health · nurse practitioner authority to possess, use, prescribe or supply poisons, restricted...

NSW Nurse Practitioner Formulary (revised October 2016)

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NSW GOVERNMENT

Health Nursing & Midwifery Office

For use by Nurse Practitioners employed within NSW Health facilities only

Approved October 2016 by the NSW Chief Nursing & Midwifery Officer as the delegate of the Secretary of Health under s21 of the Health Administration Act 1982 and in accordance with section 17A of the Poisons and Therapeutic Goods Act 1966

This formulary is for use in line with the Policy Directive Nurse Practitioners in NSW PD2012_026 and Implementation Guideline G12012_004 and outlines the poisons, restricted substances and drugs of addiction Nurse Practitioners employed within NSW Health facilities are authorised to possess, use, supply or prescribe for the purposes of the practice of nursing (scope of practice)

This formulary is not approved for use by Nurse Practitioners employed outside of NSW Health, for example in private practice. Nurse Practitioners employed in private practice are required to submit a formulary for approval, relevant to the scope of practice they have been educated and deemed competent to perform. Please contact the Nursing & Midwifery Office for further information and advice

Medications listed within this formulary may not be consistent with local hospital drug formularies. Nurse Practitioners should ensure that medications prescribed are consistent with hospital formularies, and if not, they will be required to follow local procedures to address the issue

If all medications a Nurse Practitioner wishes to prescribe are listed within this formulary, further approval at the local level is not required as per PD2012_026

Where additional medications are required, Nurse Practitioners are required to have these approved by the Local Health District Chief Executive as per PD2012_026

NSW GOVERNMENT Health

Approval of Nurse Practitioner Formulary relating to the functions of Nurse Practitioners

POISONS AND THERAPEUTICS GOODS ACT 1966

Section 17A

Nurse Practitioner Authority to Possess, Use, Prescribe or Supply Poisons, Restricted Substances and Drugs of Addiction for the purposes of

the practice of nursing.

I, Jacqui Cross, Chief Nursing and Midwifery Officer NSW, being the duly appointed delegate of the Secretary of the NSW Ministry of Health in accordance

with section 21 of the Health Administration Act 1982;

Do hereby approve the attached formulary pursuant to the provisions of section 17A (1B) of the Poisons and Therapeutics Goods Act 1966, I authorise

Nurse Practitioners while employed by NSW Health and according to their scope of practice, to possess, use, supply or prescribe this list of poisons,

restricted substances and drugs of addiction for the purposes of the practice of their profession as Nurse Practitioner.

Dated this201(-7- day of .C7CI7JtOe'V 201,C

(signature)

LAIA P--(SCJ (name)

NSW Nurse Practitioner Formulary October 2016 (medications revised in 2016 are listed in red)

To be utilised in conjunction with PD2012 026 and GL2012 004

DRUG CLASS NOTES

0.18% Sodium Chloride & 4% Glucose INTRAVENOUS FLUID

0.225% saline with 3.75% Dextrose INTRAVENOUS FLUID

0.45% sodium chloride with 5%

Dextrose INTRAVENOUS FLUID

0.9% sodium chloride INTRAVENOUS FLUID

0.9% sodium chloride & 2.5% Dextrose INTRAVENOUS FLUID

0.9% sodium chloride & 2.5% Dextrose

with 10 mmol KCI 500m1 INTRAVENOUS FLUID


with 20mmo1 KCI 1000ml INTRAVENOUS FLUID


with 40mmo1 KCI 1000m1 INTRAVENOUS FLUID

0.9% sodium chloride & 5% Dextrose INTRAVENOUS FLUID

NSW NURSING MIDWIFERY OFFICE - October 2016


To be utilised in conjunction with PD2012_026 and GL2012 004

0.9% sodium chloride & 5% Dextrose

with 10mmol KCI 500m1 INTRAVENOUS FLUID


with 20mmol KCI 1000m1 INTRAVENOUS FLUID


with 20mnno1 KCI 500m1 INTRAVENOUS FLUID


with 40mmo1 KCI 1000m1 INTRAVENOUS FLUID

ACAMPROSATE CALCIUM AGENTS USED IN DRUG DEPENDENCE

ACARBOSE HYPOGLYCAEMIC AGENTS

ACETAZOLAMIDE GLAUCOMA PREPARATIONS,

ANTICONVULSANTS, DIURETICS

ACICLOVIR ANTIVIRAL AGENTS

ACLIDINIUM + EFORMOTEROL DRUGS FOR ASTHMA AND CHRONIC

OBSTRUCTIVE PULMONARY DISEASE

ADAPALENE with BENZOYL PEROXIDE ACNE, KERATOLYTICS AND CLEANSERS



To be utilised in conjunction with PD2012 026 and GL2012_004

ADEFOVIR ANTIVIRAL AGENT

ADENOSINE ANTIARRHYTHMIC AGENT

ADRENALINE ADRENERGIC STIMULANTS, VASOPRESSOR

AGENT, BRONCHOSPASM RELAXANTS

AGAROL SUSPENSION LAXATIVE

ALBENDAZOLE ANTIHELMINTHIC

ALBUMIN 20% PLASMA VOLUME EXPANDER

ALBUMIN 4% PLASMA VOLUME EXPANDER

ALENDRONIC ACID AGENTS AFFECTING CALCIUM AND BONE

METABOLISM

ALENDRONIC ACID - CHOLECALCIFEROL AGENTS AFFECTING CALCIUM AND BONE

METABOLISM

ALENDRONATE ACID - COLECALCIFEROL

and CALCIUM CARBONATE

AGENTS AFFECTING CALCIUM AND BONE

METABOLISM




ALLOPURINOL AGENTS USED IN GOUT AND

HYPERURICAEMIA

ALOGLIPTIN DPP-4 INHIBITOR

ALOGLIPTIN + METFORMIN HYPOGLYCAEMIC AGENTS

LINAGLIPTIN + METFORMIN HYPOGLYCAEMIC AGENTS

ALPRAZOLAM ANTI ANXIETY AGENT

ALUMINIUM HYDROXIDE with

MAGNESIUM HYDROXIDE HYPERACIDITY, REFLUX AND ULCERS

ALUMINIUM HYDROXIDE with

MAGNESIUM TRISILICATE and

MAGNESIUM HYDROXIDE

HYPERACIDITY, REFLUX AND ULCERS

AMANTADINE HYDROCHLORIDE MOVEMENT DISORDER, ANTIVIRAL AGENT

AMETHOCAINE HYDROCHLORIDE OCULAR DECONGESTANTS, ANAESTHETICS,

ANTI-INFLAMMATORIES

AMIKACIN AMINOGLYCOSIDE ANTIBACTERIAL


NSW Nurse Practitioner Formulary October 2016 (medications revised in 2016 are listed in red) To be utilised in conjunction with P02012 026 and GL2012 004

AMINO ACID FORMULA with FAT, CARBOHYDRATE,

VITAMINS, MINERALS and TRACE ELEMENTS without

PHENYLALANINE and TYROSINE, and supplemented

with DOCOSAHEXANOIC ACID

SUPPLEMENT

AMINO ACID FORMULA with VITAMINS

and MINERALS without LYSINE and low

in TRYPTOPHAN

SUPPLEMENT


and MINERALS without METHIONINE SUPPLEMENT

AMINO ACID FORMULA with VITAMINS and MINERALS

without METHIONINE, THREONINE and VALINE and low

in ISOLEUCINE

SUPPLEMENT


and MINERALS without PHENYLALANINE SUPPLEMENT


and MINERALS without PHENYLALANINE

and TYROSINE

SUPPLEMENT


and MINERALS without VALINE,

LEUCINE and ISOLEUCINE

SUPPLEMENT

AMINO ACID FORMULA with VITAMINS, MINERALS and

LONG CHAIN POLYUNSATURATED FATTY ACIDS without

PHENYLALANINE

SUPPLEMENT

AMINO ACID FORMULA without

PHENYLALANINE SUPPLEMENT

AMINO ACID SYNTHETIC FORMULA

supplemented with LONG CHAIN

POLYUNSATURATED FATTY ACIDS

SUPPLEMENT




AMINO ACID SYNTHETIC FORMULA supplemented with

LONG CHAIN POLYUNSATURATED FATLY ACIDS and

MEDIUM CHAIN TRIGLYCERIDES

SUPPLEMENT

AMINO ACIDS-SYNTHETIC, FORMULA SUPPLEMENT

AMINOPHYLLINE ADRENERGIC STIMULANT, VASOPRESSOR

AGENT

AMIODARONE HYDROCHLORIDE ANTIARRHYTHMIC AGENT

AMISULPRIDE ANTIPSYCHOTIC AGENT

AMITRIPTYLINE HYDROCHLORIDE ANTIDEPRESSANT

AMLODIPINE ANTIHYPERTENSIVE AGENT, ANTIANGINA

AGENT

AMLODIPINE with ATORVASTATIN HYPOLIPIDAEMIC AGENT,

ANTIHYPERTENSIVE AGENT

AMLODIPINE with VALSARTAN ANTIHYPERTENSIVE AGENT

AMLODIPINE with VALSARTAN and

HYDROCHLOROTHIAZIDE ANTIHYPERTENSIVE AGENT



To be utilised in conjunction with P02012_026 and GL2012_004

AMOXYCILLIN PENICILLINS

AMOXYCILLIN with CLAVULANIC ACID PENICILLINS

AMPHOTERICIN ANTI FUNGAL

AMPICILLIN PENICILLINS

ANASTROZOLE HORMONAL ANTINEOPLASTIC AGENT

ANCESTIM NONCYTOTOXIC AND SUPPORTIVE

THERAPY IMMUNOMODIFIERS

ANTI RhD IMMUNOGLOBULIN IMMUNOGLOBULIN BLOOD PRODUCT

APIXABAN ANTICOAGULANT, ANTITHROMBOTIC

APREPITANT NONCYTOTOXIC AND SUPPORTIVE

THERAPY, ANTIEMETIC, ANTINAUSEANT

ARGININE SUPPLEMENTAL AND ENTERAL NUTRITION




ARIPIPRAZOLE ANTI PSYCHOTIC AGENT

ARTEMETHER - LUMEFANTRINE ANTIMALARIAL

ARTESUNATE ANTIMALARIAL

ASENAPINE MALEATE ANTIPSYCHOTIC AGENT

ASPRIN SIMPLE ANALGESIC, ANTICOAGULANT,

ANTITHROMBOTIC

ASPRIN with CODEINE PHOSPHATE COMBINATION ANALGESIC

ATENOLOL BETA-ADRENERGIC BLOCKING AGENT

ATORVASTATIN HYPOLIPIDAEMIC AGENT

ATOVAQUONE ANTIPROTOZOAL

ATOVAQUONE with PROGUANIL

HYDROCHLORIDE ANTI PROTOZOAL



To be utilised in conjunction with PD2012_026 and GL2012_004

ATROPINE SULFATE

CHOLINERGIC AND ANTICHOLINERGIC,

DETOXIFYING AGENT, ANTIDOTE,

MYDRIATIC, CYCLOPLEGIC, MIOTIC

AURANOFIN ANTIRHEUMATOID AGENT

AZATHIOPRINE IMMUNOMODIFIER

AZITHROMYCIN MACROLIDE

BACLOFEN MUSCLE RELAXANT, NEUROMUSCULAR

AGENT

BALSALAZIDE SODIUM ANTIDIARRHOEAL

BASILIXIMAB IMMUNOMODIFIER

BCG VACCINE VACCINE

BECLOMETHASONE DIPROPIONATE

TOPICAL NASOPHARYNGEAL MEDICATION,

PREVENTATIVE AEROSOLS AND

IN

BENZATHINE BENZYLPENICILLIN PENICILLINS



To be utilised in conjunction with P02012_026 and GL2012 004

BENZHEXOL HYDROCHLORIDE ANTIMUSCARINIC (MOVEMENT

DISPORDERS)

BENZTROPINE MESYLATE ANTICHOLINERGIC (MOVEMENT

DISPORDERS)

BENZYDAMINE HYDROCHLORIDE TOPICAL OROPHARYNGEAL MEDICATION

BENZYLPENICILLIN PENICILLINS

BETAXOLOL GLAUCOMA PREPARATIONS

BETAMETHASONE ACETATE with

BETAMETHASONE SODIUM PHOSPHATE AFRENAL STEROID HORMONES

BETAMETHASONE DIPROPIONATE

CREAM TOPICAL CORTICOSTEROIDS

BETAMETHASONE VALERATE CREAM TOPICAL CORTICOSTEROIDS

BETHANECHOL CHLORIDE

BLADDER FUNCTION DISORDERS,

CHOLINERGIC AND ANTICHOLINERGIC

AGENTS

BICALUTAMIDE HORMONAL ANTINEOPLASTIC AGENTS




BIPERIDEN HYDROCHLORIDE ANTICHOLINERGIC (MOVEMENT

DISPORDERS)

BISACODYL LAXATIVES

BISOPROLOL FUMARATE BETA-ADRENERGIC BLOCKING AGENTS

BOOSTRIX COMBINED DIPTHERIA, TETANUS,

ACELLULAR PERTUSSIS (dTpa) VACCINE

BROMOCRIPTINE PITUITARY HORMONES, MOVEMENT

DISORDERS

BUDESONIDE TOPICAL GLUCOCORTICOSTEROID, TOPICAL

NASOPHARYNGEAL MEDICATION

BUDESONIDE with EFORMOTEROL

FUMARATE DIHYDRATE

CORTICOSTEROID & LONG ACTING BETA 2

AGONIST, PREVENTATIVE AEROSOLS AND

INHALATIONS

BUPIVACAINE ANAESTHETICS - LOCAL AND GENERAL

BUPRENORPHINE AGENTS USED IN DRUG DEPENDENCE NOTE: ONLY TO BE PRESCRIBED BY NPS AUTHORISED TO PRESCRIBE BY NSW MOH

BUPRENORPHINE PATCH

PREPARATIONS NARCOTIC ANALGESIC




BUPRENORPHINE with NALOXONE AGENTS USED IN DRUG DEPENDENCE NOTE: ONLY TO BE PRESCRIBED BY NPS AUTHORISED TO PRESCRIBE BY NSW MOH

BUPROPION HYDROCHLORIDE AGENTS USED IN DRUG DEPENDENCE

CABERGOLINE MOVEMENT DISORDERS

CADEXOMER IODINE DRESSING, ANTIMICROBIAL LEG ULCER

PREPARATIONS

CAFFEINE BASE OTHER RESPIRATORY AGENTS

CAFFEINE CITRATE OTHER RESPIRATORY AGENTS

CALCIPOTRIOL

SYNTHETIC DERIVATIVE OF CALCITROL OR

VITAMIN D, PSORIASIS, SEBORRHOEA AND

ICHTHYOSIS

CALCIPOTRIOL with BETAMETHASONE

DIPROPIONATE

SYNTHETIC DERIVATIVE OF CALCITROL OR

VITAMIN D, PSORIASIS, SEBORRHOEA AND

ICHTHYOSIS, TOPICAL CORTICOSTEROID

CALCITRIOL AGENTS AFFECTING CALCIUM AND BONE

METABOLISM

CALCIUM MINERALS




CALCIUM CARBONATE MINERALS

CALCIUM GLUCONATE MINERALS

CANAGLIFLOZIN HYPOGLYCAEMIC AGENTS

CANDESARTAN CILEXETIL ANTIHYPERTENSIVE AGENTS

CAN DESARTAN CILEXETIL with

HYDROCHLOROTHIAZIDE ANTIHYPERTENSIVE AGENTS

CAPTOPRIL ANTIHYPERTENSIVE AGENTS

CARBAMAZEPINE ANTICONVULSANTS, ANTIPSYCHOTIC

AGENTS

CARBIMAZOLE THYROID HORMONES AND ANTITHYROID

AGENTS

CARBOHYDRATE, FAT, VITAMINS,

MINERALS and TRACE ELEMENTS SUPPLEMENTS

CARBOMER OCULAR LUBRICANTS




CARBOMER 974 OCULAR LUBRICANTS

CARMELLOSE SODIUM OCULAR LUBRICANTS

CARMELLOSE SODIUM with GLYCERIN OCULAR LUBRICANTS

CARVEDILOL BETA-ADRENERGIC BLOCKING AGENTS

CEFACLOR CEPHALOSPORINS

CEFALOTIN CEPHALOSPORINS

CEFEPIME CEPHALOSPORINS

CEFOTAXIME CEPHALOSPORINS

CEFTRIAXONE CEPHALOSPORINS

CELECOXIB NONSTEROIDAL ANTI-INFLAMMATORY

AGENTS




CEPHALEXIN CEPHALOSPORINS

CEPHAZOLIN CEPHALOSPORINS

CETIRIZINE HYDROCHLORIDE ANTI HISTAMINE

CHLORAL HYDRATE SEDATIVE AGENTS

CHLORAMPHENICOL

TOPICAL OCULAR ANTI INFECTIVE

PREPARATION, TOPICAL OTIC ANTI

INFECTIVE PREPARATION

CHLORPROMAZINE HYDROCHLORIDE ANTIPSYCHOTIC AGENTS

CHLORTHALIDONE DIURETICS

CHOLESTYRAMINE HYPOLIPIDAEMIC AGENTS

CICLESONIDE


INHALATIONS, TOPICAL NASOPHARYNGEAL

MEDICATION

CIMETIDINE HYPERACIDITY, REFLUX AND ULCERS




CINACALCET AGENTS AFFECTING CALCIUM AND BONE

METABOLISM

CIPROFLOXACIN QUINOLONES

CITALOPRAM ANTIDEPRESSANT

CITRULLINE SUPPLEMENTAL AND ENTERAL NUTRITION

CLARITHROMYCIN MACROLIDES

CLINDAMYCIN

LINCOSAM IDE - OTHER ANTIBIOTICS AND

ANTI INFECTIVES, ACNE, KERATOLYTICS

AND CLEANSERS, TOPICAL ANTIBIOTICS

CLOMIPRAMINE HYDROCHLORIDE ANTIDEPRESSANTS

CLONAZEPAM ANTICONVULSANTS

CLONIDINE HYDROCHLORIDE ANTIMIGRAINE PREPARATIONS,

ANTIHYPERTENSIVE AGENTS

CLOPIDOGREL ANTICOAGULANTS, ANTITHROMBOTICS




CLOPIDOGREL with ASPIRIN ANTICOAGULANTS, ANTITHROMBOTICS

CLOTRIMAZOLE ANTIFUNGAL AGENTS, TOPICAL VAGINAL

MEDICATION

CLOTRIMAZOLE & HYDROCORTISONE

TOPICAL

ANTIFUNGAL AGENTS, TOPICAL VAGINAL

MEDICATION

COAL TAR - PREPARED PSORIASIS, SEBORRHOEA AND ICHTHYOSIS

CODEINE PHOSPHATE SIMPLE ANALGESICS

CODEINE PHOSPHATE with

PARACETAMOL SIMPLE COMBINATION ANALGESICS

COLCHICINE AGENHTS USED IN GOUT AND

HYPERURICAEMIA

CHOLECALCIFEROL MINERALS

COLESTIPOL HYDROCHLORIDE HYPOLIPIDAEMIC AGENTS

COLOXYL LAXATIVE




COLOXYL with SENNA LAXATIVE

CORTISONE ACETATE ADRENAL STEROID HORMONES

CRYOPRECIPITATE BLOOD PRODUCT

CYPROHEPTADINE HYDROCHLORIDE ANTIMIGRAINE PREPARATION,

ANTIHISTAMINE

CYCLIZINE ANTIHISTAMINE, ANTINAUSEANTS,

ANTIEMETICS

CYSTINE with CARBOHYDRATE SUPPLEMENTAL ENTERAL NUTRITION

DABIGATRAN ETEXI LATE ANTICOAGULANTS, ANTITHROMBOTICS

DACLATASVIR DIRECT ACTING ANTIVIRAL

DALTEPARIN SODIUM ANTICOAGULANTS, ANTITHROMBOTICS

DANAPAROID SODIUM ANTICOAGULANTS, ANTITHROMBOTICS




DANTROLENE SODIUM MUSCLE RELAXANTS, NEUROMUSCULAR

AGENTS

DAPAGLIFLOZIN HYPOGLYCAEMIC AGENTS

DAPAGLIFLOZIN + METFORMIN HYPOGLYCAEMIC AGENTS

DAPSONE ANTITUBERCULOTICS AND ANTILEPROTICS

DARBEPOETIN ALPHA HAEMOPOIETIC AGENTS

DARIFENACIN BLADDER FUNCTION DISORDERS

DENOSUMAB


METABOLISM, OTHER ANTINEOPLASTIC

AGENTS

DESLORATADINE ANTIHISTAMINE, ANTINAUSEANTS,

ANTIEMETICS

DESMOPRESSIN ACETATE PITUITARY HORMONES

DESVENLAFAXINE SUCCINATE ANTIDEPRESSANTS




DEXAMETHASONE SODIUM PHOSPHATE ADRENAL STEROID HORMONES

DEXAMETHASONE with FRAMYCETIN

SULFATE and GRAMICIDIN TOPICAL OTIC MEDICATION

DEXCHLORPHRENIRAMINE MALEATE ANTIHISTAMINE, ANTINAUSEANTS,

ANTIEMETICS

DIAZEPAM ANTIANXIETY AGENTS

DICLOFENAC SODIUM NONSTEROIDAL ANTI INFLAMMATORY

AGENTS

DICLOXACILLIN SODIUM PENICILLINS

DIGOXIN CARDIAC INOTROPIC AGENTS

DILTIAZEM HYDROCHLORIDE ANTIHYPERTENSIVE AGENTS, ANTIANGINA

AGENTS

DIPHENOXYLATE HYDROCHLORIDE -

ATROPINE SULFATE ANTIDIARRHOELS

DIPHTHERIA and TETANUS VACCINE,

ADSORBED VACCINE




DIPTHERIA, TETANUS, PERTUSSIS

VACCINE VACCINE

DIPTHERIA, TETANUS, PERTUSSIS,

HAEMOPHILUS, INFLUENZA B,

HEPATITIS B, POLIO VACCINE

VACCINE

DIPTHERIA, TETANUS, PERTUSSIS, POLIO

VACCINE VACCINE

DIPYRIDAMOLE OTHER CARDIOVASCULAR AGENTS

DIPYRIDAMOLE with ASPIRIN OTHER CARDIOVASCULAR AGENTS

DISODIUM ETIDRONATE AGENTS AFFECTING CALCIUM AND BONE

METABOLISM

DISODIUM ETIDRONATE and CALCIUM

CARBONATE


METABOLISM, ANTIHYPERCALCEMIC

DISODIUM PAMIDRONATE AGENTS AFFECTING CALCIUM AND BONE

METABOLISM

DISOPYRAM IDE ANTIARRHYTHMIC AGENTS

DISULFIRAM AGENTS USED IN DRUG DEPENDANCE



To be utilised in conjunction with P02012 026 and GL2012 004

DOBUTAMINE HYDROCHLORIDE ADRENERGIC STIMULANTS, VASOPRESSOR

AGENTS For use in critical care areas only

DOCUSATE SODIUM LAXATIVES

DOMPERIDONE ANTIEMETIC, ANTINAUSEANT

DONEPEZIL HYDROCHLORIDE OTHER SYMPATHETIC NERVOUS SYSTEM

AGENTS

DOPAMINE HYDROCHLORIDE ADRENERGIC STIMULANTS,

VASSORPRESSOR AGENTS For use in critical care areas only

DOTHIEPIN HYDROCHLORIDE ANTIDEPRESSANTS

DOXYCYCLINE TETRACYCLINES

DULOXETINE ANTIDEPRESSANTS

DUTASTERIDE BLADDER DYSFUNCTION DISORDERS

DUTASTERIDE with TAMSULOSIN BLADDER DYSFUNCTION DISORDERS




EFORMOTEROL FUMARATE DIHYDRATE PREVENTATIVE AEROSOLS AND

INHALATIONS

ELECTROLYTE REPLACEMENT (ORAL) ELECTROLYTES

ELECTROLYTE REPLACEMENT SOLUTION I.V. INFUSION

ELETRIPTAN HYDROBROMIDE ANTIMIGRAINE PREPARATION

EMPAGLIFLOZIN HYPOGLYCAEMIC AGENTS

ENALAPRIL MALEATE ANTIHYPERTENSIVE AGENT

ENALAPRIL MALEATE with

HYDROCHLOROTHIAZIDE ANTIHYPERTENSIVE AGENT

ENOXAPARIN SODIUM ANTICOAGULANTS, ANTITHROMBOTICS

ENTACAPONE MOVEMENT DISORDERS

ENTECAVIR MONOHYDRATE ANTIVIRAL




EPLERENONE DIRETICS, ANTIHYPERTENSIVE AGENTS

EPOETIN ALPHA HAEMOPOIETIC AGENTS

EPOETIN BETA HAEMOPOIETIC AGENTS

EPROSARTAN MESYLATE ANTIHYPERTENSIVE AGENTS

EPROSARTAN MESYLATE with


ERGOCALCIFEROL VITAMINS

ERYTHROMYCIN MACROLIDES

ERYTHROMYCIN ETHYL SUCCINATE MACROLIDES

ERYTHROMYCIN LACTOBIONATE MACROLIDES

ESCITALOPRAM ANTIDEPRESSANTS




ESOMEPRAZOLE HYPERACIDITY, REFLUX AND ULCERS

ESOMEPRAZOLE and CLARITHROMYCIN

and AMOXYCILLIN

HYPERACIDITY, REFLUX AND ULCERS,

OTHER ANTI INFECTIVES

ESSENTIAL AMINO ACIDS FORMULA SUPPLEMENTAL ENTERAL NUTRITION

ESSENTIAL AMINO ACIDS FORMULA

with MINERALS and VITAMIN C SUPPLEMENTAL ENTERAL NUTRITION

ESSENTIAL AMINO ACIDS FORMULA

with VITAMINS and MINERALS SUPPLEMENTAL ENTERAL NUTRITION

ETHACRYNIC ACID DIURETICS

ETHAMBUTOL HYDROCHLORIDE ANTITUBERCULOTICS AND ANTILEPROTICS

ETHINYOESTRADIOL - CYPROTERONE

ACETATE COMBINED ORAL CONTRACEPTIVE AGENTS

ETHINYLOESTRADIOL / DESOGESTREL COMBINED ORAL CONTRACEPTIVE AGENTS

ETHINYLOESTRADIOL / DIENOGEST COMBINED ORAL CONTRACEPTIVE AGENTS


NSW Nurse Practitioner Formulary October 2016 (medications revised in 2016 are listed in red) To be utilised in conjunction with PD2012 026 and GL2012 004

ETHINYLOESTRADIOL / DROSPIRENONE COMBINED ORAL CONTRACEPTIVE AGENTS

ETHINYLOESTRADIOL / ETONOGESTREL COMBINED ORAL CONTRACEPTIVE AGENT

ETHINYLOESTRADIOL / GESTODENE COMBINED ORAL CONTRACEPTIVE AGENT

ETHOSUXIMIDE ANTICONVULSANTS

ETONOGESTREL PROGESTOGEN ONLY CONTRACEPTIVE

AGENTS

EXEMESTANE HORMONAL ANTINEOPLASTIC AGENTS

EXENATIDE HYPOGLYCAEMIC AGENTS

TYPHOID VI

Polysaccharide Vaccine VACCINE

CHOLERA VACCINE

VACCINE

EZETIMIBE HYPOLIPIDAEMIC AGENTS




EZETIMIBE with SIMVASTATIN HYPOLIPIDAEMIC AGENTS

FAMCICLOVIR ANTIVIRAL AGENTS

FAMOTIDINE HYPERACIDITY, REFLUX AND ULCERS

FELODIPINE ANTIHYPERTENSIVE AGENTS

FENOFIBRATE HYPOLIPIDAEMIC AGENTS

FENTANYL NARCOTIC ANALGESIC

FERRIC CARBOXYMALTOSE DRUGS FOR ANAEMIAS

FERROUS FUMARATE - FOLIC ACID IRON

FERROUS SULFATE IRON

FEXOFENADINE HYDROCHLORIDE ANTI HISTAMINE




FILGRASTIM NONCYTOTOXIC AND SUPPORTIVE

THERAPY IMMUNOMODIFIERS

FINASTERIDE BLADDER DYSFUNCTION DISORDERS

FLECAINIDE ACETATE ANTIARRHYTHMIC AGENTS

FLUCLOXACILLIN PENICILLINS

FLUCONAZOLE ANTIFUNGAL AGENTS

FLUDROCORTISONE ACETATE ADRENAL STEROID HORMONES

FLUORESCEIN SODIUM OCULAR DIAGNOSITC PREPARATION

FLUOROMETHOLONE TOPICAL OCULAR STEROID PREPARATION

FLUOXETINE ANTIDEPRESSANT

FLUPENTHIXOL DECANOATE ANTIPSYCHOTIC AGENTS




FLURBIPROFEN

OCULAR DECONGESTANTS, ANAESTHETICS,

ANTI INFLAMMATORIES, MYDRIATICS,

CYCLOPLEGICS, MIOTICS

FLUTAMIDE HORMONAL ANTINEOPLASTIC AGENTS

FLUTICASONE with EFORMOTEROL PREVENTATIVE AEROSOLS AND

IN

FLUTICASONE PROPIONATE TOPICAL NASOPHARYNGEAL MEDICATION

FLUTICASONE PROPIONATE with

SALMETEROL XINAFOATE


INHALATIONS, BRONCHODILATOR

AEROSOLS AND INHALATIONS

FLUVASTATIN HYPOLIPIDAEMIC AGENTS

FLUVOXAMINE MALEATE ANTIDEPRESSANTS

FOLIC ACID VITAMINS

FONDAPARINUX SODIUM ANTICOAGULANTS, ANTITHROMBOTICS

FOSFOMYCIN ANTIBIOTIC




FOSINOPRIL SODIUM ANTIHYPERTENSIVE AGENTS

FOSINOPRIL SODIUM with


FRAMYCETIN SULFATE

TOPICAL OCULAR ANTI-INFECTIVE

PREPARATIONS, TOPICAL OTIC

PREPARATIONS

FROZEN PLASMA BLOOD PRODUCT

FRUSEMIDE DIURECTIC

GABAPENTIN ANTICONVULSANTS

GALANTAMINE OTHER CENTRAL NERVOUS SYSTEN AGENTS

GARDASIL HPV VACCINE, recombinant VACCINE

GELATIN - SUCCINYLATED I.V. INFUSION

GEMFIBROZIL HYPOLIPIDAEMIC AGENTS




GENTAMICIN AMINOGLYCOSIDE

GLIBENCLAMIDE HYPOGLYCAEMIC AGENTS

GLICLAZIDE HYPOGLYCAEMIC AGENTS

GLIMEPIRIDE HYPOGLYCAEMIC AGENTS

GLIPIZIDE HYPOGLYCAEMIC AGENTS

GLUCAGON HYDROCHLORIDE

DETOXIFYING AGENTS, ANTIDOTES,

RADIOGRAPHIC AGENTS AND BOWEL

PREPARATIONS

GLUCOSE I.V. infusion (5%), 1 L

GLUCOSE I.V. infusion (10%)

GLUCOSE I.V. infusion (5%)

GLUCOSE I.V. infusion




Glucose 50% ELECTROLYTE

GLYCEROL Suppositories LAXATIVE

GLYCERYL TRINITRATE ANTI ANGINA AGENTS

GLYCOPYRROLATE CHOLENERGIC AND ANTICHOLINERGIC

AGENTS

GLYCOPYRRONIUM BRONCHODILATOR AEROSOLS AND

INHALATIONS

GRANISETRON HYDROCHLORIDE

NONCYTOTOXIC AND SUPPORTIVE

THERAPY, ANTIEMETICS AND

ANTI NAUSEANTS

GRISEOFULVIN ANTIFUNGAL AGENTS

HAEMOPHILUS INFLUENZA TYPE B

VACCINE VACCINE

HALOPERIDOL ANTIPSYCHOTIC AGENTS

HALOPERIDOL DECANOATE ANTIPSYCHOTIC AGENTS




HARTMANN'S SOLUTION I.V Infusion

HEPITITIS B VACCINE VACCINE

HEPARIN SODIUM ANTICOAGULANTS, ANTITHROMBOTICS

HEPATITIS A VACCINE VACCINE

HEPATITIS B IMMUNOGLOBULIN IMMUNOGLOBULIN BLOOD PRODUCT

HEXAMINE HIPPURATE URINARY ANTISEPTICS, ALKALISERS AND

ACIDIFIERS

HAEMOPHILUS B CONJUGATE VACCINE VACCINE

HIGH FAT FORMULA with VITAMINS,

MINERALS and TRACE ELEMENTS and

low in PROTEIN and CARBOHYDRATE

SUPPLEMNTAL ENERAL NUTRITION

HOMATROPINE HYDROBROMIDE MYDRIATICS, CYCLOPLEGICS, MIOTICS

HYALURONIDASE SURGICAL ANTISEPTICS AND APPLICATIONS 1




HYDRALAZINE HYDROCHLORIDE ANTIHYPERTENSIVE AGENTS

HYDROXOCOBALAMIN PARENTERAL VITAMINS, MINERALS AND

NUTRITION


HYDROCHLOROTHIAZIDE with

AMILORIDE HYDROCHLORIDE ANTIHYPERTENSIVE AGENTS

HYDROCHLOROTHIAZIDE with

TRIAMTERENE DIURETIC

HYDROCORTISONE ACETATE TOPICAL CORTICOSTEROID

HYDROCORTISONE SODIUM SUCCINATE

HYDROMORPHONE HYDROCHLORIDE NARCOTIC ANALGESIC

HYDROXOCOBALAMIN PARENTERAL VITAMINS, MINERALS AND

NUTRITION

HYDROXYCHLOROQUINE SULFATE ANTIRHEUMATOID AGENTS,

ANTIMALARIALS




HYDROXYETHYL STARCH 130/0.4 I.V. Infusion

HYOSCINE BUTYLBROMIDE

ANISPASMODICS AND MOTILITY AGENTS,

RADIOGRAPHIC AGENTS AND BOWEL

PREPARATIONS

HYOSCINE HYDROBROMIDE ANTISPASMODICS AND MOTILITY AGENTS,

ANTINAUSEANTS, ANTIEMETICS

HYPERTONIC SALINE 3% PARENTERAL VITAMINS, MINERALS AND

NUTRITION

HYPROMELLOSE OCULAR LUBRICANTS

HYPROMELLOSE with CARBOMER 980 OCULAR LUBRICANTS

HYPROMELLOSE with DEXTRAN OCULAR LUBRICANTS

ALENDRONIC ACID AGENTS AFFECTING CALCIUM AND BONE

METABOLISM

IBUPROFEN NON STEROIDAL ANTI INFLAMMATORY

AGENTS

IMIPRAMINE HYDROCHLORIDE ANTIDEPRESSANTS




INDACATEROL BRONCHODILATOR AEROSOLS AND

IN

INDAPAMIDE HEMIHYDRATE ANTIHYPERTENSIVE AGENTS

INDOMETHACIN NON STEROIDAL ANTI INFLAMMATORY

AGENTS

HALMUFHILUS INFLULINLAL VALLINL -

DIPTHERIA TOXOID - HEPATITIS B

VACCINE - PERTUSSIS VACCINE -

Pf111(11VIVPI !TIC vArrinip _ TPTAMI IC

VACCINE

INFLUENZA VIRUS VACCINE VACCINE

INTRALIPID EMULSION FOR INFUSION PARENTERAL VITAMINS, MINERALS AND

NUTRITION

INSULIN ASPART INSULIN PREPARATION

INSULIN ASPART-INSULIN ASPART

PROTAMINE SUSPENSION INSULIN PREPARATION

INSULIN DETEMIR INSULIN PREPARATION

INSULIN GLARGINE INSULIN PREPARATION




INSULIN GLULISINE INSULIN PREPARATION

INSULIN ISOPHANE (N.P.H.) INSULIN PREPARATION

INSULIN LISPRO INSULIN PREPARATION

INSULIN LISPRO-INSULIN LISPRO

PROTAMINE SUSPENSION INSULIN PREPARATION

INSULIN NEUTRAL (Human / bovine) INSULIN PREPARATION

INSULIN NEUTRAL-INSULIN ISOPHANE

(N.P.H.), (MIXED) (Biphasic Isophane) INSULIN PREPARATION

INSULIN NEUTRAL-INSULIN ISOPHANE

(N.P.H.), (MIXED) (Biphasic Isophane) INSULIN PREPARATION

IPRATROPIUM BROMIDE BRONCHODILATOR AEROSOLS AND

IN

IRBESARTAN ANTIHYPERTENSIVE AGENTS

IRBESARTAN with





IRON POLYMALTOSE COMPLEX HAEMOPOIETIC AGENTS

IRON SUCROSE HAEMOPOIETIC AGENTS

ISOLEUCINE SUPPLEMENTAL ENTERAL NUTRITION

ISONIAZID ANTITUBERCULOTICS AND ANTILOPROTICS

ISOSORBIDE DINITRATE ANTIANGINA AGENTS

ISOSORBIDE MONONITRATE ANTIANGINA AGENTS

ITRACONAZOLE ANTIFUNGAL AGENTS

IVABRADINE ANTIANGINA AGENTS

IVERMECTIN ANTHELMINTICS

KETOCONAZOLE TOPICAL ANTIFUNGALS




KETAMINE HYDROCHLORIDE ANAESTHETICS - LOCAL AND GENERAL For use in critical care areas only

KETOPROFEN NONSTEROIDAL ANTI INFLAMMATORY

AGENTS

KETOROLOC NONSTEROIDAL ANTI INFLAMMATORY

AGENTS

PHYTOMENADIONE HAEMOSTATIC AGENTS, VITAMINS

LABETALOL HYDROCHLORIDE ANTIHYPERTENSIVE AGENTS

Adrenaline/Lignocaine/ Amethocaine ANAESTHETICS - LOCAL AND GENERAL

LACOSAMIDE ANTICONVULSANTS

LACTU LOSE LAXATIVE

LAMIVUDINE ANTIVIRAL AGENTS

LAMIVUDINE + ZIDOVUDINE ANTIVIRAL AGENTS




LAMOTRIGINE ANTICONVULSANTS

LANSOPRAZOLE HYPERACIDITY, REFLUX AND ULCERS

LANTHANUM DETOXIFYING AGENTS, ANTIDOTES

LATANOPROST GLAUCOMA PREPARATIONS

LEDIPASVIR+SOFOBUVIR DIRECT ACTING ANTIVIRAL

LENOGRASTIM NONCYTOXIC AND SUPPORTIVE THERAPY,

IMMUNOMODIFIERS

LEPIRUDIN ANTICOAGULANT, ANTITHROMBOTIC

LERCANIDIPINE HYDROCHLORIDE ANTIHYPERTENSIVE AGENT

LERCANIDIPINE HYDROCHLORIDE with

ENALAPRIL MALEATE ANTIHYPERTENSIVE AGENT

LETROZOLE HORMONAL ANTINEOPLASTIC AGENTS




LEVETIRACETAM ANTICONVULSANTS

LEVODOPA with BENSERAZIDE MOVEMENT DISORDERS

LEVODOPA with CARBIDOPA MOVEMENT DISORDERS

LEVODOPA with CARBIDOPA and

ENTACAPONE MOVEMENT DISORDERS

LEVOMEPROZINE ANTIPSYCHOTIC (USED IN PALLIATIVE CARE,

NAUSEA, VOMITING)

LEVONORGESTREL PROGESTOGEN ONLY CONTRACEPTIVE

AGENTS

LEVONORGESTREL with

ETHINYLOESTRADIOL COMBINATION CONTRACEPTIVE AGENTS

LIGNOCAINE & PRILOCAINE (EMLA) ANAESTHETICS - LOCAL AND GENERAL

LIGNOCAINE 1% with ADRENALINE ANAESTHETICS - LOCAL AND GENERAL

LIGNOCAINE 5%, PHENYLEPHRINE 0.5%

(Co-phenylcaine Forte Spray) ANAESTHETICS - LOCAL AND GENERAL



To be utilised in conjunction with P02012_026 and GL2012 004

LIGNOCAINE HYDROCHLORIDE 1% & 2% ANAESTHETICS - LOCAL AND GENERAL

LIGNOCAINE HYDROCHLORIDE ANTIARRHYTHMIC AGENT

LIGNOCAINE TRANSDERMAL PATCH ANAESTHETICS - LOCAL AND GENERAL

LINAGLIPTIN HYPOGLYCAEMIC AGENTS

LINCOMYCIN OTHER ANTIBIOTICS AND ANTI-INFECTIVES

LIOTHYRONINE SODIUM THYROID HORMONES AND ANTITHYROID

AGENTS

LIPOSOMAL AMPHOTERICIN ANTIFUNGAL AGENTS

LIRAGLUTIDE HYPOGLYCAEMIC AGENTS

LIQUID PARAFFIN LAXATIVES

LISINOPRIL ANTIHYPERTENSIVE AGENTS




LITHIUM CARBONATE ANTIPSYCHOTIC AGENTS

LOPERAMIDE HYDROCHLORIDE ANTIDIARRHOEALS

LORATADINE ANTI HISTAMINE

LORAZEPAM ANTIANXIETY AGENTS

LOSARTAN ANTIHYPERTENSIVE AGENTS

POTASSIUM CHLORIDE - SODIUM

CHLORIDE - SODIUM BICARBONATE

(MACROGOL 3350)

LAXATIVE

MAGNESIUM CHLORIDE ORAL AND PARENTERAL ELECTROLYTES

MAGNESIUM SULPHATE ORAL AND PARENTERAL ELECTROLYTES

MANNITOL DIURETICS

MEASLES, MUMPS, RUBELLA VACCINE

(MMR) VACCINE




MEDROXYPROGESTERONE ACETATE

GONADAL HORMONES, HORMONAL

ANTINEOPLASTIC AGENTS, PROGESTOGEN

ONLY CONTRACEPTIVES

MEFENAMIC ACID NON STEROIDAL ANTI INFLAMMATORY

AGENTS

MELATONIN SEDATIVES, HYPNOTICS

MELOXICAM NONSTEROIDAL ANTI INFLAMMATORY

AGENTS

MEMANTINE HYDROCHLORIDE OTHER CENTRAL NERVOUS SYSTEN AGENTS

NEISSERIA MENINGITDIS VACCINE VACCINE

MENINGOCCOCAL GROUP C VACCINE VACCINE

MEROPENEM OTHER ANTIBIOTICS AND ANTI INFECTIVES

MESALAZINE ANTIDIARRHOEALS

MESNA NONCYTOTOXIC AND SUPPORTIVE

THERAPY




METFORMIN HYDROCHLORIDE HYPOGLYCAEMIC AGENTS

METFORMIN HYDROCHLORIDE with

GLIBENCLAMIDE HYPOGLYCAEMIC AGENTS

METHADONE HYDROCHLORIDE AGENTS USED IN DRUG DEPENDENCE NOTE: ONLY TO BE PRESCRIBED IN OTP BY NPS AUTHORISED BY NSW M

METHADONE HYDROCHLORIDE OPIOID ANALGESIC FOR USE OUTSIDE OTP FOR MANAGEMENT OF SEVERE PAIN

METHOXY POLYETHYLENE GLYCOL-

EPOETIN BETA HAEMOPOITIC AGENTS

METHOXYFLUANE ANAESTHETICS - LOCAL AND GENERAL

METHYLDOPA ANTIHYPERTENSIVE AGENTS

METHYLNALTREXONE BROMIDE LAXATIVES

METHYLPHENIDATE HYDROCHLORIDE OTHER CENTRAL NERVOUS SYSTEM

AGENTS

METHYLPREDNISOLONE ADRENAL STEROID HORMONES




METHYLPREDNISOLONE ACEPONATE TOPICAL CORTICOSTEROIDS

METHYSERGIDE ANTIMIGRAINE PREPARATIONS

METOCLOPRAMIDE HYDROCHLORIDE

ANTIEMETICS, ANTINAUSEANTS,


THERAPY

METOPROLOL BETA-ADRENERGIC BLOCKING AGENTS

METRONIDAZOLE OTHER ANTIBIOTICS AND ANTI INFECTIVES

MIANSERIN HYDROCHLORIDE ANTIDEPRESSANTS

MICONAZOLE TOPICAL ANTIFUNGAL

MIDAZOLAM SEDATIVES, HYPNOTICS

MILK POWDER-LACTOSE FREE

FORMULA

LACTOSE-PREDIGESTED POWDER INFANT

FORMULA

MILK POWDER-LACTOSE MODIFIED LACTOSE-PREDIGESTED POWDER INFANT

FORMULA




MILK POWDER-SYNTHETIC LOW CALCIUM FORMULA

MILK PROTEIN and FAT FORMULA with

VITAMINS and MINERALS-

CARBOHYDRATE FREE

CARBOHYFRATE FREE COMPOUND

POWDER

MILRINONE CARDIAC INOTROPIC AGENTS

MINOCYCLINE HYDROCHLORIDE TETRACYLINE

MINOXIDIL OTHER DERMATOLOGICAL PREPARATIONS

MIRTAZAPINE ANTIDEPRESSANTS

MOCLOBEMIDE ANTIDEPRESSANTS

MOMETASONE FUROATE TOPICAL CORTICOSTEROIDS, TOPICAL

NASOPHARYNGEAL MEDICATION

MONTELUKAST SODIUM OTHER RESPIRATORY AGENTS

MORPHINE HYDROCHLORIDE NARCOTIC ANALGESICS



To be utilised in conjunction with P02012_ 026 and GL2012_004

MORPHINE SULFATE NARCOTIC ANALGESICS

MORPHINE TARTRATE NARCOTIC ANALGESICS

MOXIFLOXACIN QUINOLONES

MOXONIDINE ANTIHYPERTENSIVE AGENTS

MUPIROCIN

TOPICAL ANTISEPTICS, TOPICAL

NASOPHAYNGEAL MEDICATIONS, ANTI

INFECTIVES

NALOXONE HYDROCHLORIDE DETOXIFYING AGENTS, ANTIDOTE

NALTREXONE HYDROCHLORIDE DETOXIFYING AGENTS, ANTIDOTE

NAPROXEN SODIUM NONSTEROIDAL ANTI INFLAMMATORY

AGENTS

NARATRIPTAN ANTIMIGRAINE PREPARATION

NEBIVOLOL BETA-ADRENERGIC BLOCKING AGENTS




NEDOCROMIL SODIUM PREVENTATIVE AEROSOLS AND

IN

NEOMYCIN - GRAMICIDIN NYSTATIN -

TRIAMCINOLONE ACETONIDE TOPICAL OTIC MEDICATION

NICORANDIL ANTIANGINA AGENTS

NICOTINE AGENTS USED IN DRUG DEPENDANCE

NIFEDIPINE ANTIHYPERTENSIVE AGENTS, ANTIANGINAL

AGENTS

NILUTAMIDE HORMONAL ANTINEOPLASTIC AGENTS

NIMODIPINE ANTIHYPERTENSIVES

NITRAZEPAM SEDATIVES, HYPNOTICS

NITROFURANTOIN OTHER ANTIBIOTICS AND ANTI INFECTIVES

NITROUS OXIDE INHALED ANAESTHETIC




NIZATIDINE HYPERACIDITY, REFLUX AND ULCERS

NORADRENALINE For use in critical care areas only

NOMEGESRTOL / OESTRADIOL COMBINED ORAL CONTRACEPTIVE

NORETHISTERONE -

ETHINYLOESTRADIOL COMBINED ORAL CONTRACEPTIVE

NORETHISTERONE - MESTRANOL COMBINED ORAL CONTRACEPTIVE

NORFLOXACIN QUINOLONES

NORMAL HUMAN IMMUNOGLOBULIN IMMUNOGLOBULIN BLOOD PRODUCT

NORTRIPTYLINE HYDROCHLORIDE ANTIDEPRESSANTS

NYSTATIN TOPICAL OROPHARYNGEAL MEDICATION

OCTREOTIDE PITUITARY HORMONES




OESTRADIOL GONADAL HORMONES

OESTRADIOL - DROPSIRENONE COMBINED ORAL CONTRACEPTIVE

OESTRADIOL and OESTRADIOL with

DYDROGESTERONE GONADAL HORMONE

OESTRADIOL and OESTRADIOL with

NORETHISTERONE ACETATE GONADAL HORMONE

OESTRADIOL VALERATE GONADAL HORMONE

OESTRADIOL VALERATE - DIENOGEST COMBINED ORAL CONTRCEPTIVE

OESTRADIOL with NORETHISTERONE

ACETATE GONADAL HORMONE

OESTRIOL TOPICAL VAGINAL MEDICATION, GONADAL

HORMONES

OLANZAPINE ANTIPSYCHOTIC AGENTS

OLMESARTAN MEDOXOMIL ANTIHYPERTENSIVE AGENTS




OLMESARTAN MEDOXOMIL with


OLSALAZINE SODIUM ANTIDIARRHOEALS

OMEPRAZOLE HYPERACIDITY, REFLUX AND ULCERS

OMEPRAZOLE and CLARITHROMYCIN

and AMOXYCILLIN

HYPERACIDITY, REFLUX AND ULCERS, ANTI

INFECTIVES

ONDANSETRON ANTIEMETIC, ANTINAUSEANT

ORAL REHYDRATION SALTS HYPO OSMOLAR PRODUCTS

OSELTAMIVIR ANTIVIRAL AGENTS

OSMOTIC LAXATIVES LAXATIVES

OXAZEPAM ANTIANXIETY AGENTS

OXCARBAZEPINE ANTICONVULSANTS




OXPRENOLOL HYDROCHLORIDE BETA-ADRENERGIC BLOCKING AGENTS

OXYBUPROCAINE HYDROCHLORIDE ANAESTHETICS - LOCAL AND GENERAL

OXYBUTYNIN HYDROCHLORIDE BLADDER FUNCTION DISORDERS

OXYCODONE HYDROCHLORIDE NARCOTIC ANALGESIC

OXYCODONE HYDROCHLORIDE with

NALOXONE HYDROCHLORIDE NARCOTIC ANALGESIC

OXYGEN MEDICAL GAS

OXYMETAZOLINE HYDROCHLORIDE TOPICAL NASOPHARYNGEAL MEDICATION

PALIPERIDONE ANTIPSYCHOTIC AGENTS

PALONOSETRON HYDROCHLORIDE NONCYTOTOXIC AND SUPPORTIVE

THERAPY

PARECOXIB SODIUM NONSTEROIDAL ANTI INFLAMMATORY




LIPASE - PROTEASE - AMYLASE DIGESTIVE SUPPLEMENTS AND

CHOLELITHOLYTICS

PANCRELIPASE - LIPASE - PROTEASE -

AMYLASE - DIGESTIVE SUPPLEMENTS AND CHOLELITHOLYTICS

PANCURONIUM NEUROMUSCULAR BLOCKING AGENTS For use in critical care areas only

PANTOPRAZOLE HYPERACIDITY, REFLUX AND ULCERS

PARACETAMOL SIMPLE ANALGESICS

PARACETAMOL & CODEINE SIMPLE COMBINATION ANALGESICS

PARAFFIN LAXATIVES

PARALDEHYDE SEDATIVES, HYPNOTICS

PAKEN I LKAL NU I KI I ION SOLO I IUN PKE-

MIXED DEXTROSE / AMINO ACID / LIPID

SOLUTIONS

PARENTERAL VITAMINS, MINERALS AND

NUTRITION

PARENERAL MULTIVITIMINS PARENTERAL VITAMINS, MINERALS AND

NUTRITION




PARICALCITOL VITAMINS

PAROXETINE ANTIDEPRESANTS, ANTIANXIETY AGENTS

PEGFILGRASTIM NONCYTOTOXIC AND SUPPORTIVE

THERAPY

PEGINTERFERON ALFA -2A

MONOTHERAPY IMMUNOMODIFIERS

PEGINTERFERON ALFA -2A in

combination with RIBAVIRIN IMMUNOMODIFIERS

PEGINTERFERON ALFA -2B in

combination with RIBAVIRIN IMMUNOMODIFIERS

PENICILLAMINE DETOXIFYING AGENTS, ANTIDOTES,

ANTIRHEUMATOID AGENTS

PENTAVITE VITAMINS

PERGOLIDE MESYLATE MOVEMENT DISORDERS

PERHEXILINE MALEATE ANTIANGINAL AGENTS




PERICYAZINE ANTIPSYCHOTIC AGENTS

PERINDOPRIL ANTIHYPERTENSIVE AGENTS

PERINDOPRIL with AMLODIPINE ANTIHYPERTENSIVE AGENTS

PERINDOPRIL with INDAPAMIDE

HEMIHYD RATE ANTIHYPERTENSIVE AGENTS

PERMETHRIN TOPICAL ANTI PARASITICS

PHENOBARBITONE ANTICONVULSANT, SEDATIVES AND

HYPNOTICS

PHENOXYBENZAMINE HYDROCHLORIDE PERIPHERAL VASODILATORS, BLADDER

FUNCTION DISORDERS

PHENOXYMETHYLPENICILLIN PENICILLINS

PHENYLALANINE with CARBOHYDRATE SUPPLEMENTAL ENTERAL NUTRITION

PHENYLEPHRINE HYDROCHLORIDE OCULAR DECONGESTANTS, ANAESTHETICS,

ANTI INFLAMMATORIES




PHENYTOIN ANTICONVULSANTS

PHOSPHATE MINERALS

PHOSPHATE SALTS ORAL AND PARENTERAL

PHYTOMENADIONE HAEMOSTATIC AGENTS, VITAMINS

PINDOLOL BETA-ADRENERGIC BLOCKING AGENTS

PIOGLITAZONE HYPOGLYCAEMIC AGENTS

PIPERACILLIN SODIUM: TAZOBACTAM

SODIUM PEN ICILLINS

PIROXICAM NONSTEROIDAL ANTI INFLAMMATORY

AGENTS

PIZOTIFEN MALATE ANTIMIGRAINE PREPARATIONS

PLATELETS BLOOD PRODUCT




PLERIXAFOR IMMUNOMODIFIERS

PNEUMOCOCCAL VACCINE,

POLYVALENT VACCINE

POLIO VACCINE VACCINE

POLYETHYLENE GLYCOL 400 OCULAR LUBRICANTS

POLYETHYLENE GLYCOL 400 with

PROPYLENE GLYCOL OCULAR LUBRICANTS

POLYETHYLENE GLYCOL LAXATIVES LAXATIVES

POLYGELINE PLASMA VOLUME EXPANDERS

POLYSTYRENE SULFONATE RESINS DETOXYFYING AGENTS, ANTIDOTES

POLYVINYL ALCOHOL EYE DROPS OCULAR LUBRICANTS

POSACONAZOLE ANTIFUNGAL AGENTS




POTASSIUM CHLORIDE ELECTROLYTES

POTASSIUM CHLORIDE with POTASSIUM

BICARBONATE ELECTROLYTES

POTASSIUM DIHYDROGEN PHOSPHATE ELECTROLYTES

PRAMIPEXOLE HYDROCHLORIDE Nonergot dopamine receptor agonist

PRASUGREL Anticoagulants, antithrombotic

PRAVASTATIN HYPOLIPIDAEMIC AGENTS

PRAZIQUANTEL ANTIHELMINTHIC

PRAZOSIN ANTIHYPERTENSIVE AGENT

PREDNISOLONE ADRENAL STEROID HORMONES

PREDNISOLONE ACETATE with

PHENYLEPHRINE HYDROCHLORIDE OPTHALMIC STEROID




PREDNISOLONE SODIUM PHOSPHATE

PREGABALIN ANTICONVULSANT

PNEUMOCOCCAL 13-VALENT

CONJUGATE VACCINE VACCINE

PRIMIDONE ANTICONVULSANT

COMBINED MEASLES, MUMPS AND

RUBELLA VACCINE VACCINE

PROBENECID AGENTS USED IN GOUT AND

HYPERURICAEMIA

PROCAINE PENICILLIN PENICILLINS

PROCHLORPERAZINE ANTIEMETICS, ANTINAUSEANTS

PROMETHAZINE ANTIHISTAMINE, ANTINAUSEANTS,

ANTIEMETICS

PROPANTHELINE BROMIDE ANTISPASMODICS AND MOTILITY AGENTS




PROPOFOL ANAESTHETICS - LOCAL AND GENERAL For use in critical care areas only

PROPRANOLOL HYDROCHLORIDE BETA-BLOCKING ADRENERGIC AGENTS

PROPYLTHIOURACIL THYROID HORMONES AND ANTITHYROID

AGENTS

PROTAMINE HAEMOSTATIC AGENTS

PROTEIN HYDROLYSATE FORMULA with

MEDIUM CHAIN TRIGLYCERIDES INFANT FORMULA

PURIFIED PROTEIN DERIVATIVE (PPD) DIAGNOSTIC ANTIGEN

PYRANTEL EMBONATE ANTHELMINTICS

PYRAZINAMIDE ANTITUBERCULOTIC

PYRIDOXINE VITAMINS

PYRIMETHAMINE OTHER ANTIBIOTICS AND ANTI INFECTIVES




QUETIAPINE ANTI PSYCHOTIC AGENTS

QUINAPRIL ANTIHYPERTENSIVE AGENTS

QUINAPRIL HYDROCHLORIDE with


QUININE SULFATE ANTIMALARIALS

RABEPRAZOLE SODIUM HYPERACIDITY, REFLUX AND ULCERS

RABIES IMMUNOGLOBULIN IMMUNOGLOBULIN BLOOD PRODUCT

RABIES VACCINE VACCINE

RALOXIFENE HYDROCHLORIDE AGENTS AFFECTING CALCIUM AND BONE

METABOLISM

RAMIPRIL ANTIHYPERTENSIVE AGENTS

RAMIPRIL with FELODIPINE ANTIHYPERTENSIVE AGENTS




RANITIDINE HYDROCHLORIDE HYPERACIDITY, REFLUC AND ULCERS

REBOXETINE MESILATE ANTIDEPRESSANT

RETEPLASE (Recombinant plasminogen

activator) FIBRINOLYTIC AGENTS

RIBAVIRIN DIRECT ACTING ANTIVIRAL

RIFABUTIN ANTITUBERCULOTIC AND ANTILEPROTICS

RIFAMPICIN ANTITUBERCULOTIC AND ANTILEPROTICS

RIFAXIMIN OTHER ANTIBIOTICS AND ANTI INFECTIVES

RILUZOLE OTHER CENTRAL NERVOUS SYSTEM

AGENTS

RISEDRONATE SODIUM AGENTS AFFECTING CALCIUM AND BONE

METABOLISM

RISEDRONATE SODIUM and CALCIUM

CARBONATE


METABOLISM




RISEDRONATE SODIUM and CALCIUM

CARBONATE with COLECALCIFEROL


METABOLISM

RISPERIDONE ANTIPSYCHOTIC AGENTS

RIVAROXABAN ANTICOAGULANTS, ANTITHROMBOTICS

RIVASTIGMINE OTHER CENTRAL NERVOUS SYSTEM

AGENTS

RIZATRIPTAN ANTIMIGRAINE PREPARATIONS

ROCURONIUM BROMIDE NEUROMUSCULAR BLOCKING AGENTS For use in critical care areas only

ROPIVACAINE ANAESTHETICS - LOCAL AND GENERAL

ROSIGLITAZONE HYPOGLYCAEMIC AGENTS

ROSIGLITAZONE with METFORMIN HYPOGLYCAEMIC AGENTS

ROSUVASTATIN HYPOLIPIDAEMIC AGENTS




ROTAVIRUS VACCINE VACCINE

ROXITHROMYCIN MACROLIDES

SALBUTAMOL SULFATE BRONCHODILATOR AEROSOLS AND

INHALATIONS

SALCATONIN AGENTS AFFECTING CALCIUM AND BONE

METABOLISM

SALMETEROL XINAFOATE




SALMETEROL/FLUTICASONE




SAXAGLIPTIN HYPOGLYCAEMIC AGENTS

SAXAGLIPTIN + METFORMIN HYPOGLYCAEMIC AGENTS

SELEGILINE HYDROCHLORIDE MOCEMENT DISORDERS

Selemite B MINERALS




SENNOSIDES LAXATIVES

SERTRALINE ANTIDEPRESSANTS

SEVELAMER HYDROCHLORIDE DETOXIFYING AGENTS AND ANTIDOTES

SILVER SULFADIAZINE TOPICAL ANTIBIOTICS

SIMVASTATIN HYPOLIPIDAEMIC AGENTS

SITAGLIPTIN HYPOGLYCAEMIC AGENTS

SITAGLIPTIN with METFORMIN HYPOGLYCAEMIC AGENTS

SODIUM ACID PHOSPHATE URINARY ANTISEPTICS, ALKALINISERS AND

ACIDIFIERS

SODIUM ALGINATE with CALCIUM

CARBONATE and SODIUM

BICARBONATE

HYPERACIDITY, REFLUX AND ULCERS

SODIUM AUROTHIOMALATE ANTIRHEUMATOID AGENTS




SODIUM BICARBONATE SYSTEM ALKALINIZER, ELECTROLYTES

SODIUM CHLORIDE COMPOUND I.V. infusion

SODIUM CHLORIDE I.V INFUSION I.V. infusion

SODIUM CHLORIDE with GLUCOSE 39

mmol-69 mmol (anhydrous) per 500 mL

(0.45%-2.5%), 500 mL

I.V. infusion


mmol-104 mmol (anhydrous) per 500

mL (0.225%-3.75%), 500 MI

I.V. infusion


mmol-222 mmol (anhydrous) per L

(0.18%-4%), 1 L

I.V. infusion

SODIUM CITROTARTATE URINARY ANTISEPTICS, ALKALINISERS AND

ACIDIFIERS

SODIUM CLODRONATE TETRAHYDRATE BONE METABOLISM

SODIUM CROMOGLYCATE OCULAR DECONGESTANTS, ANAESTHETICS,

ANTI INFLAMMATORIES

SODIUM DIATRIZOATE (ISOSCAN) CONTRAST




SODIUM DIHYDROGEN PHOSPHATE ELECTROLYTES

SODIUM LACTATE COMPOUND OCULAR LUBRICANT

SODIUM NITROPRUSSIDE ANTIHYPERTENSIVE AGENTS

SODIUM PHOSPHATE LAXATIVE

SODIUM SELENATE PARENTERAL VITAMINS, MINDERALS AND

NUTRITION

SODIUM SUCCINATE LAXATIVE

SODIUM VALPROATE ANTICONVULSANTS, ANTI PSYCHOTICS

SOFOSBUVIR DIRECT ACTING ANTIVIRAL

SORAFENIB OTHER ANTINEOPLASTIC AGENTS

SORBITOL with SODIUM CITRATE and

SODIUM LAURYL SULFOACETATE LAXATIVES




SORBITOL with SODIUM CITRATE and

SODIUM LAURYL SULFOACETATE LAXATIVES

SOTALOL HYDROCHLORIDE ANTIARRHYTHMIC AGENTS

SOY LECITHIN OCULAR LUBRICANT

SOY PROTEIN and FAT FORMULA with

VITAMINS and MINERALS-

CARBOHYDRATE FREE

SUPPLEMENT

SPIRONOLACTONE DIURETIC, GONADAL HORMONES

STRONTIUM RANELATE AGENTS AFFECTING BONE METABOLISM

SUCRALFATE HYPERACIDITY, REFLUX AND ULCERS

SUCROSE SOLUTION

SUXAMETHONIUM NEUROMUSCULAR BLOCKING AGENTS For use in critical care areas only

SULFAMETHOXAZOLE, TRIMETHOPRIM OTHER ANTIBIOTICS AND ANTI INFECTIVES




SULFASALAZINE ANTIDIARRHOEALS, ANTIRHEUMATOIDS

SULTHIAME ANTICONVULSANTS

SUMATRIPTAN ANTIMIGRAINE PREPARATIONS

TAPENTADOL NARCOTIC ANALGESIC

TAMOXIFEN CITRATE HORMONAL ANTINEOPLASTIC AGENTS

TAMSULOSIN HYDROCHLORIDE BLADDER DYSFUNCTION DISORDERS

TELMISARTAN ANTIHYPERTENSIVE AGENTS

TELMISARTAN with AMLODIPINE ANTIHYPERTENSIVE AGENTS

TELMISARTAN with


TEMAZEPAM SEDATIVES, HYPNOTICS




TENECTEPLASE FIBRINOLYTIC AGENTS

TENOFOVIR ANTIVIRAL AGENTS

TENOFOVIR + DISOPROXIL FUMERATE +

EMTRICITABINE ANTIVIRAL AGENTS

TERBINAFINE TOPICAL ANTIFUNGALS

TERBUTALINE SULFATE BRONCHSPASM RELAXANTS

TETRABENAZINE MOVEMENT DISORDERS

THEOPHYLLINE BRONCHSPASM RELAXANTS

THIAMINE HYDROCHLORIDE VITAMINS

THYROXINE SODIUM THYROID HORMONES AND ANTITHYROID

AGENTS

TIAGABINE HYDROCHLORIDE ANTICONVULSANTS




TIAPROFENIC ACID NONSTEROIDAL ANTI INFLAMMATORY

AGENTS

TICAGRELOR ANTICOAGULANTS, ANTITHROMBOTICS

TICARCILLIN with CLAVULANIC ACID PENICILLINS

TICLOPIDINE HYDROCHLORIDE ANTICOAGULANTS, ANTITHROMBOTICS

TILUDRONATE DISODIUM AGENTS AFFECTING CALCIUM AND BONE

METABOLISM

TIMOLOL & DORZOLAMIDE GLAUCOMA PREPARATIONS

TINIDAZOLE OTHER ANTIBIOTICS AND ANTI INFECTIVES

TIOTROPIUM BROMIDE




TIOTROPIUM + OLODATEROL DRUGS FOR CHRONIC OBSTRUCTIVE

PULMONARY DISEASE

TIROFIBAN HYDROCHLORIDE ANTICOGULANTS, ANTITHROMBOTICS




TOBRAMYCIN SULFATE AMINOGLYCOSIDE

TOLTERODINE TARTRATE ,

,

BLADDER DYSFUNCTION DISORDERS

TOPIRAMATE ANTICONVULSANTS

TRAMADOL HYDROCHLORIDE NARCOTIC ANALGESICS

TRANDOLAPRIL ANTIHYPERTENSIVE AGENTS

, TRANDOLAPRIL with VERAPAMIL

HYDROCHLORIDE ANTIHYPERTENSIVE AGENTS

TRANEXAMIC ACID HAEMOSTATIC AGENTS

TRIAMCINOLONE ACETONIDE TOPICAL CORTICOSTEROIDS

TRIAMCINOLONE ACETONIDE with

NEOMYCIN SULFATE, GRAMICIDIN and

NYSTATIN

OTIC ANTIBIOTIC PREPARATIONS

TRIFLUOPERAZINE HYDROCHLORIDE ANTIPSYCHOTIC AGENTS




TRIGLYCERIDES, LONG CHAIN with

GLUCOSE POLYMER SUPPLEMENTS ENTERAL NUTRITION

TRIGLYCERIDES, MEDIUM CHAIN SUPPLEMENTS ENTERAL NUTRITION

TRIGLYCERIDES, MEDIUM CHAIN and

LONG CHAIN with GLUCOSE POLYMER SUPPLEMENTS ENTERAL NUTRITION

TRIGLYCERIDES-MEDIUM CHAIN,

FORMULA SUPPLEMENTS ENTERAL NUTRITION

TRIMEPRAZINE ANTIHISTAMINE

TRIMETHOPRIM OTHER ANTIBIOTICS AND ANTI INFECTIVES

TRIMETHOPRIM with

SULFAMETHOXAZOLE OTHER ANTI BIOTICS AND ANTI INFECTIVES

TROPISETRON HYDROCHLORIDE


THERAPY, ANTIEMETICS AND

ANTI NAUSEANTS

TYROSINE VITAMINS AND MINERALS

ULIPRISTAL ACETATE ORAL CONTRACEPTIVE AGENT




URSODEOXYCHOLIC ACID DIGESTIVE SUPPLEMENTS AND

CHOLELITHOLYTIC

VALACICLOVIR ANTIVIRAL AGENTS

VALINE with CARBOHYDRATE SUPPLEMENTAL ENTERAL NUTRITION

VALSARTAN ANTIHYPERTENSIVE AGENTS

VALSARTAN with


VANCOMYCIN OTHER ANTIBIOTICS AND ANTI INFECTIVES

VARENICLINE AGETNS USED IN DRUG DEPENDENCE

VARICELLA ZOSTER VACCINE VACCINE

VARICELLA ZOSTER IMMUNOGLOBULIN IMMUNOGLOBULIN BLOOD PRODUCT

VECURONIUM NEUROMUSCULAR BLOCKING AGENTS For use in critical care areas only



To be utilised in conjunction with P02012 026 and GL2012_004

VENLAFAXINE HYDROCHLORIDE ANTIDEPRESSANTS

VERAPAMIL HYDROCHLORIDE ANTIHYPERTENSIVE AGENTS

VIGABATRIN ANTICONVULSANTS

VIEKIRA PAK (paritaprevir / ritonavir /

onnbitasvir / dasabuvir)

COMBINATION ANTIVIRAL THERAPY -

HEPATITIS C

VIEKIRA PAK - RBV ® (paritaprevir with

ritonavir with ombitasvir and dasabuvir

and ribavirin)

COMBINATION ANTIVIRAL THERAPY -

HEPATITIS C

VILDAGLIPTIN HYPOGLYCAEMIC AGENTS

VILDAGLIPTIN with METFORMIN HYPOGLYCAEMIC AGENTS

VITAMIN B1 VITAMIN

VITAMINS, MINERALS and TRACE

ELEMENTS with CARBOHYDRATE VITAMINS AND MINERALS

VORICONAZOLE ANTIFUNGAL AGENTS




WARFARIN SODIUM ANTICOAGULANT, ANTITHROMBOTICS

WHEY PROTEIN FORMULA supplemented with AMINO

ACIDS, LONG CHAIN POLYUNSATURATED FATTY ACIDS,

VITAMINS and MINERALS, and low in PROTEIN

PHOSPHATE, POTASSIUM and LACTOSE

SUPPLEMENTAL NUTRITION,

WHOLE BLOOD BLOOD PRODUCT

XYLOCAINE ANAESTHETICS - LOCAL AND GENERAL

ZIDOVUDINE ANTI VIRAL AGENTS

ZINCE CHLORIDE PARENTERAL VITAMINS, MINERALS AND

NUTRITION

ZIPRASIDONE HYDROCHLORIDE ANTIPSYCHOTIC AGENTS

1

ZOLEDRONIC ACID AGENTS AFFECTING CALCIUM AND BONE

METABOLISM

,

ZOLMITRIPTAN ANTIMIGRAINE PREPARATIONS

ZOLPIDEM

PSYCHOTROPIC DRUGS / DRUGS FOR

ANXIETY AND SLEEP DISPORDERS

i




ZONISAMIDE ANTICONVULSANTS

ZUCLOPENTHIXOL DECANOATE ANTIPSYCHOTIC AGENTS

ZOPICLONE PSYCHOTROPIC DRUGS! DRUGS FOR

ANXIETY AND SLEEP DISPORDERS


tilt NSW GOVERNMENT Health

Approval of Nurse Practitioner Formulary relating to the functions of Nurse Practitioners

POISONS AND THERAPEUTICS GOODS ACT 1966

Section 17A

Nurse Practitioner Authority to Possess, Use, Prescribe or Supply Poisons, Restricted Substances and Drugs of Addiction for the purposes of

the practice of nursing.

I, Jacqui Cross, Chief Nursing and Midwifery Officer NSW, being the duly appointed delegate of the Secretary of the NSW Ministry of Health in accordance

with section 21 of the Health Administration Act 1982;

Do hereby approve the attached formulary pursuant to the provisions of section 17A (18) of the Poisons and Therapeutics Goods Act 1966, I authorise

Nurse Practitioners while employed by NSW Health and according to their scope of practice, to possess, use, supply or prescribe this list of poisons,

restricted substances and drugs of addiction for the purposes of the practice of their profession as Nurse Practitioner.

Dated thisZ day of C7Cdrj1Oe,1/ 2014;

(signature)

071/t_ P---6 7j' -^ (name)

health · nurse practitioner authority to possess, use, prescribe or supply poisons, restricted...

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