Unlicensed medicines
Medicines not classified in the BNF
Unlicensed drugs agreed by the MTW Drugs & Therapeutics Committee for Trust use only
|
Drug |
Indication |
|
Acetylcysteine tablets |
Pulmonary fibrosis, prevention of contrast media induced nephropathy
|
|
Ajmaline injection |
Arrhythmias
|
|
Albendazole tablets |
Anthelmintic |
|
Benzobromarone tablets |
Uricosuric for gout |
|
Bevacizumab |
Vitrectomy for proliferative diabetic retinopathy |
|
Chlorothiazide liquid 250mg/5ml |
Paediatric use |
|
Colecalciferol 300,000 unit/ml IM injection |
Patients refractory to high dose oral treatment or with malabsorption syndromes or after colorectal surgery |
|
Chloral Hydrate 500mg suppositories |
Paediatric use where the oral route is unavailable |
|
Dehydroepiandrosterone capsules |
Addisons disease |
|
Diltiazem 2% cream |
Anal fissure maximum 8 weeks treatment only. Needs medical review if problem persists beyond this time. Can be prescribed in the community. |
|
Ecolab 2% chlorhex in 70% IPA |
For use in theatres for skin preparation before surgery |
|
Fentanyl 100micrograms/2ml injection |
For use intranasally (unlicensed route) for moderate to severe pain in children > 1 year presenting to A&E with fractures, dislocations, burns or major lacerations, in accordance with the local SOP. |
|
Flunarizine tablets |
Migraine prophylaxis |
|
Glycopyrrolate tablets |
Excess salivation |
|
Iloprost |
Raynauds/scleroderma |
|
Iodine 2% liquid |
For use in colposcopy |
|
Isoniazid liquid 50mg/5ml |
TB |
|
Isoprenaline injection |
Cardiology |
|
Levosimendan |
Cardiogenic shock when unable to wean off ventilator. ITU only |
|
Lugols injection (iodine) |
Diagnostic |
|
Mepacrine tablets |
SLE |
|
Metaraminol injection |
Acute hypotension |
|
Naproxen Liquid 125mg/5ml |
NSAID |
|
Niacin SR tablets |
Hyperlipidaemia |
|
Estradiol implants 50micrograms |
Surgically and naturally occurring menopause to improve cardiovascular profile and osteoporosis prophylaxis |
|
Paraldehyde 50% in olive oil |
Anticonvulsant |
|
Patent Blue injection |
Diagnostic |
|
Phenylbutazone tablets |
NSAID |
|
Podophyllin compound paint |
GUM |
|
Praziquantel tablets |
Schistosomiasis |
|
Probenecid tablets |
Uricosuric agent and renal tubular blocking agent. Used in the treatment of gout and also co-prescribed with cidofovir for CMV retinitis |
|
Protionamide tablets |
Resistant TB |
|
Protirelin injection |
Diagnostic |
|
Pyrazinamide tablets |
TB |
|
Sodium Bicarbonate 4.2% IV |
Neonatal resuscitation |
|
Sodium nitroprusside injection |
Hypertensive crisis/ heart failure |
|
Sterilised Talc |
Pleural effusion |
|
Sucralfate rectal suspension |
Proctitis |
|
Tolazoline injection |
Pulmonary vasodilator |
|
Triadcortyl PTIC |
ENT use |