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S.I. No. 177/2020 - Medicinal Products (Prescription and Control of Supply) (Amendment) (No. 2) Regulations 2020

Type Statutory Instrument

Publication 2020-05-22

State In force

Text As published

Source Irish Statute Book

articles 2

This is the act as published. Later amendments are not folded into the text below: each one is a separate act in this repository and an entry in this law's history.

Reform history JSON API

Notice of the making of this Statutory Instrument was published in

“Iris Oifigiúil” of 22nd 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:

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.

This document does not substitute the official text published in the Irish Statute Book. We accept no responsibility for any inaccuracies arising from the transcription of the original into this format.

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