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| MEDICAL DISCLAIMER: Educational use only. Not for diagnosis or management. See below for full disclaimer. |
High-alert medicines — FY safety 💊
🚨 Added medicines needing special review
🩺 Source-reviewed priority cards (editorial sign-off pending)
Check exact indication and local formulary. No universal dose is implied.
- Insulin (rapid-acting) — FY prescribing 💊
- Insulin (basal) — FY prescribing 💊
- Apixaban — FY prescribing 💊
- Rivaroxaban — FY prescribing 💊
- Dabigatran — FY prescribing 💊
- Edoxaban — FY prescribing 💊
- Warfarin — FY prescribing 💊
- Enoxaparin — FY prescribing 💊
- Tinzaparin — FY prescribing 💊
- Morphine — FY prescribing 💊
- Oxycodone — FY prescribing 💊
- Fentanyl — FY prescribing 💊
- Naloxone — FY prescribing 💊
- Potassium chloride — FY prescribing 💊
- Magnesium sulfate — FY prescribing 💊
- Calcium gluconate — FY prescribing 💊
- Sodium chloride 0.9% — FY prescribing 💊
- Hartmann's solution — FY prescribing 💊
- Child anaphylaxis: IM adrenaline 🚨 👶
- Child status: IV lorazepam 🚨 👶
- Child status: buccal midazolam 🚨 👶
- Child hypoglycaemia: IV 10% glucose 🚨 👶
- Child resuscitation: IV crystalloid 🚨 👶
- Child antibiotics: prescribe safely ⚠️ 👶 💊
💊 High-alert medicines — FY prescribing safety
Do not use this page to calculate a dose. Before prescribing, reconcile medicines and check indication, allergies, body weight, dose units, route, formulation, renal/liver function, interactions, observations, monitoring and the intended review date. Use current BNF/BNFC and local clinical/pharmacy protocols.
Common safety themes: concentrated electrolytes must never be given by casual IV bolus; insulin formulation errors cause severe harm; anticoagulant doses vary with indication and renal function; opioids and sedatives can suppress respiration. Drugs listed below require heightened checks, not an absolute ranking of risk.
- Adrenaline (epinephrine) — FY prescribing 💊
- Morphine — FY prescribing 💊
- Fentanyl — FY prescribing 💊
- Naloxone — FY prescribing 💊
- Adenosine — FY prescribing 💊
- Amiodarone — FY prescribing 💊
- Apixaban — FY prescribing 💊
- Rivaroxaban — FY prescribing 💊
- Dabigatran — FY prescribing 💊
- Edoxaban — FY prescribing 💊
- Warfarin — FY prescribing 💊
- Enoxaparin — FY prescribing 💊
- Tinzaparin — FY prescribing 💊
- Insulin (rapid-acting) — FY prescribing 💊
- Insulin (basal) — FY prescribing 💊
- Gentamicin — FY prescribing 💊
- Vancomycin — FY prescribing 💊
- Sodium valproate — FY prescribing 💊
- Phenytoin — FY prescribing 💊
- Lorazepam — FY prescribing 💊
- Midazolam — FY prescribing 💊
- Diazepam — FY prescribing 💊
- Lithium — FY prescribing 💊
- Potassium chloride — FY prescribing 💊
- Magnesium sulfate — FY prescribing 💊
- Calcium gluconate — FY prescribing 💊
See NICE NG5 medicines optimisation for medicines reconciliation and optimisation.
| The content on this website is provided for educational and informational purposes only to support exam preparation (e.g., MLA, MRCP, USMLE) and learning. This is NOT medical advice, diagnosis, treatment, or professional guidance. It does not replace consultation with a qualified healthcare professional, official guidelines (e.g., NICE, GMC, BNF), or supervised clinical practice. Always verify information with current, authoritative sources. Makindo and its contributors accept no liability for any reliance on this content, including errors, omissions, or any resulting harm, loss, or consequences. By using this site, you agree to these terms. |
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