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Palliative Care Formulary

Palliative Care Formulary

Robert Twycross | Andrew Wilcock | Paul Howard

(2016)

Additional Information

Book Details

Abstract

The fifth edition of our flagship publication (Palliative Care Formulary) is now available.  As well as including updated monographs, this new edition also contains selected information from the now discontinued Symptom Management in Advanced Cancer. Since the publication of PCF4 in 2011, every drug monograph has been reviewed and updated. Two new chapters cover variability in response to drugs (replaces chapter on Cytochrome P450) and the drug treatment of pruritus. To aid comparison, several sets of drug monographs have been streamlined into single generic monographs, notably Bisphosphonates, Cannabinoids, Haemostatics, LMWH, Opioid antagonists, Psychostimulants. Although written primarily with cancer patients in mind, PCF5 contains specific material relating to several other life-limiting diseases e.g. COPD, congestive heart failure, renal failure, and Parkinson's disease. PCF also includes a number of Quick Clinical Guides.

Table of Contents

Section Title Page Action Price
Contents 4
Quick Clinical Guides 8
Disclaimer 9
Editorial staff 10
Preface 13
About www.palliativedrugs.com 14
How PCF is constructed 15
Main changes in PCF5+ PDF 2016 17
Getting the most out of PCF 19
The use of medicinal products beyond (off-label) and without (unauthorized) marketing authorization 23
Drug names 31
Abbreviations 33
Part 1 Drug Monographs 38
1: Gastro-intestinal system 38
Antacids 38
Compound alginate products 41
Simeticone 42
Antimuscarinics 43
Quick Clinical Guide: Death rattle (noisy rattling breathing) 49
Glycopyrronium 50
Hyoscine butylbromide 54
Hyoscine hydrobromide 57
Propantheline 60
Orphenadrine 62
Prokinetics 64
H2-receptor antagonists 69
Proton pump inhibitors 73
Loperamide 78
Laxatives 82
Quick Clinical Guide: Opioid-induced constipation 86
Quick Clinical Guide: Bowel management in paraplegia and tetraplegia 88
Ispaghula (Psyllium) husk 89
Stimulant laxatives 90
Docusate sodium 94
Lactulose 96
Macrogols (polyethylene glycols) 98
Magnesium salts 101
Rectal products for constipation 103
Products for haemorrhoids 105
Pancreatin 107
2: Cardiovascular system 109
Furosemide 110
Spironolactone 117
Systemic local anaesthetics 121
*Clonidine 127
Glyceryl trinitrate 132
Nifedipine 137
Anticoagulants 140
Low molecular weight heparin (LMWH) 144
Quick Clinical Guide: Heparin-Induced Thrombocytopenia (HIT) 152
Haemostatics 153
3: Respiratory system 159
Bronchodilators 159
Ipratropium bromide 166
Tiotropium 168
Salbutamol 170
Inhaled long-acting b2 agonists (LABAs) 173
Theophylline 179
Inhaled corticosteroids 183
Oxygen 188
Drugs for cough 198
Mucolytics 201
Antitussives 203
4: Central nervous system 207
Psychotropics 207
Benzodiazepines 208
Diazepam 217
Midazolam 219
Clonazepam 223
Lorazepam 225
Melatonin 228
Antipsychotics 232
Haloperidol 242
Prochlorperazine 246
Levomepromazine 248
Olanzapine 251
Risperidone 254
Quetiapine 257
Antidepressants 260
Quick Clinical Guide: Depression 279
Amitriptyline 281
Nortriptyline 284
Selective serotonin re-uptake inhibitors 286
*Venlafaxine 291
Duloxetine 294
Mirtazapine 297
Trazodone 300
*Psychostimulants 303
*Cannabinoids 309
Anti-emetics 316
Quick Clinical Guide: Management of nausea and vomiting 322
Metoclopramide 324
Domperidone 329
Antihistaminic antimuscarinic anti-emetics 333
Quick Clinical Guide: Vertigo 336
5HT3 antagonists 338
Anti-epileptics 342
Gabapentin and pregabalin 359
Carbamazepine 365
Oxcarbazepine 369
Valproate 371
Levetiracetam 376
Phenobarbital 379
5: Analgesics 384
Principles of use of analgesics 384
Adjuvant analgesics 389
Paracetamol 394
Nefopam 402
Non-steroidal anti-inflammatory drugs (NSAIDs) 404
Celecoxib 426
Diclofenac sodium 430
Flurbiprofen 434
Ibuprofen 437
*Ketorolac trometamol 441
Naproxen 445
Nabumetone 448
Weak opioids 452
Codeine phosphate 454
Dihydrocodeine tartrate 457
Tramadol 459
Strong opioids 465
Morphine 483
Diamorphine 495
*Alfentanil 498
Quick Clinical Guide: Management of procedure-related pain 503
Buprenorphine 505
Quick Clinical Guide: Use of transdermal buprenorphine 515
Fentanyl 517
Quick Clinical Guide: Use of transdermal fentanyl patches 526
Fentanyl (transmucosal) 528
Hydromorphone 548
*Methadone 552
Quick Clinical Guide: Use of methadone for cancer pain 560
Oxycodone 562
Tapentadol 569
Opioid antagonists 572
6: Infections 582
Antibacterials in palliative care 582
Oropharyngeal candidosis 587
Metronidazole 591
Rifampicin 594
Urinary tract infections 598
Cellulitis in a lymphoedematous limb 604
Quick Clinical Guide: Cellulitis in lymphoedema 608
Clostridium difficile infection 610
7: Endocrine system and immunomodulation 615
Bisphosphonates 615
Systemic corticosteroids 627
Demeclocycline 640
Desmopressin 644
Drugs for diabetes mellitus 648
*Octreotide 662
Progestogens 669
Danazol 674
*Thalidomide 677
8: Urinary tract disorders 683
Tamsulosin 683
Oxybutynin 686
Methenamine hippurate 689
Cranberry juice 691
Catheter patency solutions 694
Discoloured urine 696
9: Nutrition and blood 698
Anaemia 698
Ferrous sulfate 700
Ascorbic acid (vitamin C) 702
Phytomenadione (vitamin K1) 704
Potassium 707
Magnesium 710
Zinc 718
10: Musculoskeletal and joint diseases 723
Depot corticosteroid injections 723
Rubefacients and other topical products 725
Skeletal muscle relaxants 731
Baclofen 735
Dantrolene sodium 738
Tizanidine 740
11: Ear, nose and oropharynx 742
Mouthwashes 742
Artificial saliva 744
Pilocarpine 746
Drugs for oral inflammation and ulceration 748
Cerumenolytics 753
12: Skin 755
Emollients 755
Topical antipruritics 764
Barrier products 769
13: Anaesthesia 772
*Ketamine 772
*Propofol 784
Part 2 General Topics 789
14: Guidance about prescribing in palliative care 789
15: Opioid dose conversion ratios 812
16: Drug treatment in the imminently dying 820
17: Pre-emptive prescribing in the community 832
18: Management of postoperative pain in opioid-dependent patients 837
19: Drugs and fitness to drive 840
20: Continuous subcutaneous drug infusions 845
21: Spinal analgesia 862
22: Drug administration to patients with swallowing difficulties or enteral feeding tubes 875
23: Nebulized drugs 901
24: Prolongation of the QT interval in palliative care 906
25: Variability in response to drugs 915
26: Drug-induced movement disorders 930
27: Anaphylaxis 935
28: Drugs for pruritus 940
29: Oral nutritional supplements 949
Appendices 966
A1: Obtaining unauthorized (unlicensed) products 966
A2: Taking controlled and prescription drugs to other countries 968
A3: Compatibility charts 970