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.


Apixaban, Dabigatran, Edoxaban, Rivaroxaban, Warfarin


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

Adrenaline pens

Epipen / Jext / Emerade

Baby Milk

All prescribed types

Cardiology medication



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);


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


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

Other inhalers are non-urgent


Any insulin and any associated hypodermic equipment or Glucogel / Glucagon


Hydrocortisone – tablets and injections

Prednisolone tablets

Only if already on repeat

Urgent discharges

Primarily dosette boxes

Outpatient request forms are NOT classed as urgent