S.I. No. 300/2014 - Medicinal Products (Prescription and Control of Supply) (Amendment) Regulations 2014.

1. These Regulations may be cited as the Medicinal Products (Prescription and Control of Supply) (Amendment) Regulations 2014.

2. In these Regulations “Principal Regulations” means the Medicinal Products (Prescription and Control of Supply) Regulations 2003 (

S.I. No. 540 of 2003

).

3. Regulation 20(2)(

c

)(as amended by Regulation 3(

k

) of the Medicinal Products (Prescription and Control of Supply) (Amendment) Regulations 2005 (

S.I. No. 510 of 2005

)) of the Principal Regulations is amended by substituting for “Fluorescein sodium” the following

“Fluorescein sodium,

Lidocaine,

Proxymetacaine hydrochloride,

Tetracaine hydrochloride,”

4. The Principal Regulations are amended by substituting for the Seventh Schedule (as amended by Regulation 12(

b

) of the Medicinal Products (Prescription and Control of Supply) (Amendment) Regulations 2008 (

S.I. No. 512 of 2008

)) the following

“SEVENTH SCHEDULE

PART 1

Medicinal Products that may be supplied to pre-hospital emergency care providers for use by Advanced Paramedics

(Regulation 20(8)(a))

Medicinal Product

Route of Administration

Conditions of Administration

Authority to Administer

Column 1

Column 2

Column 3

Column 4

Adenosine Solution for Injection

Intravenous

Adults

Supraventricular tachycardias (SVT).

According to CPG or on registered medical practitioner’s instructions.

Aminophylline

Intravenous

Adults and children

Acute severe asthma.

According to CPG or on registered medical practitioner’s instructions.

Amiodarone Injection

Intravenous

Adults and children

Cardiac arrest,

Tachyarrhythmia.

According to CPG or on registered medical practitioner’s instructions.

Aspirin (various oral dosage forms)

Oral

Adults

Acute Cardiac Syndrome,

Decompression illness.

According to CPG or on registered medical practitioner’s instructions.

Atropine Injection

Intravenous

Endotracheal

Adults and children

Cardiac arrest,

Bradycardia,

Poisoning.

According to CPG or on registered medical practitioner’s instructions.

Benzylpenicillin Injection

Intravenous

Intramuscular

Adults and children:Suspected or confirmed sepsis.

According to CPG or on registered medical practitioner’s instructions.

Calcium Gluconate 10%

Intravenous

Intramuscular

Adults and children

Hypotension.

According to CPG or on registered medical practitioner’s instructions.

Calcium Gluconate Gel

Topical

Adults and children

Hydrofluoric acid burns.

According to CPG or on registered medical practitioner’s instructions.

Cefotaxime Powder for Injection

Intravenous

Intramuscular

Adults and children:Suspected or confirmed sepsis.

According to CPG or on registered medical practitioner’s instructions.

Ceftriaxone Powder for Injection

Intravenous

Intramuscular

Adults and children

Suspected or confirmed sepsis.

According to CPG or on registered medical practitioner’s instructions.

Chlorphenamine Injection (

otherwise Chlorpheniramine Injection

)

Intravenous

Intramuscular

Adults and children

Allergic reactions, Anaphylaxis.

According to CPG or on registered medical practitioner’s instructions.

Chlorphenamine Tablets (

otherwise Chlorpheniramine Tablets

)

Oral

Adults and children

Allergic reaction, Anaphylaxis.

According to CPG or on registered medical practitioner’s instructions.

Clopidogrel Tablets

Oral

Adults

Acute Coronary Syndrome.

According to CPG or on registered medical practitioner’s instructions.

Cyclizine Injection

Intramuscular Intravenous

Adults and children

To prevent or treat opiate induced nausea and vomiting,Anti emetic.

According to CPG or on registered medical practitioner’s instructions.

Dextrose 5% Solution for Infusion

Intravenous

Adults and children

Dilutant for medications.

According to CPG or on registered medical practitioner’s instructions.

Dextrose 10% Solution for Infusion

Intravenous

Adults and children

Hypoglycaemia, Dilutant for medications.

According to CPG or on registered medical practitioner’s instructions.

Diazepam Injection

Intravenous Intramuscular

Adults and children

Seizures,Sedation.

According to CPG or on registered medical practitioner’s instructions.

Diazepam Rectal Solution

Per rectum

Adults and children

Seizures.

According to CPG or on registered medical practitioner’s instructions.

Dobutamine (12.5mg/ml) Concentrate for Infusion

Intravenous

Adults and children

Septic shock,

Cardiogenic shock.

According to CPG or on registered medical practitioner’s instructions.

Dopamine Hydrochloride (40mg/ml) Concentrate for Infusion

Intravenous

Adults and children:Cardiogenic shock.

According to CPG or on registered medical practitioner’s instructions.

Enoxaparin Sodium Solution for Injection

IntravenousSubcutaneous

Adults

ST- elevation myocardial infarction (STEMI).

According to CPG or on registered medical practitioner’s instructions

Epinephrine (Adrenaline) 1 mg/1ml (1:1000) Injection

Intramuscular

Adults and children

Anaphylaxis,

Bronchospasm.

According to CPG or on registered medical practitioner’s instructions.

Epinephrine (Adrenaline) (1:1000) for Nebulisation

Inhalation

Children:Croup,

Asthma.

According to CPG or on registered medical practitioner’s instructions.

Epinephrine (Adrenaline) 1 mg/10ml (1:10 000) Solution for Injection

Intravenous

Endotracheal

Adults and children

Cardiac arrest,

Bradycardia,

Anaphylaxis.

According to CPG or on registered medical practitioner’s instructions.

Ergometrine Injection 500 mcg/ml

Intravenous Intramuscular

Adults

Post partum haemorrhage.

According to CPG or on registered medical practitioner’s instructions.

Fentanyl Citrate (100mcg in 2 ml)

Intravenous

Intranasal

Buccal

Adults and children

Pain management.

According to CPG or on registered medical practitioner’s instructions.

Furosemide Injection

Intravenous

Intramuscular

Adults

Pulmonary oedema.

According to CPG or on registered medical practitioner’s instructions.

Glucagon for Injection

Intramuscular

Subcutaneous

Adults and children

Hypoglycaemia.

According to CPG or on registered medical practitioner’s instructions.

Glyceryl

Trinitrate Aerosol

Sublingual

Adults

Cardiac chest pain,

Congestive heart failure.

According to CPG or on registered medical practitioner’s instructions.

Haloperidol Injection 5 mg/ml

Intravenous

Intramuscular

Adults:Sedation.

According to CPG or on registered medical practitioner’s instructions.

Hartmann’s Solution for Infusion

Intravenous

Adults and children

Hypovolaemic shock,

Anaphylaxis,

Decompression illness,

Cardiac arrest,

Bradycardia,

Dilutant for medications.

According to CPG or on registered medical practitioner’s instructions.

Heparin Sodium Solution for Injection

Intravenous

Adults and children

Deep vein thrombosis,

Pulmonary embolism,

Unstable angina,

Acute peripheral arterial occlusion.

According to CPG or on registered medical practitioner’s instructions.

Hydrocortisone Powder for Solution for Injection

Intravenous

Intramuscular

Adults and children

Bronchospasm,

Anaphylaxis,

Addison’s disease.

According to CPG or on registered medical practitioner’s instructions

Hydroxocobalamin Powder for Solution for Injection

Intravenous

Intramuscular

Adults and children

Cyanide poisoning.

According to CPG or on registered medical practitioner’s instructions

Ibuprofen (various oral dosage forms)

Oral

Adults and children

Pain.

According to CPG or on registered medical practitioner’s instructions.

Influenza Vaccines

Intramuscular

Adults and children:Prophylaxis for influenza infection.

According to CPG or on registered medical practitioner’s instructions

Ipratropium Bromide Nebuliser Solution

Inhalation

Adults and children

Bronchospasm.

According to CPG or on registered medical practitioner’s instructions.

Ketamine Hydrochloride Injection

Intravenous

Intramuscular

Adults and children

Procedural sedation.

According to CPG or on registered medical practitioner’s instructions.

Lidocaine Hydrochloride Injection

Intravenous

Endotracheal

Subcutaneous

Topical

Adults

Cardiac arrest,

Local anaesthetic,

Jelly fish sting.

According to CPG or on registered medical practitioner’s instructions.

Lidocaine Hydrochloride spray 4%

Topical

Local anaesthetic,

Jelly fish sting.

According to CPG or on registered medical practitioner’s instructions.

Lidocaine Hydrochloride Gel 2.5%.

Topical

Local anaesthetic,

Jelly fish sting.

According to CPG or on registered medical practitioner’s instructions.

Lorazepam Injection

Intravenous

Intramuscular

Adults and children

Seizures,

Sedation.

According to CPG or on registered medical practitioner’s instructions.

Lorazepam Tablets

Oral

Adults and children

Sedation.

According to CPG or on registered medical practitioner’s instructions.

Magnesium Sulphate Injection BP

Intravenous

Adults and children

Cardiac arrest,

Bronchospasm,

Pre eclampsia,

Stroke.

According to CPG or on registered medical practitioner’s instructions.

Meropenem Powder for Injection

Intravenous

Adults and children:Suspected or confirmed sepsis.

According to CPG or on registered medical practitioner’s instructions.

Methoxyflurane for Inhalation

By inhalation

Adults and children

Pain relief.

According to CPG or on registered medical practitioner’s instructions.

Methylprednisolone Sodium Succinate Powder for Injection

Intramuscular Intravenous

Adults and children

Bronchial inflammation.

According to CPG or on registered medical practitioner’s instructions.

Metoclopramide Solution for Injection

Intramuscular Intravenous

Adults and children

To prevent or treat opiate induced nausea and vomiting,

Anti emetic.

According to CPG or on registered medical practitioner’s instructions.

Midazolam Solution for Injection

Intravenous

Intramuscular

Intranasal

Subcutaneous

Adults and children

Seizures,

Sedation.

According to CPG or on registered medical practitioner’s instructions.

Midazolam Solution (Buccal)

Buccal

Adults and children

Seizures.

According to CPG or on registered medical practitioner’s instructions.

Morphine Injection

Intravenous

Intramuscular

Adults and Children

Moderate to severe pain.

According to CPG or on registered medical practitioner’s instructions.

Morphine Oral Solution

Oral

Adults and children:Pain.

According to CPG or on registered medical practitioner’s instructions.

Naloxone for Injection

Intravenous Intramuscular

Subcutaneous

Intranasal

Adults and children

Respiratory depression secondary to known or suspected narcotic overdose.

According to CPG or on registered medical practitioner’s instructions.

Nifedipine Capsules

Oral

Adults:Inhibition of labour.

According to CPG or on registered medical practitioner’s instructions.

Nitrous oxide — Oxygen mixture – medical gas

By inhalation

Adults and children:Pain relief.

According to CPG or on registered medical practitioner’s instructions

Noradrenaline (Norepinephrine) Acid Tartrate (1:1000) Concentrate for Solution for Injection

Intravenous infusion

Adults and children

Acute hypotension.

According to CPG or on registered medical practitioner’s instructions

Ondansetron

Hydrochloride Injection

Intramuscular Intravenous

Adults and children

To prevent or treat opiate induced nausea and vomiting,

Anti emetic.

According to CPG or on registered medical practitioner’s instructions.

Oseltamivir Capsules

Oral

Adults and children

Treatment of influenza.

According to CPG or on registered medical practitioner’s instructions.

Oseltamivir Powder for Oral Suspension

Oral

Adults and children

Treatment of influenza.

According to CPG or on registered medical practitioner’s instructions.

Oxytocin Solution for Injection

Intravenous Intramuscular

Adults

Post partum haemorrhage.

According to CPG or on registered medical practitioner’s instructions.

Paracetamol suppositories

Per rectum

Children

Pyrexia.

According to CPG or on registered medical practitioner’s instructions.

Paracetamol (various oral dosage forms)

Oral

Adults and children

Pain,

Pyrexia.

According to CPG or on registered medical practitioner’s instructions.

Paracetamol IV solution

Intravenous

Adults and children

Pain,

Pyrexia.

According to CPG or on registered medical practitioner’s instructions.

Prasugrel Tablets

Oral

Adults

Acute Coronary Syndrome.

According to CPG or on registered medical practitioner’s instructions.

Prednisolone Tablets

Oral

Adults and children

Anti-inflammatory,

Allergic conditions,

Acute asthma.

According to CPG or on registered medical practitioner’s instructions.

Salbutamol for Nebulisation

Inhalation

Adults and children

Bronchospasm in anaphylaxis, and acute asthma.

According to CPG or on registered medical practitioner’s instructions.

Salbutamol Inhaled Aerosol

Inhalation

Adults and children

Bronchospasm in anaphylaxis, and acute asthma.

According to CPG or on registered medical practitioner’s instructions.

Sodium Bicarbonate Injection BP

Intravenous

Adults and children

Crush injury,

Poisoning,

Cardiac arrest.

According to CPG or on registered medical practitioner’s instructions.

Sodium Chloride 0.9% for Infusion

Intravenous

Adults and children

Anaphylaxis,

Bradycardia,

Burns,

Cannula flush,

Cardiac Arrest,

Crush injury,

Decompression illness,

Dehydration,

Dilutant for medications, Hyperglycaemia,Hypothermia,

Hypovolaemic shock,

To keep vein open.

According to CPG or on registered medical practitioner’s instructions.

Succinylated Gelatin Solution for infusion

Intravenous

Adults and children

Hypovolaemia.

According to CPG or on registered medical practitioner’s instructions.

Tenecteplase Powder for Injection

Intravenous

Adults

ST- elevation myocardial infarction (STEMI).

According to CPG or on registered medical practitioner’s instructions.

Tetanus Immunoglobulin

Intramuscular

Adults and children:Post exposure prophylaxis and treatment of tetanus infection.

According to CPG or on registered medical practitioner’s instructions.

Tetracaine Gel 4%

Topical

Adults and children

Anaesthesia prior to venepuncture.

According to CPG or on registered medical practitioner’s instructions.

Tetracaine Hydrochloride 0.5% w/v Eye Drops

Topical

Adults and children

Conjunctival anaesthesia.

According to CPG or on registered medical practitioner’s instructions.

Terbutaline Sulphate Metered Dose Powder Inhaler

Inhalation

Adults

Inhibition of labour.

According to CPG or on registered medical practitioner’s instructions.

Terbutaline Sulphate 0.5mg/ml Solution for Injection or Infusion

Intravenous

Subcutaneous

Adults

Inhibition of labour.

According to CPG or on registered medical practitioner’s instructions.

Thiamine Injection

IntravenousIntramuscular

Adults

Unresponsive patients with long term alcohol abuse,

Delirium tremens.

According to CPG or on registered medical practitioner’s instructions.

Ticagrelor tablets

Oral

Adults

Acute Coronary Syndrome.

According to CPG or on registered medical practitioner’s instructions.

Tramadol Hydrochloride 50 mg Capsules

Oral

Adults and children:Pain.

According to CPG or on registered medical practitioner’s instructions.

Tranexamic Acid 500mg/5ml Solution for Injection or Infusion

Intravenous

Adults and children:Haemorrhagic shock,Epistaxis.

According to CPG or on registered medical practitioner’s instructions.

Vasopressin Injection

Intravenous

Adults and children

Septic shock,

Cardiogenic shock.

According to CPG or on registered medical practitioner’s instructions.

Zanamivir Inhalation Powder

Inhalation

Adults and children:Treatment of influenza.

According to CPG or on registered medical practitioner’s instructions.

PART 2

Medicinal products that may be supplied to pre-hospital emergency care providers for use by Paramedics

(Regulation 20(8)(b))

Medicinal Product

Route of Administration

Conditions of Administration

Authority to Administer

Column 1

Column 2

Column 3

Column 4

Aspirin (various oral dosage forms)

Oral

Adults

Acute Cardiac Syndrome,

Decompression illness.

According to CPG or on registered medical practitioner’s instructions.

Benzylpenicillin Injection

Intramuscular

Adults and children

Suspected or confirmed meningococcal sepsis.

According to CPG or on registered medical practitioner’s instructions.

Calcium Gluconate gel

Topical

Adults and children

Hydrofluoric acid burns.

According to CPG or on registered medical practitioner’s instructions.

Chlorphenamine Injection (

otherwise Chlorpheniramine Injection

)

Intramuscular

Adults and children

Allergic reactions,

Anaphylaxis.

According to CPG or on registered medical practitioner’s instructions.

Chlorphenamine Tablets (

otherwise Chlorpheniramine Tablets

)

Oral

Adults and children

Allergic reactions,Anaphylaxis.

According to CPG or on registered medical practitioner’s instructions.

Clopidogrel Tablets

Oral

Adults

Acute Coronary Syndrome.

According to CPG or on registered medical practitioner’s instructions.

Cyclizine Injection

Intramuscular

Adults and children

To prevent or treat opiate induced nausea and vomiting,

Anti-emetic.

On registered medical practitioner’s instructions.

Dextrose 10% Solution for Infusion

Intravenous

Adults and children

Hypoglycaemia.

According to CPG or on registered medical practitioner’s instructions.

Diazepam Rectal Solution

Per rectum

Adults and children:Seizure.

On registered medical practitioner’s instructions.

Epinephrine (Adrenaline) 1mg/1ml (1:1 000) — Injection

Intramuscular

Adults and children

Anaphylaxis.

According to CPG or on registered medical practitioner’s instructions.

Epinephrine (Adrenaline) 1 mg/10ml (1:10 000) Solution for Injection

Intravenous

Adults and children:Cardiac arrest.

According to CPG or on registered medical practitioner’s instructions.

Fentanyl Citrate (100mcg in 2 ml)

Intranasal

Buccal

Adults and children

Pain management.

According to CPG or on registered medical practitioner’s instructions.

Glucagon for Injection

Intramuscular Subcutaneous

Adults and children

Hypoglycaemia.

According to CPG or on registered medical practitioner’s instructions.

Glyceryl

Trinitrate Aerosol

Sublingual

Adults

Cardiac chest pain,

Congestive heart failure.

According to CPG or on registered medical practitioner’s instructions.

Hartmann’s Solution for Infusion

Intravenous

Adults and children

Hypovolaemic shock,

Anaphylaxis,

Decompression illness,

Burns,

Cardiac arrest,

Bradycardia,

Dilutant for medications.

According to CPG or on registered medical practitioner’s instruction

Hydrocortisone Powder for Solution for Injection

Intramuscular

Adults and children

Anaphylaxis,

Addison’s disease.

According to CPG or on registered medical practitioner’s instructions

Hydroxocobalamin Powder for Solution for Injection

Intramuscular

Adults and children

Cyanide poisoning.

According to CPG or on registered medical practitioner’s instructions.

Ibuprofen (various oral dosage forms)

Oral

Adults and children:Pain.

According to CPG or on registered medical practitioner’s instructions.

Influenza Vaccines

Intramuscular

Adults and children

Prophylaxis for influenza infection.

According to CPG or on registered medical practitioner’s instructions

Ipratropium Bromide Nebuliser Solution

Inhalation

Adults and children

Bronchospasm.

According to CPG or on registered medical practitioner’s instructions.

Methoxyflurane for Inhalation

By inhalation

Adults and children

Pain relief.

According to CPG or on registered medical practitioner’s instructions.

Midazolam Solution for Injection

Intranasal

Intramuscular

Subcutaneous

Adults and children

Seizures,

Palliative sedation.

According to CPG or on registered medical practitioner’s instructions.

Midazolam Solution (Buccal)

Buccal

Adults and children:Seizures.

According to CPG or on registered medical practitioner’s instructions.

Morphine Injection

Intravenous

Intramuscular

Adults and children

Moderate to severe pain.

On registered medical practitioner’s instructions.

Naloxone for Injection

Intramuscular

Subcutaneous

Intranasal

Adults and children

Respiratory depression secondary to known or suspected narcotic overdose.

According to CPG or on registered medical practitioner’s instructions.

Nitrous oxide — Oxygen mixture — medical gas

By inhalation

Adults and children

Pain relief.

According to CPG or on registered medical practitioner’s instructions.

Ondansetron Hydrochloride Injection

Intramuscular

Adults and children

To prevent or treat opiate induced nausea and vomiting,

Anti emetic.

According to CPG or on registered medical practitioner’s instructions.

Oseltamivir Capsules

Oral

Adults and children

Treatment of influenza.

According to CPG or on registered medical practitioner’s instructions.

Oseltamivir Powder for Oral Suspension

Oral

Adults and children

Treatment of influenza.

According to CPG or on registered medical practitioner’s instructions.

Oxytocin Solution for Injection

Intramuscular

Adults:Post partum haemorrhage.

According to CPG or on registered medical practitioner’s instructions.

Paracetamol suppositories

Per rectum

Children: Pyrexia.

On registered medical practitioner’s instructions.

Paracetamol (various oral dosage forms)

Oral

Adults and children

Pain,

Pyrexia.

According to CPG or on registered medical practitioner’s instructions.

Prasugrel Tablets

Oral

Adults

Acute Coronary Syndrome.

According to CPG or on registered medical practitioner’s instructions.

Prednisolone Tablets

Oral

Adults and children

Inflammatory disorder,

Allergic disorder,

Acute asthma.

According to CPG or on registered medical practitioner’s instructions.

Salbutamol for Nebulisation

Inhalation

Adults and children:Bronchospasm in anaphylaxis and acute asthma.

According to CPG or on registered medical practitioner’s instructions.

Salbutamol Inhaled Aerosol

Inhalation

Adults and children:Bronchospasm in anaphylaxis, and acute asthma.

According to CPG or on registered medical practitioner’s instructions

Sodium Chloride 0.9% for Infusion

Intravenous

Adults and children

Anaphylaxis,

Bradycardia,

Burns,

Cannula flush,

Cardiac Arrest,

Crush injury,

Decompression illness,

Dehydration,

Dilutant for medications,

Hyperglycaemia,

Hypothermia,

Hypovolaemic shock,

To keep vein open.

According to CPG or on registered medical practitioner’s instructions.

Tetanus Immunoglobulin

Intramuscular

Adults and children

Post exposure prophylaxis and treatment of tetanus infection.

According to CPG or on registered medical practitioner’s instructions.

Tetracaine Gel 4%

Topical

Adults and children

Anaesthesia prior to venepuncture.

On registered medical practitioner’s instructions.

Tetracaine Hydrochloride 0.5% w/v Eye Drops

Topical

Adults and children:Conjunctival anaesthesia.

According to CPG or on registered medical practitioner’s instructions.

Ticagrelor tablets

Oral

Adults

Acute Coronary Syndrome.

According to CPG or on registered medical practitioner’s instructions.

Tramadol Hydrochloride 50 mg Capsules

Oral

Adults and children

Severe pain.

According to CPG or on registered medical practitioner’s instructions.

Zanamivir Inhalation Powder

Inhalation

Adults and children

Treatment of influenza.

According to CPG or on registered medical practitioner’s instructions.

PART 3

Medicinal products that may be supplied to pre-hospital emergency care providers for use by Emergency Medical Technicians

(Regulation 20(8)(c))

Medicinal Product

Route of Administration

Conditions of Administration

Authority to Administer

Column 1

Column 2

Column 3

Column 4

Aspirin (various oral dosage forms)

Oral

Adults

Acute Cardiac Syndrome,

Decompression illness.

According to CPG or on registered medical practitioner’s instructions.

Calcium Gluconate Gel

Topical

Adults and children

Hydrofluoric acid burns.

According to CPG or on registered medical practitioner’s instructions.

Chlorphenamine Injection (

otherwise Chlorpheniramine Injection

)

Intramuscular

Adults and children

Allergic reaction, Anaphylaxis.

According to CPG or on registered medical practitioner’s instructions.

Chlorphenamine Tablets (

otherwise Chlorpheniramine Tablets

)

Oral

Adults and children

Allergic reaction,

Anaphylaxis.

According to CPG or on registered medical practitioner’s instructions.

Cyclizine Injection

Intramuscular

Adults and children

To prevent or treat opiate induced nausea and vomiting.

On registered medical practitioner’s instructions.

Epinephrine (Adrenaline)

1 mg/1ml (1:1000) Injection

Intramuscular

Adults and children

Anaphylaxis.

According to CPG or on registered medical practitioner’s instructions.

Epinephrine (Adrenaline) injection 1mg/1ml (1:1000)- prefilled disposable syringe (auto)

Intramuscular

Adults and children

Anaphylaxis.

According to CPG or on registered medical practitioner’s instructions.

Glucagon for Injection

Intramuscular Subcutaneous

Adults and children

Hypoglycaemia.

According to CPG or on registered medical practitioner’s instructions.

Glyceryl

Trinitrate Aerosol

Sublingual

Adults

Cardiac chest pain.

According to CPG or on registered medical practitioner’s instructions.

Ibuprofen (various oral dosage forms)

Oral

Adults and children

Pain.

According to CPG or on registered medical practitioner’s instructions.

Influenza Vaccines

Intramuscular

Adults and children

Prophylaxis for influenza infection.

According to CPG or on registered medical practitioner’s instructions

Methoxyflurane for Inhalation

By inhalation

Adults and children

Pain relief.

According to CPG or on registered medical practitioner’s instructions.

Midazolam Solution for Injection

Intramuscular

Subcutaneous

Intranasal

Adults and children

Palliative sedation,Seizures.

According to CPG or on registered medical practitioner’s instructions.

Midazolam Solution (Buccal)

Buccal

Adults and children

Seizures.

According to CPG or on registered medical practitioner’s instructions.

Morphine Injection

Intravenous

Intramuscular

Adults and children:Moderate or severe pain.

On registered medical practitioner’s instructions.

Naloxone for Injection

Intramuscular

Subcutaneous

Intranasal

Adults and children

Respiratory depression secondary to known or suspected narcotic overdose.

According to CPG or on registered medical practitioner’s instructions.

Nitrous oxide — Oxygen mixture — medical gas

By inhalation

Adults and children

Pain relief.

According to CPG or on registered medical practitioner’s instructions.

Ondansetron

Hydrochloride Injection

Intramuscular

Adults and children

To prevent or treat opiate induced nausea and vomiting,Anti emetic.

On registered medical practitioner’s instructions.

Paracetamol (various oral dosage forms)

Oral

Adults and children

Pain,

Pyrexia.

According to CPG or on registered medical practitioner’s instructions.

Salbutamol for Nebulisation

Inhalation

Adults and children

Bronchospasm in anaphylaxis and acute asthma.

According to CPG or on registered medical practitioner’s instructions.

Salbutamol Inhaled Aerosol

Inhalation

Adults and children

Bronchospasm in anaphylaxis and acute asthma.

According to CPG or on registered medical practitioner’s instructions.

Tetanus Immunoglobulin

Intramuscular

Adults and children

Post exposure prophylaxis and treatment of tetanus infection.

According to CPG or on registered medical practitioner’s instructions.

GIVEN under my Official Seal,

2 July 2014.

JAMES REILLY,

Minister for Health.

EXPLANATORY NOTE

(This note is not part of the Instrument and does not purport to be a legal interpretation.)

The purpose of these Regulations is—

(

a

) to update the list of medicinal products that the profession of optometrists can be supplied with, and hold a small stock of, and then to administer these products directly to patients in the course of a patient consultation, and

(

b

) to update the list of medicinal products that may be supplied to the various grades of ambulance personnel (i.e. advanced paramedics, paramedics and emergency medical technicians) for use in the course of their work in pre-hospital emergency care.

These Regulations amend the Medicinal Products (Prescription and Control of Supply) Regulations 2003.

These Regulations may be cited as the Medicinal Products (Prescription and Control of Supply) (Amendment) Regulations 2014.

Notice of the making of this Statutory Instrument was published in

“Iris Oifigiúil” of

8

th July

, 2014.

I, JAMES REILLY, Minister for Health, in exercise of the powers conferred on me by section 32 (as amended by

section 16

of the

Irish Medicines Board (Miscellaneous Provisions) Act 2006

(No. 3 of 2006)) of the

Irish Medicines Board Act 1995

(No. 29 of 1995), hereby make the following regulations