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 Formulary Chapter 18: Emergency Treatment of Poisoning - Full Chapter
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18  Expand sub section  Poisoning
Acetylcysteine
(for infusion)
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Red

Paracetamol overdose

 
Link  PHT Drug Therapy Guideline: Management of Paracetamol Overdose (PHT access only)
   
Activated charcoal
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Red

Antidote for acute poisoning with various medicines/poisons

 
   
Atropine
(Injection)
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Red

Poisoning by organophosphorus or carbamate insecticides

 
   
Calcium chloride injection
(antidote)
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Red
 
   
Calcium folinate injection
(antidote)
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Red

Methotrexate overdose

 
   
Calcium gluconate gel
(antidote)
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Red
 
   
Calcium gluconate injection
(antidote)
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Red
 
   
Cyproheptadine tablets (Periactin®)
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Red

Serotonin syndrome

 
   
Dantrolene injection
(antidote)
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Red

Neuroleptic malignant syndrome

 
   
Desferrioxamine injection
(antidote)
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Red
 
   
Dicobalt edetate injection
(antidote)
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Red

Cyanide poisoning

 
   
Digoxin specific antibody fragments (Digifab®)
(antidote)
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Red
High Cost Medicine

Digoxin overdose

 
   
Dimercaprol injection
(antidote)
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Red
 
   
DMSA (succimer) capsules
(antidote)
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Red
 
   
Ethanol (alcohol) injection
(antidote)
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Red
 
   
European Viper Venom Antivenom
(antiserum / antidote)
 Track Changes
Formulary
Red
 
   
Flumazenil injection
(antidote)
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Red
 
   
Fomepizole
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Red
High Cost Medicine

Ethylene glycol or methanol poisoning

 
   
Glucagon (GlucaGen® Hypokit)
(antidote)
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Red

Beta-blocker overdose

 
   
Hydroxocobalamin for infusion (Cyanokit®)
(antidote)
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Red

Cyanide poisoning

 
   
Macrogol '3350' (Klean-Prep®)
(Poisoning)
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Red

For gut decontamination for overdose with agents not bound by activated charcoal (e.g. iron & lithium).

 
   
Methylthioninium chloride (Proveblue®)
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Red

Methaemoglobinaemia

 
   
Naloxone injection
(antidote)
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Red

Opioid overdose

 
Link  PHT Drug Therapy Guideline: Naloxone for the treatment of opioid overdose in adults (PHT access only)
   
Octreotide injection
(antidote)
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Red

Sulphonylurea overdose

 
   
Penicillamine tablets
(antidote)
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Red
 
   
Phentolamine injection
(antidote)
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Red
 
   
Phytomenadione (Vitamin K1)
(antidote)
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Red
 
   
Pralidoxime chloride (Protopam®)
(antidote)
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Red
 
   
Procyclidine
(Injection)
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Red

Treatment of poisoning - dystonic reactions

 
   
Protamine Sulphate
(Injection)
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Red

Heparin overdose / reversal

 
   
Pyridoxine 50mg/mL
(Injection)
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Red

Neonatal unit - for seizures caused by inborn errors of metabolism.


Isoniazid poisoning

 
   
Sodium bicarbonate
(Injection)
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Red

Treatment of poisoning

 
   
Sodium nitrite
(Injection)
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Red

Antidote for cyanide poisoning


Available as Nithiodote (Co-Packaged Sodium Nitrite 30 mg/mL Solution for Injection and Sodium Thiosulfate 250 mg/mL Solution for Injection)

 
   
Sodium thiosulfate
(Injection)
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Red

Antidote for cyanide poisoning


Available as Nithiodote (Co-Packaged Sodium Nitrite 30 mg/mL Solution for Injection and Sodium Thiosulfate 250 mg/mL Solution for Injection)

 
   
 ....
 Non Formulary Items
DMPS (unithiol)
(antidote)

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Non Formulary
 
Glucarpidase  (Carboxypeptidase)
(Poisoning)

Non Formulary
High Cost Medicine
 
  
Key
note Notes
Section Title Section Title (top level)
Section Title Section Title (sub level)
First Choice Item First Choice item
Non Formulary Item Non Formulary section
Restricted Drug
Restricted Drug
Unlicensed Drug
Unlicensed
Track Changes
Display tracking information
click to search medicines.org.uk
Link to adult BNF
click to search medicines.org.uk
Link to children's BNF
click to search medicines.org.uk
Link to SPCs
SMC
Scottish Medicines Consortium
Cytotoxic Drug
Cytotoxic Drug
CD
Controlled Drug
High Cost Medicine
High Cost Medicine
Cancer Drugs Fund
Cancer Drugs Fund
NHSE
NHS England
Homecare
Homecare
CCG
CCG

Traffic Light Status Information

Status Description

Green

Primary and Secondary Care (unrestricted) – may be prescribed by GPs, hospital doctors or other qualified prescribers in primary and secondary care  

Amber Initiation

Amber Initiated: first prescription from specialist, on going supplies from primary care (or when stabilised on therapy).  

Amber Recommended

Amber recommended: first prescription may be supplied by primary care under the advice of a specialist.  

Amber with Shared Care

For initiation within a specialist service followed by ongoing prescribing in primary care according to published shared care guidance  

Red

For initiation and ongoing prescribing in secondary care only. Medicines in this category may be further restricted to use by specific hospital departments only.  

Blue

For prescribing in primary care only  

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