Practice No. Version 3 Page 1 of 3 Last up-dated
125 Mar 2009
Reference: 10/06 HCC AS 06/09 CSCI/CQC: Quality NMC Code of Professional
Performance and Conduct
Methods Directorate : NMC Standards for
The Safe Medication Management Aug
Management of 2008
Controlled Drugs in GSCC Code of practice for
Care Homes (Jan 07) social care workers and
The Royal Marsden
Hospital Manual of
HANDLING AND USE OF HOMELY REMEDIES
This defines the arrangements for the sourcing, storage and use of Homely
Remedies within the a residential or nursing home:
NB: These guidelines must be read in conjunction with the Medication
Management Policy 60/09
‘A homely remedy is a medication that may normally be bought by a person
without calling a doctor’.
1. Residents may purchase their own homely remedies, but whenever
possible they must be encouraged to tell staff what they are taking so that
a record of their medication can be kept.
2. Where prescribed medication is also being taken, it will be necessary for
the home to check with the pharmacist for possible drug interactions. This
includes herbal and homeopathic remedies as they have the same
potential for drug interactions and side effects as any other medication.
3. Where residents are administering their own homely remedies, a full risk
assessment must be made and recorded in the care plan, and the
remedies must be kept in the resident’s room in a locked cupboard.
4. A list of homely remedies which may be made available to residents, must
be sent to each General Practice which has patients in the home, for the
doctors to approve, sign and return to the home. This signed authority
must include details of any resident who may not be given a homely
remedy. These lists must be kept in the same folder as the Medication
Administration Record. (MAR sheets)
5. Homely remedies must be stored in a separate, labelled cupboard from
prescribed medication. Expiry dates and storage details must be checked
regularly and unused and expired items returned to the pharmacy in the
specified way. If a tube of cream is opened for a resident it must be kept
only for that person and must not used by anyone else.
6. Homely remedies must only be administered at the request of the resident,
or by a designated member of staff, for the condition specified on the
homely remedy chart.
7. Before administering a homely remedy, the relevant list must be checked
to make sure that the resident’s GP has given permission for the
medication to be administered to that individual.
8. The guidelines for each medication must be followed, and if there is any
query a pharmacist must be consulted before the medication is
9. A record must be kept on the Medication Administration Record sheet of
the date, time, quantity of the medication given, and the fact that it was a
10. Homely remedies may only be given for a maximum of 48 hours. However,
if at any time there is concern about the resident’s condition, a doctor must
11. If a medication which is included on the ‘Homely Remedy’ list is prescribed
by a doctor for a resident, it cannot be used as a homely remedy for that
resident, but must be given according to the instructions on the
Sample ‘homely’ remedies list
All doses given must be entered on the MAR sheet, with the quantity, date and
time. The remedies must be stored in a separate, labelled, locked cupboard
separate from the resident’s prescribed medication.
MAX CONTRA- DOCTOR
CONDITION DRUG DOSE DOSE IN INDICATIONS and APPROVED
Constipation Mist 25-50mls at 50mls Contraindication: Elderly
Magnesium night and debilitated persons,
Hydroxide those with Renal
impairment or Gastro-
Caution: May cause
Constipation Senna One or two 2 tablets Caution: May colour the
Tablets tablets at night urine or stools
Constipation Lactulose 15mls twice 30mls Caution: May take up to
daily 48 hours to work.
Can cause wind.
Dry Cough Simple 10mls three 30mls Caution: Sugar free
Linctus times a day, linctus can be given to
Sugar-free can be taken diabetics
in warm water
Indigestion Mist 10mls in water 30mls Contraindication: Do not
Magnesium three times a give within one hour of
Trisilicate day Digoxin
Caution: May cause
Mild Pain Paracetamol One or two 8 tablets Contraindication:
Temperature 500mg tablets four Persons with reduced
tablets times a day liver function, or already
leaving at least taking other medication
four hours containing Paracetamol
between e.g. Co-Proxamol,
I authorise the medication indicated to be given to residents at the request of
the resident or the discretion of the manager.