The Handbook of Perioperative Medicines

Following the MHRA Drug Safety Update on Pholcodine-containing cough and cold medicines and the potential to predispose to neuromuscular blocking drug (NMBD) allergy, please see the position statement from the UK Perioperative Allergy Network

For Further information on the COVID vaccine for elective surgery patients please refer to the guidance produced by the Royal College of Surgeons England:
                              Vaccinated patients guidance — Royal College of Surgeons (

'In line with the newly published Centre for Perioperative Care's 'Guideline for Perioperative Care for People with Diabetes Mellitus Undergoing Elective and Emergency Surgery', the Diabetes monographs have been updated

The Handbook of Perioperative Medicines
The original Handbook of Perioperative Medicines was published in 2016. It was developed and project managed by Sophie Blow, a specialist in surgery and theatres clinical pharmacy, and written collaboratively by numerous contributors.

The aim of the Handbook remains the same in this expanded and updated edition:

To provide national guidance to professionals working in this area of medicine 

to ensure unified practice for the management of patients’ regular medicines 

in the perioperative period

The Handbook aims to reduce the need for individual NHS Trusts to devise their own local guidelines, which leads to variations in practice across the NHS, introducing elements of risk, confusion and ambiguity across a multitude of treatment centres.

This 3rd edition involves a comprehensive review and revision of the original content, and the addition of over 60 new monographs.
New and revised content has been written by Sarah Tinsley, Advanced Clinical Lead Pharmacist Surgical Division at University Hospitals of North Midlands, and Claire Frank, Lead Pre-operative Assessment Pharmacist at Wrexham Maelor Hospital, Betsi Cadwaladr University Health Board.

The 3rd edition has been endorsed by:

The 3rd edition has been supported by:
The Centre for Perioperative Care (Royal College of Anaesthetists)

The project is funded and supported by the UK Clinical Pharmacy Association:
The following companies have had no input into the content of the Handbook but have provided financial support:

The information contained in this Handbook has been compiled by surgical pharmacists from across the UK, all of whom are members of UKCPA.

All reasonable precautions have been taken by the contributors to verify the content published in this Handbook. The ultimate responsibility for the use of advice mentioned in the Handbook and in the interpretation of published material lies with the practitioner, and the contributors, editors and publishers can accept no liability whatsoever in respect of any claim for damages arising therefrom. Please inform the contributors of any errors.

Search for Medicines Monographs

Please search using the medications generic name as per BNF

  • UKCPA Ltd ,Wigston LE18 9HY
  • PO Box 10916