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Palliative Care Core Medicines for Tasmania
| Medication | PBS status | Concentration (ANZSPM list) | PBS script quantity | Proprietary pack size | Suggested stock (TBD) |
|---|---|---|---|---|---|
| Clonazepam liquid (oral drops) | § | 2.5 mg / mL | 2 bottles | 1 bottle | 4 x 10 mL bottles |
| Haloperidol injection | § | 5 mg / mL | 10 amps | 1 box | 2 boxes |
| Hydromorphone injection | ± | 2 mg / mL | 10 amps | 1 box | 4 boxes |
| Hyoscine butylbromide injection | ± | 20 mg / mL | 30 amps | 1 box | 12 boxes |
| Metoclopramide injection | ‡ | 10 mg / 2mL | 40 amps | 1 box | 8 boxes |
| Midazolam injection | ‡ | 5 mg / mL | N/A | 1 box | 2 boxes |
| Morphine injection (sulphate or hydrochloride) | § | 10 mg / mL | 10 amps | 1 box | 4 boxes |
| Morphine injection (sulphate or hydrochloride) | § | 30 mg / mL | 10 amps | 1 box | 4 boxes |
§ Restricted benefit on PBS for use in patients receiving palliative care.
± PBS streamlined authority for use in patients receiving palliative care.
# PBS Authority for severe disabling pain for patients undergoing palliative care.
‡ Not on PBS.
The core medicines identified are – Morphine (sulphate or hydrochloride) injection 30mg/ml and 10mg/ml, Midazolam injection 5mg/ml, Metoclopramide injection 10mg/2ml, Hyoscine butylbromide injection 20mg/ml, Hydromorphone injection 2mg/ml, Haloperidol injection 5mg/ml, Clonazepam liquid (oral drops) 2.gmg/ml.
When core medicines are out of stock
Palliative Care Prepared Pharmacies will minimise this risk. Pharmacists can try to source medicines from other Palliative Care Prepared Pharmacies.
National shortage of core medicines
If there is a national shortage pharmacists can liaise with prescribers to find an alternative.
Joining ComPPaCT
Pharmacists can sign up for the program by completing the online form. Once you submit the form you will be listed on the Find a Pharmacy register as Palliative Care Prepared. Make sure you have and maintain the list of core medicines in stock. You will be sent a window sticker that says Palliative Care Prepared Pharmacy.
ComPPaCT pharmacies
If you're a GP, you can search Find a Pharmacy when preparing prescriptions to find the closest Palliative Care Prepared Pharmacy.
Further information
The Tasmanian palliative care on-line formulary provides up to date information about all palliative medicines and other valuable resources for clinicians.
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