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 Formulary Chapter 15: Anaesthesia - Full Chapter
15.02  Expand sub section  Local anaesthesia
15.02  Expand sub section  Bupivacaine
15.02  Expand sub section  Levobupivacaine
15.02  Expand sub section  Lidocaine
Lidocaine
(medicated plaster 5% - rib fractures)
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Restricted Drug Restricted
Red

Restricted Item unlicensed ‘Off label’ short term use (usual max 2 weeks) at UHS for management of acute pain associated with traumatic rib fractures (refer to protocol). All patients prescribed lidocaine plasters for rib fracture pain should be referred to the acute pain team.

Not suitable for primary care prescribing for this indication. For use in neuropathic pain refer to section 04.07.03.

 
   
Lidocaine
(5% ointment)
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Formulary
Green
 
   
Lidocaine
(injection)
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Formulary
Green
0.5%, 1% and 2% 
   
Lidocaine
(4% topical solution)
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Formulary
Green
 
   
Lidocaine 0.4% and glucose 5%
(injection)
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Formulary
Red
 
   
Lidocaine 2.5% with Prilocaine 2.5% (EMLA)
(cream)
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Formulary
Green
 
   
Lidocaine and chlorhexidine  (Instillagel)
(sterile gel)
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Formulary
Green
 
   
Lidocaine with Adrenaline (Lignospan)
(injection)
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Formulary
Green

Lidocaine 1% and adrenaline 1:80,000

Lidocaine 2% and adrenaline 1:80,000

Lidocaine 2% and adrenaline 1:200,000

 
   
Lidocaine, adrenaline and tetracaine (LAT)
(gel)
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Formulary
Red

unlicensed Unlicensed, ED for children only

 
   
15.02  Expand sub section  Prilocaine to top
15.02  Expand sub section  Tetracaine
15.02  Expand sub section  Other local anaesthetics
 ....
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
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Link to adult BNF
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Link to children's BNF
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Link to SPCs
Cytotoxic Drug
Cytotoxic Drug
CD
Controlled Drug
High Cost Medicine
High Cost Medicine

Traffic Light Status Information

Status Description

Green

Suitable for prescribing by all in both primary and secondary care.  

Amber Recommended

Specialist recommended but suitable for continuation in primary care.  

Amber Initiation

Specialist initiated but suitable for continuation in primary care.  

Amber SCG

Specialist initiated and for continuation in primary care under a locally approved shared care guideline.  

Red

Suitable for prescribing in specialist settings (secondary care) only.   

Red Specialist Centre

Secondary care medicines to be used under specialised commissioning arrangements only.  

Blue

For primary care, either via FP10 or supplied through specialist services. These products may be stocked by hospital pharmacies only for supply to primary care units/wards or for continuing supplies for patients admitted on therapy.  

Black

Not recommended for use.  

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