Important: Formulation and dosage details
Formulation:
Injection 1 in 1,000 5mg/5mL (for specialist use in High Dependency Units only)
We are pleased to advise that deep linking capability, enabling users to directly download individual mobile toolkits, has now been released on the RDS mobile app. You will see that each toolkit has a small QR code icon in the header area beside the search icon – see screenshot below. Clicking on this icon will open up a window with a full-size QR code and the alternative of a short URL for sharing with users. Instructions are provided.
You may need to actively update to the latest release - RDS app version 4.7.1 - to see this improvement.
Updating to this latest version of the RDS app is also strongly recommended to get the full benefits of the new resilience arrangements – specifically, that if the RDS website should fail, you will still be able to download new mobile app toolkits. To check your current RDS version, click on the three dots bottom right of the RDS app screen. This takes you to a “More” page where you will see the version number. To install latest updates:
On iPhones – go to the Apple store, click on your profile icon top right, scroll down to see the apps waiting to be updated and update the RDS app.
On Android phones – these can vary, but try going to the Google Play store, click on your profile icon top right, click on “Manage apps and device”, select and update the RDS app.
Please get in touch with ann.wales3@nhs.scot with any questions.
Tablets 2·5mg, 5mg, 10mg (specialist initiation / recommendation only)
Severe orthostatic hypotension, initially 2·5mg three times daily increased weekly according to response up to a maintenance dose of 10mg three times daily. The last dose should be taken at least 4 hours before bedtime.
Risk of medication errors with noradrenaline/norepinephrine 0·08mg/mL (4mg/50mL) solution for infusion. Healthcare professionals should be aware of the differences in strength and presentation between noradrenaline/norepinephrine products – manufacturer advises noradrenaline 0·08mg/mL (4mg/50mL) solution for infusion must not be diluted before use and should only be used for the ongoing treatment of patients already established on noradrenaline therapy, whose dose requirements are clinically confirmed to be escalating.
Injection 1 in 1,000, noradrenaline base 4mg/4mL (hospital use only)