netFormulary

North East and North Cumbria
ICS Formulary

4 Central nervous system

04-07-01 Non-opioid analgesics and compound analgesic preparations

Paracetamol

First Choice

Paracetamol 500mg tablets / soluble tablets
Paracetamol 1gram injection for IV infusion
- NoTGhdNC: approved for limited short-term use where oral and rectal routes cannot be used and NSAIDs are not appropriate in paediatric areas only, the 50ml formulation should be stocked.
Paracetamol suppositories
Licensed preparations include 60mg,125mg, 250mg, and 500mg suppositories are available in primary care.
unlicensed preparations include 15mg, 30mg, 60mg, 120mg, 240mg, and 500mg. These are used in NUTH.

Naproxen tablets

Formulary

Ibuprofen

Formulary

Aspirin

Formulary

Diclofenac

Formulary

Oral diclofenac is restricted to short-term use for post operative pain.
If long-term use is required diclofenac is only approved for 4th line treatment (see below):
- Ibuprofen low dose – first line treatment.
- Naproxen low dose – second line treatment.
- Naproxen high dose – third line treatment.
- Diclofenac – fourth line treatment.

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