## 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

**C**onfusion (AMT<8);

**R**espiratory rate >30/min;

**B**P 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

**C**onfusion (AMT<8);

**R**espiratory rate >30/min;

**B**P 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

Dr. Joel Rodríguez Saldaña Fecha de nacimiento:16 de Junio de 1953, México, D.F. Lugar de nacimiento: México, D.F. Página web: Act. 240815 Facultad de Medicina, U.N.A.M., México D.F. 1969-1974 Examen Profesional:11 de enero de 1974 Internado rotatorio de Pregrado: Clínica Hospital No. 1, I.M.S.S., Durango, Dgo., del16 de enero al 31 de diciembre de 1973.

• Decorative effects by insert molding • Resistant to chemicals • High heat deflection temperature • Clear and transparent In long-lasting products such as cars and certain household appliances, and in medical equipment, intricately decorated panels, consoles, and operational controls should retain an attractive appearance over the entire lifetime of the product.