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For secondary or tertiary care initiation and long-term maintenance of prescribing. Melatonin Colonis Pharma Ltd. Safety bulletin on meprobamate prescribing. Tablets Psychiatric specialist use For use in Learning Disabilities. May be initiated, stabilised and maintained in primary, secondary or tertiary care. By intramuscular or slow intravenous injection into a large vein Note: Only use intramuscular route when oral and intravenous routes not possible For intramuscular injection it should be diluted with an equal volume of water for injections or physiological saline but only use when oral and intravenous routes not possible See NICE NG Violence and Aggression: Short Term Management in Mental Health, Health and Community Settings.

See Primary care protocol for anxiety disorders. Self Care Medicine for primary care. Promethazine Hydrochloride. Licensed for narcolepsy with cataplexy under specialist supervision. First line choice for short-term management of severe insomnia that interferes with normal daily life, up to 4 weeks maximum. Clomethiazole Chlormethiazole.

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These problems can be minimizedeliminated by utilizing multi-disciplinary approaches to training and seeking support through Trust medicines management processes. be used. example through the Society and College of Radiographers website). should be made.

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The information that must be contained in all PGDs is listed below: Name of the business to which the direction applies; Date the direction comes into force and the date it expires; Description of the medicine(s) to which the direction applies; Class of health professional who may supply or administer the medicine; Signature of a doctor and a pharmacist; Signature on behalf of an appropriate organization; Clinical condition or situation to which the direction applies; Description of those patients excluded from treatment under the direction; Description of the circumstances in which further advice should be sought from a doctor, and arrangements for referral; Details of appropriate dosage and maximum total dosage, quantity, pharmaceutical form and strength, route and frequency of administration, and minimum or maximum period over which the medicine should be administered; Relevant warnings, including potential adverse reactions; Details of any necessary follow-up action; and the circumstances; Statement of the records to be kept for audit purposes.

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