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Many drugs used in Palliative Care are used outside of the Product Licence or recommendations of the Datasheets. There is wide experience of their use in Palliative Care. However, the responsibility for prescribing is taken by the Doctor or prescribing practitioner.
Practitioners should be aware when using drugs in a manner which falls outside of the product licence specification that they should be able to support their actions e.g with literature references. Further advice can be obtained from your local Hospital Drug Information Service. When in doubt, information should be checked against published literature or other specialist sources.
To keep the guidance succinct individual references have not been included.
However a major source of reference is:
‘Palliative Care Formulary’, Third Edition (PCF3)
Edits: Robert Twycross, Andrew Wilcock, Sarah Charlesworth and Andrew Dickman
Radcliffe Medical Press
For syringe driver information, the recommended resource is:
‘The Syringe Driver: Continuous subcutaneous infusions in Palliative Care’
Edits: Dickman A
Oxford University Press
For general information/guidelines for non-specialist doctors and nurses:
Palliative Adult Network Guidelines: Third Edition 2011
Edits: Matt Watson, Caroline Lucas, Andrew Hoy, Ian Back, Peter Armstrong
Useful drug information can be obtained at www.palliativedrugs.com.