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17. Treatment of Poisoning

The County Durham & Darlington or Tees DO NOT PRESCRIBE List can be accessed online at: http://medicines.necsu.nhs.uk/guidelines/durhamdarlington or 
https://medicines.necsu.nhs.uk/guidelines/tees-guidelines/

The County Durham & Darlington or Tees GREY List – items to be prescribed in certain specific circumstances only can be accessed online at: http://medicines.necsu.nhs.uk/guidelines/durham-darlington or https://medicines.necsu.nhs.uk/guidelines/tees-guidelines/

CD&D Patient Decision Aids Resource available at: http://medicines.necsu.nhs.uk/guidelines/durham-darlington/

The use of emetics such as Ipecacuanha Mixture is no longer recommended.

Activated Charcoal
BNF | BNFC | SPC

Actidose Aqua Advance®
– 50g in 240ml suspension
Carbomix®
- 50g powder supplied in a bottle to which water is added to prepare a suspension

Acetylcysteine
BNF | BNFC | SPC

2g in 10ml injection

Methionine
BNF | BNFC | SPC

250mg & 500mg tablets u

Naloxone
BNF | BNFC | SPC

400 microgram injection - ampoules and prefilled syringes

Desferrioxamine
BNF | BNFC | SPC

500mg vials (for preparing injection and oral solution)

Atropine
BNF | BNFC | SPC
Calcium chloride
BNF | BNFC | SPC
Calcium folinate
BNF | BNFC | SPC
Calcium gluconate
BNF | BNFC | SPC
Calcium gluconate gel
BNF | BNFC | SPC
Dantrolene
BNF | BNFC | SPC
Flumazenil
BNF | BNFC | SPC
Glucagon
BNF | BNFC | SPC

When use for management of Beta-blocker toxicity

Methylthioninium chloride
BNF | BNFC | SPC

(methylene blue)

Phentolamine
BNF | BNFC | SPC
Sodium bicarbonate 8.4%
BNF | BNFC | SPC
Hydroxocobalamin (Cyanokit®)
BNF | BNFC | SPC
Sodium Nitrite
BNF | BNFC | SPC

3% 10ml injection (30mg/ml) u

Sodium Thiosulphate
BNF | BNFC | SPC

50% 10ml injection (500mg/ml) u

Dimercaprol
BNF | BNFC | SPC

100mg in 2ml injection

Penicillamine
BNF | BNFC | SPC

125mg and 250mg tablets

Sodium Calcium Edetate
BNF | BNFC | SPC

1g in 5ml injection

Adder Snakebite Antiserum
BNF | BNFC | SPC

(European Viper Antivenom)

Fomepizole
BNF | BNFC | SPC

100mg in 20ml injectionu

Ethanol (alcohol) injection
BNF | BNFC | SPC

Manufacturing supply issues
Fomepizole can be used as alternative