Emergency Prescriptions

Purpose

Montpelier Health Centre experiences a large volume of requests for prescriptions every day. In order to safely and efficiently undertake this function Montpelier Health has made a standard policy framework outlining the process and what drugs constitute urgent prescriptions. The management of urgent prescriptions can help limit interruptions and allows for both Clinical and non-clinical staff to safely manage their workload.

Protocol

  • When urgent medication is requested Montpelier Health staff will establish whether it is the fault of the Practice and the script was not produced as requested, or whether the patient has left the request too late. If the former then this can be dealt with as ‘Urgent’
  • If the practice establishes that this is not an error on the Practice’ part, the Practice will check the request against the provided list of medications classed by the Practice as ‘Urgent’.
  • If the prescription is deemed to be urgent, it will be ready by 5pm that day (provided it is requested at least 1 hour prior to this) and sent via EPS to their nominated pharmacy.

Please note this is not a ‘while you wait’ service

  • Medications other than the ones in this list will not be routinely issued on an urgent basis. Requests for routine prescription renewal would require up to 48 hours for the prescription to be processed (often done quicker)
  • If a patient doesn’t wish to wait 48 hours to obtain a medicine which is not in the urgent list then they should be directed to the pharmacy to obtain an Emergency Supply of that medicine
  • Please note requests for routine prescriptions should be made 7-10 days in advance to avoid medical lapses.
  • Patients who do not comply with the policy will on the first occasion receive a SMS reminding them of the process and on any subsequent occasion will receive a letter from the practice clearly stating the process
  • All requests need to be in writing

List of medication that would be issued urgently:

Drug Name

Brand Name

Use/Group

Acenocoumarol

Sinthrome

Anti-Coagulants

Adrenaline 1:1000

Emerade/Epipen

Anaphylaxis

Amiodarone

Cordarone

Anti-Arrhythmia

Apixaban

Eliquis

Anti-Coagulants

Aripiprazole

Abilify/Arpoya

Anti-Psychotics

Atenolol

Anti-Arrhythmia

Belometasone/Formoterol

Fostair

Reliever inhalers and Nebulising Solutions

Budesonide/Formoterol

Symbicort

Reliever inhalers and Nebulising Solutions

Carbamazepine

Tegretol

Anti-Epileptics (not for pain)

Clobazam

Frisium

Anti-Epileptics (not for pain)

Co-Beneldopa

Madopar

Parkinsons

Co-Careldopa

Caramet/Sinemet

Parkinsons

Cyclizine

Palliative Care

Dabigatran

Pradaxa

Anti-Coagulants

Dexamethasone (oral)

Long Term/Daily Steroids

Diamorphine

Palliative Care

Digoxin

Lanoxin

Anti-Arrhythmia

Diltiazem

Adizem/Angitil/Dilzem/Tildem

Anti-Arrhythmia

Edoxaban

Lixiana

Anti-Coagulants

Enoxaparin

Clexane/Inhixa

Anti-Coagulants

Flecainide

Anti-Arrhythmia

Fludrocortisone (oral)

Long Term/Daily Steroids

Gabapentin

Neurontin

Anti-Epileptics (not for pain)

Glyceryl Trinitrate Spray

GTN/Nitrolingual

Anti-Angina

Glycopyrronium

Palliative Care

Haloperidol

Anti-Psychotics

Hydrocortisone (Injection)

Solu-Cortef

Adrenal Emergency

Hydrocortisone (oral)

Long Term/Daily Steroids

Insulin

Diabetes

Ipratropium

Atrovent/Inhalvent/Ipravent

Reliever inhalers and Nebulising Solutions

Isosorbide Dinitrate

Isoket Retard

Anti-Angina

Isosorbide Mononitrate

Ismo/Isodur/Isotard/Monomax/Monomil XL

Anti-Angina

Ivabradine

Procorolan

Anti-Angina

Lamotrigine

Lamictal

Anti-Epileptics (not for pain)

Levetiracetam

Keppra

Anti-Epileptics (not for pain)

Levodopa

Sastravi/Stalevo/Stanek

Parkinsons

Levomepromazine

Palliative Care

Lithium

Camcolit/Priadel

Anti-Psychotics

Midazolam

Palliative Care

Morphine

Palliative Care

Needles

Diabetes

Nicorandil

Ikorel

Anti-Angina

Olanzapine

Zalasta/Zyprexa

Anti-Psychotics

Oxcarbazepine

Trileptal

Anti-Epileptics (not for pain)

Phenobarbitone

Anti-Epileptics (not for pain)

Phenytoin

Epanutin

Anti-Epileptics (not for pain)

Prednisolone (oral)

Long Term/Daily Steroids

Propranolol (not for anxiety/migraines)

Bedranol

Anti-Arrhythmia

Quetiapine

Atrolak/Biquelle/Brancico/Mintreleq/Seroquel

Anti-Psychotics

Ranolazine

Ranexa

Anti-Angina

Risperidone

Risperdal

Anti-Psychotics

Rivaroxaban

Xarelto

Anti-Coagulants

Salbutamol

Airomir/Salamol/Ventolin

Reliever inhalers and Nebulising Solutions

Sharps Bin

Diabetes

Sotalol

Sotacor

Anti-Arrhythmia

Terbutaline

Bricanyl

Reliever inhalers and Nebulising Solutions

Test Strips

Diabetes

Topiramate

Topamax

Anti-Epileptics (not for pain)

Valproate

Epilim/Episenta/Epival

Anti-Epileptics (not for pain)

Verapamil

Securon/Verapress/Vera-Til/Vertab

Anti-Angina

Verapamil

Half Securon/Univer

Anti-Arrhythmia

Warfarin

Anti-Coagulants

Water for Injection

Palliative Care