exp date isn't null, but text field is
NHS GGC guidance on Intramuscular Medication for Acutely Disturbed Patients should be followed1 but with additional consideration to potential physical complications in patients with diagnosed or suspected COVID-19 infection.
Oral medication should always be considered before intramuscular medication. Doses should be given at least 60 minutes apart. If single agent is ineffective combinations of lorazepam and antipsychotic should be considered.
It should be noted that the doses for lorazepam given below exceed the recommended doses for the treatment of anxiety.
Administration of oral ‘when required’ psychotropics in ADULTS:
Administration of oral ‘when required’ psychotropics in OLDER ADULTS (excluding behavioural disturbance due to dementia):
Administration of oral ‘when required’ psychotropics in ADOLESCENTS:
*Doses above 10 mg/day have not demonstrated superior efficacy to lower doses and may cause increased incidence of extrapyramidal symptoms. Safety of doses above 16 mg/day has not been evaluated, and is therefore not recommended.
** NHS GGC guidance regarding haloperidol & QTc prolongation should be followed
Last reviewed: 14 April 2020
Next review: 01 April 2021
Author(s): Mental Health Pharmacy Services
Approved By: Mental Health Pharmacy Services
Reviewer Name(s): Andrew Walker, Suzanne Burke