MTW - Agreed Alternatives During Medicine Shortages
THESE GUIDELINES ARE FOR USE WITHIN THE MAIDSTONE & TUNBRIDGE WELLS NHS TRUST ONLY
This section provides information on locally approved medicines alternatives during periods of medicines shortage. This is not a comprehensive list and advice from pharmacy should be sought if the medicine is not mentioned here.
Please note that any K&M regionally-agreed shortage alternatives will be included in the main therapeutic sections of the formulary.
Chlordiazepoxide Supply Shortage
It has been agreed that diazepam or lorazepam are suitable alternatives for the management of acute alcohol withdrawal. Please refer to the guidance below for further details, including dosing information.
Guideline for the management of acute alcohol withdrawal during chlordiazepoxide shortage
Urokinase Supply Shortage
Due to a temporary supply issue with urokinase, it has been agreed that TauroLock can be used at MTW as an alternative.
*Please note that there are 2 different products available which have different uses - please check carefully you are using the correct product for the correct indication - see drug listings here for use in CAPITALS on the drop down next to the product name*
What to do with a completely blocked PICC, August 2022
If urokinase is available, instructions for the use of this for unblocking PICCs are available in the Trust CVAD policy & appendices which are available on the Trust intranet.
- On Formulary Preferred
- On Formulary Second Line
- On Formulary Third Line
- Specialist Initiation
- Secondary Care Only
- Not Approved for Formulary