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Milton Keynes Formulary
Milton Keynes University Hospital NHS Foundation Trust
Bedfordshire, Luton and Milton Keynes Clinical Commissioning Group
Milton Keynes Community Health Services
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 Formulary Chapter 15: Anaesthesia - Full Chapter
15.01.04.03  Expand sub section  Opioid analgesics
Controlled Drug Alfentanil (Rapifen)
(pre-med)
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Formulary
Red
  • 1mg in 2mL amp
  • 5mg in 1mL amp intensive care injection

 Note:

  • Intravenous use by anaesthetists and intensive care physicians only due to rapid and profound respiratory depression.
  • Also used as part of the renal Liverpool Care Pathway by non anaesthetists / intensivists.
  • Although not included in the original safety alert, the use of 5mg in 1mL amps is subject to the same restrictions as high strength morphine and diamorphine as per NPSA/2006/12.
 
   
Controlled Drug Fentanyl
(Injection)
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Formulary
Red
  • 100 micrograms in 2mL amp
  • 500 micrograms in 10mL amp

Note:  Intravenous use by anaesthetists and intensive care physicians only due to rapid and profound respiratory depression. Intravenous fentanyl Patient Controlled Analgesia (PCA) may only be prescribed on the advice of an anaesthetist or the Acute Pain Team.

 
   
Controlled Drug Remifentanil (Ultiva)
View adult BNF View SPC online View childrens BNF
Formulary
Red
  • 1mg vial
  • 2mg vial
  • 5mg vial

Note: Intravenous use by anaesthetists and intensive care physicians only due to rapid and profound respiratory depression.

 
   
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Key
note Notes
Section Title Section Title (top level)
Section Title Section Title (sub level)
First Choice Item First Choice item
Non Formulary Item Non Formulary section
Restricted Drug
Restricted Drug
Unlicensed Drug
Unlicensed
Track Changes
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Link to adult BNF
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Link to children's BNF
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Link to SPCs
SMC
Scottish Medicines Consortium
Cytotoxic Drug
Cytotoxic Drug
CD
Controlled Drug
High Cost Medicine
High Cost Medicine
Cancer Drugs Fund
Cancer Drugs Fund
NHSE
NHS England
Homecare
Homecare
CCG
CCG

Traffic Light Status Information

Status Description

Green

Routine prescribing within licensed indication  

Amber 1

Specialist recommendation followed by GP initiation and continuation  

Amber 2

Specialist or GP initiation in line with local guideline after 1st line failure followed by GP continuation   

Amber 3

Specialist initiation and stabilisation followed by GP continuation  

Amber SCG

Specialist initiation and stabilisation followed by GP continuation in line with an agreed shared care guideline  

Red

Hospital or specialist prescribing only  

Red Red

These medicines have been evaluated and rejected by MKPAG and are NOT approved for use within MK. They are not recommended for use because of lack of clinical effectiveness, cost effectiveness or safety.  

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