 7 days Levonelle 1500 Tablet x 1
Take tablet as soon as possible, preferably within 12 hours, but no later than 72 hours PERSISTENT SYMPTOMS
after unprotected sex Co-Amoxiclav Tablets 625mg Take ONE tablet THREE times a day for 7 days Musculoskeletal & Joint Disease

Labelling details
Drug and presentation

Diclofenac Sodium Tablets 50mg x 28
Take ONE tablet THREE times a day Ibuprofen Tablets 400mg x 24
Take ONE tablet every 4 to 6 hours as required for pain relief Ibuprofen Syrup 100mg/5ml x 100ml
Give ……. ml ………… times a day as required for pain relief Doxycycline Capsules 100mg x 14
Take ONE capsule TWICE daily Lower Respiratory Tract Infections
Erythromycin Tablets 250mg x 20
Take ONE tablet FOUR times a day ACUTE COUGH/ BRONCHITIS
Erythromycin Tablets 250mg x 28
Take ONE tablet FOUR times a day FIRST LINE
Erythromycin Tablets 250mg x 40
Take TWO tablets FOUR times a day Amoxicillin Capsules 500mg Take ONE capsule THREE times a day for 5 Erythromycin Tablets 250mg x 56
Take TWO tablets FOUR times a day SECOND LINE
Doxycycline Capsules100mg Take TWO capsules on the first day then ONE Erythromycin Suspension S/F 125mg/5ml x
Give ……….ml FOUR times a day for capsule a day for a further 4 days Erythromycin Tablets 250mg Take TWO tablets FOUR times a day for 5 days Erythromycin Suspension S/F 250mg/5ml x
Give ……….ml FOUR times a day for ACUTE EXACERBATION OF COPD
Flucloxacillin Capsules 250mg x 28
Give/Take ONE capsule FOUR times a day FIRST LINE
Amoxicillin Capsules 500mg Take ONE capsule THREE times a day for 5 Flucloxacillin Capsules 500mg x 28
Take . capsule(s) FOUR times a day SECOND LINE
Flucloxacillin Syrup 125mg/5ml x 100ml
Give ……….ml FOUR times a day for Doxycycline Capsules100mg Take TWO capsules on the first day then ONE capsule a day for a further 4 days Flucloxacillin Syrup 250mg/5ml x 100ml
Give ……….ml FOUR times a day for Clarithromycin Tablets 500mg Take ONE tablet TWICE a day for 5 days Erythromycin Tablets 250mg Take TWO tablets FOUR times a day for 5 days Metronidazole Tablets 200mg x 21
Take ONE tablet THREE times a day RESISTANCE RISK FACTORS
Metronidazole Tablets 400mg x 28
Take ONE tablet TWICE a day Co-Amoxiclav Tablets 625mg Take ONE tablet THREE times a day for 5 days N.B. only indicated for pelvic inflammatory
COMMUNITY ACQUIRED PNEUMONIA
Metronidazole Tablets 400mg x 15
Take ONE tablet THREE times a day Metronidazole Tablets 400mg x 21
Use CRB65 score to help guide and review: Each of the following scores 1: Take ONE tablet THREE times a day Confusion (AMT<8); Respiratory rate >30/min; BP systolic <90 or diastolic
Nitrofurantoin Tablets 50mg x 12
Take ONE tablet FOUR times daily Score 0: suitable for home treatment; Score 1-2: hospital assessment or admission Nitrofurantoin Tablets 50mg x 28
Take ONE tablet FOUR times daily Score 3-4: urgent hospital admission Nitrofurantoin M/R Capsules 100mg x 6
Take ONE capsule TWICE a day FIRST LINE
Amoxicillin Capsules 500mg Take ONE capsule THREE times a day for 7 Nitrofurantoin M/R Capsules 100mg x 14
Take ONE capsule TWICE a day SECOND LINE
Nitrofurantoin Suspension 25mg/5ml x 50ml
Give .ml FOUR times daily for . Doxycycline Capsules100mg Take TWO capsules on the first day then ONE capsule a day for a further 6 days Nystatin Suspension 100,000 units/ml x
Use a 1ml dose FOUR times a day Clarithromycin Tablets 500mg Take ONE tablet TWICE a day for 7 days Erythromycin Tablets 250mg Take TWO tablets FOUR times a day for 7 days Ofloxacin Tablets 200mg x 56
Take ONE tablet TWICE a day Ofloxacin Tablets 400mg x 28
Take ONE tablet TWICE a day MENINGITIS - Prevention of secondary cases
Cefalexin Suspension 125mg/5ml x 100ml
Give ……….ml THREE times a day for N.B. only indicated for UTI
ADULTS AND CHILDREN OVER 12 YEARS
Ciprofloxacin Tablets 500mg x 1 Take ONE tablet as a single dose Cefalexin Suspension 250mg/5ml x 100ml
Give ……….ml THREE times a day for N.B. only indicated for UTI
CHILDREN 5-12 YEARS and 1 MONTH-4 YEARS
Ciprofloxacin Tablets 500mg x 14
Take ONE tablet TWICE a day Ciprofloxacin Tablets 250mg x 2 Give . tablet(s) as a single dose N.B. only indicated for acute pyelonephritis
Ciprofloxacin Tablets 500mg x 56
Take ONE tablet TWICE a day Urinary Tract Infections
N.B. only indicated for acute prostatitis
Ciprofloxacin Tablets 500mg x 1
Take ONE tablet as a single dose LOWER UTI IN WOMEN
Ciprofloxacin Tablets 250mg x 2
Give . tablet(s) as a single dose FIRST LINE (Second line guided by urine culture)
Clarithromycin Tablets 250mg x 10
Take ONE tablet TWICE a day Trimethoprim Tablets 200mg Take ONE tablet TWICE a day for THREE days Clarithromycin Tablets 250mg x 14
Take ONE tablet TWICE a day Nitrofurantoin Tablets 50mg Take ONE tablet FOUR times daily for 3 days Clarithromycin Tablets 500mg x 10
Take ONE tablet TWICE a day Nitrofurantoin M/R Capsules 100mg Take ONE capsule TWICE a day for 3 days Clarithromycin Tablets 500mg x 14
Take ONE tablet TWICE a day LOWER UTI IN MEN
Clarithromycin Suspension 125mg/5ml x
Give ……….ml TWICE a day for FIRST LINE (Second line guided by urine culture)
Co-Amoxiclav Tablets 375mg x 15
Take ONE tablet THREE times a day Trimethoprim Tablets 200mg Take ONE tablet TWICE a day for 7 days Co-Amoxiclav Tablets 375mg x 21
Take ONE tablet THREE times a day Nitrofurantoin Tablets 50mg Take ONE tablet FOUR times daily for 7 days Co-Amoxiclav Tablets 625mg x 15
Take ONE tablet THREE times a day Nitrofurantoin M/R Capsules 100mg Take ONE capsule TWICE a day for 7days Co-Amoxiclav Tablets 625mg x 21
Take ONE tablet THREE times a day Co-Amoxiclav Suspension 125/31 x 100ml
Give ……….ml THREE times a day for UTI IN PREGNANCY
FIRST LINE
Co-Amoxiclav Suspension 250/62 x 100ml
Give ……….ml THREE times a day for Nitrofurantoin Tablets 50mg Take ONE tablet FOUR times daily for 7 days Nitrofurantoin M/R Capsules 100mg Take ONE capsule TWICE a day for 7days Co-Amoxiclav Duo Suspension 400/57 x
Give ……….ml TWICE a day for SECOND LINE
Trimethoprim Tablets 200mg Take ONE tablet TWICE a day for 7 days Co-Amoxiclav Duo Suspension 400/57 x
Give ……….ml TWICE a day for Cefalexin Capsules 500mg Take ONE capsule TWICE a day for 7 days Co-Trimoxazole Tablets 480mg x 28
Take TWO tablets TWICE a day Doxycycline Capsules 100mg x 8
Take TWO capsules on first day then take ONE capsule daily for .days UTI IN CHILDREN

FIRST LINE
All local primary care policies in NHS Scotland are based on the Health Protection Nitrofurantoin Suspension 25mg/5ml Give ……….ml FOUR times a day for 3 days Agency evidence-based template for management of infection (see Appendix 2). The template allows some local variation in antibiotic choice therefore prescribers SECOND LINE
should follow guidance in their local NHS Board Policy. Trimethoprim Suspension 50mg/5ml Give ……….ml TWICE a day for 3 days Key points when prescribing an antibiotic:
Cefalexin Suspension 125mg/5ml Give ……….ml THREE times a day for 3 days Prescribe an antibiotic only when there is likely to be a clear clinical benefit and consider a no, or delayed, antibiotic strategy for acute self-limiting upper respiratory Cefalexin Suspension 250mg/5ml Give ……….ml THREE times a day for 3 days tract infections. ACUTE PYELONEPHRITIS
cephalosporins) as they increase risk of Clostridium difficile, MRSA and UTIs due to FIRST LINE
resistant organisms. Ciprofloxacin Tablets 500mg Take ONE tablet TWICE a day for 7 days Recommended adult dose of amoxicillin, erythromycin, flucloxacillin and penicillin V Co-Amoxiclav Tablets 625mg Take ONE tablet THREE times a day for 14 SECOND LINE
Trimethoprim Tablets 200mg Take ONE tablet TWICE a day for 14 days Drug and presentation
Labelling details
Co-trimoxazole Tablets 480mg Take TWO tablets TWICE a day for 14 days Aciclovir Dispersible Tablets 200mg x 25
Take ONE tablet FIVE times a day Aciclovir Dispersible Tablets 400mg x 56
Take ONE tablet ……. times a day Genital Tract Infections
Aciclovir Dispersible Tablets 800mg x 35
Take ONE tablet FIVE times a day UNCOMPLICATED CHLAMYDIA
Amoxicillin Capsules 250mg x 15
Give/ Take ONE capsule THREE times a FIRST LINE
Azithromycin Capsules 250mg Take FOUR capsules as a single dose Amoxicillin Capsules 250mg x 21
Give/ Take ONE capsule THREE times a SECOND LINE
Amoxicillin Capsules 500mg x 15
Take ONE capsule THREE times a day Doxycycline Capsules100mg x 14 Take ONE capsule TWICE a day for 7 days Amoxicillin Capsules 500mg x 21
Take ONE capsule THREE times a day PELVIC INFLAMMATORY DISEASE
Amoxicillin Syrup 125mg/5ml x 100ml
Give ……….ml THREE times a day for Ofloxacin Tablets 400mg Take ONE tablet TWICE a day for 14 days Amoxicillin Syrup 250mg/5ml x 100ml
Give ……….ml THREE times a day for MetronidazoleTablets 400mg Take ONE tablet TWICE a day for 14 days Azithromycin Tablets 250mg x 4
Take FOUR tablets as a single dose
Azithromycin Suspension 200mg/5ml x 15ml
Give ……….ml ONCE daily for 3 days
Cefalexin Capsules 500mg x 14
Take ONE capsule TWICE a day N.B. only indicated for UTI in pregnancy
ACUTE PROSTATITIS
Respiratory System

FIRST LINE
Ciprofloxacin Tablets 500mg Take ONE tablet TWICE a day for 28 days Drug and presentation
Labelling details
Ofloxacin Tablets 200mg Take ONE tablet TWICE a day for 28 days Cetirizine Tablets 10mg x 30
Take ONE tablet in the MORNING SECOND LINE
Trimethoprim Tablets 200mg Take ONE tablet TWICE a day for 28 days Chlorphenamine Tablets 4mg x 28
Take ONE tablet every 4 to 6 hours when Chlorphenamine Syrup 2mg/5ml x 150ml
Skin and Soft Tissue Infections
Give …………ml ………. times a day Prednisolone Tablets 5mg x 28
Take .tablet(s) in the MORNING for . days CELLULITIS & INFECTED LEG ULCERS
Prednisolone Soluble Tablets 5mg x 30
Give/Take . tablets in the MORNING for FIRST LINE
Flucloxacillin Capsules 500mg Take ONE capsule FOUR times a day for 7 Salbutamol Inhaler 100 micrograms x 1
Inhale . puffs via spacer as directed Flucloxacillin Syrup 125mg/5ml Give ……….ml FOUR times a day for 7 days Flucloxacillin Syrup 250mg/5ml Give ……….ml FOUR times a day for 7 days Flucloxacillin Capsules 250mg x 28 Take ONE capsule FOUR times a day for 7 Central Nervous System
PENICILLIN ALLERGY
Clarithromycin Tablets 500mg Take ONE tablet TWICE a day for 7 days Drug and presentation
Labelling details
Clarithromycin Suspension 125mg/5ml Give ……….ml TWICE a day for 7 days Co-Codamol Tablets 30/500 x 30
Take ONE or TWO tablets every 4 to 6 hours Clarithromycin Tablets 250mg Give ONE tablet TWICE a day for 7 days as required for pain relief Erythromycin Tablets 250mg Take TWO tablets FOUR times a day for 7 days Diazepam Tablets 2mg x 6
Take as directed Erythromycin Tablets 250mg Give ONE tablet FOUR times a day for 7 days Diazepam Tablets 5mg x 6
Take as directed Erythromycin Suspension S/F 125mg/5ml Give .ml FOUR times a day for 7 days Paracetamol Tablets 500mg x 32
Take TWO tablets every 4 to 6 hours as required for pain relief Erythromycin Suspension S/F 250mg/5ml Give . ml FOUR times a day for 7 days Paracetamol Susp S/F 120mg/5ml x 100ml
Give.…ml every 4 to 6 hours as required for FACIAL CELLULITIS
Paracetamol Susp S/F 250mg/5ml x 100ml
Give….ml every 4 to 6 hours as required for Co-Amoxiclav Tablets 625mg Take ONE tablet THREE times a day for 7 days Sumatriptan Tablets 50mg x 6
Take as directed Co-Amoxiclav Suspension 125/31 Give ……….ml THREE times a day for 7 days Tramadol Capsules 50mg x 30
Take . tablet(s) every SIX hours as Co-Amoxiclav Suspension 250/62 Give ……….ml THREE times a day for 7 days required for pain relief Co-Amoxiclav Tablets 375mg Give ONE tablet THREE times a day for 7 days Gastro-Intestinal System
ORAL CANDIDIASIS

FIRST LINE
Nystatin Suspension 100,000 units/ml Use a 1ml dose FOUR times a day Drug and presentation
Labelling details
Bisacodyl E/C Tablets 5mg x 4
Take as directed BITES – HUMAN, CAT, DOG
Dioralyte Sachets x 6
To be taken, dissolved in water, according to the enclosed PIL FIRST LINE
Co-Amoxiclav Tablets 625mg Take ONE tablet THREE times a day for 7 days Domperidone Tablets 10mg x 30
Take ONE tablet THREE times a day Co-Amoxiclav Suspension 125/31 Give ……….ml THREE times a day for 7 days Peptac Liquid x 500ml
Take . ml FOUR times a day when required for indigestion Co-Amoxiclav Suspension 250/62 Give ……….ml THREE times a day for 7 days Hyoscine Butylbromide Tablets 10mg x 10
Take ONE tablet FOUR times a day Co-Amoxiclav Tablets 375mg x 21 Give ONE tablet THREE times a day for 7 days Laxido Sachets x 20
Take as directed PENICILLIN ALLERGY - HUMAN
Metronidazole Tablets 400mg Take ONE tablet THREE times a day Loperamide Capsules 2mg x 30
Take TWO capsules initially, then ONE capsule after each loose stool or as directed Clarithromycin Tablets 500mg Take ONE tablet TWICE a day for 7 days Omeprazole Capsules 20mg x 7
Take ONE capsule in the MORNING PENICILLIN ALLERGY –ANIMAL or HUMAN
Metronidazole Tablets 400mg Take ONE tablet THREE times a day for 7 days Prochlorperazine Tablets 5mg x 28
Take ONE tablet THREE times a day Doxycycline Capsules 100mg Take ONE capsule TWICE a day for 7 days Prochlorperazine Buccal Tablets 3mg x 10
Use ………. tablets TWICE a day Senna Tablets 7.5mg x 60
Take TWO tablets at NIGHT HERPES SIMPLEX or HERPES ZOSTER
Senna Syrup 7.5mg/5ml x 150ml
Take ………ml at BEDTIME as directed Aciclovir Dispersible Tablets 800mg Take ONE tablet FIVE times a day for 7 days Aciclovir Dispersible Tablets 200mg Give ONE tablet FIVE times a day for 7 days Aciclovir Dispersible Tablets 400mg Give ONE tablet FIVE times a day for 7 days Cardiovascular System
DENTAL ABSCESS
Drug and presentation
Labelling details
FIRST LINE
Amoxicillin Capsules 500mg Take ONE capsule THREE times a day for 5 Glyceryl Trinitrate Spray 400 micrograms
Spray ONE or TWO metered doses under the tongue as required for chest pain Amoxicillin Syrup 125mg/5ml Give ……….ml THREE times a day for 5 days Amoxicillin Syrup 250mg/5ml Give ……….ml THREE times a day for 5 days Amoxicillin Capsules 250mg Give ONE capsule THREE times a day for 5 PENICILLIN ALLERGY
Metronidazole Tablets 400mg Take ONE tablet THREE times a day for 5 days BNF Category
Page
Clarithromycin Tablets 500mg Take ONE tablet TWICE a day for 5 days Gastro-Intestinal System Cardiovascular System Respiratory System Central Nervous System Anti-Infectives Obstetrics, Gynaecology & Urinary Tract Disorders Musculoskeletal & Joint Disease Appendix 1 – Management of Infection Guidance for Primary Care Appendix 2 – Useful Reference Sources Appendix 3 – Membership of the Working Group Acknowledgements APPENDIX 2
Useful Reference Sources
1. Management of Infection Guidance for Primary Care for
Consultation and Local Adaptation
British Infection Association and Health Protection Agency (July 2010)
2. National Therapeutic Indicators


Quality and Efficiency Support Team – Scottish Government Health and Social Care Directorates (March 2012)
3. Quality Indicators for Primary Care Out-of-Hours Services

Health Improvement Scotland (July 2012) APPENDIX 3
The First Edition of this Formulary was published in September 2009 and Membership of the Working Group
for the first time, a document was available that reflected a national approach to the provision of pre-labelled medicines for unscheduled care. Dr Baxter Millar (Chair)
Tayside Pharmaceuticals NHS Tayside This second edition has built on the approach taken with the First Edition and has widened the scope of the document by: Andrew Stewart
Acting Category Manager National Procurement • representation from the Scottish Ambulance Service and NHS 24; (Secretary)
NHS National Services Scotland • expanding the Anti-Infectives section by inclusion of Health Protection Stephen Bowhay
Lead Clinical Pharmacist NHS Greater Glasgow & Clyde Agency evidence-based template for the management of infection; • taking on board comments from colleagues across NHS Scotland Margaret Dolan
Pharmaceutical Adviser National Procurement relating to the need for an expanded range of analgesics. NHS National Services Scotland Jacqueline Kelland
The Working Group was conscious of the large range of different presentations being requested by Health Boards and have rationalised a Dr John McAnaw
Head of Pharmacy number of the sections to take account of:
James McDade
Head of Quality Assurance • medicines that are commonly used in emergency situations; • medicines listed in the First Edition that have not been required; Evelyn McPhail
Director of Pharmacy • national contract arrangements to ensure the particular products listed represent value for money; Kay Pollock
Deputy Production Pharmacy Production Unit • licensed pre-labelled products that are now available; Western Infirmary Glasgow • standardisation of presentation of pre-labelled medicines both in terms of Susan Roberts
Pharmacist Team Manager NHS Dumfries & Galloway pack size and labelling. Prescribing Development Compliance with this Formulary will also aid initiatives such as the National Margaret Ryan
Lead Clinician Prescribing NHS Greater Glasgow & Clyde Therapeutic Indicators for Primary Care and Quality Indicators for Out-of- Hours Services (Appendix 2). Dr Jacqueline Sneddon
Scottish Antimicrobial Prescribing Finally, it is recognised that the information contained in this document needs to be shared widely across the service and to that end, the document Dr Marion Storrie
General Practitioner is to be held and circulated electronically. Allan Thomas
Lead Pharmacist – Public NHS Ayrshire & Arran Health and Community A review of the Formulary will be undertaken within 2 years and it is therefore important that any omissions or changes in practice are Margaret Vass
Lead Community Services Pharmacy Technician highlighted and communicated to the Chair of this Working Group. Dr Baxter W. Millar Chair Directors of Pharmacy Working Group Acknowledgements
The Working Group is indebted to colleagues throughout NHS Scotland
who have contributed to revision of this important national document. Their
contributions have resulted in a document that reflects current best practice
and takes account of differing requirements across NHS Scotland.

Source: http://scottishmedicines.org/files/sapg/Unscheduled_Care_Forumulary_2nd_edition_electronic_version.pdf