
PALLIATIVE CARE PHYSICIANS - Guidelines for the use of drugs in symptom control

| Paracetamol |
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Formulary
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Tablets SF suspension 500mg soluble tablets - high sodium content. Only for patients with swallowing difficulties |
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| Paracetamol and codeine Co-codamol 15/500 |
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Formulary
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£££££ Limited evidence For elderly community who would not tolerate separate ingredients and to support a step down review |
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| Paracetamol and codeine Co-codamol 30/500 |
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Formulary
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Use with caution in patients over 65s Contraindicated in children below the age of 12 Use in chronic pain only |
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| Paracetamol and codeine Co-codamol 30/500 |
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Formulary
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£££££ High sodium content Only for use in patients with swallowing difficulties Tablets and capsules more cost effective For use in chronic pain |
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| Co-proxamol |
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Non Formulary
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In line with NHS England's Guidance for CCGs: Items which should not routinely be prescribed in primary care (Dec 2017) Click here to access guidance |
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