The following medications should always be given within 2 hours of the prescribed time (not an exhaustive list)
- Regular opiate analgesics
- Regular Parkinson's medicines. Give a close as possible to the prescribed time as possible, a delay of greater than 30 minutes can result in a significant worsening of symptoms.1
- If the delayed medication is due to be administered at the next medicine round, seek medical advice to ensure an appropriate dosage interval is maintained.
- If the delayed medication includes paracetamol a minimum dosage interval of 4 hours must be observed. Consequently subsequent doses will need to be withheld or postponed.
- With medication administered once per day more leeway is possible but contact medical staff for advice.
- If a delayed dose has to be re-prescribed use the 'once only' section of the prescription sheet.
Every patient/clinical situation is different. Consider the risk to patient of delayed/missed doses e.g. treatment failure, withdrawal effects etc. Contact medical/pharmacy staff for advice about delayed or missed medications.
The full guidance can be found here.
- Prevention of Missed Doses. ADTC Safer Use of Medicines group. NHS GGC March 2012