British National Formulary 58: September 2009

0853698481......Page 1
Medicines information services......Page 2
Table of Contents......Page 5
Acknowledgements......Page 6
Joint Formulary Committee 2008–2009......Page 7
Nurses Prescribers’ Advisory Group 2008–2009......Page 8
How the BNF is constructed......Page 9
How to use the BNF......Page 11
Changes for this edition......Page 13
Late additions......Page 15
Name changes......Page 16
General guidance......Page 17
Prescription writing......Page 20
Emergency supply of medicines......Page 22
Controlled Drugs and drug dependence......Page 23
Adverse reactions to drugs......Page 27
Prescribing for children......Page 29
Prescribing in palliative care......Page 31
Prescribing for the elderly......Page 35
Prescribing in dental practice......Page 37
Drugs and sport......Page 42
Emergency treatment of poisoning......Page 43
1.1 Dyspepsia and gastro-oesophageal reflux disease......Page 53
1.2 Antispasmodics and other drugs altering gut motility......Page 57
1.3 Antisecretory drugs and mucosal protectants......Page 59
1.4 Acute diarrhoea......Page 66
1.5 Chronic bowel disorders......Page 68
1.6 Laxatives......Page 75
1.7 Local preparations for anal and rectal disorders......Page 83
1.8 Stoma care......Page 84
1.9 Drugs affecting intestinal secretions......Page 85
2.1 Positive inotropic drugs......Page 88
2.2 Diuretics......Page 90
2.3 Anti-arrhythmic drugs......Page 97
2.4 Beta-adrenoceptor blocking drugs......Page 102
2.5 Hypertension and heart failure......Page 109
2.6 Nitrates, calcium-channel blockers, and other antianginal drugs......Page 126
2.7 Sympathomimetics......Page 139
2.8 Anticoagulants and protamine......Page 141
2.9 Antiplatelet drugs......Page 149
2.10 Myocardial infarction and fibrinolysis......Page 153
2.11 Antifibrinolytic drugs and haemostatics......Page 156
2.12 Lipid-regulating drugs......Page 158
2.13 Local sclerosants......Page 165
3.1 Bronchodilators......Page 166
3.2 Corticosteroids......Page 181
3.3 Cromoglicate and related therapy and leukotriene receptor antagonists......Page 185
3.4 Antihistamines, hyposensitisation, and allergic emergencies......Page 187
3.5 Respiratory stimulants and pulmonary surfactants......Page 194
3.6 Oxygen......Page 195
3.7 Mucolytics......Page 197
3.9 Cough preparations......Page 198
3.10 Systemic nasal decongestants......Page 200
4.1 Hypnotics and anxiolytics......Page 201
4.2 Drugs used in psychoses and related disorders......Page 209
4.3 Antidepressant drugs......Page 224
4.4 CNS stimulants and drugs used for attention deficit hyperactivity disorder......Page 236
4.5 Drugs used in the treatment of obesity......Page 239
4.6 Drugs used in nausea and vertigo......Page 241
4.7 Analgesics......Page 248
4.8 Antiepileptic drugs......Page 268
4.9 Drugs used in parkinsonism and related disorders......Page 284
4.10 Drugs used in substance dependence......Page 295
4.11 Drugs for dementia......Page 301
5 Infections......Page 304
5.1 Antibacterial drugs......Page 305
5.2 Antifungal drugs......Page 348
5.3 Antiviral drugs......Page 355
5.4 Antiprotozoal drugs......Page 373
5.5 Anthelmintics......Page 385
6.1 Drugs used in diabetes......Page 388
6.2 Thyroid and antithyroid drugs......Page 407
6.3 Corticosteroids......Page 410
6.4 Sex hormones......Page 416
6.5 Hypothalamic and pituitary hormones and anti-oestrogens......Page 428
6.6 Drugs affecting bone metabolism\n......Page 435
6.7 Other endocrine drugs......Page 442
7.1 Drugs used in obstetrics......Page 450
7.2 Treatment of vaginal and vulval conditions......Page 456
7.3 Contraceptives......Page 459
7.4 Drugs for genito-urinary disorders......Page 471
8.1 Cytotoxic drugs......Page 481
8.2 Drugs affecting the immune response......Page 509
8.3 Sex hormones and hormone antagonists in malignant disease......Page 520
9.1 Anaemias and some other blood disorders......Page 528
9.2 Fluids and electrolytes......Page 542
9.3 Intravenous nutrition......Page 550
9.4 Oral nutrition......Page 556
9.5 Minerals......Page 557
9.6 Vitamins......Page 563
9.8 Metabolic disorders......Page 569
10.1 Drugs used in rheumatic diseases and gout......Page 575
10.2 Drugs used in neuromuscular disorders......Page 599
10.3 Drugs for the relief of soft-tissue inflammation......Page 603
11.1 Administration of drugs to the eye......Page 606
11.3 Anti-infective eye preparations......Page 607
11.4 Corticosteroids and other anti-inflammatory preparations......Page 609
11.5 Mydriatics and cycloplegics......Page 612
11.6 Treatment of glaucoma......Page 613
11.7 Local anaesthetics......Page 618
11.8 Miscellaneous ophthalmic preparations......Page 619
11.9 Contact lenses......Page 623
12.1 Drugs acting on the ear......Page 624
12 2 Drugs acting on the nose......Page 628
12.3 Drugs acting on the oropharynx......Page 632
13.1 Management of skin conditions......Page 640
13.2 Emollient and barrier preparations......Page 641
13.4 Topical corticosteroids......Page 646
13.5 Preparations for eczema and psoriasis......Page 653
13.6 Acne and rosacea......Page 662
13.7 Preparations for warts and calluses......Page 667
13.8 Sunscreens and camouflagers......Page 669
13.9 Shampoos and other preparations for scalp and hair conditions......Page 671
13.10 Anti-infective skin preparations......Page 672
13.11 Skin cleansers and antiseptics......Page 681
13.13 Topical circulatory preparations......Page 684
14.1 Active immunity......Page 685
14.4 Vaccines and antisera......Page 688
14.5 Immunoglobulins......Page 706
14.6 International travel......Page 711
15.1 General anaesthesia......Page 713
15.2 Local anaesthesia......Page 729
Appendix 1 Interactions......Page 736
Appendix 2 Liver disease......Page 820
Appendix 3 Renal impairment......Page 831
Appendix 4 Pregnancy......Page 847
Appendix 5 Breast-feeding......Page 868
Appendix 6 Intravenous additives......Page 883
Appendix 7 Borderline substances......Page 896
A7.1 Enteral feeds (non-disease specific)......Page 897
A7.2 Nutritional supplements (non-disease specific)......Page 903
A7.3 Specialised formulas......Page 910
A7.4 Feed supplements......Page 914
A7.6 Foods for special diets......Page 919
A7.7 Nutritional supplements\nfor metabolic diseases......Page 921
Appendix 8 Wound management products and elasticated garments......Page 927
A8.1 Basic wound contact dressings......Page 928
A8.2 Advanced wound dressings......Page 929
A8.3 Antimicrobial dressings......Page 935
A8.4 Specialised dressings......Page 938
A8.5 Adjunct dressings and appliances......Page 939
A8.7 Wound care acccessories......Page 940
A8.8 Bandages......Page 942
A8.9 Compression hosiery and garments......Page 946
Appendix 9 Cautionary and advisory labels for dispensed medicines......Page 948
Dental Practitioners’ Formulary......Page 963
Nurse Prescribers’ Formulary......Page 966
Non-medical prescribing......Page 970
Index of manufacturers......Page 971
Special-order Manufacturers......Page 985
Index......Page 987
Yellow card......Page 1027
Cardiovascular\nRisk Prediction Charts......Page 1029
Adult Advanced Life Support Algorithm......Page 1033
Medical emergencies in the community......Page 1034
Prescribing for children......Page 1037
Recommended wording of cautionary and advisory labels......Page 1038
E numbers......Page 1039