NHS Herefordshire Clinical Commissioning Group
Wye Valley NHS Trust

 
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3 Respiratory system

COPD Treatment Guidelines

Prescribing Steroids in Respiratory Conditions

03-07 Mucolytics

Acetylcysteine
Restricted

Prescribe by brand Oronac® [licensed food supplement]

For pulmonary fibrosis, limited to historic use, specialist initiation. NICE CG163

Nebulised Acetylcysteine is unlicensed and for consultant initiation only. Wye Valley NHS Trust use the injectable preparation via this route. Contact ext 4017 for details.


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Carbocisteine
Restricted

The evidence for mucolytics is poor. Use on advice from a respiratory specialist. Review after a trial period e.g. 3 – 6 months and discontinue if no benefit.


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Erdosteine Erdotin®
Non Formulary

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Ivacaftor
Non Formulary

View adult BNF  View SPC online  View childrens BNF  HCD
Lumacaftor + Ivacaftor Orkambi®
Non Formulary
Link  NICE TA398: Lumacaftor–ivacaftor for treating cystic fibrosis homozygous for the F508del mutation
 

View adult BNF  View SPC online  View childrens BNF
Mecysteine Visclair®
Non Formulary

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