Shaping better health
REMEDY : BNSSG referral pathways & Joint Formulary

BNSSG Adult Joint Formulary

16. Palliative Care Guidelines

First line drugs Second line drugs Specialist drugs Secondary care drugs
Recommended in both primary and secondary care Alternatives (often in specific conditions) in both primary and secondary care Where a specialist input is needed (see introduction for definition) Prescribing principally within secondary care only



  • Several recommendations in this chapter involve the use of medications outside of their product license i.e. ‘off-label'. This increases the prescriber's responsibility. Please contact Pharmacy for further information.


  • Information about the availability of medications at Community Pharamcies within the BNSSSG area is available here 
  • Community palliative care anticipatory prescribing drug chart here 

16.1 Pain due to cancer in adults
16.2 Gastrointestinal symptoms
16.3 Respiratory symptoms
16.4 Anxiety, depression and confusion
16.5 Mouthcare
16.6 End of life symptom control