Palliative Meds Info

Welcome to our Palliative Meds Info service. This service is for health professionals only. If you are a member of the public with a question about your medicines, we advise you to consult your doctor or pharmacist.

About the service The Palliative Meds Info service is a service providing information for health professionals on all aspects of drug therapy used in palliative care. This service is based in the pharmacy department at Our Lady’s Hospice in Harold’s Cross and responds to enquiries received by telephone or email. In addition, we publish a regular newsletter and post medicines information here on our webpage.

Palliative Meds Info Terms and Conditions

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Quick reference

Palliative Meds Info Documents

Access to medicines in the community Access to Medicines in the Community
Adrenaline (nebulised) Nebulised adrenaline to treat intractable cough
Adrenaline (topical) What is the guidance available for the use of adrenaline soaks on wounds
Alfentanil CSCI The Use of Alfentanil in a Syringe Driver in Palliative Medicine
Antipsychotics in delirium The Use of Antipsychotics in the Management of Delirium in Palliative Care
Benzodiazepines – buccal/sublingual Benzodiazepines via the buccal or sublingual routes in palliative care
Calcitonin Calcitonin in Resistant Hypercalcaemia
Cough Treatment Options for chronic cough
Denosumab What is the evidence to support the use of denosumab to treatment hypercalcaemia associated with malignancy
Fentanyl CSCI The Use of Fentanyl in a Syringe Pump in Palliative Medicine
Glycopyrronium (oral) The use of oral glycopyrronium in palliative care
Hiccups Treatment Options for Hiccups
Levetiractam CSCI Levetiracetam in a Syringe Pump
Lidocaine (nebulised) What is the evidence to support the use of nebulised lidocaine to treat an intractable cough
Lidocaine 5% plasters Can lidocaine 5% plasters be worn continuously
Lidocaine in Lutrol (topical) What is the evidence to support the use of the Lidocaine in Lutrol preparations on wounds
Methadone – from hospital to home Methadone from Hospital to Home
Methadone in palliative medicine The Use of Methadone in Palliative Medicine
Methadone PO to SC How do you convert methadone from an oral dose to an equivalent subcutaneous dose
Methadone SC to PO How do you convert methadone from a subcutaneous dose to an equivalent oral dose
Metronidazole (topical) What guidance is available to support the topical administration of metronidazole in the management of malodourous wounds
Midazolam (buccal) What is the difference between the buccal midazolam preparations epistatus and buccolam
Morphine sulphate (oral) The use of oral morphine in palliative care
Morphine sulphate (topical) What is the evidence for the use of morphine solution for injection mixed in gel and applied topically
Morphine sulphate- Oramorph® for breathlessness patient information Oramorph® (morphine sulphate) for breathlessness: Patient Information Leaflet
Mouth care-Dry mouth What are the treatment options for the management of dry mouth
Mouth care-Painful mouth What are the treatment options for a painful mouth
Mouth care-Pilocarpine (oral) Can pilocarpine eye drops be used to treat a dry mouth
Mouth care-Sialorrhea/Hypersalivation/Drooling Treatment options for the management of sialorrhea
Octreotide/Lanreotide How is short acting octreotide converted to long acting lanreotide
Opioid Allergy A patient presents with an allergy to an opioid, can an alternative opioid be prescribed
Opioid-induced Itch Will opioid rotation resolve an opioid induced itch
Opioid Conversion Opioid Conversion Chart
Opioid Patches Opioid Transdermal Patches: Quick Reference Guide
Opioid Patches – Fentanyl Patch Disposal What is the correct way of disposing of a fentanyl transdermal patch
Opioid Patches –Fentanyl Patch Change Frequency Can fentanyl transdermal patches be applied every 48 hour instead of every 72 hours
Opioid Patches –Quantity of Fentanyl Patches How many fentanyl transdermal patches can be applied at one time
Opioids – Changing Route Opioids – Changing Routes of Administration
Pregabalin/Gabapentin What conversion ratio is recommended between pregabalin and gabapentin
Pruritus/Itch The treatment of pruritus
Quinine for nocturnal leg cramps Quinine for the treatment of nocturnal leg cramps
Scopoderm® (hyoscine hydrobromide) Patches The use of Scopoderm® transdermal patches in palliative care
Seizures-Medication Induced Risk of seizures in anti-emetics/anti-secretory agents
Serotonin syndrome Serotonergic Medication and the Risk of Serotonin Syndrome
Sodium Valproate CSCI Sodium Valproate in a syringe pump
Subcutaneous Infusions  via Syringe Pump Quick Reference Guide: The administration of medicines via syringe pump update
Sucralfate (topical) What is the guidance to support the use of topical sucralfate on wounds
Tramadol What is the potency ratio of tramadol to morphine
Tranexamic acid (topical) Topical tranexamic acid for bleeding wound