Greater Glasgow and Clyde Medicines
Key to symbols The medicine should be initiated by, or on the advice of a specialist, but is suitable for continuation by a GP The medicine should only be used and prescribed by a specialist Indicates the preferred choice within a class or group of medicines
The medicine should be initiated by, or on the advice of a specialist, but is suitable for continuation by a GP
The medicine should only be used and prescribed by a specialist
Indicates the preferred choice within a class or group of medicines
15. Anaesthesia

15.2. Local anaesthesia

Total Formulary
Specialist and GP
LIDOCAINE
Specialist Only
BUPIVICAINE AND FENTANYL (BUFYL) (epidural)

Restrictions: Restricted to specialist use for epidural analgesia to relieve pain during labour and to control post operative pain.

BNF Link

Specialist Only
PRILOCAINE HYDROCHLORIDE (PRILOTEKAL) (SOLUTION)

Restrictions: Restricted to use in spinal anaesthesia in ambulatory surgery settings such as day surgery units.

BNF Link

Specialist Only
LIDOCAINE (LMX4) (CREAM)

Restrictions: Restricted to use in hospitals only.

BNF Link

Specialist and GP
PROCAINE

Restrictions: Restricted to specialist initiation.

BNF Link

Specialist and GP
PRILOCAINE

Restrictions: Restricted to specialist initiation.

BNF Link

Specialist and GP
PHENOL

Restrictions: Restricted to specialist initiation.

BNF Link

Specialist and GP
LIDOCAINE AND PRILOCAINE (EMLA) (cream)

Restrictions:

Restricted to specialist initiation.

BNF Link

Specialist and GP
LIDOCAINE AND PHENYLEPHRINE

Restrictions: Restricted to specialist initiation.

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LIDOCAINE (MEDICATED PLASTER)

Restrictions:

Restricted to patients who are intolerant of first line therapies for post-herpetic neuralgia or where these therapies have been ineffective. Use for other indications remain non-Formulary.

Prescribing Notes:

If lidocaine plasters are initiated for analgesia (in accordance with formulary restrictions), the patient should be reviewed at 4 weeks and treatment only continued if the patient demonstrates a response.  If no response, treatment should be discontinued.

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Specialist and GP
LEVOBUPIVACAINE

Restrictions: Restricted to specialist initiation.

BNF Link

Specialist and GP
COCAINE

Restrictions: Restricted to specialist initiation.

Prescribing Notes:

Exludes spray formulations.

BNF Link

Specialist and GP
BUPIVACAINE

Restrictions: Restricted to specialist initiation.

BNF Link

Specialist and GP
TETRACAINE (GEL)

Restrictions: Restricted to specialist initiation.

BNF Link