Guidelines for the use of drugs in symptom control

These guidelines are a summary of the current practice of specialists working in palliative care in the West Midlands Region and can be used for patients who are receiving care at home or in hospitals. Your local Specialist Palliative Care Team are available for further advice. The production of these guidelines is independent, funded by the sales of previous editions.


This Guide is intended for use by healthcare professionals and the expectation is that they will use clinical judgement, medical, and nursing knowledge in applying the general principles and recommendations contained within. They are not meant to replace the many available texts on the subject of palliative care.

Some of the management strategies describe the use of drugs outside their licensed indications. They are, however, established and accepted good practice. Please refer to the current BNF for further guidance.

While WMPCPS takes every care to compile accurate information , we cannot guarantee its correctness and completeness and it is subject to change. We do not accept responsibility for any loss, damage or expense resulting from the use of this information.