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

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 or by phone at +44 1624 685166.


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

Covid-19 - Patient Group Direction for Administration of COVID-19 vaccine (adults)

Covid-19 - COVID-19 vaccine (adults) Patient Group Direction

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

Contraceptive Pill - Estradio, Nomegestroloely - PGD 152

Cefalexin 250mg & 500mg tablets or capsules and 125mg/5ml & 250mg/5ml oral solution for mild group A streptococcal infections - PGD 168

Clarithomycin 250mg or 500mg tablets and 125mg/5ml or 250mg/5ml oral solution for mild group A streptococcal infections - PGD 169