Important: Drugs in this section should be used only by doctors with anaesthetic training and should not be administered parenterally unless resuscitation equipment is available.
Bupivacaine
Bupivacaine hydrochloride
- Solution for injection 2.5mg in 1ml (0.25%), 25mg in 10ml ampoule
- Solution for injection 5mg in 1ml (0.5%), 50mg in 10ml ampoule
- Solution for injection 75mg in 10ml (0.75%) ampoule
- Solution for injection 300mg in 10ml (3%) ampoule (unlicensed) Pain Clinic only
- 312.5mg in 250ml (0.125% in NaCl 0.9%) (unlicensed) for epidural use
- 625mg in 500ml (0.125% in NaCl 0.9%) (unlicensed) for epidural/perineural block infusion
- 835mg in 500ml (0.167% in NaCl 0.9%) (unlicensed) for epidural/perineural block infusion
Bupivacaine with glucose
- Bupivacaine 20mg (0.5%) with glucose 320mg in 4ml spinal injection
Bupivacaine with adrenaline
- Solution for injection 25mg (0.5%) with adrenaline 50micrograms (1 in 200,000) in 10ml ampoule
- Solution for injection 50mg (0.5%) with adrenaline 50micrograms (1 in 200,000) in 10ml ampoule
Bupivacaine with fentanyl
- 0.1% with fentanyl 2 micrograms in 1ml 250ml, 500ml for epidural infusion
- 0.1% with fentanyl 1mg in 1ml, 500ml (unlicensed) for epidural infusion
Bupivacaine with diamorphine
- 0.167% with diamorphine 50micrograms in 1ml, 500ml (unlicensed) for epidural infusion
- Diamorphine 5mg and 10mg injection: supplies will be unpredictable for the foreseeable future (DSHC, March 2020). Contact the pharmacy department before prescribing to determine whether there is stock available
Chloroprocaine
Chloroprocaine hydrochloride
- Solution for injection 10mg in 1ml, 5ml ampoule
Levobupivacaine
Levobupivacaine
- Injection 2.5mg in 1ml (0.25%), 10ml ampoule
- Injection 2.5mg in 1ml (0.25%), 10ml ampoule overwrapped
- Injection 5mg in 1ml (0.5%), 10ml ampoule
- Injection 5mg in 1ml (0.5%), 10ml ampoule overwrapped
Lidocaine
Lidocaine preparations used for local anaesthesia, listed elsewhere in the formulary:
Lidocaine hydrochloride
- Solution for injection 20mg/2ml (1%) (£0.41 = 1 ampoule)
- Solution for injection 50mg/5ml (1%) (£0.60 = 1 ampoule)
- Solution for injection 100mg/5ml (2%) (£0.60 = 1 ampoule)
- Spray sugar free 10mg/dose (£6.29 = 50ml bottle)
- Ointment 5% (15g)
- Injection 50mg in 10ml (0.5%) vial
- Injection 200mg in 20ml (1%) ampoule
- Injection 200mg in 20ml (1%) vial preserved
- Injection 100mg in 5ml (2%) prefilled syringe
- Injection 400mg in 20ml (2%) ampoule
- Topical solution 4% (30ml) (unlicensed)
Lidocaine with adrenaline
- Solution for injection 10mg/1ml (1%) with adrenaline 5micrograms/1ml (1 in 200,000) (£1.93 = 20ml vial)
- Dental solution for injection cartridge 44mg in 2.2ml (2%) with adrenaline 27.5 micrograms in 2.2ml (1 in 80,000) (£0.66 = 1 cartridge)
- Injection 200mg (1%) with adrenaline 100 micrograms (1 in 200,000) in 20ml vial preserved
- Injection 400mg (2%) with adrenaline 100 micrograms (1 in 200,000) in 20ml vial preserved
Lidocaine with glucose
- IV infusion 1g (0.2%) with glucose 25g (5%) in 500ml
Lidocaine 5% with Phenylephrine 0.5%
Mepivacaine
Mepivacaine hydrochloride
- Solution for injection cartridge 66mg in 2.2ml (£0.68 = 1 cartridge)
Prilocaine
Prilocaine with felypressin
(30mg in 1ml (3%) with 0.03 units in 1ml)
- Solution for injection self aspirating cartridge 2.2ml
Prilocaine
- Injection 50mg (0.5%) 10ml ampoule unpreserved (unlicensed)
- Injection 10mg in 1ml (1%) 50ml multi-dose vial
Notes
- For Bier's Block 0.5% prilocaine must be used.
Ropivacaine
Ropivacaine
- Injection 7.5mg in 1ml, 10ml ampoule
Tetracaine
Tetracaine