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Wye Valley NHS Trust
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 Formulary Chapter 1: Gastro-intestinal system - Full Chapter
Notes:

PPI Guidance

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01.01  Dyspepsia and gastro-oesophageal reflux disease
01.01  Dyspepsia
01.01  Gastro-oesophageal reflux disease
01.01.01  Antacids and simeticone
01.01.01  Aluminium and magnesium containing antacids to top
Co-magaldrox (Maalox®)
View adult BNF View SPC online View childrens BNF
First Choice
Green 1

Low sodium option

 
Co-magaldrox (Mucogel®)
View adult BNF View SPC online View childrens BNF
First Choice
Green 1

Low sodium option

 
01.01.01  Aluminium-magnesium complexes
01.01.01  Antacid preparations containing simeticone
01.01.01  Simeticine alone
01.01.01  Antacid preparations containing dimeticone or local anaesthetics
01.01.02  Compound alginates and proprietary indigestion preparations to top
01.01.02  Compound alginate preparations
Peptac ®
View adult BNF View SPC online View childrens BNF
First Choice
Green 1
 
Infant Gaviscon ®
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
   
01.02  Antispasmodics and other drugs altering gut motility
01.02  Antimuscarinics
Hyoscine Butylbromide
View adult BNF View SPC online View childrens BNF
First Choice
Green 1
 
Dicycloverine
View adult BNF View SPC online View childrens BNF
Second Choice
Green 2
 
   
Propantheline
View adult BNF View SPC online View childrens BNF
Second Choice
Green 2
 
   
01.02  Other antispasmodics
Mebeverine
View adult BNF View SPC online View childrens BNF
First Choice
Green 1
 
Peppermint Oil
View adult BNF View SPC online View childrens BNF
Second Choice
Green 2

Considered 2nd line as more expensive than mebeverine

 
   
Alverine citrate
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber

 Restricted to Gastroenterologist initiation only

 
   
01.02  Motility stimulants to top
01.03  Antisecretory drugs and mucosal protectants
01.03  Helicobacter pylori infection
01.03  NSAID-associated ulcers
01.03.01  H2-receptor antagonists
Ranitidine
View adult BNF View SPC online View childrens BNF
First Choice
Green 1
 
Cimetidine
View adult BNF View SPC online View childrens BNF
Second Choice
Green 2
 
   
01.03.02  Selective antimuscarinics to top
01.03.03  Chelates and complexes
Sucralfate
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red

(unlicensed special order product): for palliative care use only – specialist initiation

 
   
01.03.04  Prostaglandin analogues
Misoprostol
View adult BNF View SPC online View childrens BNF
Formulary  
   
01.03.05  Proton pump inhibitors (PPIs)
 note 

PPI Guidance

Lansoprazole
View adult BNF View SPC online View childrens BNF
First Choice
Green 1
 
Omeprazole
View adult BNF View SPC online View childrens BNF
First Choice
Green 1

Prescribe as CAPSULES not tablets

 
Esomeprazole
View adult BNF View SPC online View childrens BNF
Third Choice
Green 3
 
   
Omeprazole IV
View adult BNF View SPC online View childrens BNF
Formulary
Red

For hospital use only

 
   
01.03.06  Other ulcer-healing drugs
01.04  Acute diarrhoea to top
01.04.01  Adsorbents and bulk-forming drugs
01.04.02  Antimotility drugs
Loperamide
View adult BNF View SPC online View childrens BNF
First Choice
Green
 
CodeineBlack Triangle
(Antidiarrhoeal)
View adult BNF View SPC online View childrens BNF
Formulary  
   
Co-Phenotrope (Lomotil®)
View adult BNF View SPC online View childrens BNF
Formulary

Generic prescribing only

 
   
Eluxadoline (Truberzi®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber

Specialist initiation (IBS) in line with NICE TA471

 

 
   
01.04.03  Enkephalinase Inhibitors
01.05  Chronic bowel disorders
01.05  Irritable bowel syndrome to top
01.05  Malabsorption syndromes
01.05  Inflammatory bowel disease
Budesonide 9mg MR granules (Budenofalk® )
(Prescribe by brand)
View adult BNF View SPC online View childrens BNF
Formulary
Amber
 
   
01.05  Antibiotic-associated colitis
01.05  Diverticular disease
01.05  Aminosalicylates to top
01.05  Corticosteroids
01.05  Food allergy
01.05  Cytokine inhibitors
01.05  Food Allergy
01.05.01  Aminosalicylates to top
Mesalazine (Asacol Foam Enema)
View adult BNF View SPC online View childrens BNF
First Choice
Green 1
 
Mesalazine (Octasa MR)
View adult BNF View SPC online View childrens BNF
First Choice
Green 1
 
Mesalazine (Pentasa®)
(Tablets and Granules)
View adult BNF View SPC online View childrens BNF
First Choice
Green 1

Granules may be used for patients with swallowing difficulties

 
Mesalazine (Pentasa Retention Enema)
View adult BNF View SPC online View childrens BNF
Second Choice
Green 2
 
   
Balsalazide
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber

Specialist initiation only

 
   
Mesalazine (Asacol®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber

Use for historic patients only. Prescribe as Octasa for new patients

 
   
Mesalazine (Salofalk®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber

 

Salofalk enema should only be used when Asacol foam enema and Pentasa retention enema are not tolerated. Its routine use cannot be justified because of the higher dosage delivered, and the higher acquisition cost.

 

 
   
Sulfasalazine
View adult BNF View SPC online View childrens BNF
Formulary
Amber
 
   
01.05.02  Corticosteroids
Budesonide 3mg MR capsules (Budenofalk®)
(Prescribe by brand)
View adult BNF View SPC online View childrens BNF
Formulary
Amber

For small bowel and Ileo-caecal crohns and also in autoimmune hepatitis

 
   
Budesonide 3mg MR capsules (Entocort®)
(Prescribe by brand)
View adult BNF View SPC online View childrens BNF
Formulary
Amber
 
   
Budesonide 9mg MR tablets (Cortiment®)
(Prescribe by brand)
View adult BNF View SPC online View childrens BNF
Formulary
Amber
 
   
Budesonide Foam Enema (Budenofalk)
(Prescribe by brand)
View adult BNF View SPC online View childrens BNF
Formulary
Amber

 First choice foam enema

 

 
   
Prednisolone (Predfoam)
(Rectal)
View adult BNF View SPC online View childrens BNF
Formulary
Amber

2nd line corticosteroid foam for proctitis (Budenofalk enema first line)

 
   
01.05.02  Oral
01.05.03  Drugs affecting the immune response
Cytotoxic Drug Azathioprine
(Gastroenterology)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber
 
   
Ciclosporin
(Gastroenterology)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber

See specialist information

 
   
Cytotoxic Drug Mercaptopurine
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber
NHS England

Inflammatory bowel disease – see shared care 50mg tablets  

 

Oral cancer drug (NHSE commissioned) - RED

Unlicensed doses eg 10mg capsules

 
   
Cytotoxic Drug Methotrexate
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber
NHS England

Rheumatology, dermatology, gastro-enterology (shared care)

RED if prescribed for cancer (NHSE commissioned)

 

 
   
01.05.03  Cytokine inhibitors : Treatment of ulcerative colitis and Crohn’s diseaseTwo biosimilar versions of
Adalimumab
(Gastroenterology)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red
High Cost Medicine

 For hospital use only

 
Link  NICE TA187: Crohn’s disease - infliximab and adalimumab
Link  NICE TA329: Infliximab, adalimumab and golimumab for moderately to severely active ulcerative colitis
Link  NICE TA460 : Adalimumab and dexamethasone for treating non-infectious uveitis
   
Infliximab
(Gastroenterology)
View adult BNF View SPC online
Restricted Drug Restricted
Red
High Cost Medicine

For hospital use only

 
Link  NICE TA163: Ulcerative colitis (acute manifestations) Infliximab
Link  NICE TA187: Crohns disease - infliximab & adalimumab
Link  NICE TA329: Infliximab, adalimumab and golimumab for moderately to severely active ulcerative colitis
   
01.05.04  Food allergy to top
01.06  Laxatives
01.06.01  Bulk-forming laxatives
Ispaghula Husk
View adult BNF View SPC online View childrens BNF
Formulary  
   
01.06.02  Stimulant laxatives
Glycerol
View adult BNF View SPC online View childrens BNF
First Choice
Green 1
 
Senna
View adult BNF View SPC online View childrens BNF
First Choice
Green 1
 
Bisacodyl
View adult BNF View SPC online View childrens BNF
Second Choice
Green 2
 
   
Co-danthramer
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

For use in terminally ill patients only

 
   
Dantron
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

In combination with poloxamer 118 (co-danthramer).

For use in terminally ill patients only

 
   
Docusate Sodium
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
   
Sodium Picosulfate
Formulary
Green
 
   
01.06.02  Other Stimulant laxatives
01.06.03  Faecal softeners to top
Arachis Oil
(Fletchers arachis oil retention enema)
View adult BNF View SPC online View childrens BNF
Formulary
Green

Contraindicated if hisotry of hypersensitivity to arachis oil or peanuts

 
   
01.06.04  Osmotic laxatives
Lactulose
View adult BNF View SPC online View childrens BNF
First Choice
Green 1
 
Macrogol oral powder
View adult BNF View SPC online View childrens BNF
First Choice
Green 1

Prescribe as Laxido or Laxido Paediatric

Cosmocol 2nd line if lemon & lime flavour required

 
Phosphates (Rectal)
(Fletchers phosphate enema, Fleet ready to use enema)
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
   
Phosphates (Rectal) (Fleet® Ready to use Enema)
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
   
Sodium Citrate
View adult BNF View SPC online View childrens BNF
Formulary
Green

Micolette or Micralax micro-enemas

 
   
01.06.05  Bowel cleansing preparations
Picolax ®
View adult BNF View SPC online View childrens BNF
First Choice
Green 1
 
Citramag ®
View adult BNF View SPC online View childrens BNF
Second Choice
Green 2

2nd line to Picolax

 
   
01.06.06  Peripheral opioid-receptor antagonist
NaloxegolBlack Triangle
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber

For use in line with NICE recommendation TA345

 

 
   
01.06.07  Other drugs used in constipation
Prucalopride (Resolor®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber

Constipation in women in line with NICE 

 
Link  NICE TA211: Constipation (women) - prucalopride
   
01.07  Local preparations for anal and rectal disorders to top
01.07.01  Soothing haemorrhoidal preparations
Anusol cream
(or ointment)
View adult BNF View SPC online View childrens BNF
Formulary
OTC

Hospital in-patients only. Soothing haemorrhoid preparations not suitable for prescription in primary care

 

 
   
Anusol suppositories
View adult BNF View SPC online View childrens BNF
Formulary
OTC

Hospital in-patient use only. Soothing haemorrhoid preparations not suitable for prescription in primary care

 

 
   
01.07.02  Compound haemorrhoidal preparations with corticosteroids
Uniroid HC
View adult BNF View SPC online View childrens BNF
First Choice
Green 1

Uniroid HC is cost-effective option in Primary Care

 
Scheriproct ® suppositories
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
   
Scheriproct® ointment
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
   
01.07.03  Rectal sclerosants
Phenol, Oily
View adult BNF View SPC online View childrens BNF
Formulary
Red

Hospital use only

 
   
01.07.04  Management of anal fissures
Diltiazem Cream 2%
View adult BNF View SPC online View childrens BNF
Formulary
Amber

This is an unlicensed preparation. Prescribe by brand in primary care (Anoheal® or Neozem®) – see specials guidance

 
   
Glyceryl Trinitrate 0.4% (Rectogesic ®)
View adult BNF View SPC online View childrens BNF
Formulary
Green

Licensed for pain relief in chroic anal fissure.

Also approved for off-label indication: application to breast flaps following reconstructive surgery to prevent mastectomy skin flap necrosis

 
   
01.08  Stoma care to top
Stoma Care
View adult BNF View SPC online View childrens BNF
Formulary  
Link  Prescribing of Stoma Applicances in the Community
   
01.09  Drugs affecting intestinal secretions
01.09.01  Drugs affecting biliary composition and flow
Obeticholic acid (Ocaliva®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red
High Cost Medicine

Hospital only medicine, not suitable for primary care prescribing 

 
   
Ursodeoxycholic acid (Ursofalk®)
View adult BNF View SPC online View childrens BNF
Formulary
Green

250mg capsules

 
   
Ursodeoxycholic acid (Ursogal®)
View adult BNF View SPC online View childrens BNF
Formulary
Green

150mg tablets

 
   
01.09.01  Other prepatations for biliary disorders
01.09.02  Bile acid sequestrants
Colestyramine powder
View adult BNF View SPC online View childrens BNF
Formulary  
   
01.09.03  Aprotinin to top
01.09.04  Pancreatin
Pancreatin (Creon® 10000)
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
   
Pancreatin (Creon® 25000)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber

High strength formulations should be initiated by specialist 

 
   
Pancreatin (Creon® 40000)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber

High strength formulations should be initiated by specialist

 
   
Pancreatin (Pancrex® V)
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
   
01.10  New Sub Section
01.11  New Sub Section
 ....
 Non Formulary Items
Acidex

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Algicon ®

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Altacite plus

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Anugesic-HC

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Anusol-HC
(soothing plus steroid)

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

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Cytotoxic Drug  Azathioprine

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Beclometasone  (Clipper®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Bismuth subsalicylate  (Pepto-Bismol® )

View adult BNF View SPC online View childrens BNF
Non Formulary
 
BLI-800  (Eziclen®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Cholic acid  (Kolbam®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Cholic acid  (Orphacol®)

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

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Citrafleet ®

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Co-danthrusate

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

View adult BNF View SPC online View childrens BNF
Non Formulary
 
diabact UBT

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Esomeprazole & Aspirin  (Axanum®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Ethinylestradiol
20 mcg / drospirenone 3 mg

(extra)

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

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Farco-Fill® Protect

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Fleet Phospho-soda ®

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

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Gaviscon Advance®

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Golimumab
(Ulcerative Colitis)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
Link  NICE TA329: Infliximab, adalimumab and golimumab for moderately to severely active ulcerative colitis
 
Gripe Mixture

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Helicobacter Test Hp-Olus

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Helicobacter Test INFAI

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Human fibrinogen  (FibCLOT® )

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

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Ispaghula Husk  (Fibrelief®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Ispaghula Husk  (Isogel®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Ispaghula Husk  (Ispagel® Orange)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Ispaghula Husk  (Regulan®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Ivermectin cream  (Soolantra®)
(rosacea)

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

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Izinova®

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Kaolin and Morphine Mixture

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Laolin, Light

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Lidocaine 5% ointment

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Linaclotide Black Triangle  (Constella®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Liquid Paraffin

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Lubiprostone  (Amitiza®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Link  NICE TA318: Lubiprostone for treating chronic idiopathic constipation
 
Maalox Plus

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Macrogol  (Movicol liquid®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Macrogols  (Moviprep®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Macrogols (polyethylene glycols)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Magnesium Carbonate

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Magnesium Hydroxide Mixture BP

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Magnesium Trisilicate

View adult BNF View childrens BNF
Non Formulary
 
Mebeverine  (Fybogel® Mebeverine)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Mesalazine  (Mesren® MR)

View adult BNF View SPC online View childrens BNF
Non Formulary

Re-branded as Octasa

 
Methycellulose  (Celevac®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Methylnaltrexone Black Triangle  (Relistor®)

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

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

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Olsalazine Sodium  (Dipentum®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Omega-3-Acid Ethyl Esters  (Prestylon®)
(Hypertriglyceridaemia)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Pancreatin  (Creon® Micro)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Pancreatin  (Nutrizym® 22)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Pancreatin  (Pancrex®)

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

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Pantoprazole IV

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Peppermint water

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

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Phosphates (Oral)  (Diafalk®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Phosphates (Oral)  (OsmoPrep®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Proctofoam HC

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Proctosedyl ®
(Local anaesthetic plus steroid)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
ProSource ® Jelly

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

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Racecadotril  (Hidrasec®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Ranitidine Bismuth Citrate  (Pylorid®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Renie Duo

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

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Rowachol ®

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Simeticone  (Dentinox®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Simeticone  (infacol®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Sodium Cromoglicate  (Nalcrom®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Sodium cromoglicate  (Nalcrom®)
(Food allergy)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Sodium hydrogen carbonate / sodium dihydrogen phosphate  (Lecicarbon A®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Sterculia  (Normacol®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Sterculia  (Normacol® plus)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Teduglutide  (Revestive®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
 
Tofacitinib

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Topal  (Topal®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Triamcinolone with Antibacterial  (Otocomb Otic®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Tripotassium Dicitratobismuthate  (De-Noltab®)

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

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Ursodeoxycholic acid

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Ursodeoxycholic acid  (Destolit®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Ursodeoxycholic acid  (Urdox®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Vedolizumab Black Triangle 
(Gastroenterology)

View adult BNF View SPC online
Non Formulary
High Cost Medicine
Link  NICE TA352: Vedolizumab for treating moderately to severely active Crohn’s disease after prior therapy
Link  NICE TA342: Vedolizumab for treating moderately to severely active ulcerative colitis
 
Xyloproct ®
(Local anaesthetic plus steroid)

View adult BNF View SPC online View childrens BNF
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
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Link to adult BNF
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Link to children's BNF
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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

Green

Suitable for use in primary care  

Amber

Specialist initiation. Shared care in place  

Red

Red do not use..  

Advice

Some formulations restricted  

Black

NICE "Do not do"  

Green 1

1st line option  

Green 2

2nd line option  

Green 3

3rd line option only  

Not Recomended / Black

Low Value Medicine not recommended for use - see NHSE guidelines  

OTC

This preparation should be bought over the counter for self-care  

Red Amber

Check product description for traffic light status  

Red Black

Low Value Medicine  

netFormulary