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BNSSG Adult Joint Formulary

16.3 Respiratory symptoms- Palliative Care

Last edited: 11-01-2024

First line drugs Second line drugs Specialist drugs Secondary care drugs

 

Shortness of breath

Recommended: (TLS Green)

Oral morphine solution

  • To relieve sensation of breathlessness

Lorazepam

  • For anxiety associated with shortness of breath

Oxygen

  • Trial if SaO<90%

Alternatives: (TLS Blue)

Oxycodone liquid

  • If morphine intolerant

Fentanyl subcutaneous injection

  • If eGFR <30mLs/min

Specific indications: (TLS Blue)

Dexamethasone

  • For Superior Vena Cava Obstruction (SVCO) or major airway obstruction

Antibiotics

  • For infection

Furosemide

  • For pulmonary oedema

Salbutamol

  • Nebuliser for bronchospasm

 

Cough

Recommended: (TLS Green)

Simple linctus

Codeine linctus

Alternatives: (TLS Blue)

Carbocisteine

  • For cough associated with thick sputum

Methadone linctus

  • If above not successful

Oral morphine solution

  • In low dose

Specific indications: (TLS Blue)

Salbutamol

  • Inhaled or nebulised

Prednisolone

  • Orally

Simeticone

  • For cough due to gastric reflux

Metoclopramide

  • For cough due to gastric reflux

 

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