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.

BNF Link

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:

In the acute sector, the use of lidocaine plasters for any indication (licensed or otherwise) must be supported by completion of the Lidocaine Plaster Alert Monitoring Form (except where being used in palliative care).

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.

BNF Link

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