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 Formulary Chapter 13: Skin - Full Chapter
Notes:

Emollient Prescribing Guidance (Herefordshire) 2019

 Details...
13.05.03  Expand sub section  Drugs affecting the immune response
Adalimumab (Humira®)
(Dermatology)
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Restricted Drug Restricted
Red
High Cost Medicine

Injectable preparation not suitable for primary care prescribing

 

 
Link  NICE TA392: Adalimumab for treating moderate to severe hidradenitis suppurativa
   
Apremilast (Otezla®)
(Dermatology)
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Restricted Drug Restricted
Red
High Cost Medicine

For active psoriatic arthritis in line with TA433

 
   
Apremilast (Otezla®)
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Restricted Drug Restricted
Red
High Cost Medicine

For active psoriatic arthritis in line with TA433

 
Link  NICE TA372: Apremilast for psoriatic arthritis
Link  NICE TA419: Apremilast for treating moderate to severe plaque psoriasis
Link  NICE TA433 : Apremilast for treating active psoriatic arthritis
   
Ciclosporin
(Dermatology)
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Restricted Drug Restricted
Amber

See specialist information

 
   
Etanercept (Enbrel®)
(Dermatology)
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Restricted Drug Restricted
Red
High Cost Medicine

Injectable preparation not suitable for primary care prescribing

 
Link  NICE TA103: Psoriasis - efalizumab and etanercept
   
Infliximab (Remicade®)
(Dermatology)
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Restricted Drug Restricted
Red
High Cost Medicine

As per NICE. Consultant Dermatologist prescribing only 

 
Link  NICE TA134: Infliximab for psoriasis
   
Cytotoxic Drug Methotrexate
(Dermatology)
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Restricted Drug Restricted
Amber

Dermatology - see shared care

 

 

 
   
Pimecrolimus (Elidel®)
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Formulary
Green

In Line With NICE TA82
On recommendation of Dermatology Specialist only. GPs may issue first prescription

 
Link  NICE TA82: Pimecrolimus and tacrolimus for atopic dermatitis (eczema)
   
Secukinumab (Cosentyx®)
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Restricted Drug Restricted
Red
High Cost Medicine

In line with NICE technology appraisals and local guidance

 
Link  NICE TA350: Plaque Psoriasis
Link  NICE TA407: Secukinumab for active ankylosing spondylitis after treatment with non-steroidal anti-inflammatory drugs or TNF-alpha inhibitors
   
Tacrolimus (Protopic®)
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Formulary
Green

In Line With NICE TA82
On recommendation of Dermatology Specialist only. GPs may issue first prescription. 

 
Link  NICE TA82: Pimecrolimus and tacrolimus for atopic dermatitis (eczema)
   
Ustekinumab
(Stelara)
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Restricted Drug Restricted
Red
High Cost Medicine

In line with NICE technology appraisals and local guidance

 
Link  NICE TA180: Psoriasis - ustekinumab
Link  NICE TA340: Ustekinumab for treating active psoriatic arthritis
Link  NICE TA455 : Adalimumab, etanercept and ustekinumab for treating plaque psoriasis in children and young peopl
Link  NICE TA456 : Ustekinumab for moderately to severely active Crohn’s disease after previous treatment
   
 ....
 Non Formulary Items
Cytotoxic Drug  Azathioprine
(Dermatology)

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Non Formulary
 
Efalizumab  (Raptiva®)

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Non Formulary
 
Guselkumab

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Non Formulary
Link  NICE TA521 : Guselkumab for treating moderate to severe plaque psoriasis
 
Hydroxychloroquine
(Dermatology)

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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

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  

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