Patient Group Direction (PGD) library
Withdrawal Notice of some GSL/P medicines PGDs
As of 1 April 2024 some General Sale List (GSL) or Pharmacy (P) medicine PGDs are having to be withdrawn:
- PGD 59 - Peppermint Oil 0.2ml capsules for abdominal colic, abdominal distention particularly in IBS and excessive trapped wind
- PGD 65 - Senna 7.5mg and 15mg tablets, 7.5mg/5ml oral suspension for constipation
- PGD 67 - Sodium Alginate with Potassium Bicarbonate suspension 20mg/100mg per ml, chewable tablets 100mg/500mg per tablet for management of mild symptoms of dyspepsia and gatro-oesophageal reflux disease
- PGD 90 - Ibuprofen tablets and liquid for inflammation and soft tissue injury
- PGD 96 - Hydroxocobalamin injection 1000 micrograms for Vitamin B12 deficiency
- PGD 103 - Ibuprofen tablets and liquid for Pyrexia with discomfort
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.
There are some PGD documents which have been scanned and aren't searchable. If you need any of these in an alternative format, please contact us via email at 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 for Herpes Zoster - 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
Chlorhexdine with Lidocaine Gel for Urethral sounding and catheterisation - PGD 11
Chlorphenamine Maleate for Symptomatic relief of allergic reaction - PGD 12
Ciprofloxacin for suspected Neutropenic Sepsis - PGD 13
Clotrimazole pessary for Vulvo-vaginal candidiasis - PGD 15
Clopidogrel 75mg tablet for acute coronary syndrome - PGD 34
Ceftriaxone 1g powder for injection vials for meningitis - PGD 81
Combined Transdermal Patch (EVRA(r)) for contraception - 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% for dilating the eye - PGD 98
Codeine Phosphate for acute moderate to severe pain - PGD 108
Combined Oral Hormonal Contraception (COC) - PGD 142
Chloramphenicol eye drops or ointment (superficial eye infections) - PGD 145
Combined Oral Hormonal contraception (COC) for control of problematic bleeding - PGD 146
Contraceptive - Ulipristal acetate 30mg tablet - PGD 150
COVID-19 PGDs
5 to 17 years of age - Manx Care Patient Group Direction for COVID-19 mRNA vaccine
Adults - Manx Care Patient Group Direction for Administration of COVID-19 vaccine
5 to 17 years of age - UK COVID-19 mRNA vaccine Patient Group Direction
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
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% for Ophthalmolgy conditions - PGD 102
Furosemide 40mg intravenous injection for Neurological seizures - PGD 119
G
H
Human Papillomavirus Vaccine (HPV) (Recombinant adsorbed) - PGD 03
Hyoscine Butylbromide for symptomatic relief of smooth muscle spasm - PGD 29
Hyoscine Hydrobromide for excessive respiratory secretions in palliative care - PGD 30
Hydrocortisone for over granulation - PGD 35
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 (absorbed) - 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
Levonorgestrel 1500 micrograms (1.5mg) single dose for Emergency contraception - PGD 36
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
Lorazepam for Anxiety associated in terminal phase - PGD 73
M
Methoxyflurane (Penthrox) - PGD 20
Medroxyprogesterone Acetate (Depo provera) for contraception - PGD 42
Midazolam for severe breathlessness in terminal phase - PGD 44
Methylprednisolone Acetate 40mg/ml for adults with simple musculoskeletal conditions - 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
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 (MRT) lozenges for nicotine 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
Phosphate Enema for constipation - PGD 60
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, adsorbed) (PCV13) - PGD 76
Picolax - Sodium Picosulfate, Magnesium Oxide, Citric Acid for Bowel cleansing - PGD 99
Phenylephrine Sterile eye drops 2.5% and 10% for 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
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% for injection for flushing vascular access devices - PGD 68
Sodium Citrate Enema (Mircrolette) for constipation - 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
