Patient Group Direction (PGD) library
BNF Update
The BNF online access has been resolved for all primary and secondary users via IP addresses. However, if you are working outside of the addresses given, you may experience difficulties accessing the BNF links. You are welcome to seek support by emailing PGD@gov.im
Welcome to the Isle of Man Manx Care Patient Group Direction (PGD) library.
PGD’s allow healthcare professionals to supply and administer specified medicines to pre-defined groups of patients, without a prescription and are used in line with legislation, so that patients have safe and speedy access to the medicines they need.
A policy for the Implementation, Utilisation And Authorisation of Patient Group Directions defines that only registered healthcare professionals that have attended Manx Care PGD training and have a completed competency book are legally authorised to use PGD’s.
The PGD’s in this library are not signed in order to comply with GDPR regulations regarding staff personal details. By appearing in this library, Manx Care confirms that the master PGD is valid and signed in accordance with the policy. Any staff member wishing to view a signed PGD can request this by contacting any member of the PGD group.
You can contact us via email PGD@gov.im or by phone at +44 1624 685166.
A
Activated Charcoal Oral Suspension 50g in 250ml for gasto poisons - PGD 02
Ametop Gel 4% for anaesthesia of the skin - PGD 04
Amoxicillin for community acquired pheumonia - PGD 05
Amoxicillin Otitis media - PGD 06
Aspirin 300mg tablets for acute coronary syndromes - PGD 07
Azithromycin for Chlamydia Trachomatis infection - PGD 09
Aciclovir 800mg tablets - PGD 87
Aciclovir 400mg for Starter regime of Herpes Simplex Virus (Shingles) - PGD 138
Atropine 1mg 10ml injection for Symptomatic Bradycardia - PGD 141
Aciclovir 400mg for Suppression of Herpes Simplex Virus (Shingles) - PGD 155
B
C
COVID-19 - AstraZeneca ChAdOx1-S (recombinant) vaccine - Cover Letter
COVID-19 - AstraZeneca ChAdOx1-S (recombinant) vaccine
COVID-19 - Comirnaty mRNA vaccine - Covering Letter
COVID-19 - Comirnaty mRNA vaccine
COVID-19 - Comirnaty mRNA 10mcg dose for 5-11yrs vaccine - Covering Letter
COVID-19 - Comirnaty mRNA 10mcg dose for 5-11yrs vaccine
COVID-19 - Spikevax vaccine - Covering Letter
Chlorhexdine with Lidocaine Gel for Urethral sounding and catheter - PGD 11
Chlorphenamine Maleate for allergic reaction - PGD 12
Ciprofloxacin for suspected Neutropenic Sepsis - PGD 13
Clarithromycin for Otitis Media - PGD 14
Clotrimazole pessary for Vulvo-vaginal candidiasis - PGD 15
Co-Amoxiclav for treatment of infection from bites - PGD 16
Clopidogrel 75mg tablet for acute coronary syndrome - PGD 34
Contraceptive - Levonorgestrel 1500 micrograms (1.5mg) single dose - PGD 36
Clean Ready to Use Enema - Sodium Dihydrogen Phospate Dehydrate - PGD 77
Ceftriaxone 1g powder for injection vials for Meningitis - PGD 81
Contraceptive - Combined transdermal patch (Evra) - PGD 82
Carbocisteine 250mg in 5ml oral liquid for reduction of sputum viscosity - PGD 89
Co-codamol 30-500mg tablets for acute moderate pain - PGD 97
Cyclopentolate Hydrochloride Sterile eye drops 1% (ilating the eye) - PGD 98
Codeine Phosphate for acute moderate to severe pain - PGD 108
Contraceptive Pill - Norethisterone (progestogen only pill) - PGD 124
Contraceptive Pill - Gestodine 75mcg - PGD 142
Chloramphenicol eye drops or ointment (superficial eye infections) - PGD 145
Contraceptive Pill - Levonorgestrel, Norgestimate, Norethisterone - PGD 146
Contraceptive Pill - Triphasic Levonorgestrel 50mcg - PGD 147
Contraceptive Pill - Norethisterone 500mcg to 1mg - PGD 148
Contraceptive Pill - Desogestrel 150mcg - PGD 149
Contraceptive - Ulipristal acetate 30mg tablet - PGD 150
Contraceptive Pill - Drospirenone 3mg - PGD 151
D
Diazepam for alcohol dependance - PGD 01
Desogestrel (progestogen only pill) - PGD 17
Dextrose 40% gel for Hypoglycaemia, blood glucose 4mmol - PGD 18
Dihydrocodeine 30mg tablets for opiate withdrawal - PGD 19
Diazepam for control of seizures - PGD 21
Doxycycline for bites - PGD 22
Doxycycline (chlamydia) - PGD 23
Diphtheria Tetanus Acellular Pertussis and Inactivated Poliomyelitis (low dose) vaccine - PGD 79
Diphtheria Tetanus Acellular Pertussis & inact Poliomyelitis vaccine - PGD 84
DipTet Acellular pertussis inact polio Haem B and Hep B (DTaP/IPV/Hib/HepB) - PGD 85
Diazepam 5mg tablets for Benzodiazepine dependency - PGD 118
Diclofenac Sodium Injection 75mg 1ml for acute pain - PGD 120
Diphtheria Tetanus and Inactivated Poliomyelitis Vaccine (TdIPV) - PGD 140
E
F
Flucloxacillin for wound or skin infection - PGD 26
Fluconazole 150mg capsule for Ano-genital candiases - PGD 27
Fusidic Acid 1% Eye Drops for superficial ocular infections - PGD 72
Fusidic Acid 2% Cream and Ointment (Impetigo) - PGD 91
Fluorescein sterile eye drops 2% (Ophthalmolgy conditions) - PGD 102
Furosemide 40mg intravenous injection for Neurological seizures - PGD 119
G
H
Human Papillomavirus vaccine [Types 6, 11, 16, 18] (Recombinant) - PGD 03
Hyoscine Butylbromide for relief of smooth muscle spasm - PGD 29
Hyoscine Hydrobromide for excessive respiratory secretions in palliative care - PGD 30
Hydrocortisone for over granulation - PGD 35
Hepatitis A Virus (inactivated) vaccine (adsorbed) - PGD 86
Hydrocortisone 0 5% Cream for mild inflammatory skin disorders - PGD 93
Hydroxocobalamin injection 1000 micrograms for Vitamin B12 - PGD 96
Haemophilus Influenza Type B and Meningococcal C conjugate vaccine - HibMenC - PGD 101
Hypertonic Saline (Sodium Chloride) Nebulisation 3% for Sputum clerance - PGD 112
Heparin Sodium 10 units per ml) for maintaining IV catheter, flush - PGD 116
Heparin for myocardial infarction - ambulance only - PGD 129
Hepatitis B recombinant DNA rDNA vaccine, adsorbed - PGD 136
I
Ibuprofen Gel 10% for musculoskeletal conditions - PGD 31
Ibuprofen tablets and liquid for pain, inflammation and acute migraine - PGD 32
Imiquimod 5% cream for external anogenital warts - PGD 33
Ibuprofen tablets and liquid for inflammation and soft tissue injury - PGD 90
Ibuprofen tablets and liquid for Pyrexia with discomfort - PGD 103
Influenza (live attenuated) vaccine - Nasal spray suspension (LAIV) - PGD 160
J
No PDGs
L
Lidocaine 1% and 2% solution (intra-articular injections) for musculoskeletal conditions - PGD 37
Lidocaine 1% and 2% solution for local soft tissue anaesthesia - PGD 38
Loperamide Hydrochloride - PGD 40
Lorazepam intravenous injection (seizures) - PGD 41
Lidocaine hydrochloride 5% and phenylephrine hydrochloride 0 5% top - PGD 43
M
Medroxyprogesterone Acetate (Depo provera) for contraception - PGD 42
Medroxyprogesterone acetate 160mg per ml for contraception - PGD 44
Methylprednisolone 40mg/ml and Lidocaine Hydrochloride 10mg/ml - PGD 45
Methylprednisolone Acetate 40mg per ml for simple musculoskeletal - PGD 46
Metronidazole (BV) for Bacterial Vaginosis - PGD 47
Metronidazole 0.75% gel - PGD 48
Metronidazole for bites - PGD 49
Midazolam (Prehospital intensive care) - PGD 51
Midazolam Buccal Liquid (Buccolam) for managing seizures - PGD 52
Morphine Sulfate 10mg in 1ml (injection) - PGD 53
Morphine Sulfate Oral Solution 10mg in 5ml - PGD 54
Measles Mumps and Rubella (MMR) vaccine - PGD 74
Meningococcal Group B vaccine for 8 wks - PGD 78
Macrogol Oral Powder for constipation - PGD 94
Meningococcal group ACW Y (MenACWY) vaccine - PGD 95
N
Nicotine replacement therapy (NRT) lozenges for replacement therapy - PGD 55
Naproxen 250mg tablets for acute gout - PGD 92
Nystatin Oral Suspension for Oral Cadidiasis (Thrush) in infants - PGD 132
Nystatin Oral Suspension for Oral Candidiasis (Thrush) by Steriod - PGD 133
Naproxen 250mg tablets for muscular pain - PGD 135
Nitrofurantoin for uncomplicated lower urinary tract infections - PGD 165
O
P
Paracetamol oral solution, tablets, dispersible tablets - PGD 57
Penicillin V for bacterial tonsillitus - PGD 58
Peppermint Oil 0 2ml capsules for abdominal colic - PGD 59
Piperacillin & Tazobactam (neutropenic sepsis) - PGD 61
Podophyllotoxin 0.5% solution - PGD 62
Podophyllotoxin 0.15% cream - PGD 63
Prednisolone tablets and soluble tablets 5mg - PGD 64
Pneumococcal polysaccharide vaccine - PGD 75
Pneumococcal polysaccharide conjugate vaccine (13-valent absd) (PCV13) - PGD 76
Picolax - Sodium Picosulfate, Magnesium Oxide, Citric Acid for Bowel cleansing - PGD 99
Phenylephrine Sterile eye drops 2.5% and 10% (dilating the eye) - PGD 104
Proxymetacaine 0.5% eye drops (as a local anaesthetic) - PGD 106
Prochlorperazine 12.5mg, 1ml injection for Nausea or vomiting - PGD 114
Povidone-iodine 5% sterile eye drops (as an antiseptic) - PGD 126
Q
No PDGs
S
Senna 7.5mg, 15mg tablets, 7.5mg, 5ml OS for constipation - PGD 65
Simple Linctus oral solution for persistent cough - PGD 66
Sodium Alginate with Potassium Bicarbonate for mild dyspepsia - PGD 67
Sodium Chloride 0.9% (flush) - PGD 68
Sodium Citrate enema (Micolette) - PGD 69
Shingles (Herpes Zoster, live) vaccine - PGD 73
Salbutamol 1mg and inhaler 100mcg for reversibility testing - PGD 105
Sodium Chloride 0.9% to maintain patency of vascular access - PGD 109
Salbutamol Nebuliser 2.5mg, 2.5ml and 5m, 2.5ml - PGD 110
Sodium Lactate (Hartmann's) infusion for fluid resuscitation - PGD 111
Silver Sulfadiazine Cream 1% for Prophylaxis and infection in burns - PGD 113
Sodium Cromoglicate 2% eye drops for hay fever - PGD 134
Shingrix vaccine for prevention of Herpes Zoster (Shingles) - PGD 158
T
V
No PDGs
W
No PDGs
X
No PDGs
Y
No PDGs
