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S.I. No. 177/2020 - Medicinal Products (Prescription and Control of Supply) (Amendment) (No. 2) Regulations 2020
Statutory Text (3 Articles)
1. (1) These Regulations may be cited as the Medicinal Products (Prescription and Control of Supply) (Amendment) (No. 2) Regulations 2020.
(2) The citation “the Medicinal Products (Prescription and Control of Supply) Regulations 2003 to 2020” includes these Regulations.
2. The Medicinal Products (Prescription and Control of Supply) Regulations 2003 (
S.I. No. 540 of 2003
) are amended by substituting for the Seventh Schedule (as amended by Regulation 4 of the Medicinal Products (Prescription and Control of Supply) (Amendment) Regulations 2014 (
S.I. No. 300 of 2014
)) the following
“
Seventh Schedule
Part 1
Medicinal Products which 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
Activated Charcoal
Oral
Adults and children: Poisoning.
According to CPG or on registered medical practitioner’s instructions.
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, Hyperkalaemia, Cardiac arrest, Calcium Channel blocker toxicity, Hydrofluoric acid. inhalation.
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 (
otherwise Chlorpheniramine
) (various oral dosage forms)
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.
Dexamethasone Phosphate solution
Oral Intramuscular Intravenous
Children: Croup.
According to CPG or on registered medical practitioner’s instructions.
Dexamethasone (various oral dosage forms)
Oral
Children: Croup.
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 (12.5 mg/ml) Concentrate for Infusion
Intravenous
Adults and children: Septic shock, Cardiogenic shock.
According to CPG or on registered medical practitioner’s instructions.
Dopamine Hydrochloride (40 mg/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
Intravenous Subcutaneous
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/10 ml (1:10 000) Solution for Injection
Intravenous Endotracheal
Adults and children: Cardiac arrest, Bradycardia, Anaphylaxis, Severe hypotension.
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 (100 mcg in 2 ml)
Intravenous Intranasal Buccal
Adults and children: Pain management, Sedation.
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.
Glycopyrronium Bromide
Subcutaneous
Adults and children: Oropharyngeal secretions.
According to CPG or on registered medical practitioner’s instructions.
Haloperidol
Oral
Adults: Nausea & Vomiting, Delirium/Agitation.
According to CPG or on registered medical practitioner’s instructions.
Haloperidol Injection 5 mg/ml
Intravenous Intramuscular Subcutaneous
Adults and children: Sedation, Nausea & vomiting, Delirium/ agitation.
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
Hydromorphone hydrochloride
Subcutaneous
Adults: Pain.
According to CPG or on registered medical practitioner’s instructions
Hydromorphone hydrochloride
Oral
Adults: Pain.
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
Hyoscine Butylbromide
Subcutaneous
Adults and children: Abdominal colic Oropharyngeal secretions.
According to CPG or on registered medical practitioner’s instructions
Hyoscine Hydrobromide
Subcutaneous
Adults and children: Oropharyngeal secretions.
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.
Ibuprofen suppositories
Per rectum
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 Intranasal
Adults and children: Sedation, Pain.
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, IO infusion.
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: Pain relief in conscious adult patients with trauma and associated pain.
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 Subcutaneous
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.
Medical gas mixture consisting of 50% nitrous oxide and 50% oxygen
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
Oral
Adults and children: Nausea, Vomiting.
According to CPG or on registered medical practitioner’s instructions
Ondansetron Hydrochloride Injection
Intramuscular Intravenous Subcutaneous Intranasal
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.
Oxycodone IR tablets
Oral
Adults and children: Pain, Dyspnoea.
According to CPG or on registered medical practitioner’s instructions.
Oxycodone IR for injection
Subcutaneous
Adults and children: Pain, Dyspnoea.
According to CPG or on registered medical practitioner’s instructions.
Oxygen medical gas
By inhalation
Adults and children: Hypoxia.
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, Pain.
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.
Pipercillin tazobactum
Intravenous Intramuscular
Adults and children: Suspected or confirmed sepsis.
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.
Rocuronium bromide
Intravenous
Adults and children: Sedation.
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.
Salbutamol for injection
Intravenous
Adults and children: Anaphylaxis, 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.
Suxamethonium Chloride
Intravenous
Adults and children: Sedation.
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
Intravenous Intramuscular
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 500 mg/5 ml 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 which 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
Activated Charcoal
Oral
Adults and children: Poisoning.
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.
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 (various oral dosage forms)
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.
According to CPG or on registered medical practitioner’s instructions.
Dexamethasone Phosphate solution
Intramuscular
Children: Croup.
According to CPG or on registered medical practitioner’s instructions.
Dexamethasone (various oral dosage forms)
Oral
Children: Croup.
According to CPG or 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.
According to CPG or on registered medical practitioner’s instructions.
Epinephrine (Adrenaline) 1 mg/1 ml (1:1 000) – Injection
Intramuscular
Adults and children: Anaphylaxis.
According to CPG or on registered medical practitioner’s instructions.
Epinephrine (Adrenaline) 1 mg/10 ml (1:10 000) Solution for Injection
Intravenous
Adults and children: Cardiac arrest.
According to CPG or on registered medical practitioner’s instructions.
Fentanyl Citrate (100 mcg 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.
Glycopyrronium Bromide
Subcutaneous
Adults and children: Oropharyngeal secretions.
According to CPG or on registered medical practitioner’s instructions.
Haloperidol
Oral
Adults: Nausea & Vomiting, Delirium/Agitation.
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
Hydromorphone hydrochloride
Subcutaneous
Adults: Pain.
According to CPG or on registered medical practitioner’s instructions
Hydromorphone hydrochloride
Oral
Adults: Pain.
According to CPG or on registered medical practitioner’s instructions.
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.
Hyoscine Butylbromide
Subcutaneous
Adults and children: Abdominal colic, Oropharyngeal secretions.
According to CPG or on registered medical practitioner’s instructions
Hyoscine Hydrobromide
Subcutaneous
Adults and children: Oropharyngeal secretions.
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.
Ibuprofen suppositories
Per rectum
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: Pain relief in conscious adult patients with trauma and associated pain.
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 Subcutaneous
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.
Medical gas mixture consisting of 50% nitrous oxide and 50% oxygen
By inhalation
Adults and children: Pain relief.
According to CPG or on registered medical practitioner’s instructions.
Ondansetron Hydrochloride
Oral
Adults and children: Nausea, Vomiting.
According to CPG or on registered medical practitioner’s instructions
Ondansetron Hydrochloride Injection
Intramuscular Subcutaneous Intranasal
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.
Oxycodone IR tablets
Oral
Adults and children: Pain, dyspnoea.
According to CPG or on registered medical practitioner’s instructions.
Oxycodone IR for injection
Subcutaneous
Adults and children: Pain, dyspnoea.
According to CPG or on registered medical practitioner’s instructions.
Oxygen medical gas
By inhalation
Adults and children: Hypoxia.
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, Pain.
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.
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.
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.
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 which 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
Activated Charcoal
Oral
Adults and children: Poisoning.
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.
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 (various oral dosage forms)
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.
According to CPG or on registered medical practitioner’s instructions.
Dexamethasone Phosphate solution
Intramuscular
Children: Croup.
According to CPG or on registered medical practitioner’s instructions.
Dexamethasone (various oral dosage forms)
Oral
Children: Croup.
According to CPG or on registered medical practitioner’s instructions.
Epinephrine (Adrenaline) 1 mg/1 ml (1:1000) Injection
Intramuscular
Adults and children: Anaphylaxis.
According to CPG or on registered medical practitioner’s instructions.
Epinephrine (Adrenaline) injection 1 mg/1 ml (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.
Glycopyrronium Bromide
Subcutaneous
Adults and children: Oropharyngeal secretions.
According to CPG or on registered medical practitioner’s instructions.
Hyoscine Hydrobromide
Subcutaneous
Adults and children: Oropharyngeal secretions.
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: Pain relief in conscious adult patients with trauma and associated pain.
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 Subcutaneous
Adults and children: Moderate or severe pain.
According to CPG or 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.
Medical gas mixture consisting of 50% nitrous oxide and 50% oxygen
By inhalation
Adults and children: Pain relief.
According to CPG or on registered medical practitioner’s instructions.
Ondansetron Hydrochloride
Oral
Adults and children: Nausea, Vomiting.
According to CPG or on registered medical practitioner’s instructions
Ondansetron Hydrochloride Injection
Intramuscular Intranasal
Adults and children: To prevent or treat opiate induced nausea and vomiting, Anti-emetic.
According to CPG or on registered medical practitioner’s instructions.
Oxygen medical gas
By inhalation
Adults and children: Hypoxia.
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.
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,
15 May, 2020.
SIMON HARRIS,
Minister for Health.
EXPLANATORY NOTE
(
This note is not part of the Instrument and does not purport to be a legal interpretation.
)
These Regulations amend the Medicinal Products (Prescription and Control of Supply) Regulations 2003 to make certain changes and additions to the lists of medicinal products which may be supplied to pre-hospital emergency care providers for use by advanced paramedics, paramedics and emergency medical technicians.
These Regulations may be cited as the Medicinal Products (Prescription and Control of Supply) (Amendment) (No. 2) Regulations 2020.
Notice of the making of this Statutory Instrument was published in
“Iris Oifigiúil” of
22
nd May,
2020.
I, SIMON HARRIS, 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