north west london integrated formulary - nhs hounslow ccg · north west london integrated formulary...

22
North West London Integrated Formulary Updates and changes included in version 27.0 effective from 08.01.18 Added BNF section Product Initiate by specialist only? Comments 1.2 Eluxadoline tablets 75mg, 100mg N For use in line with NICE's guidance 2.9 Ticagrelor tablets 60mg Y For use in line with NICE's guidance 1.7 Diltiazem rectal ointment 2% (unlicensed) N For treatment of anal fissure. Generally not suitable for repeat prescribing Discontinued products removed Benzoyl peroxide aqueous gel 2.5%, gel in aqueous alcoholic base 5%, cream 4% Products removed in line with NHS Enlgand guidance - Items which should not routinely be prescribed in primary care: Guidance for CCGs Fentanyl buccal tablets 100micrograms, 200micrograms, 400micrograms, 600micrograms, 800micrograms Fentanyl nasal spray (PecFent) 100micrograms/spray, 400micrograms/spray Omega-3 acid ethyl esters capsules 1g (Omacor ®) Diethylamine salicylate (Algesal ®) cream Tadalafil tablets 2.5mg, 5mg Products removed based on price Diltiazem rectal cream 2% (unlicensed) Prednisolone 25mg tablets Changes to 'comments section' Vaccines: Hepatitis B vaccine, Meningococcal polysaccharide A, C, W135 and Y vaccine, BCG intradermal vaccine - Annotated with NHS England recommendations - Items which should not routinely be prescribed in primary care: Guidance for CCGs Tadalafil tablets 10mg, 20mg - Annotated with NHS England recommendations - Items which should not routinely be prescribed in primary care: Guidance for CCGs North West London Integrated Formulary Updates and changes included in version 26.0 effective from 09.08.17 Added BNF section Product Initiate by specialist only? Comments 1.9.1 Ursodeoxycholic acid 250mg tablets Y 3.1 Roflumilast 500micrograms tablet Y For use in line with NICE's guidance 4.11 Rivastigmine 13.3mg/24 hours Y For use in line with NICE's guidance 5.1.13 Fosfomycin 3g granules Y For use in line with Public Health England guidance 'Summary tables: infections in primary care', and after consultation with a microbiologist 6.4.1.1 Duavive tablets (conjugated oestrogens 0.45mg/ bazedoxifene 20mg) Y First 3 months of prescriptions to be supplied from specialist clinic 11.6 Taptiqom preservative free single use drops (tafluprost 15micrograms/ml, timolol 5mg/ml Y

Upload: others

Post on 28-May-2020

8 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: North West London Integrated Formulary - NHS Hounslow CCG · North West London Integrated Formulary Updates and changes included in version 17.0 Effective from 23.07.15 Added BNF

North West London Integrated FormularyUpdates and changes included in version 27.0 effective from 08.01.18

Added

BNF section Product

Initiate by

specialist

only? Comments

1.2 Eluxadoline tablets 75mg, 100mg N For use in line with NICE's guidance

2.9 Ticagrelor tablets 60mg Y For use in line with NICE's guidance

1.7 Diltiazem rectal ointment 2% (unlicensed) N For treatment of anal fissure. Generally not suitable for

repeat prescribing

Discontinued products removed

Benzoyl peroxide aqueous gel 2.5%, gel in aqueous alcoholic base 5%, cream 4%

Products removed in line with NHS Enlgand guidance - Items which should not routinely be prescribed in primary care: Guidance for CCGs

Fentanyl buccal tablets 100micrograms, 200micrograms, 400micrograms, 600micrograms, 800micrograms

Fentanyl nasal spray (PecFent) 100micrograms/spray, 400micrograms/spray

Omega-3 acid ethyl esters capsules 1g (Omacor ®)

Diethylamine salicylate (Algesal ®) cream

Tadalafil tablets 2.5mg, 5mg

Products removed based on price

Diltiazem rectal cream 2% (unlicensed)

Prednisolone 25mg tablets

Changes to 'comments section'

Vaccines: Hepatitis B vaccine, Meningococcal polysaccharide A, C, W135 and Y vaccine, BCG intradermal vaccine - Annotated with NHS England recommendations - Items which should not routinely be prescribed in primary care: Guidance for CCGs

Tadalafil tablets 10mg, 20mg - Annotated with NHS England recommendations - Items which should not routinely be prescribed in primary care: Guidance for CCGs

North West London Integrated FormularyUpdates and changes included in version 26.0 effective from 09.08.17

Added

BNF section Product

Initiate by

specialist

only? Comments

1.9.1 Ursodeoxycholic acid 250mg tablets Y

3.1 Roflumilast 500micrograms tablet Y For use in line with NICE's guidance

4.11 Rivastigmine 13.3mg/24 hours Y For use in line with NICE's guidance

5.1.13 Fosfomycin 3g granules Y For use in line with Public Health England guidance

'Summary tables: infections in primary care', and after

consultation with a microbiologist

6.4.1.1 Duavive tablets (conjugated oestrogens 0.45mg/

bazedoxifene 20mg)

Y First 3 months of prescriptions to be supplied from

specialist clinic

11.6 Taptiqom preservative free single use drops (tafluprost

15micrograms/ml, timolol 5mg/ml

Y

Page 2: North West London Integrated Formulary - NHS Hounslow CCG · North West London Integrated Formulary Updates and changes included in version 17.0 Effective from 23.07.15 Added BNF

13.2.1 Cetraben lotion N

Discontinued products removed

Ursodeoxycholic acid 250mg capsules

Changes to 'comments section'

Sodium chloride 5% eye ointment - 'unlicenced product' annotation removed

North West London Integrated FormularyUpdates and changes included in version 25.0 effective from 26.05.17

Added

BNF section Product

Initiate by

specialist

only? Comments

4.2.2 Paliperidone prolonged release suspension for injection (3

monthly) 175mg, 263mg, 350mg, 525mg

Yes

3.1.4 Spiolto Respimat (solution for inhalation tiotropium

2.5micrograms + olodaterol 2.5micrograms)

No

3.1.4 Ultibro Breezhaler (dry powder for inhalation indacaterol

85micrograms + glycopyrronium 43micrograms)

No

Changes and clarifications

BNF Section Product

Initiate by

specialist

only? Comments

2.8.1 Tinzaparin, Enoxaprin and Dalteparin (all strengths) Yes Low molecular weight heparins have been removed

from the NWL Red List. To reflect the changes, the

comments have been amended to state: 'Hospital

doctors should not ask GPs to prescribe this for the

following indications (1) prevention of DVT after surgery

(2) Initial treatment of DVT or PE whilst warfarin is

started, until INR is in the therapeutic range.

For all other indications, hospital doctors should only

ask GPs to prescribe this if there is clear guidance on the

dose and duration. A guide for 'prescribing low

molecular weight heparins' and a 'frequently asked

questions' document is available in the guidelines folder

on this site. Please refer to these for further guidance. '

8.2.1 Mycophenolate mofetil Yes Comment added to state 'Red listed for new transplant

patients'

13.8.1 Anthelios® No Anthelios® changed to Anthelios® XL

Discontinued products removed

Benzoyl peroxide 10% gel

Haelan® Tape

Co-phenotrope 2.5/0.025

Potassium chloride MR tablets (Slow-K®)

Changes to 'initiate by specialist only?' entries - i.e. now 'all prescribers'

Topiramate

Page 3: North West London Integrated Formulary - NHS Hounslow CCG · North West London Integrated Formulary Updates and changes included in version 17.0 Effective from 23.07.15 Added BNF

North West London Integrated FormularyUpdates and changes included in version 24.0 effective from 07.02.17

Added

BNF section Product

Initiate by

specialist

only? Comments

13.5.2 Enstilar (cutaneous foam spray), betamethasone (as

dipropionate) 0.5mg/g, calcipotriol (as monohydrate)

50micrograms/g )

No For use in line with NICE's guidance

3.1.2 Tiotropium (dry powder inhaler) 10microgram capsule

(Braltus)

No

3.1.1.1 Salbutamol (breath actuated inhalation)

100micrograms/metered inhalation (Salamol Easi-Breathe)

No

3.1.1.1 Salbutamol (dry powder for inhalation)

100micrograms/metered inhalation (Easyhaler)

No

3.1.1.1 Formoterol fumarate (dry powder for inhalation)

12micrograms/metered inhalation (Easyhaler)

No

3.1.1.1 Formoterol fumarate (aerosol inhalation)

12micrograms/metered inhalation (Atimos Modulite)

No

3.2 Beclomethasone dipropionate (dry powder for inhalation)

200microgram/metered inhalation (Easyhaler)

No

Discontinued products removed

Asilone

Premique (conjugated oestrogen 625 micrograms and medroxyprogesterone acetate 5mg)

North West London Integrated FormularyUpdates and changes included in version 23.0 effective from 12.12.16

Added

BNF section Product

Initiate by

specialist

only? Comments

6.4.1.2 Ulipristal tablets 5mg Yes For intermittent treatment of symptoms of uterine

fibroids

11.3.1 Moxifloxacin eye drops 0.5% No

13.6.3 Ivermectin cream 10mg/g (1%) No

13.6.3 Brimonidine gel 3.3mg/g (0.33%) No

North West London Integrated FormularyUpdates and changes included in version 22.0 effective from 7.10.16

Added

Page 4: North West London Integrated Formulary - NHS Hounslow CCG · North West London Integrated Formulary Updates and changes included in version 17.0 Effective from 23.07.15 Added BNF

BNF section Product

Initiate by

specialist

only? Comments

13.6.1 Treclin gel (tretinoin 0.025%, clindamycin (as phosphate)

1%)

No When possible use non-antibiotic antimicrobials rather

than antibiotics.

Changes to 'initiate by specialist only?' entries - i.e. now 'all prescribers'

Exenatide

Liraglutide

Lixisenatide

Page 5: North West London Integrated Formulary - NHS Hounslow CCG · North West London Integrated Formulary Updates and changes included in version 17.0 Effective from 23.07.15 Added BNF

North West London Integrated FormularyUpdates and changes included in version 21.0 effective from 2.6.16

Added

BNF section Product

Initiate by

specialist

only? Comments

2.5.5 Sacubitril/valsartan tablets 24mg/26mg, 49mg/51mg,

97mg/103mg

Yes For use in line with NICE TA recommendations

3.2 Fostair 200/6 pressurised aerosol inhaler and powder

inhaler (NEXThaler)

No

6.1.1 Insulin lispro 200u/ml No

6.1.2.3 Dulaglutide injection 750 micrograms, 1.5mg No

6.6.2 Alendronic acid effervescent tablets 70mg No

13.2.1 Cetraben ointment No

North West London Integrated FormularyUpdates and changes included in version 20.0 effective from 4.2.16

Added

BNF section Product

Initiate by

specialist

only? Comments

3.1.2 Umeclidinium 55micrograms inhalation powder (Incruse

Ellipta)

No

3.1.4 Duaklir Genuair (aclidinium 340micrograms/formoterol

12micrograms inhalation powder)

No

3.1.4 Anoro Ellipta (umeclidinium 55micrograms/vilanterol

22micrograms inhalation powder)

No

4.3.4 Vortioxetine tablets 5mg, 10mg, 20mg No

4.10 Methadone sugar free liquid 1mg/ml No

9.6.4 Cholecalciferol oral drops 2,400 units/ml (Invita D3) No

Page 6: North West London Integrated Formulary - NHS Hounslow CCG · North West London Integrated Formulary Updates and changes included in version 17.0 Effective from 23.07.15 Added BNF

Discontinued products removed

Phenindione tablets 1mg

Chlorpromazine tablets 10mg

Electrolade Oral Rehydration Sachets - replaced by Dioralyte oral rehydration sachets

Bimatoprost 300microgram/ml eye drops

Co-danthramer 25/200 capsules

Co-danthramer 37.5/500 strong capsules

Gastrocote tablets

Calcium-Sandoz syrup

Anapen 500

Pulvinal beclometasone 100, 200 and 400

Pulvinal salbutamol 200

First and second line annotations removed

Beclometasone and budesonide nasal sprays

Page 7: North West London Integrated Formulary - NHS Hounslow CCG · North West London Integrated Formulary Updates and changes included in version 17.0 Effective from 23.07.15 Added BNF

North West London Integrated FormularyUpdates and changes included in version 19.0

Effective from 19.11.15

Added

BNF section Product

Initiate by

specialist

only? Comments

1.6

Macrogol compound half-strength oral powder

(Laxido paediatric) No

3.1.5 Peak flow meters - Vitalograph standard, vitalograph child No

4.4 Lisdexamfetamine 30mg, 50mg, 70mg, capsules Yes

6.1.1.2

Abasaglar 100units/ml solution for injection

(Insulin glargine) No Prescribe by brand name

6.1.2.3 Alogliptin 6.25mg, 12.5mg, 25mg tablets No

9.5

Magnesium aspartate (10mmol magnesium) oral powder

sachets

(Magnaspartate) No

11.6

Simbrinza 10mg/ml + 2mg/ml eye drops suspension

(brinzolamide + brimonidine tartate) No

11.8.1 Ciclosporin 1mg/ml eye drops emulsion (Ikervis) Yes

11.8.1 Sodium hyaluronate 0.1% eye drops (Optive Fusion) No

Page 8: North West London Integrated Formulary - NHS Hounslow CCG · North West London Integrated Formulary Updates and changes included in version 17.0 Effective from 23.07.15 Added BNF

North West London Integrated FormularyUpdates and changes included in version 18.0

Effective from 24.09.15

Added

BNF Section Product

Initiate by

specialist

only? Comments

2.8.2 Edoxaban 15mg, 30mg, 60mg tablets No For use in line with NICE TA(s)

Corrections and clarifications

BNF Section Product

Initiate by

specialist

only? comments

6.7.2 & 8.3.4 Gonadorelin analgoues No

Annotation amended from "specialist initiation" to

"specialist recommendation"

North West London Integrated Formulary

Updates and changes included in version 17.0

Effective from 23.07.15

Added

BNF Section Product

Initiate by

specialist

only? Comments

1.6 Naloxegel 12.5mg, 25mg tablets No For use in line with NICE TA345

3.2

Fostair NEXThaler - dry powder inhalation, beclomethasone

dipropionate 100micrograms, formoterol fumarate

6micrograms per metered inhalation. No

3.2

SIRDUPLA inhaler cfc-free 125micrograms /25micrograms,

250micrograms/25micrograms No

Pressurised aerosol inhalers (MDI), contain the same

drug combination as Seretide 125 and 250 (fluticasone -

125micrograms + salmeterol 25micrograms &

fluticasone - 250micrograms + salmetrol 25micrograms)

6.4.2 Testosterone gel 50mg/5g tube Yes

In addition to already available 50mg/5g sachet and 2%

gel

Page 9: North West London Integrated Formulary - NHS Hounslow CCG · North West London Integrated Formulary Updates and changes included in version 17.0 Effective from 23.07.15 Added BNF

North West London Integrated Formulary

Updates and changes included in version 16.0

Effective from 04.06.15

Added

BNF Section Product

Initiate by

specialist

only? Comments

3.2

DuoResp Spiromax 160micrograms/4.5micrograms,

320micrograms/9micrograms dry powder inhalers No

3.4

Emerade intramuscular injection 150micrograms,

300micrograms, 500micrograms No

7.4 Darifenacin 15mg modified-release tablets No

9.6 Fultium-D3 capsules 3,200 units, 20,000 units No

Removed

BNF Section Product

9.6 Colecalciferol capsules 20,000 units (Dekristol, Pro D3)

9.6

Colecalciferol oral liquid 2,000 units in 1ml liquid (Pro D3

liquid)

9.6 Colecalciferol oral liquid 10,000 units in 1ml (Zymad)

9.6 Colecalciferol dispersible tablets 1000 units (Vigatoletten)

Page 10: North West London Integrated Formulary - NHS Hounslow CCG · North West London Integrated Formulary Updates and changes included in version 17.0 Effective from 23.07.15 Added BNF

North West London Integrated Formularyupdates and changes included in version 15.0

Effective from 2.4.15

Added

BNF Section Product

Initiate by

specialist

only? comments

1.6 Linaclotide 290mcg capsules Yes

4.3 Citalopram 40mg tablets No

5.1 Clarithromycin 250mg/5ml suspension No

6.1 Empagliflozin 10mg, 25mg tablets No In line with NICE TA336

9.5 Cinacalcet 30mg, 60mg, 90mg tablets Yes

13.10 Amorolfine nail lacquer 5% No

15.2 Lidocaine hydrochloride 5mg/mL (0.5%) injection No

North West London Integrated Formularyupdates and changes included in version 14.0

Effective from 5.2.15

Added

BNF Section Product

Initiate by

specialist

only? comments

2.8 Dabigatran etexilate capsules, 110mg, 150mg No

Already on formulary, use extended for NICE TA327

3.2

Relvar Ellipta dry powder inhalers 92mcg/22mcg and

184mcg/22mcg. Containing vilanterol 22micrograms plus

fluticasone furoate 92/184micrograms/delivered dose. No

Step down treatment in line with NICE's guidance

4.1 Nalmefene 18mg tablets No In line with NICE TA325

4.2 Aripiprazole depot injection 400mg Yes

7.4 Alprostadil cream; 300microgram single-use container No

See BNF for circumstances under which this can be

prescribed on the NHS

9.6 InVitaD3® oral solution 625mcg (25,000units)/ml

No

10.3 Diclofenac 1.16% gel No

14.4 Meningococcal group B vaccine No

is not part of the routine immunisation schedule and its

use is currently restricted to certain groups at high risk.

See Green Book.

Removed

BNF Section Product

10.3 Piroxicam 0.5% gel

5.1 Macrodantin brand of nitrofurantoin capsules. (discont)

6.4 Testosterone 100mg implants (discont)

North West London Integrated Formulary

updates and changes included in version 13.0

Effective from 28.11.14

Added

Page 11: North West London Integrated Formulary - NHS Hounslow CCG · North West London Integrated Formulary Updates and changes included in version 17.0 Effective from 23.07.15 Added BNF

BNF Section Product

Initiate by

specialist only? comments

4.3 Fluoxetine dispersible tablets 20mg No

Removed (All discontinued)

BNF Section Product

5.1 Cefpodoxime 100mg tablets and oral suspension 40mg in 5ml

3.1 Salmeterol Diskhaler 50mcg/blister

12.1

Locorten-Vioform ® ear drops- now available as generic (generic still on

formulary)

12.1 Otosporin® ear drops

North West London Integrated Formulary

updates and changes included in version 12.0

Effective from 18.09.14

Added

BNF Section Product

Initiate by

specialist only? comments

7.4.2 Darifenacin 7.5mg M/R tablets No

6.1.2.3 Canagliflozin tablets No For use in line with NICE TA315

1.6.7 Lubiprostone 24 microgram capsules No For use in line with NICE TA318

Dermol 500 Lotion NoFor dry and pruritic skin conditions including eczema and dermatitis,

apply to skin or use as soap substitute

Gabapentin 600mg tablets No

North West London Integrated Formulary

updates and changes included in version 11.0

Effective from 5.06.14

Added

BNF Section Product

Initiate by

specialist only? comments

A2.4.2 Renavit® tablets No

ACBS indication: Dietary management of water soluble vitamin

deficiency in adults with renal failure on dialysis

11.8 Xailin® Night Lubricating Eye Ointment NoFormulated to be technically, clinically and biologically equivalent to

Allergan's Lacri-Lube® Eye Ointment

North West London Integrated Formulary

updates and changes included in version 10.0

Effective from 6.03.14

Added

BNF Section Product

Initiate by

specialist only? comments

11.6 Ganfort® single use unit dose eye drops Yes

Page 12: North West London Integrated Formulary - NHS Hounslow CCG · North West London Integrated Formulary Updates and changes included in version 17.0 Effective from 23.07.15 Added BNF

3.1 Eklira Genuair® dry powder inhaler NoFor use as a second line option in the maintenance treatment of

COPD.

3.1 Seebri Breezhaler® dry powder inhaler NoFor use as a second line option in the maintenance treatment of

COPD.

4.7 Fentanyl 37.5 micrograms/hour patches NoMezolar® is currently the only brand available in this strength

4.9 Tetrabenazine 25 mg tablets No

For the treatment of movement disorders due to Huntington's

chorea, hemiballismus, senile chorea, and related neurological

conditions

Removed

BNF Section Product

15.2 Lidocaine 2% Gel

Changes to 'initiate by specialist only?' entries

Nil

Page 13: North West London Integrated Formulary - NHS Hounslow CCG · North West London Integrated Formulary Updates and changes included in version 17.0 Effective from 23.07.15 Added BNF

North West London Integrated Formulary

updates and changes included in version 9.0

Effective from 16.01.14

Added

BNF Section Product

Initiate by

specialist only? comments

5.1 Amoxicillin sugar free suspension 250mg in 5ml No

7.3 Lucette® tablets No Lucette® costs less than Yasmin®

9.6 Adcal D3 Caplets No

Removed

BNF Section Product

5.1 Azithromycin 250mg capsules

5.2 Griseofulvin 125/5ml Suspension

9.6 Natecal D3 chewable tablets

9.6 Adcal-D3 chewable tablets

9.6 Calcichew D3 Forte chewable tablets

Adcal-D3 Dissolve effervescent tablets

9.11 Fefol Spansule

Changes to 'initiate by specialist only?' entries

Nil

Corrections and clarifications

BNF Section Product

Initiate by

specialist only? comments

13.4 Betnovate C - betamethasone 0.1%, clioquinol 3% cream and ointment No

Listed as approved name, brand now discontinued

13.4

Betnovate N - betamethasone 0.1%, neomycin sulphate 0.5% cream and

ointment Yes Listed as approved name, brand now discontinued

Page 14: North West London Integrated Formulary - NHS Hounslow CCG · North West London Integrated Formulary Updates and changes included in version 17.0 Effective from 23.07.15 Added BNF

North West London Integrated Formulary

updates and changes included in version 8.0

Effective from 14.11.13

Added

BNF Section Product

Initiate by

specialist

only? comments

4.1 Zaleplon 5mg and 10mg capsules No

10.1 Febuxostat 120mg tablets No In line with NICE's guidance TA164

Removed

BNF Section Product

4.8 Clonazepam 2mg injection

4.1 Diazepam oral solution 5mg in 5ml

4.10 Nicotine inhalation 10mg

Azithromycin 250mg capsules

8.3 Megestrol 40mg tablets

10.1 Febuxostat 40mg tablets

10.1 Naproxen suspension 125mg in 5ml

13.6 Tretinoin gel 0.01% and 0.025%

Changes to 'initiate by specialist only?' entries

Nil

Page 15: North West London Integrated Formulary - NHS Hounslow CCG · North West London Integrated Formulary Updates and changes included in version 17.0 Effective from 23.07.15 Added BNF

Corrections and clarifications

BNF Section Product

Initiate by

specialist

only? comments

1.6 Macrogol compound oral powder No

remove the annotation ‘second line osmotic laxative’

6.4 Raloxifene 60mg tablets No

Not for HRT. For use in line with NICE’s TA guidance 161 on

secondary prevention of osteoporotic fragility fracture in

postmenopausal women.

Sildenafil tablets 25mg, 50mg, 100mg No

Available generically.

Tadalafil tablets 2.5mg, 5mg, 10mg, 20mg. No

The NWLIF New Drugs Panel has not to date received a

request to support tadalafil use for treatment of the signs and

symptoms of benign prostactic hyperplasia, so it not included

in the Formulary for this indication.

8.3 Triptorelin injection 22.5mg Yes

moved from section 6.72 to 8.3.4

8.1 and 10.1 Methotrexate 2.5mg and 10mg tablets Yes

GPs should not be asked to prescribe methotrexate for

treatment of cancers. Removed from section 8.1

13.2 Aqueous cream BP Noremove references to first line as a soap subsitute only.

North West London Integrated Formulary

updates and changes included in version 7.0

Effective from 05.09.13

Added

BNF Section Product

Initiate by

specialist

only? comments

6.1 Saxagliptin, tablets 2.5mg No

6.1 Dapagliflozin, tablets 5mg, 10mg No In line with NICE's guidance

6.1

Lixisenatide, 50 micrograms/mL, 10 micrograms/dose prefilled pen.

100 micrograms/mL, 20 micrograms/dose prefilled pen. treatment

initiation pack, 10 micrograms/dose prefilled pen and 20

micrograms/dose prefilled pen Yes

6.7 Triptorelin injection 22.5mg Yes

10.3 Ibuprofen gel 5% No

11.6 Timolol unit dose eye gel 0.1% - preservative free Yes

Removed

BNF Section Product

10.3 Ketoprofen gel 2.5%

13.4 Hydrocortisone 2.5% ointment and cream

Page 16: North West London Integrated Formulary - NHS Hounslow CCG · North West London Integrated Formulary Updates and changes included in version 17.0 Effective from 23.07.15 Added BNF

Changes to 'initiate by specialist only?' entries

Nil

Corrections

Nil

North West London Integrated Formulary

updates and changes included in version 6.0

Effective from 06.06.13

Added

BNF Section Product

Initiate by

specialist

only? comments

2.8 Apixaban tablets 2.5mg, 5mg No

Anticoagulant choice where the indication is prophylaxis of

stroke and systemic embolism in atrial-fibrillation - the

following CCGs prefer the 'which anticoagulant?' discussion

recommended by NICE to take place outside the hospital.

3.2

Flutiform aerosol inhalers. Aerosol inhalation 50 and 125 (aerosol

containing 5mcg formoterol plus 50/125 mcg fluticasone/metered

inhalation. Aerosol inhalation 250 (aerosol containing 10mcg

formoterol plus 250 mcg fluticasone/metered inhalation) No

4.8 Perampanel, 2mg, 4mg,6mg, 8mg, 10mg, 12mg tablets Yes

7.4 Mirabegron 25mg, 50mg M/R tablets No

Agreed to be added for use in line with NICE FAD, 17th May

2013. Mirabegron is recommended as an option for treating

the symptoms of overactive bladder only for people in whom

antimuscarinic drugs are contraindicated or clinically

ineffective, or have unacceptable side effects

11.6

Bimatoprost 300micrograms/ml eye drops, 300micrograms/ml

preservative free single use drops YesAdded in addition to 100microgram/ml eye drops.

11.6 Latanoprost 50micrograms/ml preservative free single use drops Yes

11.4 Sodium cromoglycate 2% preservative free single use drops No

9.6

Accrete D3® tablets, calcium carbonate 1.5g (calcium

600mg/15mmol), colecalciferol 10 micrograms (400 units) No

1.7

Scheriproct Ointment, cinchocaine (dibucaine) hydrochloride 0.5%,

prednisolone hexanoate 0.19%. No

4.8

Sodium Valproate crushable tablets 100mg, liquid (sugar-free)

200mg in 5ml; solution Yes

9.6 Colecalciferol, (Cholecalciferol, vitamin D3) Desunin 800unit tablets No

9.6 Forceval soluble tablets NoCapsules are a licensed medicine. Soluble tablets are a food

supplement. Soluble tablets are an option for patients with

swallowing difficulties.

Page 17: North West London Integrated Formulary - NHS Hounslow CCG · North West London Integrated Formulary Updates and changes included in version 17.0 Effective from 23.07.15 Added BNF

Removed

BNF Section Product

1.5

Prednisolone retention enema, long tube, 20mg in 100ml (as

sodium metasulphobenzoate).

2.2 Metolazone 5mg tablet

6.4

Calcitonin (salmon) /salcatonin, nasal spray 200 units/metered

spray

7.3 Etynodiol diacetate 500microgram tablets (Femulen)

7.4 Distigmine 5mg tablets

Vitamin B compound, tablets containing nicotinamide 15mg,

riboflavin 1mg and thiamine hydrochloride 1mg.

11.4 Hydrocortisone 1% eye drops

11.6 Timolol 0.1% eye gel

13.5

Lassar's Paste (Zinc and Salicylic Acid Paste), paste Zinc oxide

24%, salicylic acid 2%, starch 24%, white soft paraffin 50%

Changes to 'initiate by specialist only?' entries

Nil

Corrections

BNF Section Product

Initiate by

specialist

only? comments

11.6 Xalacom entry amended to latanoprost and timolol eye drops No

12.2

Fluticasone furoate and fluticasone propionate nasal spray entries

separated No

Page 18: North West London Integrated Formulary - NHS Hounslow CCG · North West London Integrated Formulary Updates and changes included in version 17.0 Effective from 23.07.15 Added BNF

NHS North West London Integrated Formulary

updates and changes included in version 5.0

Effective from 31.01.13

Added

BNF Section Product

Initiate by

specialist

only? comments

4.8 Lacosamide syrup 50mg in 5ml Yes

No change made to this section

6.1 Sitagliptin 25mg, 50mg tabletsNo. All

prescribers

For use in line with NICE's guidance

Removed

BNF Section Product

2.12 Tredaptive (MR tablets nicotinic acid 1g + laropiprant 20mg).

Changes to 'initiate by specialist only?' entries

Nil

Changes to comments

Nil

Page 19: North West London Integrated Formulary - NHS Hounslow CCG · North West London Integrated Formulary Updates and changes included in version 17.0 Effective from 23.07.15 Added BNF

NHS North West London Integrated Formulary

updates and changes included in version 4.0

Effective from 06.12.12

Added

BNF Section Product

Initiate by

specialist

only? comments

5.1 Nitrofurantoin MR capsules 100mg

No change made to this section

1.5 Mesalazine MR tablets 400mg, 800mg (Octasa) Yes

Prescribe by brand. The delivery characteristics of oral

mesalazine preparations may vary and they should not be

considered interchangeable. Octasa is the lowest cost brand

and should be prescribed instead of other brands for new

patients, and for patients who require a change to their drug

regimen. Discretion should be applied in switching patients to

Octasa who have mild and/or stable UC.

Mezavant XL should only be considered for select patients

experiencing difficultly with a high pill burden (i.e. >2.4g/daily),

since it has a convenient once-daily dosing advantage. Since

Mezavant XL is almost twice the cost of Octasa, at the point of

maintenance dose prescribing (i.e. ≤2.4g/daily), Octasa should

be substituted.

6.6 Ibandronic acid 50mg tablets Yes

As per licensed indication, in adults for the prevention of

skeletal events in patients with breast cancer and bone

metastases.

Removed

BNF Section Product

1.5 Mesalazine MR tablets 400mg (Mesren MR)

13.5 Alphosyl HC cream

7.2 Estradiol vaginal tablets 25micrograms (Vagifem)

6.4 Testosterone patch for women, (intrinsa)

6.6 Sodium clodronate tablets 520mg.

Page 20: North West London Integrated Formulary - NHS Hounslow CCG · North West London Integrated Formulary Updates and changes included in version 17.0 Effective from 23.07.15 Added BNF

Changes to 'initiate by specialist only?' entries

Nil

Changes to comments

Added marked in red

BNF Section Product

Initiated by

specialist

only? comments

2.6 Ivabradine tablets 5mg and 7.5mg

Specialist

initiation

3rd line treatment in patients with refractory angina where re-

vascularisation is not appropriate and who continue to suffer

from angina despite otherwise maximum anti-angina treatment

or for patients unable to tolerate or with a contraindication to

NHS North West London Integrated Formulary

updates and changes included in version 3.0a.

Effective from 25.10.12

Added

BNF Section Product

Initiate by

specialist

only? comments

2.8 Dabigatran etexilate capules, 110mg, 150mg

Anticoagulant choice where the indication is prophylaxis of

stroke and systemic embolism in atrial-fibrillation - the

following CCGs prefer the 'which anticoagulant?' discussion

recommended by NICE to take place outside the hospital.

2.8 Rivaroxaban tablets15mg, 20mg

Anticoagulant choice where the indication is prophylaxis of

stroke and systemic embolism in atrial-fibrillation - the

following CCGs prefer the 'which anticoagulant?' discussion

recommended by NICE to take place outside the hospital.

Central London CCG, Ealing CCG, Hammersmith and Fulham

CCG, Harrow CCG, Hounslow CCG.

3.4

Adrenaline / epinephrine auto-injectors. Jext 150micrograms,

300micrograms

4.7

Tapentadol tablets 50mg, 75mg; MR tablets 50mg, 100mg, 150mg,

200mg, 250mg Y

Included in the IF for restricted use: it should be initiated in

secondary care and only used in line with the protocol

approved by that hospital's New Drugs Panel or equivalent.

4.7 Tramadol MR capsules, 50mg, 100mg, 150mg, 200mg

5.3 Oseltamivir oral suspension 6mg/ml For use in line with NICE's guidance

7.3 Ethinyloestradiol + norelgestromin transdermal patch (Evra)

Removed

BNF Section Product

5.3 Oseltamivir oral suspension 60mg/5ml (discontinued)

Changes to 'initiate by specialist only?' entries

Nil

Changes to comments

Nil

Page 21: North West London Integrated Formulary - NHS Hounslow CCG · North West London Integrated Formulary Updates and changes included in version 17.0 Effective from 23.07.15 Added BNF

NHS North West London Integrated Formulary

updates and changes included in version 2.0

Effective from 21.08.12

Added

BNF Section Product

Initiate by

specialist

only? comments

1.2 Hyoscine butylbromide tablets 10mg

2.5 Minoxidil tablets 2.5mg, 5mg, 10mg

3.2

Beclometasone (Qvar) Autohaler and Easi-Breathe

100micrograms/inhalation

Chlordiazepoxide capsules 5mg, 10mg.

Zolpidem 5mg (10mg was already included) Y

Phenelzine tablets 15mg Y

Naltrexone tablets 50mg Y

Denosumab inj 60mg in 1 ml Y

Diprobase ointment

Levomenthol cream 2%

13.3 Crotamiton cream 10%

13.3 Doxepin cream 5%

Isotretinon gel 0.05%

Actikerall solution Y

13.10 Silver sulfadiazine cream 1%

Removed

BNF Section Product

1.3 Lansoprazole 30mg granules

4.2

Pipotiazine palmitate depot inj 100mg/ml (the product is 50mg/ml

2ml)

4.7 Morphine (Morphgesic SR) 15mg, 90mg (discont)

5.1 Erythromycin tabs 500mg (only available as stearate)

6.3 Betamethasone tablets 500micrograms (soluble tabs remain)

9.5 Sandocal-400 (discont)

11.8 Ciclosporin eye drops and ointment (unlicensed specials)

12.1 Predsol N (discont)

13.10 Metronidazole gel 0.8% (discont)

13.8 Sunsense Daily SPF 60+ (not available)

Page 22: North West London Integrated Formulary - NHS Hounslow CCG · North West London Integrated Formulary Updates and changes included in version 17.0 Effective from 23.07.15 Added BNF

Changes to 'initiate by specialist only?' entries

BNF Section Product

Initiate by

specialist

only?

1.7 Diltiazem rectal cream 2% N

2.4 Sotalol N

2.4 Nebivolol N

2.4 Labetalol N

2.5 Moxonidine N

2.6 Nicorandil N

4.10 Disulfiram N

5.1 Ofloxacin Y

5.1 Clindamycin N

11.3 Fusidic acid MR gel 1% N

Changes to comments

BNF Section Product

Initiate by

specialist

only? comments

2.12 Ezetimibe

Minor changes to the entry in the comments column

4.2 Valproic acid tablets are EC

13.6 Remove acne treatment order 'first choice' etc.

3.2 Mometasone dry powder inhaler Strengths specified (200 & 400 micrograms/inhalation)

15.1 Alfentanil injection 500micrograms/ml 2ml ampoule specified.

First choice' becomes 'first line' throughout.

Comment on specialist initiation added to page 1

A number of brand names that are not needed on

prescriptions have been removed.