S.I. No. 177/2020 - Medicinal Products (Prescription and Control of Supply) (Amendment) (No. 2) Regulations 2020


Notice of the making of this Statutory Instrument was published in

“Iris Oifigiúil” of 22nd May, 2020.

I, SIMON HARRIS, Minister for Health, in exercise of the powers conferred on me by section 32 (as amended by section 16 of the Irish Medicines Board (Miscellaneous Provisions) Act 2006 (No. 3 of 2006)) of the Irish Medicines Board Act 1995 (No. 29 of 1995), hereby make the following regulations:

1. (1) These Regulations may be cited as the Medicinal Products (Prescription and Control of Supply) (Amendment) (No. 2) Regulations 2020.

(2) The citation “the Medicinal Products (Prescription and Control of Supply) Regulations 2003 to 2020” includes these Regulations.

2. The Medicinal Products (Prescription and Control of Supply) Regulations 2003 ( S.I. No. 540 of 2003 ) are amended by substituting for the Seventh Schedule (as amended by Regulation 4 of the Medicinal Products (Prescription and Control of Supply) (Amendment) Regulations 2014 ( S.I. No. 300 of 2014 )) the following:

Seventh Schedule

Part 1

Medicinal Products which may be supplied to pre-hospital emergency care providers for use by advanced paramedics

(Regulation 20(8) (a))

Medicinal Product

Route of Administration

Conditions of Administration

Authority to Administer

Column 1

Column 2

Column 3

Column 4

Activated Charcoal

Oral

Adults and children: Poisoning.

According to CPG or on registered medical practitioner’s instructions.

Adenosine Solution for Injection

Intravenous

Adults: Supraventricular tachycardias (SVT).

According to CPG or on registered medical practitioner’s instructions.

Aminophylline

Intravenous

Adults and children: Acute severe asthma.

According to CPG or on registered medical practitioner’s instructions.

Amiodarone Injection

Intravenous

Adults and children: Cardiac arrest Tachyarrhythmia.

According to CPG or on registered medical practitioner’s instructions.

Aspirin (various oral dosage forms)

Oral

Adults: Acute Cardiac Syndrome

Decompression illness.

According to CPG or on registered medical practitioner’s instructions.

Atropine Injection

Intravenous Endotracheal

Adults and children: Cardiac arrest, Bradycardia, Poisoning.

According to CPG or on registered medical practitioner’s instructions.

Benzylpenicillin Injection

Intravenous Intramuscular

Adults and children: Suspected or confirmed sepsis.

According to CPG or on registered medical practitioner’s instructions.

Calcium Gluconate 10%

Intravenous Intramuscular

Adults and children: Hypotension, Hyperkalaemia, Cardiac arrest, Calcium Channel blocker toxicity, Hydrofluoric acid. inhalation.

According to CPG or on registered medical practitioner’s instructions.

Calcium Gluconate Gel

Topical

Adults and children: Hydrofluoric acid burns.

According to CPG or on registered medical practitioner’s instructions.

Cefotaxime Powder for Injection

Intravenous Intramuscular

Adults and children: Suspected or confirmed sepsis.

According to CPG or on registered medical practitioner’s instructions.

Ceftriaxone Powder for Injection

Intravenous Intramuscular

Adults and children: Suspected or confirmed sepsis.

According to CPG or on registered medical practitioner’s instructions.

Chlorphenamine Injection (otherwise Chlorpheniramine Injection)

Intravenous Intramuscular

Adults and children: Allergic reactions, Anaphylaxis.

According to CPG or on registered medical practitioner’s instructions.

Chlorphenamine (otherwise Chlorpheniramine) (various oral dosage forms)

Oral

Adults and children: Allergic reaction, Anaphylaxis.

According to CPG or on registered medical practitioner’s instructions.

Clopidogrel Tablets

Oral

Adults: Acute Coronary Syndrome.

According to CPG or on registered medical practitioner’s instructions.

Cyclizine Injection

Intramuscular Intravenous

Adults and children: To prevent or treat opiate induced nausea and vomiting, Anti emetic.

According to CPG or on registered medical practitioner’s instructions.

Dexamethasone Phosphate solution

Oral Intramuscular Intravenous

Children: Croup.

According to CPG or on registered medical practitioner’s instructions.

Dexamethasone (various oral dosage forms)

Oral

Children: Croup.

According to CPG or on registered medical practitioner’s instructions.

Dextrose 5% Solution for Infusion

Intravenous

Adults and children: Dilutant for medications.

According to CPG or on registered medical practitioner’s instructions.

Dextrose 10% Solution for Infusion

Intravenous

Adults and children: Hypoglycaemia, Dilutant for medications.

According to CPG or on registered medical practitioner’s instructions.

Diazepam Injection

Intravenous Intramuscular

Adults and children: Seizures, Sedation.

According to CPG or on registered medical practitioner’s instructions.

Diazepam Rectal Solution

Per rectum

Adults and children: Seizures.

According to CPG or on registered medical practitioner’s instructions.

Dobutamine (12.5 mg/ml) Concentrate for Infusion

Intravenous

Adults and children: Septic shock, Cardiogenic shock.

According to CPG or on registered medical practitioner’s instructions.

Dopamine Hydrochloride (40 mg/ml) Concentrate for Infusion

Intravenous

Adults and children: Cardiogenic shock.

According to CPG or on registered medical practitioner’s instructions.

Enoxaparin Sodium Solution for Injection

Intravenous Subcutaneous

Adults: ST- elevation myocardial infarction (STEMI).

According to CPG or on registered medical practitioner’s instructions

Epinephrine (Adrenaline) 1 mg/1ml (1:1000) Injection

Intramuscular

Adults and children: Anaphylaxis, Bronchospasm.

According to CPG or on registered medical practitioner’s instructions.

Epinephrine (Adrenaline) (1:1000) for Nebulisation

Inhalation

Children: Croup, Asthma.

According to CPG or on registered medical practitioner’s instructions.

Epinephrine (Adrenaline) 1 mg/10 ml (1:10 000) Solution for Injection

Intravenous Endotracheal

Adults and children: Cardiac arrest, Bradycardia, Anaphylaxis, Severe hypotension.

According to CPG or on registered medical practitioner’s instructions.

Ergometrine Injection 500 mcg/ml

Intravenous Intramuscular

Adults: Post partum haemorrhage.

According to CPG or on registered medical practitioner’s instructions.

Fentanyl Citrate (100 mcg in 2 ml)

Intravenous Intranasal Buccal

Adults and children: Pain management, Sedation.

According to CPG or on registered medical practitioner’s instructions.

Furosemide Injection

Intravenous Intramuscular

Adults: Pulmonary oedema.

According to CPG or on registered medical practitioner’s instructions.

Glucagon for Injection

Intramuscular Subcutaneous

Adults and children: Hypoglycaemia.

According to CPG or on registered medical practitioner’s instructions.

Glyceryl Trinitrate Aerosol

Sublingual

Adults: Cardiac chest pain, Congestive heart failure.

According to CPG or on registered medical practitioner’s instructions.

Glycopyrronium Bromide

Subcutaneous

Adults and children: Oropharyngeal secretions.

According to CPG or on registered medical practitioner’s instructions.

Haloperidol

Oral

Adults: Nausea & Vomiting, Delirium/Agitation.

According to CPG or on registered medical practitioner’s instructions.

Haloperidol Injection 5 mg/ml

Intravenous Intramuscular Subcutaneous

Adults and children: Sedation, Nausea & vomiting, Delirium/ agitation.

According to CPG or on registered medical practitioner’s instructions.

Hartmann’s Solution for Infusion

Intravenous

Adults and children: Hypovolaemic shock, Anaphylaxis, Decompression illness, Cardiac arrest, Bradycardia, Dilutant for medications.

According to CPG or on registered medical practitioner’s instructions.

Heparin Sodium Solution for Injection

Intravenous

Adults and children: Deep vein thrombosis, Pulmonary embolism, Unstable angina, Acute peripheral arterial occlusion.

According to CPG or on registered medical practitioner’s instructions.

Hydrocortisone Powder for Solution for Injection

Intravenous Intramuscular

Adults and children: Bronchospasm, Anaphylaxis, Addison’s disease.

According to CPG or on registered medical practitioner’s instructions

Hydromorphone hydrochloride

Subcutaneous

Adults: Pain.

According to CPG or on registered medical practitioner’s instructions

Hydromorphone hydrochloride

Oral

Adults: Pain.

According to CPG or on registered medical practitioner’s instructions.

Hydroxocobalamin Powder for Solution for Injection

Intravenous Intramuscular

Adults and children: Cyanide poisoning.

According to CPG or on registered medical practitioner’s instructions

Hyoscine Butylbromide

Subcutaneous

Adults and children: Abdominal colic Oropharyngeal secretions.

According to CPG or on registered medical practitioner’s instructions

Hyoscine Hydrobromide

Subcutaneous

Adults and children: Oropharyngeal secretions.

According to CPG or on registered medical practitioner’s instructions

Ibuprofen (various oral dosage forms)

Oral

Adults and children: Pain.

According to CPG or on registered medical practitioner’s instructions.

Ibuprofen suppositories

Per rectum

Children: Pain.

According to CPG or on registered medical practitioner’s instructions.

Influenza Vaccines

Intramuscular

Adults and children: Prophylaxis for influenza infection.

According to CPG or on registered medical practitioner’s instructions

Ipratropium Bromide Nebuliser Solution

Inhalation

Adults and children: Bronchospasm.

According to CPG or on registered medical practitioner’s instructions.

Ketamine Hydrochloride Injection

Intravenous Intramuscular Intranasal

Adults and children: Sedation, Pain.

According to CPG or on registered medical practitioner’s instructions.

Lidocaine Hydrochloride Injection

Intravenous Endotracheal Subcutaneous Topical

Adults: Cardiac arrest, Local anaesthetic, Jelly fish sting, IO infusion.

According to CPG or on registered medical practitioner’s instructions.

Lidocaine Hydrochloride spray 4%

Topical

Local anaesthetic, Jelly fish sting.

According to CPG or on registered medical practitioner’s instructions.

Lidocaine Hydrochloride Gel 2.5%.

Topical

Local anaesthetic, Jelly fish sting.

According to CPG or on registered medical practitioner’s instructions.

Lorazepam Injection

Intravenous Intramuscular

Adults and children: Seizures, Sedation.

According to CPG or on registered medical practitioner’s instructions.

Lorazepam Tablets

Oral

Adults and children: Sedation.

According to CPG or on registered medical practitioner’s instructions.

Magnesium Sulphate Injection BP

Intravenous

Adults and children: Cardiac arrest, Bronchospasm, Pre eclampsia, Stroke.

According to CPG or on registered medical practitioner’s instructions.

Meropenem Powder for Injection

Intravenous

Adults and children: Suspected or confirmed sepsis.

According to CPG or on registered medical practitioner’s instructions.

Methoxyflurane for Inhalation

By inhalation

Adults: Pain relief in conscious adult patients with trauma and associated pain.

According to CPG or on registered medical practitioner’s instructions.

Methylprednisolone Sodium Succinate Powder for Injection

Intramuscular Intravenous

Adults and children: Bronchial inflammation.

According to CPG or on registered medical practitioner’s instructions.

Metoclopramide Solution for Injection

Intramuscular Intravenous

Adults and children: To prevent or treat opiate induced nausea and vomiting, Anti emetic.

According to CPG or on registered medical practitioner’s instructions.

Midazolam Solution for Injection

Intravenous Intramuscular Intranasal Subcutaneous

Adults and children: Seizures, Sedation.

According to CPG or on registered medical practitioner’s instructions.

Midazolam Solution (Buccal)

Buccal

Adults and children: Seizures.

According to CPG or on registered medical practitioner’s instructions.

Morphine Injection

Intravenous Intramuscular Subcutaneous

Adults and children: Moderate to severe pain.

According to CPG or on registered medical practitioner’s instructions.

Morphine Oral Solution

Oral

Adults and children: Pain.

According to CPG or on registered medical practitioner’s instructions.

Naloxone for Injection

Intravenous Intramuscular Subcutaneous Intranasal

Adults and children: Respiratory depression secondary to known or suspected narcotic overdose.

According to CPG or on registered medical practitioner’s instructions.

Nifedipine Capsules

Oral

Adults: Inhibition of labour.

According to CPG or on registered medical practitioner’s instructions.

Medical gas mixture consisting of 50% nitrous oxide and 50% oxygen

By inhalation

Adults and children: Pain relief.

According to CPG or on registered medical practitioner’s instructions

Noradrenaline (Norepinephrine) Acid Tartrate (1:1000) Concentrate for Solution for Injection

Intravenous infusion

Adults and children: Acute hypotension.

According to CPG or on registered medical practitioner’s instructions

Ondansetron Hydrochloride

Oral

Adults and children: Nausea, Vomiting.

According to CPG or on registered medical practitioner’s instructions

Ondansetron Hydrochloride Injection

Intramuscular Intravenous Subcutaneous Intranasal

Adults and children: To prevent or treat opiate induced nausea and vomiting, Anti-emetic.

According to CPG or on registered medical practitioner’s instructions.

Oseltamivir Capsules

Oral

Adults and children: Treatment of influenza.

According to CPG or on registered medical practitioner’s instructions.

Oseltamivir Powder for Oral Suspension

Oral

Adults and children: Treatment of influenza.

According to CPG or on registered medical practitioner’s instructions.

Oxycodone IR tablets

Oral

Adults and children: Pain, Dyspnoea.

According to CPG or on registered medical practitioner’s instructions.

Oxycodone IR for injection

Subcutaneous

Adults and children: Pain, Dyspnoea.

According to CPG or on registered medical practitioner’s instructions.

Oxygen medical gas

By inhalation

Adults and children: Hypoxia.

According to CPG or on registered medical practitioner’s instructions.

Oxytocin Solution for Injection

Intravenous Intramuscular

Adults: Post partum haemorrhage.

According to CPG or on registered medical practitioner’s instructions.

Paracetamol suppositories

Per rectum

Children: Pyrexia, Pain.

According to CPG or on registered medical practitioner’s instructions.

Paracetamol (various oral dosage forms)

Oral

Adults and children: Pain, Pyrexia.

According to CPG or on registered medical practitioner’s instructions.

Paracetamol IV solution

Intravenous

Adults and children: Pain, Pyrexia.

According to CPG or on registered medical practitioner’s instructions.

Pipercillin tazobactum

Intravenous Intramuscular

Adults and children: Suspected or confirmed sepsis.

According to CPG or on registered medical practitioner’s instructions.

Prasugrel Tablets

Oral

Adults: Acute Coronary Syndrome.

According to CPG or on registered medical practitioner’s instructions.

Prednisolone Tablets

Oral

Adults and children: Anti-inflammatory, Allergic conditions, Acute asthma.

According to CPG or on registered medical practitioner’s instructions.

Rocuronium bromide

Intravenous

Adults and children: Sedation.

According to CPG or on registered medical practitioner’s instructions

Salbutamol for Nebulisation

Inhalation

Adults and children: Bronchospasm in anaphylaxis, and acute asthma.

According to CPG or on registered medical practitioner’s instructions.

Salbutamol Inhaled Aerosol

Inhalation

Adults and children: Bronchospasm in anaphylaxis, and acute asthma.

According to CPG or on registered medical practitioner’s instructions.

Salbutamol for injection

Intravenous

Adults and children: Anaphylaxis, acute asthma.

According to CPG or on registered medical practitioner’s instructions.

Sodium Bicarbonate Injection BP

Intravenous

Adults and children: Crush injury, Poisoning, Cardiac arrest.

According to CPG or on registered medical practitioner’s instructions.

Sodium Chloride 0.9% for Infusion

Intravenous

Adults and children: Anaphylaxis, Bradycardia, Burns, Cannula flush, Cardiac Arrest, Crush injury, Decompression illness, Dehydration, Dilutant for medications, Hyperglycaemia, Hypothermia, Hypovolaemic shock, To keep vein open.

According to CPG or on registered medical practitioner’s instructions.

Succinylated Gelatin Solution for infusion

Intravenous

Adults and children: Hypovolaemia.

According to CPG or on registered medical practitioner’s instructions.

Suxamethonium Chloride

Intravenous

Adults and children: Sedation.

According to CPG or on registered medical practitioner’s instructions.

Tenecteplase Powder for Injection

Intravenous

Adults: ST- elevation myocardial infarction (STEMI).

According to CPG or on registered medical practitioner’s instructions.

Tetanus Immunoglobulin

Intramuscular

Adults and Children: Post exposure prophylaxis and treatment of tetanus infection.

According to CPG or on registered medical practitioner’s instructions.

Tetracaine Gel 4%

Topical

Adults and children: Anaesthesia prior to venepuncture.

According to CPG or on registered medical practitioner’s instructions.

Tetracaine Hydrochloride 0.5% w/v Eye Drops

Topical

Adults and children: Conjunctival anaesthesia.

According to CPG or on registered medical practitioner’s instructions.

Terbutaline Sulphate Metered Dose Powder Inhaler

Inhalation

Adults: Inhibition of labour.

According to CPG or on registered medical practitioner’s instructions.

Terbutaline Sulphate 0.5mg/ml Solution for Injection or Infusion

Intravenous Subcutaneous

Adults: Inhibition of labour.

According to CPG or on registered medical practitioner’s instructions.

Thiamine Injection

Intravenous Intramuscular

Adults: Unresponsive patients with long term alcohol abuse, Delirium tremens.

According to CPG or on registered medical practitioner’s instructions.

Ticagrelor tablets

Oral

Adults: Acute Coronary Syndrome.

According to CPG or on registered medical practitioner’s instructions.

Tramadol Hydrochloride 50 mg Capsules

Oral

Adults and children: Pain.

According to CPG or on registered medical practitioner’s instructions.

Tranexamic Acid 500 mg/5 ml Solution for Injection or Infusion

Intravenous

Adults and children: Haemorrhagic shock, Epistaxis.

According to CPG or on registered medical practitioner’s instructions.

Vasopressin Injection

Intravenous

Adults and children: Septic shock, Cardiogenic shock.

According to CPG or on registered medical practitioner’s instructions.

Zanamivir Inhalation Powder

Inhalation

Adults and children: Treatment of influenza.

According to CPG or on registered medical practitioner’s instructions.

Part 2

Medicinal products which may be supplied to pre-hospital emergency care providers for use by paramedics

(Regulation 20(8)(b))

Medicinal Product

Route of Administration

Conditions of Administration

Authority to Administer

Column 1

Column 2

Column 3

Column 4

Activated Charcoal

Oral

Adults and children: Poisoning.

According to CPG or on registered medical practitioner’s instructions.

Aspirin (various oral dosage forms)

Oral

Adults: Acute Cardiac Syndrome, Decompression illness.

According to CPG or on registered medical practitioner’s instructions.

Benzylpenicillin Injection

Intramuscular

Adults and children: Suspected or confirmed meningococcal sepsis.

According to CPG or on registered medical practitioner’s instructions.

Calcium Gluconate gel

Topical

Adults and children: Hydrofluoric acid burns.

According to CPG or on registered medical practitioner’s instructions.

Chlorphenamine Injection (otherwise Chlorpheniramine Injection)

Intramuscular

Adults and children: Allergic reactions, Anaphylaxis.

According to CPG or on registered medical practitioner’s instructions.

Chlorphenamine (various oral dosage forms)

Oral

Adults and children: Allergic reactions, Anaphylaxis.

According to CPG or on registered medical practitioner’s instructions.

Clopidogrel Tablets

Oral

Adults: Acute Coronary Syndrome.

According to CPG or on registered medical practitioner’s instructions.

Cyclizine Injection

Intramuscular

Adults and children: To prevent or treat opiate induced nausea and vomiting, Anti-emetic.

According to CPG or on registered medical practitioner’s instructions.

Dexamethasone Phosphate solution

Intramuscular

Children: Croup.

According to CPG or on registered medical practitioner’s instructions.

Dexamethasone (various oral dosage forms)

Oral

Children: Croup.

According to CPG or on registered medical practitioner’s instructions.

Dextrose 10% Solution for Infusion

Intravenous

Adults and children: Hypoglycaemia.

According to CPG or on registered medical practitioner’s instructions.

Diazepam Rectal Solution

Per rectum

Adults and children: Seizure.

According to CPG or on registered medical practitioner’s instructions.

Epinephrine (Adrenaline) 1 mg/1 ml (1:1 000) – Injection

Intramuscular

Adults and children: Anaphylaxis.

According to CPG or on registered medical practitioner’s instructions.

Epinephrine (Adrenaline) 1 mg/10 ml (1:10 000) Solution for Injection

Intravenous

Adults and children: Cardiac arrest.

According to CPG or on registered medical practitioner’s instructions.

Fentanyl Citrate (100 mcg in 2 ml)

Intranasal Buccal

Adults and children: Pain management.

According to CPG or on registered medical practitioner’s instructions.

Glucagon for Injection

Intramuscular Subcutaneous

Adults and children: Hypoglycaemia.

According to CPG or on registered medical practitioner’s instructions.

Glyceryl Trinitrate Aerosol

Sublingual

Adults: Cardiac chest pain, Congestive heart failure.

According to CPG or on registered medical practitioner’s instructions.

Glycopyrronium Bromide

Subcutaneous

Adults and children: Oropharyngeal secretions.

According to CPG or on registered medical practitioner’s instructions.

Haloperidol

Oral

Adults: Nausea & Vomiting, Delirium/Agitation.

According to CPG or on registered medical practitioner’s instructions.

Hartmann’s Solution for Infusion

Intravenous

Adults and children: Hypovolaemic shock, Anaphylaxis, Decompression illness, Burns, Cardiac arrest, Bradycardia, Dilutant for medications.

According to CPG or on registered medical practitioner’s instruction

Hydromorphone hydrochloride

Subcutaneous

Adults: Pain.

According to CPG or on registered medical practitioner’s instructions

Hydromorphone hydrochloride

Oral

Adults: Pain.

According to CPG or on registered medical practitioner’s instructions.

Hydrocortisone Powder for Solution for Injection

Intramuscular

Adults and children: Anaphylaxis, Addison’s disease.

According to CPG or on registered medical practitioner’s instructions

Hydroxocobalamin Powder for Solution for Injection

Intramuscular

Adults and children: Cyanide poisoning.

According to CPG or on registered medical practitioner’s instructions.

Hyoscine Butylbromide

Subcutaneous

Adults and children: Abdominal colic, Oropharyngeal secretions.

According to CPG or on registered medical practitioner’s instructions

Hyoscine Hydrobromide

Subcutaneous

Adults and children: Oropharyngeal secretions.

According to CPG or on registered medical practitioner’s instructions

Ibuprofen (various oral dosage forms)

Oral

Adults and children: Pain.

According to CPG or on registered medical practitioner’s instructions.

Ibuprofen suppositories

Per rectum

Children: Pain.

According to CPG or on registered medical practitioner’s instructions.

Influenza Vaccines

Intramuscular

Adults and children: Prophylaxis for influenza infection.

According to CPG or on registered medical practitioner’s instructions

Ipratropium Bromide Nebuliser Solution

Inhalation

Adults and children: Bronchospasm.

According to CPG or on registered medical practitioner’s instructions.

Methoxyflurane for Inhalation

By inhalation

Adults: Pain relief in conscious adult patients with trauma and associated pain.

According to CPG or on registered medical practitioner’s instructions.

Midazolam Solution for Injection

Intranasal Intramuscular Subcutaneous

Adults and children: Seizures, Palliative sedation.

According to CPG or on registered medical practitioner’s instructions.

Midazolam Solution (Buccal)

Buccal

Adults and children: Seizures.

According to CPG or on registered medical practitioner’s instructions.

Morphine Injection

Intravenous Intramuscular Subcutaneous

Adults and children: Moderate to severe pain.

On registered medical practitioner’s instructions.

Naloxone for Injection

Intramuscular Subcutaneous Intranasal

Adults and children: Respiratory depression secondary to known or suspected narcotic overdose.

According to CPG or on registered medical practitioner’s instructions.

Medical gas mixture consisting of 50% nitrous oxide and 50% oxygen

By inhalation

Adults and children: Pain relief.

According to CPG or on registered medical practitioner’s instructions.

Ondansetron Hydrochloride

Oral

Adults and children: Nausea, Vomiting.

According to CPG or on registered medical practitioner’s instructions

Ondansetron Hydrochloride Injection

Intramuscular Subcutaneous Intranasal

Adults and children: To prevent or treat opiate induced nausea and vomiting, Anti-emetic.

According to CPG or on registered medical practitioner’s instructions.

Oseltamivir Capsules

Oral

Adults and children: Treatment of influenza.

According to CPG or on registered medical practitioner’s instructions.

Oseltamivir Powder for Oral Suspension

Oral

Adults and children: Treatment of influenza.

According to CPG or on registered medical practitioner’s instructions.

Oxycodone IR tablets

Oral

Adults and children: Pain, dyspnoea.

According to CPG or on registered medical practitioner’s instructions.

Oxycodone IR for injection

Subcutaneous

Adults and children: Pain, dyspnoea.

According to CPG or on registered medical practitioner’s instructions.

Oxygen medical gas

By inhalation

Adults and children: Hypoxia.

According to CPG or on registered medical practitioner’s instructions.

Oxytocin Solution for Injection

Intramuscular

Adults: Post partum haemorrhage.

According to CPG or on registered medical practitioner’s instructions.

Paracetamol suppositories

Per rectum

Children: Pyrexia, Pain.

According to CPG or on registered medical practitioner’s instructions.

Paracetamol (various oral dosage forms)

Oral

Adults and children: Pain, Pyrexia.

According to CPG or on registered medical practitioner’s instructions.

Prasugrel Tablets

Oral

Adults: Acute Coronary Syndrome.

According to CPG or on registered medical practitioner’s instructions.

Prednisolone Tablets

Oral

Adults and children: Inflammatory disorder, Allergic disorder, Acute asthma.

According to CPG or on registered medical practitioner’s instructions.

Salbutamol for Nebulisation

Inhalation

Adults and children: Bronchospasm in anaphylaxis and acute asthma.

According to CPG or on registered medical practitioner’s instructions.

Salbutamol Inhaled Aerosol

Inhalation

Adults and children: Bronchospasm in anaphylaxis, and acute asthma.

According to CPG or on registered medical practitioner’s instructions

Sodium Chloride 0.9% for Infusion

Intravenous

Adults and children: Anaphylaxis, Bradycardia, Burns, Cannula flush, Cardiac Arrest, Crush injury, Decompression illness, Dehydration, Dilutant for medications, Hyperglycaemia, Hypothermia, Hypovolaemic shock, To keep vein open.

According to CPG or on registered medical practitioner’s instructions.

Tetanus Immunoglobulin

Intramuscular

Adults and children: Post exposure prophylaxis and treatment of tetanus infection.

According to CPG or on registered medical practitioner’s instructions.

Tetracaine Gel 4%

Topical

Adults and children: Anaesthesia prior to venepuncture.

According to CPG or on registered medical practitioner’s instructions.

Tetracaine Hydrochloride 0.5% w/v Eye Drops

Topical

Adults and children: Conjunctival anaesthesia.

According to CPG or on registered medical practitioner’s instructions.

Ticagrelor tablets

Oral

Adults: Acute Coronary Syndrome.

According to CPG or on registered medical practitioner’s instructions.

Tramadol Hydrochloride 50 mg Capsules

Oral

Adults and children: Severe pain.

According to CPG or on registered medical practitioner’s instructions.

Zanamivir Inhalation Powder

Inhalation

Adults and children: Treatment of influenza.

According to CPG or on registered medical practitioner’s instructions.

PART 3

Medicinal products which may be supplied to pre-hospital emergency care providers for use by emergency medical technicians

(Regulation 20 (8)(c))

Medicinal Product

Route of Administration

Conditions of Administration

Authority to Administer

Column 1

Column 2

Column 3

Column 4

Activated Charcoal

Oral

Adults and children: Poisoning.

According to CPG or on registered medical practitioner’s instructions.

Aspirin (various oral dosage forms)

Oral

Adults: Acute Cardiac Syndrome Decompression illness.

According to CPG or on registered medical practitioner’s instructions.

Calcium Gluconate Gel

Topical

Adults and children: Hydrofluoric acid burns.

According to CPG or on registered medical practitioner’s instructions.

Chlorphenamine Injection (otherwise Chlorpheniramine Injection)

Intramuscular

Adults and children: Allergic reaction, Anaphylaxis.

According to CPG or on registered medical practitioner’s instructions.

Chlorphenamine (various oral dosage forms)

Oral

Adults and children: Allergic reaction, Anaphylaxis.

According to CPG or on registered medical practitioner’s instructions.

Cyclizine Injection

Intramuscular

Adults and children: To prevent or treat opiate induced nausea and vomiting.

According to CPG or on registered medical practitioner’s instructions.

Dexamethasone Phosphate solution

Intramuscular

Children: Croup.

According to CPG or on registered medical practitioner’s instructions.

Dexamethasone (various oral dosage forms)

Oral

Children: Croup.

According to CPG or on registered medical practitioner’s instructions.

Epinephrine (Adrenaline) 1 mg/1 ml (1:1000) Injection

Intramuscular

Adults and children: Anaphylaxis.

According to CPG or on registered medical practitioner’s instructions.

Epinephrine (Adrenaline) injection 1 mg/1 ml (1:1000) - prefilled disposable syringe (auto)

Intramuscular

Adults and children: Anaphylaxis.

According to CPG or on registered medical practitioner’s instructions.

Glucagon for Injection

Intramuscular Subcutaneous

Adults and children: Hypoglycaemia.

According to CPG or on registered medical practitioner’s instructions.

Glyceryl Trinitrate Aerosol

Sublingual

Adults: Cardiac chest pain.

According to CPG or on registered medical practitioner’s instructions.

Glycopyrronium Bromide

Subcutaneous

Adults and children: Oropharyngeal secretions.

According to CPG or on registered medical practitioner’s instructions.

Hyoscine Hydrobromide

Subcutaneous

Adults and children: Oropharyngeal secretions.

According to CPG or on registered medical practitioner’s instructions

Ibuprofen (various oral dosage forms)

Oral

Adults and children: Pain.

According to CPG or on registered medical practitioner’s instructions.

Influenza Vaccines

Intramuscular

Adults and Children: Prophylaxis for influenza infection.

According to CPG or on registered medical practitioner’s instructions

Methoxyflurane for Inhalation

By inhalation

Adults: Pain relief in conscious adult patients with trauma and associated pain.

According to CPG or on registered medical practitioner’s instructions.

Midazolam Solution for Injection

Intramuscular Subcutaneous Intranasal

Adults and children: Palliative sedation, Seizures.

According to CPG or on registered medical practitioner’s instructions.

Midazolam Solution (Buccal)

Buccal

Adults and children: Seizures.

According to CPG or on registered medical practitioner’s instructions.

Morphine Injection

Intravenous Intramuscular Subcutaneous

Adults and children: Moderate or severe pain.

According to CPG or on registered medical practitioner’s instructions.

Naloxone for Injection

Intramuscular Subcutaneous Intranasal

Adults and children: Respiratory depression secondary to known or suspected narcotic overdose.

According to CPG or on registered medical practitioner’s instructions.

Medical gas mixture consisting of 50% nitrous oxide and 50% oxygen

By inhalation

Adults and children: Pain relief.

According to CPG or on registered medical practitioner’s instructions.

Ondansetron Hydrochloride

Oral

Adults and children: Nausea, Vomiting.

According to CPG or on registered medical practitioner’s instructions

Ondansetron Hydrochloride Injection

Intramuscular Intranasal

Adults and children: To prevent or treat opiate induced nausea and vomiting, Anti-emetic.

According to CPG or on registered medical practitioner’s instructions.

Oxygen medical gas

By inhalation

Adults and children: Hypoxia.

According to CPG or on registered medical practitioner’s instructions.

Paracetamol (various oral dosage forms)

Oral

Adults and children: Pain, Pyrexia.

According to CPG or on registered medical practitioner’s instructions.

Salbutamol for Nebulisation

Inhalation

Adults and children: Bronchospasm in anaphylaxis and acute asthma.

According to CPG or on registered medical practitioner’s instructions.

Salbutamol Inhaled Aerosol

Inhalation

Adults and children: Bronchospasm in anaphylaxis and acute asthma.

According to CPG or on registered medical practitioner’s instructions.

Tetanus Immunoglobulin

Intramuscular

Adults and children: Post exposure prophylaxis and treatment of tetanus infection.

According to CPG or on registered medical practitioner’s instructions.

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GIVEN under my Official Seal,

15 May, 2020.

SIMON HARRIS,

Minister for Health.

EXPLANATORY NOTE

(This note is not part of the Instrument and does not purport to be a legal interpretation.)

These Regulations amend the Medicinal Products (Prescription and Control of Supply) Regulations 2003 to make certain changes and additions to the lists of medicinal products which may be supplied to pre-hospital emergency care providers for use by advanced paramedics, paramedics and emergency medical technicians.

These Regulations may be cited as the Medicinal Products (Prescription and Control of Supply) (Amendment) (No. 2) Regulations 2020.