F1SCHEDULE 3ASUBSTANCES WHICH MAY BE PRESCRIBED, ADMINISTERED OR DIRECTED FOR ADMINISTRATION BY EXTENDED FORMULARY NURSE PRESCRIBERS AND CONDITIONS FOR SUCH PRESCRIPTION OR ADMINISTRATION

Article 3A

Annotations:

Column 1

Column 2

Substance

Requirements as to use, route of administration, or pharmaceutical form

Aciclovir

External use

Acrivastine

Oral

Adapalene

External use

Alclometasone dipropionate

External use

Alimemazine tartrate (trimeprazine tartrate)

Oral

Amorolfine hydrochloride

External use

Amoxycillin trihydrate

Oral

Aspirin

Oral

Azelaic acid

External use

Azelastine hydrochloride

Ophthalmic use or nasal

Baclofen

Oral administration in palliative care

Beclometasone dipropionate

External use or nasal

Betamethasone dipropionate

External use

Betamethasone sodium phosphate

Aural or nasal

Betamethasone valerate

External use

Budesonide

Nasal

Carbaryl

External use

Carbenoxolone sodium

Mouthwash

Cetirizine hydrochloride

Oral

Chloramphenicol

Ophthalmic use

Cimetidine

Oral

Cinchocaine hydrochloride

External use

Clindamycin phosphate

External use

Clobetasone butyrate

External use

Clotrimazole

External use

F5Codeine Phosphate

Oral

F5Co-Phenotrope

Oral

Cyclizine

Parenteral administration in palliative care

Dantrolene sodium

Oral administration in palliative care

Dantron

Oral

Desogestrel

Oral

Desoximetasone (Desoxymethasone)

External use

Dexamethasone

Aural

Dexamethasone isonicotinate

Nasal

F5Diazepam

Oral, parenteral or rectal administration in palliative care

Diclofenac diethylammonium

External use

F5Dihydrocodeine Tartrate

Oral

Domperidone

Oral or rectal administration in palliative care

Domperidone maleate

Oral administration in palliative care

Doxycycline F2hyclate

Oral

F4Doxycycline monohydrate

Oral

Econazole nitrate

External use

F4Emedastine

Ophthalmic use

Erythromycin

External use

Ethinylestradiol

Oral

Etynodiol diacetate (ethynodiol diacetate)

Oral

Famotidine

Oral

Felbinac

External use

Fenticonazole nitrate

External use

Fexofenadine hydrochloride

Oral

F4Flucloxacillin magnesium

Oral

Flucloxacillin sodium

Oral

Fluconazole

Oral

Fludroxycortide (Flurandrenolone)

External use

Flumetasone pivalate

Aural

Flunisolide

Nasal

Fluocinolone acetonide

External use

Fluocinonide

External use

Fluocortolone hexanoate

External use

Fluocortolone pivalate

External use

Flurbiprofen

Lozenges

Fluticasone propionate

External use or nasal

Fusidic acid

Ophthalmic use

Gentamicin sulphate

Aural

Gestodene

Oral

Hydrocortisone

External use

Hydrocortisone acetate

External use

Hydrocortisone butyrate

External use

Hydrocortisone sodium succinate

Lozenges

Hyoscine butylbromide

Parenteral administration in palliative care

Hyoscine hydrobromide

Oral, parenteral or transdermal administration in palliative care

Ibuprofen

External use or oral

Ibuprofen lysine

Oral

Ipratropium bromide

Nasal

Isotretinoin

External use

Ketoconazole

External use

Ketoprofen

External use

Levocabastine hydrochloride

Ophthalmic use or nasal

Levomepromazine (methotrimeprazine) maleate

Oral administration in palliative care

Levomepromazine (methotrimeprazine) hydrochloride

Parenteral administration in palliative care

Levonorgestrel

Oral

Lithium succinate

External use

Lodoxamide trometamol

Ophthalmic use

Loperamide hydrochloride

Oral

Loratadine

Oral

F5Lorazepam

Oral or parenteral administration in palliative care

Mebendazole

Oral

Medroxyprogesterone acetate

Parenteral

Mestranol

Oral

Metoclopramide hydrochloride

Oral or parenteral administration in palliative care

Metronidazole

External use or oral

Metronidazole benzoate

Oral

Miconazole

Dental lacquer

Miconazole nitrate

External use

F5Midazolam

Parenteral administration in palliative care

Minocycline

Oral

F4Minocycline hydrochloride

Oral

F4Mizolastine

Oral

Mometasone furoate

External use or nasal

Nedocromil sodium

Ophthalmic use

Nefopam hydrochloride

Oral

Neomycin sulphate

Aural

Neomycin undecenoate

Aural

Nitrofurantoin

Oral

Nizatidine

Oral

Norethisterone 9

Oral

Norethisterone acetate

Oral

Norethisterone enanthate

Parenteral

Norgestimate

Oral

Norgestrel

Oral

Nystatin

External use

Oxytetracycline dihydrate

Oral

Paracetamol

Oral

Penciclovir

External use

Piroxicam

External use

Prednisolone hexanoate

External use

Prednisolone sodium phosphate

Aural

Ranitidine hydrochloride

Oral

Silver sulphadiazine

External use

Sodium cromoglycate

Ophthalmic use

Streptodornase

External use

Streptokinase

External use

Sulconazole nitrate

External use

Terbinafine hydrochloride

External use

Tetracycline hydrochloride

External use or oral

Tretinoin

External use

Triamcinolone acetonide

External use, aural, nasal or oral paste

Trimethoprim

Oral

Tuberculin PPD

Parenteral

Vaccine, Adsorbed Diphtheria

Parenteral

Vaccine, Adsorbed Diphtheria And Tetanus

Parenteral

Vaccine, Adsorbed Diphtheria And Tetanus For Adults And Adolescents

Parenteral

Vaccine, Adsorbed Diphtheria For Adults And Adolescents

Parenteral

Vaccine, Adsorbed Diphtheria, Tetanus And Pertussis

Parenteral

Vaccine, Adsorbed Diphtheria, Tetanus And Pertussis (Acellular Component)

Parenteral

Vaccine, BCG

Parenteral

Vaccine, BCG Percutaneous

Parenteral

Vaccine, Haemophilus Influenzae Type B (Hib)

Parenteral

Vaccine, Haemophilus Influenzae Type B (Hib) with Diphtheria, Tetanus And Pertussis

Parenteral

Vaccine, Haemophilus Influenzae Type B, Diphtheria, Tetanus And Acellular Pertussis

Parenteral

Vaccine, Hepatitis A

Parenteral

Vaccine, Hepatitis A With Typhoid

Parenteral

Vaccine, Hepatitis A, Inactivated, With Recombinant (DNA) Hepatitis B

Parenteral

Vaccine, Hepatitis B

Parenteral

Vaccine, Influenza

Parenteral

Vaccine, Live Measles, Mumps And Rubella (MMR)

Parenteral

Vaccine, Meningococcal Group C Conjugate

Parenteral

Vaccine, Meningococcal Polysaccharide A and C

Parenteral

Vaccine, Pneumococcal

Parenteral

F3. . .

F3. . .

Vaccine, Poliomyelitis, Live (Oral)

Oral

Vaccine, Rubella, Live

Parenteral

Vaccine, Tetanus, Adsorbed

Parenteral

Vaccine, Typhoid, Live Attenuated (Oral)

Oral

Vaccine, Typhoid, Polysaccharide

Parenteral

F4Water for Injections

Parenteral