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