Medications most likely to be seen in primary care

Transcription

1 Hazardous Medicines The majority of medicines are not classed as hazardous. The only medicinal products that are automatically deemed to be hazardous are cytotoxic and cytostatic medicines. There is no definitive list of such products the following table has been developed using the National Institute for Occupational Safety and Health (INOSH) in the United States and medicines that are classified in Chapter 8 (Malignant Disease and Immunosuppression) of the British National Formulary. This is meant as a guide to assist segregation of hazardous medicinal waste.

2 Medications most likely to be seen in primary care Drug name anastrozole 8 tablets breast azathiopine 8 tablets transplant chloramphenicol 5 eye drops antibiotic ciclosporin 8 (10) capsules transplant colchicine 10 tablets gout cyproterone acetate 8 tablets prostate, fertility diethylstilbestrol 8 tablets prostate and breast dutasteride 6 capsules reduction of prostate estropipate 6 tablets HRT estriol 6 tablets HRT estradiol 6 HRT ethinylestradiol 8 tablets oestrogen deficiency finasteride 6 tablets prostate fluorouracil 8 capsules gastro tumours breast liquid cream hydroxycarbamide 8 capsules leukaemia leflunomide 10 tablets rheumatoid arthritis medroxyprogestrone 8 tablets endometrial acetate methotrexate 8 oral leukaemia and Non-Hodgkin s liquid lymphoma 10 tablets rheumatoid arthritis misoprostol tablets abortion + GI disorders norethisterone 8 tablets HRT, contraception progesterone 6 liquid gel pessaries raloxifene 6 tablets postmenopausal osteoporosis tacrolimus 8 capsules immunosuppressant tamoxifen 8 tablets breast testosterone 6 capsules tablets liquid implant patches gel zidovudine 5 capsules HIV

3 Medications, sorted alphabetically Drug name aldesleukin 8 kidney alemtuzumab 8 liquid infusion leukaemia amsacrine 8 liquid infusion leukaemia anastrozole 8 tablets breast arsenic trioxide 8 liquid infusion azathiopine 8 tablets transplant basiliximab 8 renal transplants BCG Vaccine 8 powder bladder bevacizumab 8 liquid infusion colon bexarotene 8 capsules skin bicalutamide 8 tablets prostate bleomycin 8 leukaemia bortezomib 8 myeloma buserelin 8 liquid prostate nasal spray busulfan 8 liquid infusion leukaemia tablets capecitabine 8 tablets colon carboplatin 8 liquid infusion ovarian and lung carmustine 8 implant cetrorelix acetate 6 female infertility cetuximab 8 liquid infusion colon chlorambucil 8 tablets leukaemia chloramphenicol 5 capsules antibiotic eye drops chorionicgonadotrophin 6 female infertility choriogonadotropin alfa 6 liquid female infertility ciclosporin 8 (10) capsules transplant liquid oral ciclosporin liquid infusion cidofovir 5 liquid infusion AIDS cisplatin 8 liquid testicular, lung, cervical, bladder, head and neck, ovarian cladribine 8 liquid infusion leukaemia colchicine 10 tablets gout crisantaspase 8 leukaemia cyclophosphamide 8 tablets rheumatoid arthritis cyproterone acetate 8 tablets prostate, fertility cytarabine 8 liquid leukaemia dacarbazine 8 skin

4 Drug name daclizumab 8 liquid infusion renal transplants dactinomycin 8 paediatric s daunorubicin HCL 8 leukaemia diethylstilbestrol 8 tablets prostate and breast dinoprostone 7 pessaries induce labour liquid infusion tablets gel docetaxel 8 liquid infusion breast and lung doxorubicin 8 leukaemia dutasteride 6 capsules reduction of prostate epirubicin 8 breast erlotinib 8 tablets lung estropipate 6 tablets HRT estriol 6 tablets HRT estradiol 6 HRT estrmustine phosphate 8 capsules prostate sodium ethinylestradiol 8 tablets oestrogen deficiency etoposide 8 liquid infusion testicular, lung capsules exemestane 8 tablets breast finasteride 6 tablets prostate 8 tablets immunosuppressant fluorouracil 8 capsules gastro tumours breast liquid cream flutamide 8 tablets prostate fulvestrant 8 liquid breast ganciclovir 5 liquid infusion Infection ganirelix acetate 6 liquid female infertility gemcitabine 8 lung, bladder glatiramer 8 liquid multiple sclerosis goserelin 8 implant prostate and breast hydroxycarbamide 8 capsules leukaemia idarubicin 8 capsules breast and leukaemia ifosafamide 8 imatinib 8 tablets leukaemia interfernon alfa-2b 8 interfernon alfa-n1 8 interferon alfa-2a 8 liquid hep b and c

5 Drug name Interferon Beta 8 liquid multiple sclerosis irinotecan HCL 8 liquid infusion colon lanreotide 8 liquid endocrine tumours, palliative care leflunomide 10 tablets rheumatoid arthritis letrozole 8 tablets breast leuprorelin acetate 8 prostate lomustine 8 capsules Hodgkin s disease medroxyprogestrone 8 tablets endometrial acetate megestrol 8 tablets endometrial melphalan 8 tablets breast, ovarian, myeloma menotropins 6 female infertility mercaptopurine 8 tablets leukaemia methotrexate 8 oral leukaemia and Nonliquid Hodgkin s lymphoma 10 tablets rheumatoid arthritis mifepristone 7 tablets abortion 7 liquid infusion induce labour misoprostol tablets abortion + GI disorders mitomycin 8 gastro tumours breast mitotane 8 tablets adrenal gland tumours mitoxantrone HCL 8 liquid infusion breast, leukaemia mustine mycophenolate mofetil 8 tablets organ transplant liquid infusion liquid oral nafarelin 6 liquid nasal spray endometriosis norethisterone 8 tablets HRT, contraception, octreotide 8 liquid endocrine tumours, palliative care oxaliplatin 8 liquid infusion colon oxytocin 7 liquid labour inducing paclitaxel 8 liquid infusion ovarian pentamidine isethionate 5 liquid nebuliser 5 liquid drops antibiotic drops for eyes and ears pentostatin 8 leukaemia podophyllum 13 liquid solution removal of genital warts porfimer Sodium 8 lung procarbazine 8 capsules Hodgkin s disease progesterone 6 liquid gel pessaries raloxifene 6 tablets postmenopausal osteoporosis

6 Drug name raltitrexed 8 colon ribavirin 5 tablets bronchiolitis, hep C inhalation capsules Rituximab 8 liquid infusion Non-Hodgkin s lymphoma sirolimus 8 tablets renal transplants syntometrine 7 liquid reduced bleeding after labour tacrolimus 8 capsules immunosuppressant liquid infusion tamoxifen 8 tablets breast tegafur with uracil 8 capsules colon temoporfin 8 liquid head and neck temozolomide 8 capsules testosterone 6 capsules tablets liquid implant patches gel thalidomide 8 thiotepa 8 bladder tioguanine 8 tablets leukaemia topotecan 8 infusion ovarian toremifene citrate 8 tablets breast Trastuzumab 8 breast treosulfan 8 capsules ovarian ovarian tretinoin 8 capsules leukaemia triptorelin 8 prostate, endometriosis valganciclovir 5 tablets AIDS vinblastine sulfate 8 liquid leukaemia vindesine 8 leukaemia vinorelbine tartrate 8 liquid infusion breast capsules zidovudine 5 capsules HIV