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Extra info for British National Formulary 61
Hypercalcaemia, renal failure). Cyclizine is given in a dose of 50 mg up to 3 times daily by mouth. It is used for nausea and vomiting due to mechanical bowel obstruction, raised intracranial pressure, and motion sickness. 8 mg daily may help, temporarily, if there is an obstruction due to tumour. See also Dry Mouth, above. Antiemetic therapy should be reviewed every 24 hours; it may be necessary to substitute the antiemetic or to add another one. Dyspnoea Breathlessness at rest may be relieved by regular oral morphine in carefully titrated doses, starting at 5 mg every 4 hours.
Do not leave unattended if called away from the consulting room or at reception desks; do not leave in a car where they may be visible; when not in use, keep in a locked drawer within the surgery and at home; . draw a diagonal line across the blank part of the form under the prescription; . write the quantity in words and figures when prescribing drugs prone to abuse; this is obligatory for controlled drugs (see Prescriptions, above); . alterations are best avoided but if any are made they should be clear and unambiguous; add initials against altered items; .
Midazolam is the benzodiazepine antiepileptic of choice for continuous subcutaneous infusion, and it is given initially in a dose of 20–40 mg/24 hours. 3), which stimulates water and electrolyte absorption and inhibits water secretion in the small bowel, can be used by subcutaneous infusion in a dose of 250–500 micrograms/24 hours to reduce intestinal secretions and to reduce vomiting due to bowel obstruction. Doses of 750 micrograms/24 hours, and occasionally higher, are sometimes required. Pain control Diamorphine is the preferred opioid since its high solubility permits a large dose to be given in a small volume (see under Mixing and Compatibility, below).