Using transdermal patches safely in healthcare settings – SPS - Specialist Pharmacy Service – The first stop for professional medicines advice Click Here for further Information
Using transdermal patches safely - Apply a new patch
Apply a new patch to a different part of the body, once it has been confirmed that the patch has fallen off:
- Continue to change the patch on the usual day and time. e.g. if the patch is normally changed on a Monday and it falls off on Wednesday, replace it on Wednesday and change it as usual on Monday.
- Follow our advice on before application and during application.
- Consider using surgical adhesive tape (e.g., Micropore®) to the edges to help with patch adherence.
For information and Guidance for Pre-emptive Prescribing for the last days of life on SY MO website click here
For all information and guidance relating to Opioid Prescribing on the SY MO website click here
Pain relief
May cause constipation
| Pack | Price |
|---|---|
| 100 tablet | £2.71 |
| 28 tablet | £0.76 |
| Pack | Price |
|---|---|
| 100 tablet | £3.46 |
| 28 tablet | £0.97 |
Pain relief
Soluble tablets should only be prescribed when patient has swallowing difficulty.
Ensure it is safe to prescribe patient soluble tablets before prescribing
May cause constipation
| Pack | Price |
|---|---|
| 100 tablet | £7.44 |
| 32 tablet | £2.38 |
| Pack | Price |
|---|---|
| 100 tablet | £4.03 |
| 30 tablet | £1.21 |
Palliative Care
*Controlled Drug*
1st line in Pain relief in Palliative care see Pre-emptive Prescribing for last days of life
Ardens template available on systm1 and emis web
| Pack | Price |
|---|---|
| 10 ampoule | £7.92 |
| 5 ampoule |
Pain relief
*Controlled Drug*
| Pack | Price |
|---|---|
| 30 capsule | £0.64 |
| Pack | Price |
|---|---|
| 100 tablet | £13.33 |
Morphine Sulfate Capsules MR - Zomorph Brand
Pain relief
*Controlled Drug*
Prescribe as Zomorph in Primary Care - do not prescribe tablets
May cause constipation
| Pack | Price |
|---|---|
| 60 capsule (6 x 10 capsules) | £21.80 |
| Pack | Price |
|---|---|
| 60 capsule (6 x 10 capsules) | £3.47 |
| Pack | Price |
|---|---|
| 60 capsule (6 x 10 capsules) | £43.60 |
| Pack | Price |
|---|---|
| 60 capsule (6 x 10 capsules) | £8.30 |
| Pack | Price |
|---|---|
| 60 capsule (6 x 10 capsules) | £16.20 |
Instant release morphine preparation for Pain relief
*Controlled Drug*
May cause constipation
Palliative Care
*Controlled Drug*
2nd line in pain relief in Palliative care see Pre-emptive Prescribing for last days of life
Ardens template available on systm1 and emis web
| Pack | Price |
|---|---|
| 10 ampoule | |
| 5 ampoule | £11.00 |
| Pack | Price |
|---|---|
| 10 ampoule | |
| 5 ampoule | £16.00 |
Pain relief
*Controlled Drug*
Prescribe as Oxylan in Primary Care
| Pack | Price |
|---|---|
| 14 tablet | £1.95 |
| 56 tablet (4 x 14 tablets) | £5.32 |
| Pack | Price |
|---|---|
| 56 tablet (4 x 14 tablets) | £7.82 |
| Pack | Price |
|---|---|
| 56 tablet (4 x 14 tablets) | £9.84 |
| Pack | Price |
|---|---|
| 56 tablet (4 x 14 tablets) | £16.18 |
| Pack | Price |
|---|---|
| 56 tablet (4 x 14 tablets) | £21.17 |
| Pack | Price |
|---|---|
| 14 tablet | £1.95 |
| 28 tablet (2 x 14 tablets) | £2.66 |
| Pack | Price |
|---|---|
| 56 tablet (4 x 14 tablets) | £32.43 |
| Pack | Price |
|---|---|
| 56 tablet (4 x 14 tablets) | £42.62 |
Instant release morphine preparation for Pain relief
*Controlled Drug*
| Pack | Price |
|---|---|
| 250 ml | £5.46 |
Pain relief-For those patients uncontrolled on weak opioids where stronger opioids (e.g. Morphine) are either unsuitable or have been poorly tolerated, or where the
oral route is inappropriate.
Prescribe as Bunov / Sevodyne Brand in Primary Care
*Controlled Drug*
| Pack | Price |
|---|---|
| 4 patch | £8.96 |
| Pack | Price |
|---|---|
| 4 patch | £16.33 |
| Pack | Price |
|---|---|
| 4 patch | £4.99 |
| Pack | Price |
|---|---|
| 4 patch | £9.93 |
| Pack | Price |
|---|---|
| 4 patch | £15.48 |
| Pack | Price |
|---|---|
| 4 patch | £18.09 |
All indications (with exception of non-cancer pain)
*Controlled Drug*
Prescribe as Mezolar in Primary care
MHRA safety alert -Following a review of the risks associated with use of opioid medicines for non-cancer pain, the Commission on Human Medicines (CHM) has recommended that fentanyl transdermal patches are contraindicated in opioid-naïve patients in the UK.
| Pack | Price |
|---|---|
| 5 patch | £34.60 |
| Pack | Price |
|---|---|
| 5 patch |
| Pack | Price |
|---|---|
| 5 patch | £7.53 |
| Pack | Price |
|---|---|
| 5 patch |
| Pack | Price |
|---|---|
| 5 patch | £10.77 |
| Pack | Price |
|---|---|
| 5 patch | £15.46 |
| Pack | Price |
|---|---|
| 5 patch | £20.13 |
| Pack | Price |
|---|---|
| 5 patch | £28.07 |
Pain relief
*Hospital use only*
*Controlled Drug*
20ml syringes and 250ml infusion bags are available
Pain relief
*Hospital use only*
*Controlled Drug*
Pain relief
*Hospital Use Only*
*Controlled Drug*
Pain relief
*Hospital only drug*
*Controlled Drug*
Pain only when initiated by Palliative Care Service
*Controlled Drug*
Prescribing Guidance Click Here
This guidance has been developed in collaboration with the Palliative Care Team and relates to prescribing of oral or sub-cut injection in the management of pain.
NICE NG61 End of life care for infants, children and young people with life-limiting conditions: planning and management
Moderate to severe pain
*Controlled Drug*
Drug Safety Update
Tapentadol (Palexia): risk of seizures and reports of serotonin syndrome when co-administered with other medicines
Jan 2019
For palliative care and chronic pain patients only as 3rd line use as per Formulary guidance.
July 2013
| Pack | Price |
|---|---|
| 100 ml | £17.80 |
| Pack | Price |
|---|---|
| 28 tablet | £12.46 |
| Pack | Price |
|---|---|
| 28 tablet | £18.68 |
| 56 tablet | £37.37 |
Severe chronic pain
*Controlled Drug*
Drug Safety Update
Tapentadol (Palexia): risk of seizures and reports of serotonin syndrome when co-administered with other medicines
Jan 2019
For palliative care and chronic pain patients only as 3rd line use as per Formulary guidance.
July 2013
| Pack | Price |
|---|---|
| 56 tablet | £49.82 |
| Pack | Price |
|---|---|
| 56 tablet | £74.73 |
| Pack | Price |
|---|---|
| 56 tablet | £99.64 |
| Pack | Price |
|---|---|
| 56 tablet | £124.55 |
| Pack | Price |
|---|---|
| 28 tablet | £12.46 |
| 56 tablet | £24.91 |
Pain relief
*Controlled Drug*