This chapter is still in development.
Some unlicensed medicines and off-licence indications are included in the main BNF chapters - search by drug name.
Consultant cardiologist only for diagnosis of Brugada syndrome
Falciparum malaria - refer to PHT Adult Antimicrobial Guide
Unlicensed special listed on BAD specials list 2018
Gout - consultant rheumatologist only
Only for neovascular eye conditions not covered by NICE recommendations.
Premedication/sedation of children prior to surgery
Contact directorate pharmacist for advice/orders
NHS England are responsible for commissioning use in complex spinal surgery at specialist centres (Policy 16063/P)
Information on restriction - Urology - Partial nephrectomy surgery. ENT - pharyngeal resection, named surgeon only.
Unlicensed special listed in Drug Tariff
Hydroquinone 5% w/w, hydrocortisone 1% w/w and tretinoin 0.1% w/w
Unlicensed in the UK. On BAD specials list for melasma (maximum 6 months treatment).
Scabies, in combination with topical drugs, for the treatment of hyperkeratotic (crusted or ‘Norwegian’) scabies that does not respond to topical treatment alone.
Critical care only - refer to Drug Therpay Guideline
Ifosfamide-induced encephalopathy (off-licence)
Vasopressor in septic shock (off-licence)
Acute painful skin reactions due to radiotherapy
Alcoholic hepatitis - unlicensed use
Licensed as a medical device
Used for ulcerative and erosive inflammatory skin disease including around stomas.
Unlicensed special on BAD list.
For talc pleurodesis - refer to PHT Drug Therapy Guideline
Paediatric Use Only
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