In this section : Safe and Effective Use of Medicines
Prescribing for CAU Patients Still in ED
Prescribing Advice on Admission – Clozapine
Prescribing Advice on Admission – Methadone/Buprenorphine
Prescribing Advice on Admission – Corticosteroids
Prescribing Advice on Admission – Items Not Prescribed by GP
Prescribing Advice on Admission – Patients on Chemotherapy Regimes
Prescribing Advice on Admission – Medication for Parkinson’s Disease
Prescribing Advice on Admission – Insulin
Prescribing Advice on Admission
Gentamicin & Vancomycin
Greener Inhaler Prescribing
Safe and Secure Handling of Medicines
Blood Glucose & Steroids
Prescribing Advice on Admission – Clozapine
Last updated 18th November 2022
Safe and Effective Prescribing and Use of Medicines for Patient Safety
Clozapine
- Always highlight to pharmacy team at admission.
- All clozapine prescriptions are supplied from DGRI and the pharmacy department has a record of all current doses for clozapine patients.
- Prescribing the wrong dose / drug omission for more than 48 hours results in a 3 week in-patient stay for re-titration.
- If patient is unable to take their clozapine dose for any reason, contact the mental health team or ward clinical pharmacist for immediate advice. If out of hours, contact the on call mental health doctor or on call pharmacist.
- If patient is or may be constipated, this requires urgent treatment as it can be fatal.
- Out of hours, ensure patient has a supply of clozapine in with them – if not contact the on call pharmacist.
- If the patient normally smokes, the dose may need to be adjusted whilst they are in hospital. Dose adjustments may also be required whilst the patient is unwell – discuss with the ward pharmacist.
Approved by Medicines Safety Group/Formulary Group/Area Drugs and Therapeutic Committee, NHS Dumfries and Galloway