test announcement
The following are the treatments for poisoning used in NHS Highland; stock in individual hospitals is held in agreement with Accident and Emergency consultant staff. Use will be in accordance with national guidance (www.toxbase.org) or in consultation with staff from the National Poisons Information Service (tel: 0344 892 0111).
MHRA advice: Intravenous N-acetylcysteine (NAC) for paracetamol overdose: reminder of authorised dose regimen; possible need for continued treatment with NAC (January 2017) (www.gov.uk).
Injection 2 grams/10mL (specialist use only)
Injection 600 micrograms/mL (specialist use only)
Pre-filled syringe 600 micrograms/mL (specialist use only)
Injection 10mmol/10mL (specialist use only)
MHRA advice: Calcium gluconate injection in small-volume glass containers: new contraindications due to aluminium exposure risk (December 2014) (www.gov.uk).
Injection 10% (10mL) (specialist use only)
Infusion 20% 500mL (specialist use only)
Tablets 4mg (specialist use only)
MHRA advice: Intravenous dantrolene: risk of undissolved crystals (December 2014) (www.gov.uk).
Injection 20mg (specialist use only)
Injection 500mg (specialist use only)
Powder for reconstitution for intravenous infusion (DigiFab®) 40mg/vial (specialist use only)
The disodium salt of folinic acid is stocked in Raigmore hospital in preference to the calcium salt.
Injection 400mg/8mL (specialist use only)
Injection (snake venom antiserum) unlicensed (specialist use only)
Injection 500 micrograms/5mL (specialist use only)
Injection 1 gram/mL unlicensed (specialist use only)
Injection (GlucaGen® HypoKit) 1mg (specialist use only)
Injection 5mg/5mL, 50mg/50mL (specialist use only)
MHRA advice: Vitamin B12 (hydroxocobalamin, cyanocobalamin): advise patients with known cobalt allergy to be vigilant for sensitivity reactions (December 2023) (www.gov.uk).
Injection (Cyanokit®) 5 grams (specialist use only)
Oral powder sachets 110 grams/sachet (VistaPrep®) (hospital use only)
Whole bowel irrigation (by means of a bowel cleansing preparation) has been used in poisoning with certain modified-release or enteric-coated formulations, in severe poisoning with iron and lithium salts, and if illicit drugs are carried in the gastro-intestinal tract (‘body-packing’). However, it is not clear that the procedure improves outcome and advice should be sought from the National Poisons Information Service.
See BNF - Poisoning, emergency treatment
Injection 1 gram/10mL (specialist use only)
MHRA advice: Methylthioninium chloride (methylene blue): update on central nervous system (CNS) toxicity (December 2014) (www.gov.uk).
Injection 50mg/10mL (specialist use only)
Injection 400 micrograms/mL (specialist use only)
Injection 50 micrograms/mL (specialist use only)
Injection 10mg/mL unlicensed (hospital use only)
Stock held in Raigmore Pharmacy Store.
Injection 1 gram (specialist use only)
Injection 10mg/2mL (specialist use only)
Infusion 1·26%, 8·4% (specialist use only)
NHS Improvement Patient Safety Alert:Risk of death from unintended administration of sodium nitrite (August 2020)
Solution for injection 30mg/ml
Injection 25% (250mg/mL) (specialist use only)
TAM (Treatments and Medicines) NHS Highland