Guideline for alcohol detox in Litla Hraun
Version 4.00
17 March 2009
John D. De Niet
Remarks and improvement very welcome:
Principle tasks in detoxification:
In some way comfortable
Prevention of epileptic seizures
Prevention of lang-term neurologic problems (W-K)
Using benzodiazepines with as little euphoric effect and longest half-life time.
Alcohol abuse
Is often connected to anxiety disorders. Long term treatment indication for supportive low dosage Amilin or alike in the evening or SSRI treatment. Never benzodiazepines in the long run!
Alcohol detox
Patients without substantial benzodiazepin usage
No serious liver damage
Librium start Klordiazepoxid 25 mg x 4-6 per day stepping down
in 7 days 20 %-25 % per day.
Thiamine 100 mg x2 / 14 days
Patients without former benzodiazepin usage but with epileptic seizures
No serious liver damage
Librium as above but stepping down in 10 days ( 10%-15% per day)
( diazepam as an option, it has a longer half-life and gives advantage in preventing epilepsy)
Thiamine
Optional: carbamazepin from day 7 to day 21, starting 600 mg a day and going down in two weeks
Patients with liver cirrhosis
Oxazepam 25mg ( Sobril) 50mg x 4 stepping down 25 % a day for utmost one week
Thiamine
Alcohol and benzodiazepine
combined alcohol and benzo is a common double addiction!
After recalculation of the used values change to one long acting benzo f.e. Klórdíazepoxíð ( Librium) or diazepam ( Valium). Stepping down may take 2 – 4 weeks and should usually be done clinically or in controlled environment.
If in the anamnesis also epilepsy, lorazepam and / or alprozolam usage is reported be aware of seizures with too fast withdrawal and supportive carbamazepine may be necessary, consult the specialist.
After full detox usually supportive treatment with SSRI´s will be necessary, in the long run.
Guideline practical step down schedules / detox in Litla Hraun
Version 4.00
17 March 2009
John D. De Niet
Remarks and improvement very welcome:
Example of a detox schedule
Higher start dosage is seldom necessary, receptors binding is full
7 day schedule
- Diazepam 10-10-10-10orKlórdíazepoxíð 25-50-25-50
- Diazepam 5-10-5-10orKlórdíazepoxíð 25-25-25-50
- Diazepam 5-5-5-10orKlórdíazepoxíð 25-25-25-25
- Diazepam 5-5-5-5orKlórdíazepoxíð 10-25-10-25
- Diazepam 0-5-5-5orKlórdíazepoxíð 10-10-10-10
- Diazepam 0-5-0-5orKlórdíazepoxíð 0-10-0-10
- Diazepam 0-0-0-5orKlórdíazepoxíð 0-0-0-10
- stop
14 day schedule for persons that had been very long on benzodiapines and that have no record of epilepsy
- Diazepam 10-10-10-10orKlórdíazepoxíð 25-50-25-50
- Diazepam 5-10-5-10orKlórdíazepoxíð 25-25-25-50
- Diazepam 5-5-5-10orKlórdíazepoxíð 25-25-25-25
- Diazepam 5-5-5-5orKlórdíazepoxíð 10-25-10-25
- Diazepam 0-5-5-5orKlórdíazepoxíð 10-10-10-10
- Diazepam 0-5-0-5orKlórdíazepoxíð 0-10-0-10
- Diazepam 0-0-0-5orKlórdíazepoxíð 0-0-0-10
- Diazepam 10-10-10-10orKlórdíazepoxíð 25-50-25-50
- Diazepam 5-10-5-10orKlórdíazepoxíð 25-25-25-50
- Diazepam 5-5-5-10orKlórdíazepoxíð 25-25-25-25
- Diazepam 5-5-5-5orKlórdíazepoxíð 10-25-10-25
- Diazepam 0-5-5-5orKlórdíazepoxíð 10-10-10-10
- Diazepam 0-5-0-5orKlórdíazepoxíð 0-10-0-10
- Diazepam 0-0-0-5orKlórdíazepoxíð 0-0-0-10
- stop
Guideline for alcohol detox in Litla Hraun / practical detox schedules
Version 4.00
17 March 2009
John D. De Niet
Remarks and improvement very welcome:
21 day schedule for persons that had been very long on benzodiapines and that have no record of epilepsy ( model start 200 mg klórdíazepoxíð, 60mg díazepoxíð)
- Diazepam 10-20-10-20orKlórdíazepoxíð 50-50-50-50
- Diazepam 10-10-10-20orKlórdíazepoxíð 25-50-50-50
- Diazepam 10-10-10-20orKlórdíazepoxíð 25-50-50-50
- Diazepam 10-10-10-10orKlórdíazepoxíð 25-50-25-50
- Diazepam 10-10-10-10orKlórdíazepoxíð 25-50-25-50
- Diazepam 5-10-10-10orKlórdíazepoxíð 25-50-25-50
- Diazepam 5-10-10-10orKlórdíazepoxíð 25-25-25-50
- Diazepam 5-10-10-10orKlórdíazepoxíð 25-25-25-50
- Diazepam 5-10-5-10orKlórdíazepoxíð 25-25-25-25
- Diazepam 5-10-5-10orKlórdíazepoxíð 25-25-25-25
- Diazepam 5-10-5-10orKlórdíazepoxíð 10-25-10-25
- Diazepam 5-5-5-10orKlórdíazepoxíð 10-25-10-25
- Diazepam 5-5-5-10orKlórdíazepoxíð 10-10-10-25
- Diazepam 5-5-5-5orKlórdíazepoxíð 10-10-10-25
- Diazepam 5-5-5-5orKlórdíazepoxíð 10-10-10-25
- Diazepam 0-5-5-5orKlórdíazepoxíð 10-10-10-10
- Diazepam 0-5-5-5orKlórdíazepoxíð 10-10-10-10
- Diazepam 0-5-0-5orKlórdíazepoxíð 0-10-0-10
- Diazepam 0-5-0-5orKlórdíazepoxíð 0-10-0-10
- Diazepam 0-0-0-5orKlórdíazepoxíð 0-0-0-10
- Diazepam 0-0-0-5orKlórdíazepoxíð 0-0-0-10
- stop
21 day schedule for persons that had been very long on benzodiapines and that have no record of epilepsy ( model start 150 mg Klordiazepoxið, 40 mg diazepam)
- Diazepam 10-10-10-10orKlórdíazepoxíð 25-50-25-50
- Diazepam 5-10-5-10orKlórdíazepoxíð 25-25-25-50
- Diazepam 5-5-5-10orKlórdíazepoxíð 25-25-25-25
- Diazepam 5-5-5-5orKlórdíazepoxíð 25-25-25-25
- Diazepam 0-5-5-5orKlórdíazepoxíð 20-25-25-25
- Diazepam 0-5-0-5orKlórdíazepoxíð 20-20-20-25
- Diazepam 0-0-0-5orKlórdíazepoxíð 20-20-20-25
- Diazepam 5-10-5-10orKlórdíazepoxíð 20-20-20-20
- Diazepam 5-10-5-10orKlórdíazepoxíð 15-20-20-20
- Diazepam 5-5-5-10orKlórdíazepoxíð 15-20-15-20
- Diazepam 5-5-5-5orKlórdíazepoxíð 15-15-15-20
- Diazepam 0-5-5-5orKlórdíazepoxíð 15-15-15-15
- Diazepam 0-5-0-5orKlórdíazepoxíð 10-15-15-15
- Diazepam 5-5-5-5orKlórdíazepoxíð 10-15-10-15
- Diazepam 5-5-5-5orKlórdíazepoxíð 10-10-10-15
- Diazepam 0-5-5-5orKlórdíazepoxíð 10-10-10-10
- Diazepam 0-5-5-5orKlórdíazepoxíð 5-10-5-10
- Diazepam 0-5-0-5orKlórdíazepoxíð 5-5-5-10
- Diazepam 0-5-0-5orKlórdíazepoxíð 5-5-5-5
- Diazepam 0-0-0-5orKlórdíazepoxíð 0-5-0-5
- Diazepam 0-0-0-5orKlórdíazepoxíð 0-0-0-5
- stop
Guideline for alcohol detox in Litla Hraun / detoxa schedules
Version 4.00
17 March 2009
John D. De Niet
Remarks and improvement very welcome:
28 day schedule for persons that had been very long on benzodiapines and that have no record of epilepsy
- Diazepam 10-20-10-20orKlórdíazepoxíð 50-50-50-50
- Diazepam 10-10-10-20orKlórdíazepoxíð 25-50-50-50
- Diazepam 10-10-10-20orKlórdíazepoxíð 25-50-50-50
- Diazepam 10-10-10-20orKlórdíazepoxíð 25-50-50-50
- Diazepam 10-10-10-20orKlórdíazepoxíð 10-10-10-10
- Diazepam 10-10-10-10orKlórdíazepoxíð 0-10-0-10
- Diazepam 10-10-10-10orKlórdíazepoxíð 0-0-0-10
- Diazepam 10-10-10-10orKlórdíazepoxíð 25-50-25-50
- Diazepam 5-10-10-10orKlórdíazepoxíð 25-25-25-50
- Diazepam 5-10-10-10orKlórdíazepoxíð 25-25-25-25
- Diazepam 5-10-5-10orKlórdíazepoxíð 10-25-10-25
- Diazepam 0-5-5-5orKlórdíazepoxíð 10-10-10-10
- Diazepam 0-5-0-5orKlórdíazepoxíð 0-10-0-10
- Diazepam 0-0-0-5orKlórdíazepoxíð 0-0-0-10
- Diazepam 10-10-10-10orKlórdíazepoxíð 25-50-25-50
- Diazepam 5-10-10-10orKlórdíazepoxíð 25-25-25-50
- Diazepam 5-10-10-10orKlórdíazepoxíð 25-25-25-25
- Diazepam 5-10-5-10orKlórdíazepoxíð 10-25-10-25
- Diazepam 5-10-5-10orKlórdíazepoxíð 10-10-10-10
- Diazepam 5-5-5-10orKlórdíazepoxíð 0-10-0-10
- Diazepam 5-5-5-10orKlórdíazepoxíð 0-0-0-10
- Diazepam 5-5-5-5orKlórdíazepoxíð 25-50-25-50
- Diazepam 0-5-5-5orKlórdíazepoxíð 25-25-25-50
- Diazepam 0-5-5-5orKlórdíazepoxíð 25-25-25-25
- Diazepam 0-5-0-5orKlórdíazepoxíð 10-25-10-25
- Diazepam 0-5-0-5orKlórdíazepoxíð 10-10-10-10
- Diazepam 0-0-0-5orKlórdíazepoxíð 0-10-0-10
- Diazepam 0-0-0-0orKlórdíazepoxíð 0-0-0-10
- stop
10 day schedule ( + optional carbamazepin sustaining)
- Diazepam 10-10-10-10orKlórdíazepoxið 25-50-25-50
- Diazepam 5-10-10-10orKlórdíazepoxíð 25-25-25-50
- Diazepam 5-10-5-10orKlórdíazepoxíð 25-25-25-25
- Diazepam 5-5-5-10orKlórdíazepoxíð 25-10-25-25
- Diazepam 5-5-5-10orKlórdíazepoxíð 10-10-25-25
- Diazepam 5-5-5-5orKlórdíazepoxíð 10-10-10-10
- Diazepam 5-5-5-5orKlórdíazepoxíð 0-10-10-10 + opt. carbamaz. 200mg x 3
- Diazepam 0-5-5-5orKlórdíazepoxíð 0-10-10-10 + opt. carbamaz. 200mg x 3
- Diazepam 0-5-0-5orKlórdíazepoxíð 0-10-0-10 + opt. carbamaz. 200mg x 3
- Diazepam 0-0-0-5orKlórdíazepoxíð 0-0-0-10 + opt. carbamaz. 200mg x 3
- Diazepam stoporKlórdíazepoxíð stop + opt. carbamaz. 200mg x 3
- + opt. carbamaz. 200mg x 3
- + opt. carbamaz. 200mg x 3
- + opt. carbamaz. 200mg x 2
- + opt. carbamaz. 200mg x 2
- + opt. carbamaz. 200mg x 2
- + opt. carbamaz. 200mg x 2
- + opt. carbamaz. 200mg x 1
- + opt. carbamaz. 200mg x 1
- + opt. carbamaz. 200mg x 1
- + opt. carbamaz. 200mg x 1
- stop
Guideline for alcohol detox in Litla Hraun / dosage equivalence
Version 4.00
17 March 2009
John D. De Niet
Remarks and improvement very welcome:
Dosage equivalence table for benzodiazepines
genericspecialitydosage equivalence table (mg)
diazepamValium5
klordiazepoxidLibrium15
alprazolamPaxal, Tafil, Xanax0.5
bromazepamLexotanil3-6
clobazamFrisium10
clonazepamRivrotil0.5-1
clozepineTranxene5
flunitrazepamRohypnol1-2
flurazepamDalmadorm15-30
lorazepamTemesta0.5
lormetazepamNoctamid, Loramet0.25-0.5
nitrazepamMogadon5
oxazepamSobril, Seresta15
temazepamNormison, Levanxol, Euhypnos10
triazolamHalcion0.25
other, no good comparisons available, rule of thump 1 dosage = 2 temazepam 10mg
zopliconImovane 7.5mg ( cyclopyrrolon derivative) lots of interactions!
solpidemStilnoct 10mg ( imidazopyridine derivative), don´t use with liver insufficiency
remember that the wash out / elimination of benzodiazepines may be a factor 5 or even higher with elderly. Of course this goes via a gradual scale with climbing age.
Half life for adults
klórdíazepoxið 7-28 hours,
diazepam 20-48 hours! ( metabolite desmethyldiazepam 42-100 hours!)
to be continued in later versions
Guideline for alcohol detox in Litla Hraun / cocain and amphetamin
Version 4.00
17 March 2009
John D. De Niet
Remarks and improvement very welcome:
Cocain / ampethamin detox
First week Klordiazepoxid 25 mg 4-6 x down in one week 25 % per dag
See under page above. Usually a neuroleptic or even sedative SSRI will be necessary in the longer run.
Longer term treatment schedules
Neuloptics
Main purpose in the first two weeks is sedation and after that antipsychotic
In this category of patients:
Truxal usual dosages 50 - 150mg
Seroquel usual dosages 100-300mg
Zyprexa usual dosages 15-30mg sometimes higher, but be aware of side effects then!)
Cisordinol ( opt. depot) ( if we use depot start with Akutard 50mg and see how this works. After one or two days Cisordinol 100 or 200mg depot i.m.)
Be aware of side effect use Akineton 5mg i.m. with EPS)
Phenergan ( only short run sedation)
Methadon in heavily cacain addicted pregnant woman!
Tardive dyskinesia is more often seen with patients that have been in cocain and neuroleptic usage!
We should realize that that the antipsychotic effect may only start after2 – 4weeks, in patients with addiction we mostly use the sedative effect.
After my experience the effect of Strattera is very dubious.
Here is to me in dubio abstinae.
Rather we should see if we can use Depakin for those that are very restless, it is very difficult to know if concentration disturbance are due to the aftermath of Cocain usage or be connected to ADHD diagnosis. Furthermore is the diagnosis ADHD with person that also have personality disorders or brain disturbance very complicated.
See also under diagnosis PAWS ( post acute withdrawal syndrome)
Guideline for alcohol detox in Litla Hraun / opoid addiction
Version 4.00
17 March 2009
John D. De Niet
Remarks and improvement very welcome:
opioid addiction
see guideline on Methadon usage.
Methadon
Technically spoken Methadon can be stepped down in two weeks.
The idea of Methadon sustaining therapy is diminishing craving. It is quite understandable that craving will start with stepping down.
Sleepdisturbances are very often seen. Some patient complain not having slept for 10 days. They get so excited that they fly from the stepping down.
There is indication for heavily addicted pregnant women to support the period of pregnancy. The child has to be supported in withdrawal after birth.
Methadon
Stepping down in equal amount, depending on the dosage in use within 7 to 14 days with a complete stop.
Depending on the lenght of addiction life long after medication in the form of sedative neuroleptics and SSRI antidepressants may be necessary.
TCH are not preferred because of its use in the scene of addiction ( amytryptilin, etc)
Clonidine, has a place in diminishing the withdrawal effects. Atenolol can be used or propanolol. It will diminish the pain in the muscles in withdrawal and also lower down the pulse.
Atenolol 25mg – 50mg . only if blood pressure permits.
Buprenorfin / Nalexon combination is used at SÁÁ. Buprenorfin has euforistic sideeffect. I prefer Methadon for this reason. Another point is that Methadon can be given once a day. Because of long half life of Methadon, two day dosages has no theorecal advantage.
Guideline for alcohol detox in Litla Hraun / Hashish
Version 4.00
17 March 2009
John D. De Niet
Remarks and improvement very welcome:
People with long term hashsish are the personalities that often evade problems. They often are diagnosed with anxiety disorders once they stop smoking hashish.
For this reason we often use SSRI´s as supportive treatment.
Be aware with the long time users of Vit C deficiency!!! ( and B12 and other vit.)
Supply vit C and other vitamines if necessary.
Day Structure, work and schooling are necessary to prevent relapse.
Gambling
Very difficult to treat and these people are usually very clever to hide the problems.
In research studies it seems that especially among men, the gambling problem is connected to a primitive sexual developentment or underdevelepped gender identity.
Usually men show up well dressed.
Structure
Relational therapy
Under further evalution for the guidelines in version NEXT.
Eating disorders
SSRI ?
Smoking
?, Very little results on Champix, Zyban etc.!
?, very little results on warning on danger.
Motivational therapy in groups seems to have best result.
Guideline for alcohol detox in Litla Hraun / methadon usage
Version 4.00
17 March 2009
John D. De Niet
Remarks and improvement very welcome:
Last evaluation as it stands now.
Guideline on Methadon usage
Litla Hraun
Version September 2007
Methadon is placed on banned list in the prison.
Exception can be made for acute short term treatment, or severe cases of addiction for short term treatment up to three months in time, which presently means that detainees with a sentence of stay longer than three months have to have a stepping down schedule.
Methadon treatment has medical and social implication in a prison system. It is therefore that we should decide to use Methadon in principle by consulting each other in the weekly medical meeting. Time needed we preferably have a second consulting thought over it with one of the fellow medical doctors who work in the prison.
Methadon can in medical terms be seen as a very adequate treatment of withdrawal symptoms from opioid withdrawal.
Methadon can be first matter of choice if neuroleptic which are part of the regular ronaskammt ( detox schedule) are hazardous with low blood pressure or other unwanted side effects.
Guideline on the usage.
With patients coming in with a history on the usage of opioids we have to take in mind that a patient might not be confident on exact dosages and usage.
Patients must be seen by a doctor before Methadon is decided to come in use.
Dosage that is acceptable to start with is 40ml ( 1ml=1mg) of mixtura or 40mg of tablets
If the patient comes in withdrawal symptoms within 4 hours we can decide to try on a second dosage between 20 and 40 ml.
Usually the next day we can then continue with dosages between 70 and 80 ml.
It is important that we do follow up on blood pressure and pulse and of course the clinical picture.
Be aware that a combined usage of cocaine / amphetamin confirmed or not in the anamnesis might give a mixture of presentation of the pupils and patron of sweating.
Methadon has a long half life time. There is no clear medical reason to use it in two or even three dosages a day. For practical reason we give Methadon in the morning.
Guideline on stepping down
Not seldom we use a combination with other medication as used in the regular detox procedure. Klordiazepoxid and a neuroleptic is often needed.
It is usually decided to withdraw first the Methadon. This can be done depending on the dosage in use and the period of time we choose. Basically 10 days is technically possible after we first have reached stabilization, for which we had to choose the Methadon prescription. Many detainees will ask for a longer period of stepping down, best results with addicted people is reached with clearcut decisions from the medical officers, but at least to some extend with cooperation from the patient in question.
Addicted people like to trade on the amount of prescibed dosages. When we as doctors have our idea on the final dosage we intend to prescribe we should propose a somewhat lower dosage at first.
Painfull feelings in the legs can be medicated with Atenolol up 2x 25mg -50mg a day, blood pressure permittable.
In second stage Klordiazepoxid can then be stepped down.
Usually sleepdisorders have to be coped with with a Neuroleptic like Truxal up 100mg vesp or Seroquel 200 to 300mg vesp. In this range we can see Truxal as more sedative and Seroquel somewhat more antipsychotic.
The usage of SSRI and THC in detox is disputed, but known to be done. Especially Miron 30mg and Mianserin 30mg might be a medication of choice.
We must see however that antidepressant especially the older THC´s are also tablet used illegally or prescribed without clear diagnosis of depression. From medical point of view we want to work with as little combinations of different medication as possible.
Another problem with the usage of SSRI´s is the somewhat higher prevalence of suicides especially among people under 25 year of age during or after the usage or a sudden withdrawal from SSRI´s, f.e. after acute release from prison.
Practical issue on Methadon
Methadon is used to diminish craving in severely addicted cases
We may discuss the usefullness of stopping of stepping down Methadon, if we not at the same time implement psychosocial therapy directed to the possible basic psychological factor that caused the addiction.We don´t use Methadon in prison, there are good reasons for this.
Exeption may exist. For this exeption:
As a rule of thump decision on Methadon is made in this way.
Go on: prisonars that will stay in prison for < 3 month are being continued
Stop : prisonars that will stay in prison for > 3 months are being discontinued
The main reason for changing to liquid form was to diminish possibly pressure of other prisonar to dispense Methadon to others.
A disadvantage is however, the less accurate dosage in the cups that are being used.
And less controllable amounts of the liquid that is available in the wards.
The liquid form seems to have a different bio-availibity as mentioned by the patients in the clinical evaluation and the liquid is rather sweet.
Guideline for alcohol detox in Litla Hraun / Neuroleptics
Version 4.00
17 March 2009
John D. De Niet
Remarks and improvement very welcome:
Guideline on neuroleptic usage in Prison
Except from focus in benzodiapines also the usage of Neuroleptics should be scrutinized on the regular basis by the medical team.
In general the usage of longterm neuroptics that were possibly prescribed mainly as sedative needs regular control, at least every three months.
Where more than one neuroloptic and or in combination with a sedative SSRI is prescribed, special attention will be given on diagnosis, indication, lenght of usage and possible present side-effects, look at tardive dyskinesia. Control at least every three months, by doctor and nurse.
Neuroleptics are scrutinized for diagnosis, control time, usage
It is a given fact that neuroleptics are used as calming down medication in a population of a prison, with a rather hign number of illegal drug addicted people.
Some people may even need life long neuroleptic or SSRI support, after brain changes caused by cocain and amphetamin usage.
At the time of the start of custody:
Concerning the standards and with the information of the intake on pre-admission illegal drugusage, medication is chosen and evaluated on a regular basis.
Guideline for alcohol detox in Litla Hraun / medication available in LH
Version 4.00
17 March 2009
John D. De Niet
Remarks and improvement very welcome:
Emergency list of medication, available in LH
LYFJASKÁPUR LITLA HRAUNI
TÖFLUR.
Akineton 2mg. Amilin 25mg. Cipralex 10mg. Litarex 42mg. Mianserin 30mg. Míron 15mg. Risolid 10 mg og 25mg. Rivotril 0.5mg. Sinquan 25mg.
Haldol 1 mg. Phenergan 25 mg. Ríson 1 mg. Seroquel 25 mg og 100 mg. Truxal 15 mg og 50 mg. Trilafon 2 mg. Zyprexa 5mg, 15 mg og 20 mg.
Ibufen 400mg og 600mg. Imigran 50mg. Paratabs 500mg. Vóstar 50mg.
Amoxicillin 500mg. Doxýtab 100mg. Flagyl 500mg. Flemoxin 500mg. Kavepenin 800mg. Primazol 80/400 . Staklox 500mg.
Nexium 20mg. Spasmerin 135mg. Toilax 5mg. Mixt Laxoberal. Mixt Sorbitol.
Aerius 5mg. Loritin 10mg.
Atenolol 25mg. Furix 20mg. Nitromex 0.05mg.
Brjóstsviðatöflur og mixt.
Hóstasaft.
Gyllinæðastílar og krem.
Microlax.
KREM OG SMYRSL.
AD smyrs með og án Zinks. Mildison. Pevaril. Rakakrem.
NEFSPREY
Miwana Naturell (saltvatn). Otrivin eða Nezeril. Livostin.
AUGNDROPAR/SMYRSL.
Chloromycetin. Gervitár. Livostin
STUNGULYF.
Cisordinol acutard 50mg/ml. Cisordinol depot 200mg/ml. Haldol 50mg/ml. Haldol depot 100mg/ml. Phenergan 50mg/ml. Akineton 5 mg/ml. Vitamin B kompex. Vitamin B12. Adrenalin. Atropin. Epipen. Solu Cortef 100mg. Xylocain. Xylocain m/adrenalini.
AKUTBAKKI, geymdur í opna skápnum í lyfjaherbergi.
Cisordinol acutard 50mg/ml, 2 ampullur. Cisordinol depot 200mg/ml, 2 ampullur.
Tillaga um lyf á varðstofum
LYF Í GÆSLU, töflur.
Phenergan 25mg. Seroquel 25 og 100mg. Truxal 15 og 50 mg. Paratabs 500 mg. Ibufen 400 mg. Brjóstsviða- töflur/mixtúra. Hóstamixtúra (á flensutíma).
1 kassi / glas af hverju lyfi. Skrá magn lyfs og dagsetningu þegar farið er með lyf í lyfjaskáp í gæslu.
LYF Í HÚSUM 3 OG 4, töflur.
Phenergan 25mg. Seroquel 25 og 100mg. Paratabs 500 mg. Ibufen 400mg. Brjóstsviða- töflur/mixtúra. Hóstamixtúra (á flensutíma).
1 kassi / glas af hverju lyfi. Skrá magn lyfs og dagsetningu þegar farið er með lyf í lyfjaskápa húsanna.
CONTROLS
Akut taska
Contenance
Controlled every ½ year
Resuscitation taska
Controlle every ½ year
Oxygen bottle changed every year!
List is available in de doctor´s room, with control dates and signature onit.
Every half year an so emergency round trip is organized for the guard, so they know were medication and acute instruments are available. Including appointment were to find the keys that are necessary under these circumstances.