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South Staffordshire Joint Formulary
Cannock Chase Clinical Commissioning Group
East Staffordshire Clinical Commissioning Group
South East Staffordshire and Seisdon Peninsula Clinical Commissioning Group
Stafford and Surrounds Clinical Commissioning Group
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 Formulary Chapter 3: Respiratory system - Full Chapter
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03.01  Bronchodilators
03.01.01  Adrenoceptor agonists
03.01.01.01  Selective Beta2 agonists
Salbutamol CFC Free
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Formulary
Green
Salbutamol Inhalation 100mcg (200 D) CFF
Salbutamol Inhalation Solution 2.5mg/2.5ml Ud
Salbutamol Inhalation Solution 5mg/2.5ml Ud

Short Acting Beta2 Adrenoreceptor Agonist
Indicated for Asthma and COPD.

 
   
Salbutamol (as sulfate) Easyhaler
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Formulary
Green
Salbutomol Dry powder for inhalation,100mcg(200D)

Short Acting Beta2 Adrenoreceptor Agonist
Indicated for Asthma and COPD.

 
   
Salbutamol (Salamol®Easi-Breathe)
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Formulary
Green
Salbutamol Sulfate 100mcg/ dose Breath actuated CFC Free Inhaler (200D)


Short Acting Beta2 Adrenoreceptor Agonist
Indicated for Asthma and COPD.

 
   
Terbutaline
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Formulary
Green
Terbutaline Sulfate B/A Inhalation 500mcg (100 D)
Terbutaline turbohaler

Short Acting Beta2 Adrenoreceptor Agonist
Indicated for Asthma and COPD.

 
   
Formoterol Fumarate
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Formulary
Green
Formoterol Dry Powder Inhaler 12mcg/actuation 120D

Formoterol Easyhaler 12mcg (120 D)

Long Acting Beta2 Adrenoreceptor Agonist
Indicated COPD ONLY.

 
   
Indacaterol (Onbrez Breezhaler & Caps)
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Formulary
Green
Indacaterol 150mcg Inhalation Powder, hard capsules with device
Indacaterol 300mcg Inhalation Powder, hard capsules with device

Long Acting Beta2 Adrenoreceptor Agonist
Indicated for COPD ONLY.

 
   
Olodaterol (Striverdi Respimat)
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Restricted Drug Restricted
Red

Olodaterol 2.5micrograms/dose solution for inhalation cartridge with device CFC free

 

Hospital only

 

 

 

 
   
03.01.01.02  Other adrenoceptor agonists
03.01.02  Antimuscarinic bronchodilators to top
Ipratropium Bromide
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Formulary
Green

Ipratropium Bromide Inhalation Solution 500mcg/2ml Ud
Ipratropium Bromide Inhalation 20mcg (200 D) CFF 
 
 

 
   
Tiotropium (Tiotropium Respimat ®)
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Formulary
Green

Tiotropium 5 mcg/dose Respimat® device only

Long-Acting Antimuscarinic 
 
Green Traffic Light  COPD ONLY


Amber E  FOR ASTHMA must be initiated by specialist then transferred to primary care using the RICaD within the asthma guidlelines
 

 
Link  Tiotropium respimat vs handihaler no significant difference in mortality in tiospir trial
   
Glycopyrronium Bromide (Seebri breezhaler®)
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Formulary
Green
Glycopyrronium Bromide Inhalation Capsule 55mcg + Device
Seebri Breezhaler 44mcg Inhalation Powder Capsules + Device

Long-Acting Antimuscarinic
Indication for COPD ONLY.

 
Link  Chronic obstructive pulmonary disease: Glycopyrronium Bromide
   
Tiotropium with olodaterol (Spiolto Respimat®)
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Formulary
Green
Olodaterol (as Olodaterol hydrochloride 2.5microgram per 1 dose, Tiotropium (as Tiotropium bromide) 2.5 microgram per 1 dose

Solution for inhalation cartridge with device. 60 dose. 
   
Umeclidinium Bromide (Incruse Ellipta)
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Formulary
Green
Umeclidinium Bromide 65mcg/dose DPI
Incruse Ellipta 55mcg/dose DPI

Long-Acting Antimuscarinic
Indication for COPD ONLY.


 
Link  How to use ypur ellipta
Link  NICE ESNM52: Chronic obstructive pulmonary disease: umeclidinium inhaler (Incruse)
   
Aclidinium Bomide (Eklira Genuair®)
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Formulary
Green
Aclidinium Bomide 375mcg/dose Dry Powder Inhaler
Eklira 322mcg/dose Genuair Inhalation Powder

Long Acting Antimuscarinic
Indication for COPD ONLY.


NOTE: This is a twice daily preparation therefore not suitable for all patients. 
Link  NICE ESNM8: Chronic obstructive pulmonary disease: aclidinium bromide
   
03.01.03  Theophylline
Theophylline
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Formulary
Green
Note: The rate of absorption from modified-release preparations can vary between brands. Additionally, it is essential that a patient discharged from hospital should be maintained on the brand on which that patient was stabilised as an in-patient. (As per BNF) 
   
03.01.04  Compound bronchodilator preparations
Formoterol/Aclidinium Bromide (Duaklir Genuair)
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Formulary
Green
Aclidinium Bromide 396mcg/dose/Formoterol 11.8mcg/dose DPI
Duaklir 340mcg/dose/ 12mcg/dose Genuair


Long-Acting Antimuscarinic + Long-Acting Beta2 Adrenorecepter Agonist combination.

Indicated for COPD ONLY.

The combination product offers cost & compliance advantages compared to prescribing LAMA and LABA drugs as separate devices.

 
   
Indacterol/Glycopyrronium (Ultibro Breezhaler®)
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Formulary
Green
Long-Acting Antimuscarinic + Long-Acting Beta2 Adrenorecepter Agonist combination.

Indicated for COPD ONLY.

The combination product offers cost & compliance advantages compared to prescribing LAMA and LABA drugs as separate devices.

 
   
Umeclidinium Bromide/Vilanterol (Anoro Ellipta)
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Formulary
Green
Umeclidinium Bromide 65mcg/dose/Vilanterol 22mcg/dose DPI
Anoro Ellipta® 55mcg/22mcg DPI

Long-Acting Antimuscarinic + Long-Acting Beta2 Adrenorecepter Agonist combination.

Indicated for COPD ONLY.

The combination product offers cost & compliance advantages compared to prescribing LAMA and LABA drugs as separate devices.

 
   
03.01.05  Peak flow meters, inhaler devices and nebulisers
 note 

 

 

Peak Flow Meters
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Formulary
Green
Low Range Peak Flow Meters
- Medi Low Range
- Mini Wright Low Range
- Pocketpeak Low Range

Standard Range Peak Flow Meters
- Airzone
- Medi Standard Range
- Micropeak
- Mini-Wright Standard Range
- Piko-1
- Pinnacle
- Pocketpeak Standard Range
- Vitalograph 
   
Spacer Devices
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Formulary
Green
Volumatic
Volumatic Peadiatric
AeroChamber Plus

Please check COPD and Asthma Guidelines for Spacer compatibilities with Inhalers 
   
03.02  Corticosteroids
Beclometasone (Clenil Modulite®)
(Prescribe by BRAND)
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Formulary
Green
Clenil Modulite Inhalation 100mcg (200D)
Clenil Modulite Inhalation 200mcg (200D)
Clenil Modulite Inhalation 250mcg (200D)
Clenil Modulite Inhalation 50mcg (200D)
 
   
Beclometasone (Qvar®)
(Prescribe by BRAND)
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Formulary
Green
Qvar 50 Easi-Breathe Inhalation 50mcg (200 D)
Qvar 50 Inhalation 50mcg (200 D)
Qvar 100 Easi-Breathe Inhalation 100mcg (200 D)
Qvar 100 Inhalation 100mcg (200 D)


Qvar does not have a paediatric license. Qvar has microfine particles and is used at half the dose of Clenil. 
   
Beclometasone (Easyhaler®)
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Formulary
Green
Beclometasone Easyhaler 200mcg/dose DPI

Easyhaler is the most cost effective dry powder device 
   
Budesonide  (Easyhaler)
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Formulary
Green
Budesonide Easyhaler 200mcg/dose DPI

Easyhaler is the most cost effective dry powder device 
   
Budesonide (Pulmicort®)
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Formulary
Green
Budesonide Turbohaler 200mcg/dose

only where patients are not suitable for easyhaler device 
   
Beclometasone and formoterol (Fostair NEXThaler)
(Prescribe by BRAND)
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Formulary
Green
Fostair NEXThaler 100mcg/dose / 6mcg/dose DPI

Fostair NEXThaler 200mcg/dose / 6mcg/dose DPI (ASTHMA ONLY)

ONLY USE THE HIGHER STRENGTH 200/6 PREPARATION IN ASTHMA, 100/6 CAN BE USED IN ASTHMA AND COPD 
Link  NICE ESNM53 Asthma in adults: beclometasone/formoterol dry powder inhaler (Fostair NEXThaler)
   
beclometasone/formoterol/glycopyronnium 87/5/9 (Trimbow®)
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Formulary
Green
Trimbow 87mcg/dose / 22mcg/dose /9mcg/dose
Contains three components Beclometasone/fomoterol/glycopyronnium


For patients with COPD who are classified in Gold category D and found to be suitable, upon patient assessment, for triple therapy with ICS/LABA and LAMA. This provides a cost effective option to have this treatment as one inhaler.

 
   
Budesonide/formoterol (DuoResp Spiromax)
(Prescribe by BRAND)
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Formulary
Green
DuoResp Spiromax 160mcg/dose / 4.5mcg/dose DPI
DuoResp Spiromax 320mcg/dose / 9mcg/dose DPI


For ASTHMA ONLY. NOT to be used for anyone under the age of 18.
In asthma, the 160/4.5 inhaler may be used both as regular maintenance treatment and as needed in response to symptoms.
The 320/9 inhaler must be used with a separate reliever.


 
   
Fluticasone/vilanterol/umeclidinium  (Trelegy Ellipta®)
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Formulary
Green

Trelegy Ellipta 92micrograms/dose / 55micrograms/dose / 22micrograms/dose dry powder inhaler

Contains 3 components Fluticasone, Vilanterol and Umeclidinium

 
   
Formoterol/Beclometasone (Fostair®)
(Prescribe by BRAND)
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Formulary
Green
Fostair Inhalation 100mcg/6mcg (120D) CFF

Fostair Inhalation 200mcg/6mcg (120D) CFF (ASTHMA ONLY)

ONLY USE THE HIGHER STRENGTH 200/6 PREPARATION IN ASTHMA, 100/6 CAN BE USED IN ASTHMA AND COPD 
Link  NICE ESNM22 Asthma: beclometasone/formoterol (Fostair) for maintenance and reliever treatment
   
Budesonide and formoterol (Symbicort®)
(Prescribe by BRAND)
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Formulary
Green
For ASTHMA ONLY

Symbicort Turbohaler 100mcg/6mcg (120 D)
Symbicort Turbohaler 200mcg/6mcg (120 D)
Symbicort Turbohaler 400mcg/12mcg (60 D)
 
   
Fluticasone and formoterol (Flutiform®)
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Formulary
Green
Fluticasone/Formoterol Inhalation 125/5mcg 120D
Fluticasone/Formoterol Inhalation 250/10mcg 120D
Fluticasone/Formoterol Inhalation 50/5mcg 120 D
Flutiform Inhalation 125/5mcg (120 D)
Flutiform Inhalation 250/10mcg (120 D)
Flutiform Inhalation 50/5mcg (120 D)
 
   
Vilanterol/Fluticasone furoate (Relvar Ellipta®)
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Formulary
Green
Relvar Ellipta 184mcg/dose / 22mcg/dose DPI
Relvar Ellipta 92mcg/dose / 22mcg/dose DPI


Note: For use in Asthma at STEP 4

For use in COPD
 
Link  NICE ESM34 Asthma: fluticasone furoate/vilanterol (Relvar Ellipta) combination inhaler
   
03.03  Cromoglicate, related therapy and leukotriene receptor antagonists to top
03.03.01  Cromoglicate and related therapy
03.03.02  Leukotriene receptor antagonists
Montelukast
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Formulary

Montelukast 10mg Tablets
Montelukast 4mg Chewable Tablets SF
Montelukast 5mg Chewable Tablets SF
Montelukast 4mg Granules Sachets SF

MHRA advice (Sep 2019): Montelukast (Singulair): reminder of the risk of neuropsychiatric reactions

 
   
03.03.03  Phosphodiesterase type-4 inhibitors
Roflumilast (Daxas®)
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Restricted Drug Restricted
Red
For use in severe COPD patients only to be prescribed by respiratory specialists. Not for prescribing in primary care.
Roflumilast 500 microgram tablets

RICaD is in development, once finished then the traffic light status will change to Amber 1.  
Link  NICE TA461: Roflumilast for treating chronic obstructive pulmonary disease
   
03.04  Antihistamines, hyposensitisation, and allergic emergencies
03.04.01  Antihistamines to top
03.04.01  Non-sedating antihistamines
Cetirizine
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Formulary
Green

Cetirizine HCl Oral Solution 1mg/1ml S/F
Cetirizine HCl Tablet 10mg

Self Care Self Care Medicine-Available OTC for self care
 
Non-sedating.

 
   
Loratadine
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Formulary
Green

Loratadine Oral Solution 5mg/5ml
Loratadine Tablet 10mg

Self Care Self Care Medicine-Available OTC for self care

Non-sedating.

 
   
Desloratadine (Neoclarityn®)
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Formulary
Green
Desloratadine 5mg Tablets

Note: Desloratadine Oral Solution EXPENSIVE ITEM. 
   
03.04.01  Sedating antihistamines
Chlorphenamine
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Formulary
Green

Chlorphenamine Maleate Oral Solution 2mg/5ml
Chlorphenamine Maleate Tablet 4mg

Self Care Self Care Medicine- Available OTC for self care. Please note exceptions may apply.

 


Sedating.

 
   
Hydroxyzine
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Formulary
Green
Hydroxyzine HCl Tablet 10mg
Hydroxyzine HCl Tablet 25mg
Hydroxyzine HCl Oral Solution 10mg/5ml


Pruritus. 
Link  MHRA Hydroxyzine (Atarax, Ucerax): risk of QT interval prolongation and Torsade de pointes
   
03.04.02  Allergen Immunotherapy
BenralizumabBlack Triangle (Fasenra®)
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Formulary
Red
High Cost Medicine
NHS England

This is an NHS England Specialised Commissioning drug for severe eosinophilic asthma.

 
Link  NICE TA565: Benralizumab for treating severe eosinophilic asthma
   
Mepolizumab (Nucalasup®)
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Restricted Drug Restricted
Red
High Cost Medicine

This is an NHS England Specialised Commissioning Drug for Asthma
This will be prescribed in secondary care as per NICE TA below

 
Link  NICE TA431: Mepolizumab for treating severe refractory eosinophilic asthma
   
Omalizumab
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Restricted Drug Restricted
Red
High Cost Medicine
NHS England
CCG
BlueTeq

This is an NHS England Specialised Commissioning Drug for Asthma

This is a Specialised Drug which is commissioned by the CCGs ONLY for Chronic Spontaneous Urticaria.

 
Link  NICE TA278 - Omalizumab for treating severe persistent allergic asthma (review of technology appraisal guidance 133 and 201)
Link  NICE TA339: Omalizumab for previously treated chronic spontaneous urticaria
   
Pharmalgen
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Restricted Drug Restricted
Red
 
Link  TA246 - Pharmalgen for the treatment of bee and wasp venom allergy
   
Reslizumab (Cinqaero® )
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Restricted Drug Restricted
Red
This is an NHS England specialised commissioning drug for the treatment of severe eosinophilic asthma 
Link  NICE TA479: Reslizumab for treating severe eosinophilic asthma
   
03.04.03  Allergic emergencies
03.04.03  Anaphylaxis to top
 note 

Advice for healthcare professionals:

    • it is recommended that 2 adrenaline auto-injectors are prescribed, which patients should carry at all times

    • ensure that people with allergies and their carers have been trained to use the particular auto-injector that they have been prescribed—technique varies between injectors

    • encourage people with allergies and their carers to obtain and practise using a trainer device (available for free from the manufacturers’ websites)


Adrenaline / Epinephrine (Soln for Injection Auto-Injector )
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Formulary
Green

Please prescribe generically - There are variable stock shortages of each of the three brands Jext, Emerade and Epipen therefore it is best to prescribe generically.

 
   
LanadelumabBlack Triangle (Takhzyro®)
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Restricted Drug Restricted
Red
High Cost Medicine
NHS England

Restriction: In line with NICE guidance only

This is an NHS England Specialised Commissioning Drug for HEREDITARY ANGIOEDEMA

 
Link  NICE TA606: Lanadelumab for preventing recurrent attacks of hereditary angioedema
   
03.05  Respiratory stimulants and pulmonary surfactants
03.05.01  Respiratory stimulants
03.05.02  Pulmonary surfactants
03.06  Oxygen
03.07  Mucolytics to top
Carbocisteine
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Formulary
Green
Carbocisteine Capsule 375mg
carbocistiene 750mg/10ml oral solution 10ml S/F
Carbocisteine Oral Solution 250mg/5ml

For patients with swallowing difficulties please use the sachets in preference to the oral solution as it is more cost effective.

For use in prevention of exacerbations in copd

If 2 or more exacerbations in the last 12 months, consider adding in carbocisteine 750mg three times a day (once symptoms improve maintenance dose of 750mg twice daily should be continued) especially if chronic productive cough

Review on-going need/ benefit and stop if ineffective after 4 – 6 weeks of treatment
 
   
Lumacaftor-ivacaftor
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Restricted Drug Restricted
Red
 
Link  NICE TA398: Lumacaftor–ivacaftor for treating cystic fibrosis homozygous for the F508del mutation
   
Mannitol Dry Powder
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Restricted Drug Restricted
Red


This is an NHS England Specialised Commissioning Drug for Cystic Fibrosis 
Link  TA266 - Mannitol dry powder for inhalation for treating cystic fibrosis
   
03.07  Dornase alfa
Dornase Alfa (Pulmozyme®)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Red


This is an NHS England Specialised Commissioning Drug for Cystic Fibrosis 
   
03.07  Hypertonic Sodium Chloride
Hypertonic Sodium Chloride 7% Nebules (PulmoClear®)
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Formulary
Amber
 
   
03.08  Aromatic inhalations
 note 

Limited clincial value for these products and as such are not commsssioned for prescribing.Patients should purchase OTC products

03.09  Cough preparations
 note 

Limited clincial value for these products and as such are not commsssioned for prescribing.Patients should purchase OTC products

03.09.01  Cough suppressants to top
 note 

Limited clincial value for these products and as such are not commsssioned for prescribing.Patients should purchase OTC products

03.09.02  Expectorant and demulcent cough preparations
 note 

Limited clincial value for these products and as such are not commsssioned for prescribing.Patients should purchase OTC products

03.10  Systemic nasal decongestants
 note 

Limited clincial value for these products and as such are not commsssioned for prescribing.Patients should purchase OTC products

03.11  Antifibrotics
Pirfenidone
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Restricted Drug Restricted
Red
NHS England
  • NHS England commissioned
  • In line with NICE
 
Link  NICE TA504: Pirfenidone for treating idiopathic pulmonary fibrosis
   
 ....
 Non Formulary Items
ACETYLCYSTEINE

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Non Formulary - 600mg Effervescent tablets
- 200mg powder for oral solution sachet
 
Acrivastine

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Non Formulary
 
Adrenaline / Epinephrine  (Anapen®)

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Non Formulary
 
Adrenaline / Epinephrine  (Minijet® Adrenaline 1 in 1000)

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Non Formulary
 
alimemazine tartrate

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Non Formulary
High Cost Medicine
This product is extremely expensive and as such is non formulary please review patients to other antihistamines
 
Aminophylline  (Phyllocontin Continus®)

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Non Formulary
 
Aminophylline IV

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Non Formulary
Link  Specialist Pharmacy Service Conversion of IV Aminophylline dose to oral Aminophylline or Theophylline
 
Ammonia and Ipecacuanha Mixture BP

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Non Formulary

These class of drugs are defined as drugs of Limited Clinical Value, patients should be advised to purchase as part of self-care if required.

 
Bambuterol  (Bambec®)

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Non Formulary
 
Beclometasone Dipropionate  (Beclazone Easi-Breathe®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Bee and Wasp Allergen Extracts  (Pharmalgen®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Beractant

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Non Formulary This is an NHS England Specialised Commissioning Drug for Respiratory distress syndrome
 
Bilastine  (Ilaxten®)

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Non Formulary
 
Budesonide  (Novolizer®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Chlorphenamine Maleate  (Piriton®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Ciclesonide  (Alvesco®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Clemastine  (Tevegil®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Codeine Linctus BP

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Non Formulary
 
Codeine Linctus, Paediatric BP

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Non Formulary
 
Controlled Drug  Codeine Phosphate

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Non Formulary
 
Cyproheptadine  (Periactin®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Dextromethorphan / quinidine  (Nuedexta®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Doxapram  (Dopram®)

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Non Formulary
 
Duovent

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Non Formulary
 
Ephedrine Hydrochloride

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Non Formulary
 
Erdosteine  (Erdotin®)

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Non Formulary
 
Fenoterol

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Non Formulary
 
Fexofenadine

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Non Formulary
 
Flo-Tone MDI

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Non Formulary
 
Fluticasone  (Flixotide®)

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Non Formulary
 
Fluticasone and salmeterol  (Seretide)

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Non Formulary

where patients are only appropriately treated on a seretide mdi we will change to more cost efefctive branded generic airflusal

 
Formoterol Fumarate  (Alimos® Modulite)

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Non Formulary
 
Formoterol Fumarate  (Foradil®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Grass and Tree Pollen Extract  (Pollinex®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Grass pollen extract  (Grazax®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Hypertonic sodium chloride  (PulmoClear®3%)

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Non Formulary
 
Hypertonic sodium chloride  (PulmoClear®6%)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
 
Ipratropium Bromide  (Ipratropium Steri-Neb®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Ipratropium Bromide  (Respontin®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Ipratropium bromide with salbutamol  (Combivent®)

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Non Formulary
 
Ivacaftor

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Non Formulary This is an NHS England Specialised Commissioning Drug for Cystic Fibrosis
 
Karvol

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Non Formulary
 
Ketotifen  (Zaditen®)

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Non Formulary
 
Levocetirizine  (Xyzal®)

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Non Formulary
 
Mecysteine Hydrochloride  (Visclair®)

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Non Formulary
 
Menthol and Eucalyptus Inhalation BP 1980

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Non Formulary
 
Mizolastine  (Mizollen®)

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Non Formulary
 
Mometasone Furoate  (Asmanex®)

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Non Formulary
 
Nedocromil  (Tilade® CFC-free inhaler)

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Non Formulary
 
Orciprenaline Sulphate  (Alupent®)

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Non Formulary
 
Pholcodine  (Galenphol®)

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Non Formulary
 
Pholcodine Linctus, BP

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Non Formulary
 
Pholcodine Linctus, Strong, BP

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Non Formulary
 
Poractant Alfa  (Curosurf®)

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Non Formulary This is an NHS England Specialised Commissioning Drug for Respiratory Distress Syndrome
 
Pseudoephedrine Hydrochloride  (Gulpseud®)

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Non Formulary
 
Pseudoephedrine Hydrochloride  (Sudafed®)

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Non Formulary
 
Rupatadine

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Non Formulary
 
Salbutamol  (Asmasal Clickhaler®)

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Non Formulary
 
Salbutamol  (Ventmax® SR)

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Non Formulary
 
Salbutamol  (Ventolin®)

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Non Formulary
 
Salbutamol  (Volmax®)

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Non Formulary
 
Salbutamol IV

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Non Formulary
 
salmeterol  (Soltel®)

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Non Formulary All preparations are non formulary as formoterol easyhaler is preferred LABA but where patient needs to remain on salmeterol prescribe following:

soltel cfc 25 microgrammes/act metered dose inhaler

note soltel brand contains soya so is not suitable for peanut or soya allergy and is not suitable for patients under 12 years.
 
Simple Linctus, BP

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Non Formulary

These class of drugs are defined as drugs of Limited Clinical Value, patients should be advised to purchase as part of self-care if required.

 
Simple Linctus, Paediatric BP

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Non Formulary

These class of drugs are defined as drugs of Limited Clinical Value, patients should be advised to purchase as part of self-care if required.

 
Sodium Cromoglicate

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Non Formulary
 
Sodium Cromoglicate  (Comogen Easi-Breathe®)

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Non Formulary
 
Sodium Cromoglicate  (Intal®)

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Non Formulary
 
Tiotropium  (Tiotropium Handihaler ®)

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Non Formulary The handihaler device is non formulary please prescribe the respimat or one of the other formulary LAMAS

 
Zafirlukast  (Accolate®)

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Non Formulary
 
  
Key
note Notes
Section Title Section Title (top level)
Section Title Section Title (sub level)
First Choice Item First Choice item
Non Formulary Item Non Formulary section
Restricted Drug
Restricted Drug
Unlicensed Drug
Unlicensed
Track Changes
Display tracking information
click to search medicines.org.uk
Link to adult BNF
click to search medicines.org.uk
Link to children's BNF
click to search medicines.org.uk
Link to SPCs
SMC
Scottish Medicines Consortium
Cytotoxic Drug
Cytotoxic Drug
CD
Controlled Drug
High Cost Medicine
High Cost Medicine
Cancer Drugs Fund
Cancer Drugs Fund
NHSE
NHS England
Homecare
Homecare
CCG
CCG

Traffic Light Status Information

Status Description

Red

Drugs which require special consideration. These are drugs for Consultant Prescribing ONLY. They should not be prescribed in Primary Care.  

Amber

Drugs that should be initiated by a Specialist but are suitable for continuation in Primary Care. For some drugs there may be a Ricad in place to aid the transition to primary care.  

Amber E

Drugs that should be initiated by a Specialist but are suitable for continuation in Primary Care but also require and ESCA (Shared Care Agreement)   

Green

Suitable first-line drugs for implementation in Primary Care  

On Formulary

South Staffs Formulary Choice  

netFormulary