Padgate Medical Centre

Padgate Medical Centre, 12 Station Road South, Padgate, Warrington

Telephone: 01925 815333

CMICB-WAR.PadgateMC@nhs.net

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Urgent Prescription Request Policy

We experience a large volume of requests for prescription every day. In order to safely and efficiently carry this out we would like to make a policy of issuing acute prescriptions.

Medications other than the ones in this list will not be routinely issued on an urgent basis. Requests for routine prescription renewal would require 48 hours for the script to be processed for collection.

List of medication that would be issued urgently (please see policy below)

Group Name Brands
Reliever

Inhalers &

Nebuliser Solutions

Salbutamol Ventolin

Salamol

Airomir

Ipratropium Atrovent
Terbutaline Bricanyl
ALL Anticoagulants Warfarin
Apixiban Eliquis
Edoxaban Lixiana
Rivaroxaban Xarelto
Dabagatrin Pradaxa
Sinthrome
Dalteparin
Enoxaparin Clexane
Tinzaparin
Fragmin
Heparin
Anti – Epileptic Medication

 

ONLY FOR EPILEPSY

 

Not for pain management/ migraine etc.

Carbamazepine Tegretol/ Trileptal
Gabapentin
Lamotrigine Lamictal
Levetiracetam Keppra/ Desitrend
Phenobarbitone
Phenytoin Epanutin
Topiramate
Valproate Epilim/ Episenta/ Depakote/ Epival
Anti-Psychotic Medications

 

Schizophrenia/ Bipolar/ Psychosis

 

Aripiprazole
Haloperidol
Olanzapine Zalasta
Quetiapine Biquelle/ Seroquel/ Brancico/ Mintreleq/ Psyquet/ Atrolak
Risperidone Risperdal
Lithium
Parkinson’s Medication Co-Beneldopa Madopar
  Co-Careldopa Sinemet/ Caramet
  Levodopa Sastravi/ Stanek
Long Term Steroids

 

For patients who take steroids EVERY day, long term

 

Dexamethasone
Prednisolone
Fludrocortisone
Nitrates

&

Anti-Angina Medication

Glyceryl Trinitrate Spray Nitrolingual/ GTN spray
Isosorbide mononitrate Isodur/ Isotard/ Monomax/ Monomil XL
Isosorbide dinitrate Isoket Retard
Verapamil
Nicorandil
Ivabradine
Ranolazine
 

Anti-arrhythmic Drugs

 

For cardiac arrhythmias only

Not for treatment of hypertension only

 

(Not propranolol for anxiety)

 

Amiodarone
Flecanide
Sotolol
Verapamil Half Securon/ Univer
Digoxin
Diltiazem Adizem/ Dilzem
Propranolol
Atenolol
Palliative Care Medications Anticipatory Drugs

–          Diamorphine

–          Cyclizine

–          Levomepromazine

–          Glycopyronium

–          Midazolam

–          Water for Injection

Individual vials for subcutaneous administration by district nurses
Diabetic Medications

 

FOR TYPE 1 DIABETICS ONLY

All insulin
Needles
Test strips
Sharps Bin
Anaphlyaxis Injections Adrenaline 1:1000 Epipen

Epipen Junior

Min-I-Jet adrenaline

URGENT PRESCRIPTIONS REQUEST POLICY

Purpose

General Practice experiences a large volume of requests for prescriptions every day. In order to safely and efficiently undertake this function the East Cluster of General Practices has made a standard policy framework outlining the process and what drugs constitute and acute and urgent prescriptions. The management of urgent prescriptions support patients safely through less surgery interruptions and enabling the GPs to work uninterrupted.

Protocol

  • When urgent medication is requested practices must establish whether it is the fault of the practice and the script was not produced as requested or the patient has left the request too late.
  • If the practice establishes that this is not an error on the practices part, check against the provided list of medications classed by the Practice as urgent.
  • If the prescription is deemed to be urgent, explain to the patient that it will be ready by 6pm that day, if the request is deemed not to be urgent the patient will be informed the request will be ready within 48 hours and that this will have no detriment to their health.
  • Patients who repeatedly request their prescriptions on an urgent basis will receive a letter warning them that they must comply with the Practice’s Policy or potentially face removal from the Practice.
  • Patients should be reminded that requests for routine prescriptions should be made well in advance to avoid medical lapses.
  • Patients who do not comply with the policy will on the first occasion receive a confirmation slip reminding them of the process and on any subsequent occasion will receive a letter from the practice clearly statin the process and consequences of ignoring the policy.