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Protocol for Processing Urgent Requests for Medications

 

The practice will only issue urgent requests (i.e. less than 2 working days’ notice) for the following medications, to be signed by the GP in reception. All other requests should be processed in the normal way.

Anticoagulants

Apixaban, Dabigatran, Edoxaban, Rivaroxaban, Warfarin

Antipsychotics

Amisulpride, Aripiprazole, Chlorpromazine, Flupenthixol, Haloperidol, Levomepromazine, Olanzapine, Pericyazine, Promazine, Quetiapine, Risperidone, Sulpiride

Adrenaline pens

Epipen / Jext / Emerade

Baby Milk

All prescribed types

Cardiology medication

Amiodarone

Digoxin

GTN spray/tablets

End of Life Pathway / Palliative

Any medication is allowed for patients on the end of life pathway/palliative

Eye drops

Maxitrol/Pred Forte

Following cataract surgery (once only)

Epilepsy medication

Carbamazepine (Tegretol); Clobazam (Frisium);

Clonazepam; Eslicarbazepine (Zebinix);

Ethosuximide; Gabapentin (ONLY for epilepsy);

Lacosamide (Vimpat); Lamotrigine (Lamictal);

Levetiracetam (Keppra); Midazolam (Buccolam);

Oxcarbazepine (Trileptal); Perampanel (Fycompa);

Phenobarbitol; Phenytoin;  

Pregabalin (Alzain or Lyrica) but ONLY for epilepsy;

Primidone; Rufinamide (Inovelon);

Sodium Valproate (Epilim); Tiagabine (Gabitril);

Topiramate (Topamax); Vigabatrin (Sabril);

Zonisamide (Zonegran);

Immunosuppressants

Azathioprine, Ciclosporin, Cyclophosphamide, Mercaptopurine, Methotrexate, Mycophenolate, Sirolimus, Tacrolimus

Inhalers

Fostair, Salbutamol (Ventolin; Easyhaler; Salamol), Symbicort, Terbutaline (Bricanyl) only

Other inhalers are non-urgent

Insulin          

Any insulin and any associated hypodermic equipment or Glucogel / Glucagon

Steroids

Hydrocortisone – tablets and injections

Prednisolone tablets

Only if already on repeat

Urgent discharges

Primarily dosette boxes

Outpatient request forms are NOT classed as urgent