Sunderland Joint Formulary
NHS Sunderland Clinical Commissioning Group
South Tyneside and Sunderland NHS Foundation Trust

 
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4 Central nervous system

As psychiatric services are provided by Northumberland, Tyne and Wear NHS Foundation Trust (NTW) the drugs available for Sections 4.1, 4.2, 4.3 and 4.4 are those listed in the Formulary used by NTW which is the North of Tyne Formulary

04-07-02 Opioid analgesics

Codeine
First Choice

Codeine phosphate
Tablets: 15 mg, 30 mg, 60 mg
Syrup: 25 mg/5 mL

Injection 60mg/ml - hospital only


View adult BNF  View SPC online
Morphine Sulphate
First Choice
IR tablets: 10 mg, 20 mg, 50 mg
MR capsules for twice daily administration (Zomorph®): 10 mg, 30 mg, 60 mg, 100 mg, 200 mg
MR tablets: 5 mg, 15 mg
MR suspension sachets: 20 mg, 30 mg, 60 mg, 100 mg, 200 mg
N.B. the MR suspension sachets are only for use when other formulations are unsuitable
Oral solution: 10 mg/5 mL, 20 mg/1 mL
Injection: 10 mg/1 mL, 15 mg/1 mL, 20 mg/1 mL, 30 mg/1 mL
Suppositories: 10 mg, 15 mg, 20 mg, 30 mg

Controlled Drug  View adult BNF  View SPC online
Dihydrocodeine
Formulary

Tablets: 30mg

 

Not recommended for regular use. Codeine is the first line weak opioid.


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Dihydrocodeine
Formulary

SR Tablets: 60mg, 90mg, 120mg
SR formulation only to be used on advice of pain specialists

Not recommended for regular use. Codeine is the first line weak opioid.


Green + View adult BNF  View SPC online
Tramadol
Formulary

MR: 50mg, 100mg, 150mg, 200mg, 300mg, 400mg
MR formulation only to be used on advice of pain specialists


Controlled Drug  Green + View adult BNF  View SPC online
Tramadol
Formulary
Capsules: 50 mg
Soluble Tablets: 50 mg


Controlled Drug  View adult BNF  View SPC online
Buprenorphine
Formulary

Transdermal patches: 5mcg, 10mcg, 15mcg, 20mcg/hour over 7 days*
Transdermal patches: Transtec® 35mcg, 52.5mcg, 70mcg/hour over 96 hours

*Sevodyne preferred brand in primary care

 

 

Red Sublingual tablets: 200micrograms

* For treatment of post-operative pain only*


Controlled Drug  View adult BNF  View SPC online
Fentanyl
Formulary
Transdermal patches: 12, 25, 50, 75 and 100 micrograms/hour

Controlled Drug  View adult BNF  View SPC online
Oxycodone
Formulary
IR capsules: 5 mg, 10 mg, 20 mg
Liquid: 5 mg/5 mL, 10 mg/1 mL
Injection: 10 mg/1 mL, 20 mg/2 mL, 50 mg/1 mL
MR tablets: 5 mg, 10 mg, 20 mg, 40 mg, 80 mg

Controlled Drug  View adult BNF  View SPC online
Alfentanil
Formulary

Injection: 500 micrograms/1 mL, 5 mg/1 mL

Specialist initiation only - consult pain team or palliative care before use.


Controlled Drug  Green + View adult BNF  View SPC online
Diamorphine
Formulary

Injection: 5 mg, 10 mg, 30 mg, 100 mg, 500 mg
N.B. 10mg strength also used in maternity

Specialist initiation only - consult pain team or palliative care before use.


Controlled Drug  Green + View adult BNF  View SPC online
Fentanyl Lozenges
Formulary

Lozenges*: 200mcg, 400mcg

*Existing chronic or palliative care patients only


Controlled Drug  Green + View adult BNF  View SPC online
Fentanyl Nasal Spray PecFent®
Formulary

Nasal spray (PecFent): 100 micrograms/metered spray, 400 micrograms/metered spray

N.B. For short term use in palliative care only.

Specialist initiation only - consult pain team or palliative care before use.


Controlled Drug  Green + View adult BNF  View SPC online
Fentanyl sublingual tablets Abstral®
Formulary

Sublingual tablets (Abstral): 100 micrograms, 200 micrograms, 300 micrograms, 400 micrograms, 600 micrograms, 800 micrograms

N.B. For short term use in palliative care only.

Specialist initiation only - consult pain team or palliative care before use.


Controlled Drug  Green + View adult BNF  View SPC online
Hydromorphone
Formulary
Ampoules*: 10mg/ml

*For palliative care use only

Controlled Drug  Green + View adult BNF  View SPC online
Hydromorphone
Formulary

IR capsules 1.3 mg, 2.6 mg
SR capsules : 2 mg, 4 mg, 8 mg, 16 mg, 24 mg

Specialist initiation only - consult pain team or palliative care before use.


Controlled Drug  View adult BNF  View SPC online
Methadone
Formulary

Tablets: 5 mg
Linctus: 2 mg/5 mL
Oral Concentrate: 10mg/mL
Injection: 10 mg/1 mL

 

Specialist initiation only - consult pain team or palliative care before use as an analgesic.

(Red when used for addiction)


Controlled Drug  Green + View adult BNF  View SPC online
Pethidine
Formulary

Injection: 50 mg/1 mL, 100 mg/2 mL, 50 mg/5 mL, 100 mg/10 mL

 

Only for use by midwives or in palliative care.


Controlled Drug  Red View adult BNF  View SPC online
Tapentadol Palexia®
Formulary

Palexia® MR Tablets: 50 mg, 100 mg, 150 mg, 200 mg, 250 mg
Use only after trial with other strong opiates

Specialist initiation only - consult pain team or palliative care before use.


Controlled Drug  Green + View adult BNF  View SPC online
Ketamine
Formulary

Injection: 10 mg/1 mL, 50 mg/1 mL, 100 mg/1 mL
Oral solution: 50mg/5mL


Red View adult BNF  View SPC online
Dextromoramide
Non Formulary

Controlled Drug  View adult BNF  View SPC online
Dipipanone Diconal®
Non Formulary

Controlled Drug  View adult BNF  View SPC online
Meptazinol Meptid®
Non Formulary

View adult BNF  View SPC online
Morphine and cyclizine Cyclimorph®
Non Formulary

Controlled Drug  View adult BNF  View SPC online
Papaveretum
Non Formulary

Controlled Drug  View adult BNF  View SPC online
Pentazocine
Non Formulary

Controlled Drug  View adult BNF  View SPC online
Pethidine Hydrochloride and promethazine Pamergan® P100
Non Formulary

Controlled Drug  View adult BNF  View SPC online
Sufentanil Zalviso®
Non Formulary

View adult BNF  View SPC online
Targinact (Oxycodone/Naloxone) Targinact®
Non Formulary

Controlled Drug  View adult BNF  View SPC online
Targinact (Oxycodone/Naloxone) Targinact®
Non Formulary

Controlled Drug  View adult BNF  View SPC online
Tramadol Hydrochloride and paracetamol Tramacet®
Non Formulary

Controlled Drug  View adult BNF  View SPC online
Tramadol oral drops
Non Formulary

Controlled Drug  View adult BNF  View SPC online