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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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03.02  Expand sub section  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/glycopyrronium  (Trimbow)
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Formulary
Green

Trimbow® 87microgram/dose / 5microgram/dose /9microgram/dose Inhaler
 
 
 
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
   
 ....
 Non Formulary Items
Beclometasone Dipropionate  (Beclazone Easi-Breathe®)

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Non Formulary
 
Budesonide  (Novolizer®)

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Non Formulary
 
Ciclesonide  (Alvesco)

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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

 
Mometasone Furoate  (Asmanex)

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Non Formulary
 
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  

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