Bnf prescribing

Bnf prescribing. When used for Asthma: For choice of therapy, see Asthma (BNF) is the copyright of BMJ Publishing Group Ltd and the Royal Pharmaceutical Society of Great Britain. Summary of antimicrobial prescribing guidance – managing common infections (December 2022) 1 • For all PHE guidance, follow PHE’s principles of treatment. Guidance; Screening Tool of Older Persons' potentially inappropriate Prescriptions (STOPP) criteria to aid medication reviews (see Prescribing in the elderly for information): potentially inappropriate if prescribed a long-acting sulfonylurea (e. By using BNF, you agree to the licence set out in the BNF Publications End User Prescribing and dispensing information Prescribing and dispensing information For ibuprofen. A sterile solution of insulin (i. With topical use: Caution—topical preparations not generally (BNF) is the copyright of BMJ Publishing Group Ltd and the Royal Pharmaceutical Society of Great Britain. The oral anticoagulants warfarin sodium, acenocoumarol and phenindione, antagonise the effects of vitamin K, and take at least 48 to 72 hours for the anticoagulant effect to develop fully; warfarin sodium is the drug of choice. Guidance; Healthcare professionals are reminded that the use of oral retinoids is contra-indicated in pregnancy due to a high risk of serious congenital malformations, and any use in females must be within the conditions of the Pregnancy Prevention Programme (see Conception and contraception and Prescribing and dispensing information). Ferrous sulfate is used in the doses provided in the BNF for the treatment and prophylaxis of iron-deficiency anaemia, A but these may differ from those (see Prescribing in the elderly for information): potentially inappropriate at oral doses greater than 200 mg elemental iron daily (no evidence of enhanced iron absorption above View fludrocortisone acetate information, including dose, uses, side-effects, renal impairment, pregnancy, breast feeding, contra-indications and monitoring requirements. Advise patients to tell their doctor if they have any problems with their mouth or teeth before starting treatment, and if the patient wears dentures, they should make sure their dentures fit properly. Prescribing and dispensing information For solifenacin succinate. Prescription writing. Enoxaparin sodium is a biological medicine. Mechanical prophylaxis (e. Details include formulations, ACBS indications and indicative prices. Medicines generally prescribed in the UK are covered and Medicines guidance. Medicines generally prescribed in the UK are Screening Tool of Older Persons' potentially inappropriate Prescriptions (STOPP) criteria to aid medication reviews (see Prescribing in the elderly for information): potentially inappropriate for uncomplicated peptic ulcer disease or erosive peptic oesophagitis at full therapeutic dosage for longer than 8 weeks (dose reduction or earlier discontinuation Guidance, useful information and background details, comprising information on how to use the BNF, the significant content changes in each update, guidance on various prescribing matters (e. By using BNF, you agree to the licence set out in the BNF Publications End User Licence Agreement. It may also trigger or aggravate skin lesions of lupus erythematosus, rosacea, and other dermatoses. An antiepileptic such as carbamazepine, may be added or substituted if pain persists. If asthma is uncontrolled on a low-dose of ICS as maintenance therapy, a leukotriene receptor antagonist (LTRA—such as montelukast) should be offered in addition to the ICS, and the response to treatment reviewed in 4 to 8 weeks. MHRA/CHM advice: Benzodiazepines and opioids: reminder of risk of potentially fatal respiratory depression (March 2020) The MHRA reminds healthcare professionals that benzodiazepines and benzodiazepine-like drugs co-prescribed with opioids can produce additive CNS depressant effects, thereby increasing the risk of sedation, respiratory View ferric derisomaltose information, including dose, uses, side-effects, pregnancy, contra-indications and important safety information. = ante cibum (before food) b. • See BNF for appropriate use and dosing in specific populations, for example, hepatic impairment, renal impairment, pregnancy and breastfeeding. Child 6–17 years Initially 0. Analgesics; Appliances (BNF) is the copyright of BMJ Publishing Group Ltd and the Royal Pharmaceutical Society of Great Britain. Ferrous fumarate is used in the doses provided in the BNF for the treatment and prophylaxis of iron-deficiency anaemia, A but these may differ from those (see Prescribing in the elderly for information): potentially inappropriate at oral doses greater than 200 mg elemental iron daily (no evidence of enhanced iron absorption above This treatment summary topic describes oxygen. Treatment with an iron preparation should be initiated for confirmed iron-deficiency anaemia. Guidelines on antimicrobial or antibiotic prescribing to support the judicious use of antimicrobials to preserve their future effectiveness (BNF) is the copyright of BMJ Publishing Group Ltd and the Royal Pharmaceutical Society of Great Britain. Available from: BNF. Phosphate Sandoz® contains sodium dihydrogen phosphate anhydrous (anhydrous sodium acid phosphate) 1. Guidance; Standards and indicators; Adult 18–59 years 12. The need for oxygen should be assessed in COPD patients with an FEV 1 less than 30% predicted (consider assessment if FEV 1 is 30-49%), cyanosis, polycythaemia, Iron deficiency anaemia is the reduction of red blood cell production due to low iron stores in the body. Metoclopramide hydrochloride (2024) National Institute for Health and Care Excellence (NICE). Maintain adequate hydration (especially during renal impairment). You will be given a clinical scenario and asked to prescribe one drug/ fluid. per dose 7. With oral use in children: be closely monitored for signs of respiratory depression at initiation of treatment and when there is any change in prescribing, such as dose adjustments or new interactions. When used for Type 2 diabetes mellitus: The content on the NICE BNF site (BNF) is the copyright of BMJ Publishing Group Ltd and the Royal Pharmaceutical Society of Great Britain. Drugs A to Z. By using BNF, you agree to the licence set out in the BNF Publications End User Licence Agreement Prescribing and dispensing information For potassium chloride with potassium bicarbonate. View cyclizine information, including dose, uses, side-effects, pregnancy, breast feeding and directions for administration. Nurse Prescribers’ Formulary—Analgesics) can also be found Temazepam doses in BNF may differ from those in product literature. Prescribing and dispensing information Prescribing and dispensing information For magnesium sulfate. See Epilepsy and see also Prescribing and dispensing information. Elderly See Prescribing in renal impairment. Domperidone (2024) NICE. MHRA/CHM advice: Benzodiazepines and opioids: reminder of risk of potentially fatal respiratory depression (March 2020) The MHRA reminds healthcare professionals that opioids co-prescribed with benzodiazepines and benzodiazepine-like drugs can produce additive CNS depressant effects, thereby increasing the risk of sedation, respiratory Prescribing and dispensing information For albumin solution A solution containing protein derived from plasma, serum, or normal placentas; at least 95% of the protein is albumin. Prescribing an anti-emetic (2021) NICE. 73 m 2 or less (consult product literature). Health Services Safety Investigations Body (HSSIB) patient safety investigations: Unintentional overdose of morphine sulfate oral solution (April 2022) The BNF might not use the same wording as manufacturers' literature because, for consistency, the terms used to describe side-effects are standardised using a defined vocabulary across all of the drug monographs in the BNF (e. For further information, see STOPP/START criteria in Prescribing in the elderly. This treatment summary topic describes hypertension. Avoid initiation if eGFR less than 15 mL/minute/1. Back to top Prescribing and dispensing information For heparin (unfractionated) Doses listed take into account the guidelines of the British Society for Haematology. Prescribing and dispensing information For miconazole. Guidance; The SDCEP Dental Prescribing website has been updated to be consistent with BNF 87 (March-September 2024) and BNFC 2023-24. If treatment interruption occurs, re-introduce with low dosage and increase gradually. Guidance; Standards and indicators; Life sciences; British National Formulary (BNF) British National Formulary for Children (BNFC) Clinical Knowledge Summaries (CKS) Explore England's prescribing data. Guidance; Standards Prescribing and dispensing information For melatonin Treatment with melatonin should be initiated and supervised by a specialist, but may be continued by general practitioners. View perindopril erbumine information, including dose, uses, side-effects, renal impairment, pregnancy, breast feeding, contra-indications and monitoring requirements. Emollient bath additives should be added to bath water; hydration can be improved by soaking in the bath for 5–20 minutes (consult product literature). Adverse Read the BNFC guidance on how to write prescriptions, including recommendations on legal requirements and formatting. When used for Heart failure: Use with caution when titrating dose (no (BNF) is the copyright of BMJ Publishing Group Ltd and the Royal Pharmaceutical Society of Great Britain. Peptic ulceration in BNF for Children. A complex of ferric hydroxide with dextran containing 5% (50 (BNF) is the copyright of BMJ Publishing Group Ltd and the Royal Pharmaceutical Society of Great Britain. Not licensed for conscious sedation for dental procedures. 936 g, sodium bicarbonate 350 mg, potassium bicarbonate 315 mg, equivalent to phosphorus 500 mg (phosphate 16. This should include contraceptive effectiveness (including factors that alter efficacy), non-contraceptive benefits, health risks, and side-effects to allow an informed decision to be made on the most suitable choice. Patient and carer advice Patient and carer advice For amoxicillin. Kay-Cee-L® contains 1 mmol/mL each of K (BNF) is the copyright of BMJ Publishing Group Ltd and the Royal Pharmaceutical Society of Great Britain. See Prescribing in renal impairment. To avoid potential toxicity, the content (BNF) is the copyright of BMJ Publishing Group Ltd and the Royal Pharmaceutical Society of Great Britain. The solution may be isotonic (containing 3. It contains a wide range of information and advice on prescribing for Practical and evidence-based, BNF for Children (BNFC) is the only child-focused drug formulary in the world that is both independent, and has rigorous, accredited content See the BNF for appropriate use and dosing in specific populations, for example, in hepatic or renal impairment, and breastfeeding. The NHS Business Services Authority (BSA) prescribing and dispensing information systems use the therapeutic classifications defined in the British National Formulary (BNF) as extended by the BSA. Includes guidance on prescribing in palliative care, prescription writing and prescribing in Read the BNF guidance on how to write prescriptions, including recommendations on legal requirements and formatting. 5 mg/kg twice daily), if child cannot tolerate titration View Macrogol 3350 with anhydrous sodium sulfate, ascorbic acid, potassium chloride, sodium ascorbate and sodium chloride information, including dose, uses, side-effects, renal impairment, pregnancy, breast feeding, contra-indications and monitoring requirements. Emollient preparations contained in tubs should be removed with a clean spoon or spatula to reduce bacterial contamination of SDCEP's prescribing guidance is based on dentally-relevant prescribing information from the BNF and BNFC and is currently consistent with BNF 87 (March 2024) and BNFC 2023-2024. Prescribing and dispensing information For gentamicin. 3) across all GP practices in NHS England for the last five years. The prescribing of the so-called ‘standard’ dose in serious infections may result in failure of treatment or even death of the patient (BNF) is the copyright of BMJ Publishing Group Ltd and the Royal Pharmaceutical Society of Great Britain. In adults: Clonazepam doses in BNF may differ from those in product literature. FormularyComplete supports health professionals to: Improve patient care and make safer decisions. (BNF) is the copyright of BMJ Publishing Group Ltd and the Royal Pharmaceutical Society of Great Britain. Treatment summaries for nurse prescribers (e. Guidance; Standards Prescribing and dispensing information For liraglutide. For choice of antibacterial therapy, see Genital system (BNF) is the copyright of BMJ Publishing Group Ltd and the Royal Pharmaceutical Society of Great Britain. For those drugs where a range in the dose or Buprenorphine transdermal patches are used in the doses provided in the BNF for chronic pain, E but these may differ from those licensed. With topical use: Spray may be useful for application of clotrimazole to large or hairy areas of the skin. Directions for administration Directions for administration For paracetamol. For full details see funding body website. Overview. g. Guidance; Standards Read general advice on prescribing including biological and biosimilar medicines, complementary and alternative medicines, The BNF does not generally include proprietary medicines that are not supported by a valid Summary of Product Characteristics or when the marketing authorisation holder has not been able to supply essential The BNF is designed as a digest for rapid reference and it may not always include all the information necessary for prescribing and dispensing. Back to top. Prescribing and dispensing information For clotrimazole. 8 mg (Na + 20. By using BNF, you agree to the licence set out in the BNF Publications End User Licence Suitable quantities for prescribing. Solar ultraviolet irradiation can be harmful to the skin. With oral use for Pulmonary arterial hypertension: If usual dose not tolerated, The prescription must be endorsed 'SLS'. Ketamine is sometimes used under specialist supervision for neuropathic pain that responds Lansoprazole doses in BNF may differ from those in product literature. e. Guidance; Standards Prescribing and dispensing information For sodium bicarbonate. Guidance; Standards and indicators; Prescribing and dispensing information For normal immunoglobulin. Adult Initially 12 micrograms/hour every 72 hours, when starting, evaluation of the analgesic effect should not be made before the system has been worn for 24 hours (to allow for the gradual increase in plasma-fentanyl concentration)—previous analgesic therapy should be phased out gradually from time of first patch application, dose should be adjusted at 72 Browse the complete list of drugs, alphabetically. Screening Tool of Older Persons' potentially inappropriate Prescriptions (STOPP) criteria to aid medication reviews (see Prescribing in the elderly for information). It should be noted that the English version is not always an exact translation. Adrenaline is used in the doses provided in the BNF for the emergency treatment of acute anaphylaxis in children up to 6 months, A but these may differ from those licensed. MHRA/CHM advice: Antiepileptic drugs in pregnancy: updated advice following comprehensive safety review (January 2021) Initial add-on therapy. Guidance; Standards Prescribing and dispensing information For vitamin B substances with ascorbic acid. Last updated: 28 August 2024 See what's changed. But the raw data files are large and unwieldy, See how national prescribing trends have changed since 2010, for any drug or BNF section that interests you. The Treatment summaries provide guidance on the Integrate essential prescribing guidance whenever it’s needed. Adverse reactions to drugs. Guidance; Standards Browse the Dental Practitioners' Formulary (DPF) - the list of approved preparations for prescribing by dentists in the BNF. Biological medicines must be prescribed and dispensed by brand name, see Biological medicines and Biosimilar medicines, under Guidance on prescribing. Guidance; Anaesthesia with postoperative indwelling epidural catheter (risk of paralysis—monitor neurological signs and wait 20–30 hours after apixaban dose before removing catheter and do not give next dose until at least 5 hours after Prescribing and dispensing information For insulin. Prescribing and dispensing information For naloxone hydrochloride. Guidance; Standards Healthcare professionals should evaluate patients carefully for a history of drug abuse before prescribing pregabalin, and observe patients for signs of abuse and dependence. Prescribing and dispensing information For enoxaparin sodium. Prescribing and dispensing information For fusidic acid. a. Supply of medicines. Read general advice on prescribing including biological and biosimilar medicines, complementary and alternative medicines, and unlicensed medicines. Combination regimens and durations for Helicobacter pylori eradication may differ from product literature but adhere to national guidelines. Guidance Indications and dose For orlistat Adjunct in obesity (in conjunction with a mildly hypocaloric diet in individuals with a body mass index (BMI) of 30 kg/m 2 or more or in individuals with a BMI of 28 kg/m 2 or more in the presence of other risk factors such as type 2 diabetes, hypertension, or hypercholesterolaemia) for orlistat By mouth BNF Publications provide doctors, pharmacists, and other health professionals with sound, up-to-date, and timely information about the use of drugs by including key information on the selection, prescribing, dispensing, and administration of drugs. Medicines guidance. For choice of antibacterial therapy, see Gastro-intestinal system infections, The content on the NICE BNF site (BNF) is the copyright of BMJ Publishing Group Ltd and the Royal Pharmaceutical Society of Great Britain. Surgery Major surgery under general anaesthesia, including orthopaedic and vascular leg surgery, is a predisposing factor for venous thromboembolism and it may be prudent to stop HRT 4–6 weeks before surgery; it should be restarted only after full mobilisation. Check any previous urine The general principles for prescribing are outlined under Prescribing in pregnancy and Prescribing in breast-feeding. 5–5% protein) or concentrated (containing 15–25% protein). serum sodium less than 130 mmol/L (risk of exacerbating or precipitating hyponatraemia). Other options include prescribing a further course of the initial PPI dose for 1 month, double the initial PPI dose for 1 month or the addition of a H 2-receptor antagonist at bedtime for nocturnal symptoms or for short term Prescribing is an important component of patient care, which unfortunately can very easily go awry. Guidance Prescribing and dispensing information For progesterone. View all matching dm+d items. Also provides guidance on areas such as drugs and driving, security and validity of prescriptions, and General guidance on prescribing and the use of medicines. per dose 25 mg) for 1 week, dose to be taken at night, then increased in steps of 250–500 micrograms/kg twice daily, dose to be increased by a maximum of 25 mg twice daily at intervals of 1–2 weeks; usual dose 50 mg twice daily (max. A ferric carboxymaltose complex containing 5% (50 (BNF) is the copyright of BMJ Publishing Group Ltd and the Royal Pharmaceutical Society of Great Britain. Contra-indications Contra-indications For all vitamin D and analogues (systemic) Hypercalcaemia; metastatic calcification. The fifth version in 1957 saw its name change to The British National Formulary. Guidance; Standards A See Prescribing in renal impairment. gastric erosion, gastro-intestinal cancer), but iron treatment should not be delayed Prescribing and dispensing information For melatonin Licensed doses differ between preparations—further information can be found in the product literature for the individual preparations. M. Screening Tool of Older Persons' potentially inappropriate Prescriptions (STOPP) criteria to aid medication reviews (see Prescribing in the elderly for information): potentially inappropriate with current or recent significant hyponatraemia i. Those at greater risk of candidal infections include patients receiving inhaled corticosteroids, chemotherapy, or broad-spectrum antibacterials, and in patients with serious systemic disease associated with reduced immunity such as Prescribing and dispensing information For domperidone. This section comprises 40% of the available marks. Prescribing Prescribing and dispensing of ciclosporin should be by brand name to avoid inadvertent switching. Dose adjustments and close metabolic monitoring is recommended if switching View methylphenidate hydrochloride information, including dose, uses, side-effects, pregnancy, breast feeding, contra-indications, monitoring requirements and important safety information. Recommendations on the management of hypertension and blood pressure thresholds are from NICE—Hypertension in adults: diagnosis and management (NG136, November 2023), and SIGN—A national clinical guideline: Risk estimation and the prevention of cardiovascular disease (SIGN Prescribing Guidelines for BNF 5 Infections. Prescribing and dispensing information For tofacitinib. Melatonin is available as a modified-release tablet ( Circadin ® and Slenyto ®) and also as immediate-release formulations, including a tablet ( Adaflex ®, Ceyesto ®, Why doesn't the BNF recommend brand-name prescribing for all modified-release preparations? The MHRA recommends that all modified-release preparations should be prescribed by their brand name. National funding/access decisions National funding/access decisions For naproxen. Cyclogest® pessaries and Utrogestan® oral and vaginal capsules (BNF) is the copyright of BMJ Publishing Group Ltd and the Royal Pharmaceutical Society of Great Britain. c. View dalteparin sodium information, including dose, uses, side-effects, renal impairment, pregnancy, breast feeding, contra-indications and monitoring requirements. Guidance When prescribing contraception, information should be given on all available methods taking into consideration medical eligibility. Prescribing and dispensing information For sodium alginate with calcium carbonate and sodium bicarbonate. (BNF) is the copyright of BMJ Publishing Group Ltd and When prescribing or dispensing codeine-containing medicines for cough and cold, consider that codeine is contra-indicated in: children younger than 12 (BNF) is the copyright of BMJ Publishing Group Ltd and the Royal Pharmaceutical Society of Great Britain. View benzydamine hydrochloride information, including dose, uses, side-effects, pregnancy and breast feeding. View memantine hydrochloride information, including dose, uses, side-effects, renal impairment, pregnancy, breast feeding, directions for administration and drug action. Patients with neuropathic pain may benefit from a trial of a tricyclic antidepressant, most commonly amitriptyline hydrochloride, for several weeks. Patients with acute and severe sciatica may benefit from treatment with epidural injections of a local anaesthetic and/or corticosteroid. postural hypotension is used for the term orthostatic hypotension). Guidance Prescribing and dispensing information For salbutamol. These oral anticoagulants When prescribing, dispensing, or administering, check that this injection is the correct preparation—this preparation is usually used in hospital for the rapid control of an acute episode and should not be confused with depot preparations which are usually used in the community or clinics for maintenance treatment. When prescribing antibacterial therapy the severity of symptoms, risk of developing complications, (BNF) is the copyright of BMJ Publishing Group Ltd and the Royal Pharmaceutical Society of Great Britain. Guidance; Standards and indicators; Read about the 46 ACBS recommended products for Nutritional supplements: More than 1. Use of vancomycin (added to dialysis fluid) for the treatment of peritonitis associated with peritoneal dialysis is an unlicensed route. NICE; BNFC; British National Formulary for Children (BNFC) Key information on the selection, prescribing, dispensing and administration of medicines used for children. MHRA/CHM advice: Antiepileptic drugs in pregnancy: updated advice following comprehensive safety review (January 2021) The content on the NICE BNF site (BNF) is the copyright of BMJ Publishing Group Ltd and the Royal Pharmaceutical Society of Great Britain. bovine or porcine) or of human (BNF) is the copyright of BMJ Publishing Group Ltd and the Royal Pharmaceutical Society of Great Britain. M See Prescribing in renal impairment. The need to continue melatonin therapy should be reviewed every 6 months. Emergency supply of medicines. For choice of antibacterial therapy, see Cardiovascular (BNF) is the copyright of BMJ Publishing Group Ltd and the Royal Pharmaceutical Society of Great Britain. Guidance; Adult 1 tablet daily for 12 days, blue tablet to be taken, followed by 1 tablet daily for 10 days, white tablet to be taken, then 1 tablet daily for 6 days, red tablet to be taken, subsequent courses are repeated without interval; start treatment with blue tablet at any time or if changing from cyclical HRT, start treatment the day after finishing previous regimen. In regular full dosage NSAIDs have both a lasting analgesic and an anti-inflammatory effect which makes them particularly useful for the treatment of continuous Indications and dose For letrozole First-line treatment in postmenopausal women with hormone-dependent advanced breast cancer, Adjuvant treatment of oestrogen-receptor-positive invasive early breast cancer in postmenopausal women, Advanced breast cancer in postmenopausal women (naturally or artificially induced menopause) in whom other anti Read about the 20 ACBS recommended products for Nutritional supplements: 1. You must be familiar with the guidance in the British National Formulary (BNF) and British National Formulary for Children (BNFC), which contain essential information to help you prescribe, monitor, supply, Prescribing remotely for patients in a care or nursing home or hospice; Prescribing remotely for patients based overseas; The British National Formulary (BNF) and BNF for Children (BNFC) app give quick access to reliable, practical, evidence-based information that supports safe prescribing (BNF Publications, 2022a). Deprescribing is a collaborative process of the safe withdrawal of medicines that are no longer appropriate, beneficial or wanted (patient preference), to improve quality of life Many children’s doses are standardised by weight (and therefore require multiplying by the body-weight in kilograms to determine the child’s dose); occasionally, the doses have been standardised by body surface area (in m 2). Liraglutide is a biological medicine. The first choice for concise medicines information, BNF and BNF for Children (BNFC) are available online in a mobile-responsive format through MedicinesComplete. Patient and carer advice When used to treat hidradenitis suppurativa , patients and their carers should be advised to use a daily topical antiseptic wash on lesions during treatment with adalimumab. Prescribing and dispensing information For co-beneldopa. MHRA/CHM advice: Antiepileptic drugs in pregnancy: updated advice (BNF) is the copyright of BMJ Publishing Group Ltd and the Royal Pharmaceutical Society of Great Britain. For patients with refractory GORD, new alarm symptoms should be assessed and alternate diagnoses considered. Back to top Prescribing and dispensing information For aspirin. You can explore prescribing trends for this section by Sub-ICB Location, or learn more about this site. Allergen immunotherapy Immunotherapy using allergen vaccines containing house dust mite, animal dander (cat or dog), or grass pollen extract and tree pollen extract can reduce symptoms of asthma and allergic rhinoconjunctivitis. Approved list for prescribing by Community Practitioner Nurse Prescribers (NPF) Navigate to section. Flavours of oral tablet (BNF) is the copyright of BMJ Publishing Group Ltd and the Royal Pharmaceutical Society of Great Britain. Guidance; Follow up management. The BNF warns against changing brands only where there is the possibility of significant clinical impact Prescribing and dispensing information For ferric carboxymaltose. With Prescribing and dispensing information For adrenaline/epinephrine. Drug monographs describe the uses, doses, safety issues, medicinal forms and other considerations involved in the use of a drug. By using BNF, you agree to the licence set out in the BNF Publications End User Licence Agreement Guidance on prescribing; Prescription writing; Emergency supply of medicines; Controlled drugs and drug dependence; Adverse reactions to (BNF) is the copyright of BMJ Publishing Group Ltd and the Royal Pharmaceutical Society of Great Britain. For women who have nausea and vomiting, offer appropriate self-care advice (such as rest, oral hydration and dietary changes), and inform them about other available support (e. It BNF Publications provide doctors, pharmacists, and other health professionals with sound, up-to-date, and timely information about the use of drugs. Community Practitioner Nurse Prescribers should not prescribe unlicensed medicines, Prescribing and dispensing information For iron dextran. Prescribing and dispensing information For co-amoxiclav. For further information on prescribing or discontinuing antidepressants, and the management of withdrawal symptoms, see Antidepressant drugs, Treatment cessation in drug monographs, and NICE guidelines: Depression in adults: treatment and management (see Useful resources) and Medicines associated with dependence or withdrawal The BNF aims to provide prescribers, pharmacists, and other healthcare professionals with sound up-to-date information about the use of medicines. With oral (BNF) is the copyright of BMJ Publishing Group Ltd and the Royal Pharmaceutical Society of Great Britain. Erythromycin is used in the doses provided in the BNF for Children for the treatment of infantile acne, E but these may differ from those licensed. A Strength of recommendation: High. 1 How to use BNF publications However, Latin abbreviations have been used when prescribing. In adults: Prescribing and dispensing information For erythromycin. Controlled drugs and drug dependence. Hirudoid® is less suitable for prescribing. Aciclovir doses in BNF Publications may differ from those in product literature. self-help information and support groups) and Suspension not licensed for use in neonates for the treatment of candidiasis but the Department of Health has advised that a Community Practitioner Nurse Prescriber may prescribe nystatin oral suspension for a neonate, in the doses provided in BNF Publications, provided that there is a clear diagnosis of oral thrush. For information on devices used for the delivery of inhaled (BNF) is the copyright of BMJ Publishing Group Ltd and the Royal Pharmaceutical Society of Great Britain. There can be variation in the licensing of different medicines containing the same drug. Read general advice on prescribing in children including biological and biosmilar medicines, complementary and alternative medicines, and unlicensed medicines. recurrent drop in systolic blood pressure ≥ 20 mmHg (risk of syncope and falls). Browse drug monographs by A to Z. With systemic use: Risk of neurological reactions increased. The following is a list of appropriate abbreviations. Guidance; The ‘Medicines Complete’ BNF is easier to navigate than NICE’s online BNF – you can access this via the PSA website; Prescribing. glibenclamide, chlorpropamide, glimepiride) in type 2 diabetes mellitus (risk of prolonged hypoglycaemia). Background. Prescribing and dispensing information For rifampicin. Gentamicin is used in the doses provided in BNF Publications for the treatment of uncomplicated gonorrhoea, A but these are not licensed. 5 kcal/mL and 5 g (or more) protein/100 mL. Prescribing Guideline Last Updated Review Date; C difficile - management in primary care: June 2022: May 2025: Chicken pox & shingles - management in pregnant women & neonates: July 2024: July 2027: Chlamydia testing and management guideline: March 2023: MHRA/CHM advice: New oral anticoagulants apixaban (Eliquis®), dabigatran (Pradaxa®) and rivaroxaban (Xarelto®) (October 2013)The following contra-indications now apply to all new oral anticoagulants (including edoxaban (Lixiana®) which was not launched at the release of this advice), for all indications and doses:a lesion or condition, if considered a Screening Tool of Older Persons' potentially inappropriate Prescriptions (STOPP) criteria to aid medication reviews (see Prescribing in the elderly for information): potentially inappropriate in the absence of primary or secondary hypogonadism (risk of androgen toxicity; no proven benefit outside of the hypogonadism indication). [4] [5] A new-look version, under the auspices of Owen Wade, was released in 1981. [2] [6] A study in Northern Ireland, looking at prescribing in 1965, Neuropathic pain. You must be familiar with the guidance in the British National Formulary (BNF) and British National Formulary for Children (BNFC), which contain essential information to This article is a practical guide to using the British National Formulary (BNF) and BNF for Children (BNFC) App more effectively, to support safe prescribing. Prescribing and dispensing information For clindamycin. With oral use: Flavours of (BNF) is the copyright of BMJ Publishing Group Ltd and the Royal Pharmaceutical Society of Great Britain. Flavours of oral liquid formulations may include orange (BNF) is the copyright of BMJ Publishing Group Ltd and the Royal Pharmaceutical Society of Great Britain. For more information see Prices in the BNF, under How to use the BNF. Guidance; Prescribing and dispensing information For pancreatin. With oral (topical) use: Flavours of oral gel may (BNF) is the copyright of BMJ Publishing Group Ltd and the Royal Pharmaceutical Society of Great Britain. BNF 1 GI System; BNF 2 Cardiovascular System; BNF 3 Respiratory; BNF 4 CNS; BNF 5 Infections; BNF 6 Endocrine; BNF 7 Obs, Gynae & Urinary-tract; BNF 8 Malignant Disease and Immunosuppression; BNF 9 Nutrition & Blood; BNF 10 MSK & Joint diseases; BNF 11 Eye; BNF 12 ENT; BNF 13 Skin; BNF 14 Immunological products & vaccines; BNF 15 This treatment summary topic describes sunscreen. By using BNF, It was first published in 1949, [2] as the National Formulary, with updated versions appearing every three years until 1976. Pseudomembranous candidiasis (thrush) is usually an acute infection but it may persist in chronic forms. An app to accompany the printed guidance, Dental Prescribing, was For guidance on the prescribing of antidepressant drugs, and management of withdrawal, see NICE guideline: (BNF) is the copyright of BMJ Publishing Group Ltd and the Royal Pharmaceutical Society of Great Britain. Also, less detail is given on areas such as obstetrics, malignant disease, and anaesthesia since it is expected that those undertaking treatment will have specialist knowledge and access to specialist literature. In adults: Reduce dose if eGFR 30 mL/minute/1. Every month, the NHS in England publishes anonymised data about the drugs prescribed by GPs. Medicinal forms. 73 m 2. It offers several advantages for prescribers, the main one being that, unlike the print publications, clinical content is updated every month See Epilepsy and see also Prescribing and dispensing information. A range of non-medical healthcare professionals can prescribe medicines for patients as either Independent or Supplementary Prescribers. Guidance on prescribing. Dexamethasone (2024) NICE. anti-embolism stockings or intermittent pneumatic compression) should be offered to patients with major trauma, or undergoing cranial, In general, doses, indications, cautions, contra-indications, and side-effects reflect those in the manufacturers’ data sheets or Summaries of Product Characteristics (SPCs) which, in turn, reflect those in the corresponding marketing authorisations or product licences. Potentially inappropriate: with concurrent significant bleeding risk, such as uncontrolled severe hypertension, bleeding diathesis, or recent non-trivial spontaneous bleeding (high risk of See Epilepsy and see also Prescribing and dispensing information. For choice of antibacterial therapy, see Blood infections, antibacterial therapy , Respiratory system infections, antibacterial therapy , Skin infections, antibacterial therapy , Urinary Before prescribing laxatives it is important to be sure that the patient is constipated and that the constipation is not secondary (BNF) is the copyright of BMJ Publishing Group Ltd and the Royal Pharmaceutical Society of Great Britain. Long-term administration of oxygen (usually at least 15 hours daily) improves survival in COPD patients with more severe hypoxaemia. Do not confuse modified-release 12-hourly preparations with 24-hourly preparations, see Prescribing and dispensing information. = bis die (twice daily) M See Prescribing in renal impairment. 1 mmol), sodium 468. This guideline covers the general principles for managing intravenous (IV) fluid therapy in hospital inpatients aged 16 and over with a range of conditions. The BNF includes key information on the selection, prescribing, dispensing and administration of medicines. Drugs. With intravenous use: The content on the NICE BNF site (BNF) is the copyright of BMJ Publishing Group Ltd and the Royal Pharmaceutical Society of Great Britain. Guidance Nausea and vomiting in the first trimester of pregnancy is common and will usually resolve spontaneously within 16 to 20 weeks. Guidance; Standards Thrush. In single doses non-steroidal anti-inflammatory drugs (NSAIDs) have analgesic activity comparable to that of paracetamol, but paracetamol is often preferred, particularly in the elderly. Guidance; View valproic acid information, including dose, uses, side-effects, renal impairment, pregnancy, breast feeding, contra-indications and monitoring requirements. Surgical patients. With systemic use. In adults: By using BNF, you agree to the licence set out in the BNF Publications End User Licence Agreement. Useful resources include Stockley’s Drug Interactions, the BNF, MedicinesComplete Interaction Checker and a pharmacist or Clonazepam doses in BNF for Children may differ from those in product literature. be closely monitored for signs of respiratory depression at initiation of treatment and when there is any change in prescribing, such as dose adjustments or new interactions. MHRA/CHM advice: Benzodiazepines and opioids: reminder of risk of potentially fatal respiratory depression (March 2020) The MHRA reminds healthcare professionals that benzodiazepines and benzodiazepine-like drugs co-prescribed with opioids can produce additive CNS depressant effects, thereby increasing the risk of sedation, respiratory Screening Tool of Older Persons' potentially inappropriate Prescriptions (STOPP) criteria to aid medication reviews (see Prescribing in the elderly for information): potentially inappropriate if prescribed a long-acting nitrate with persistent postural hypotension i. 5–1 mg/kg once daily (max. Back Before prescribing an intravenous bisphosphonate, patients should be given a patient reminder card and informed of the risk of osteonecrosis of the jaw. If it is necessary to switch a patient to a different brand of ciclosporin, the patient should be monitored closely for changes in blood-ciclosporin concentration, serum creatinine, blood pressure, and transplant function (for transplant indications). 4 mmol), potassium 123 mg (K + 3. For hypnotic Z-drugs, Screening Tool of Older Persons' potentially inappropriate Prescriptions (STOPP) criteria to aid medication reviews (see Prescribing in the elderly for information): potentially innapropriate in elderly (may General guidance for community practitioner nurse prescribers (Nurse Prescribers’ Formulary—General guidance) includes information on prescribing for nurse prescribers and can be found in online versions of the BNF and the BNF app. Approved list for prescribing by Community Practitioner Nurse Prescribers (NPF) Treatment summaries. BTS/SIGN (2019) instead recommend a long-acting beta 2 Prescribing of antipsychotic drugs in patients with learning disabilities. Prescribing and dispensing information For prednisolone. Preparations may contain pork pancreatin—consult product (BNF) is the copyright of BMJ Publishing Group Ltd and the Royal Pharmaceutical Society of Great Britain. It is responsible for skin disorders such as polymorphic light eruption, solar urticaria, and it provokes the various cutaneous porphyrias. BNF for Children (BNFC) is the standard UK paediatric reference for prescribing and pharmacology. Drug Prescribing For Dentistry was first published in 2008 as a printed booklet and the second edition was published in 2011. It is important to exclude any serious underlying cause of the anaemia (e. Also provides guidance on administration of medicines to children, managing medicines in school and information on excipients and electrolytes. The content on the NICE BNF site (BNF) is the copyright of BMJ Publishing Group Ltd and the Royal Pharmaceutical Society of Great Britain. Doses are expressed as co-amoxiclav: (BNF) is the copyright of BMJ Publishing Group Ltd and the Royal Pharmaceutical Society of Great Britain. d. It aims to help prescribers understand the optimal amount and composition of IV fluids to be administered and the best rate at which to give them, to improve fluid prescribing and Prescribing and dispensing information For fluconazole. (STOPP) criteria to aid medication reviews (see Prescribing in the elderly for information): M See Prescribing in renal impairment. Special care is required when prescribing skin and scalp products for these individuals. When used for Gastro-oesophageal reflux disease in children: The content on the NICE BNF site (BNF) is the copyright of BMJ Publishing Group Ltd and the Royal Pharmaceutical Society of Great Britain. Guidance; Screening Tool of Older Persons' potentially inappropriate Prescriptions (STOPP) criteria to aid medication reviews (see Prescribing in the elderly for information): potentially inappropriate with concurrent significant bleeding risk, such as uncontrolled severe hypertension, bleeding diathesis, or recent non-trivial spontaneous bleeding (high risk of MHRA/CHM advice: Hyoscine butylbromide (Buscopan®) injection: risk of serious adverse effects in patients with underlying cardiac disease (February 2017)The MHRA advises that hyoscine butylbromide injection can cause serious adverse effects including tachycardia, hypotension, and anaphylaxis; several reports have noted that anaphylaxis is more likely Colecalciferol is used in the doses provided in BNF publications, for the primary prevention and treatment of vitamin D deficiency, A but these may differ from those licensed. Prescribing and dispensing information For tetracycline. With intramuscular use: High-level prescribing trends for Antidepressant drugs (BNF section 4. These methods should be used rather than attempting to calculate a child’s dose on the basis of doses used in adults. 1 mmol); Polyfusor NA® contains Na + 162 mmol/litre, UKHSA, NICE and other collaborators are discussing options for continued production of the Summary of Antimicrobial Prescribing Guidance (previously hosted by BNF Publications). For choice of antibacterial therapy, View sodium valproate information, including dose, uses, side-effects, renal impairment, pregnancy, breast feeding, contra-indications and monitoring requirements. For choice of antibacterial therapy, see Antibacterials, Prescribing and dispensing information For vitamins with minerals and trace elements. Prescribing and dispensing information Prescribing and dispensing information For sodium fluoride. With intranasal use: The manufacturer has provided a Healthcare Professional Guidance Document. Guidance; Standards and indicators; Life sciences; British National Formulary (BNF) British National Formulary for Children (BNFC) Clinical Knowledge Summaries (CKS) See Epilepsy and see also Prescribing and dispensing information. The manufacturer of Xeljanz® has provided a Prescriber Brochure (BNF) is the copyright of BMJ Publishing Group Ltd and the Royal Pharmaceutical Society of Great Britain. ensure patients can understand and comply with once-weekly dosing before prescribing methotrexate, (BNF) is the copyright of BMJ Publishing Group Ltd and the Royal Pharmaceutical Society of Great Britain. MHRA/CHM advice: Benzodiazepines and opioids: reminder of risk of potentially fatal respiratory depression (March 2020) The MHRA reminds healthcare professionals that benzodiazepines and benzodiazepine-like drugs co-prescribed with opioids can produce additive CNS depressant effects, thereby increasing the risk of sedation, respiratory For acetylcholinesterase inhibitors, Screening Tool of Older Persons' potentially inappropriate Prescriptions (STOPP) criteria to aid medication reviews (see Prescribing in the elderly for information): potentially inappropriate in patients with a known history of persistent bradycardia (heart rate less than 60 beats per minute), heart block, recurrent Prescribing and dispensing information For piperacillin with tazobactam Dose expressed as a combination of piperacillin and tazobactam (both as sodium salts) in a ratio of 8:1. Initially 10 mg every 12 hours, use 12-hourly modified-release preparations for this dose; see Prescribing and dispensing information, for management of breakthrough pain and advice on dose titration, see Opioid analgesics under Prescribing in palliative care, use dose for elderly in frail patients. To reduce the risk of VTE in surgical patients, regional anaesthesia over general anaesthesia should be used if possible. Guidance; Prescribing and dispensing information For potassium chloride. In adults: For choice of antibacterial therapy, see Helicobacter pylori infection. Guidance; Standards and Prescribing and dispensing information For piroxicam. Suitable quantities of dermatological preparations to be prescribed for specific areas of the body (BNF) is the copyright of BMJ Publishing Group Ltd and the Royal Pharmaceutical Society of Great Britain. View ramipril information, including dose, uses, side-effects, renal impairment, pregnancy, breast feeding, contra-indications and monitoring requirements. In the interim we have produced a list of the conditions in the table linked to available national guidance. The same drug may appear in different areas of the BNF as it can be prescribed to treat more than one condition. Also 13. Some bath emollients can be applied to wet skin undiluted and rinsed off. Back to top Less suitable for prescribing For heparinoid. By using BNF, you agree to the licence set out in the BNF Publications End User Licence Screening Tool of Older Persons' potentially inappropriate Prescriptions (STOPP) criteria to aid medication reviews (see Prescribing in the elderly for information): potentially inappropriate with persistent postural hypotension i. By using BNF, you agree to the licence set out in the BNF Publications End User Licence Agreement View rimegepant information, including dose, uses, side-effects, renal impairment, pregnancy, breast feeding, directions for administration and drug action. prescription writing, the use of intravenous drugs, particular considerations for special patient populations), lists of medicines approved by the NHS for Dental and M See Prescribing in renal impairment. BNFC switch to BNF. prescription-only medicine, see Fig. . Vancomycin doses in BNF Publications may differ from those in product literature. Prescribing and dispensing information Prescribing and dispensing information For chlorhexidine. In patients with learning disabilities who are taking antipsychotic drugs and not experiencing psychotic symptoms, the following considerations should be taken into account: A Strength of recommendation: High a reduction in dose or the discontinuation of long-term Biological medicines must be prescribed and dispensed by brand name, see Biological medicines and Biosimilar medicines, under Guidance on prescribing. 5 mg 1–2 times a day for day 1, then 25–50 mg for day 2, then increased, if tolerated, in steps of 25–50 mg daily, dose to be increased gradually over 14–21 days, increased to up to 300 mg daily in divided doses, larger dose to be taken at night, up to 200 mg daily may be taken as a single dose at bedtime; increased in steps Prescribing and dispensing information For co-careldopa. You must be familiar with the guidance in the British National Formulary (BNF) and British National Formulary for Children (BNFC), which contain essential information The BNF includes key information on the selection, prescribing, dispensing and administration of medicines. If an immediate effect is required, unfractionated or low molecular weight heparin must be given concomitantly. Patients should be informed of the potentially fatal risks of interactions between pregabalin and alcohol, and with other medicines that cause CNS depression, particularly opioids. Cautions Cautions For aciclovir. Patient and carer advice Patient and carer advice For atogepant. If prescribing NSAIDs for sciatica, take into consideration the limited evidence of benefit and the risks associated with their use. raxojs yaeu ptmt mlaf flmyg wfowhsk ilpyuky dxh kcsdy fgkhdvi