netFormulary NHS
NHS Herefordshire Clinical Commissioning Group
Wye Valley NHS Trust
 Search
 Formulary Chapter 3: Respiratory system - Full Chapter
Notes:

COPD Treatment Guidelines

Prescribing Steroids in Respiratory Conditions

Chapter Links...
 Details...
03.01  Bronchodilators
03.01  Asthma
03.01  Chronic obstructive pulmonary disease
03.01  Croup
03.01.01  Adrenoceptor agonists to top
03.01.01.01  Selective Beta2 agonists
Formoterol
View adult BNF
First Choice
Green
High Cost Medicine

1st line long acting Beta 2 agonist (LABA)

Easyhaler £

MDI Atimos Modulite ££

Turbohaler Oxis ££

 

 

 

 
Salbutamol
View adult BNF View SPC online View childrens BNF
First Choice
Green 1

 Prescribe generically unless specified via integrated prescribing tool i.e. ScriptSwitch

  • Pressurised metered dose inhaler (MDI)
  • Easyhaler ®
  • Easi-Breathe®
  • Accuhaler®
  • Nebuliser solution
  • Oral - specialist advice
  • Injection

 

 
Indacaterol (Onbrez)
View adult BNF View SPC online View childrens BNF
Second Choice
Green 2

2nd line long acting Beta 2 agonist (LABA) after formoterol

 
   
Terbutaline
View adult BNF View SPC online View childrens BNF
Second Choice
Green 2

 2nd line agent. Use only when patients are known to be allergic to, or poorly tolerant of salbutamol.

  • MDI
  • Turbohaler
  • Nebuliser solution

Prescribe generically unless specified via integrated prescribing tool i.e. ScriptSwitch

 

 
   
Salbutamol IV
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
   
03.01.01.01  Short-acting beta2 agonists
03.01.01.01  Long-acting beta2 agonists
Salmeterol
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber

Do NOT start for new patients and  Review current patients to consdier changing to formoterol

 
   
03.01.01.02  Other adrenoceptor agonists
03.01.02  Antimuscarinic bronchodilators to top
Tiotropium (Spiriva®)
View adult BNF View SPC online View childrens BNF
First Choice
Green 1

Do not exceed recommended once daily dose for tiotropium

 

Prescribe by brand to ensure continuity of product and device.

Soft Mist (Respimat device)

Spiriva Respimat® device – cost effective first line choice (soft mist)

Dry Powder devices

Braltus® Zonda device 10mcg delivered dose cost effective alternative to Handihaler (Braltus® 10mcg is equivalent to 18mcg Spiriva Handihaler)

Spiriva Handihaler® device 18mcg capsules / 10mcg dose delivered to lungs (retained for existing patients only)

 

 
Glycopyrronium (Seebri breezhaler®)
View adult BNF View SPC online View childrens BNF
Second Choice
Green 2

2nd line long acting Antimuscarinic Antagonist (LAMA) after tiotropium

 

 
   
Umeclidinium (Incruse Ellipta®)
View adult BNF View SPC online View childrens BNF
Second Choice
Green 2

2nd line long acting Antimuscarinic Antagonist (LAMA) after tiotropium

 
   
Ipratropium
View adult BNF View SPC online View childrens BNF
Formulary
Green
  • MDI
  • Autohaler®
  • Nebuliser solution

 

 
   
03.01.03  Theophylline
Aminophylline (Phyllocontin Continus®)
View adult BNF View SPC online View childrens BNF
Formulary
Green

Prescribe by brand

 
   
Theophylline
View adult BNF View SPC online View childrens BNF
Formulary
Green

Prescribe by brand

  • Nuelin SA®
  • Slo-Phyllin®
  • Uniphyllin Continus®

 

 
   
03.01.04  Compound bronchodilator preparations
Aclidinium and formoterol inhaler (Duaklir Genuair ®)
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
   
Glycopyrrolate/ indacaterol inhaler (Ultibro Breezhaler®)
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
   
Ipratropium bromide with salbutamol (Combivent®)
View adult BNF View SPC online View childrens BNF
Formulary
Green

Nebuliser solution

 
   
Tiotropium & olodaterol ® (Spiolto Respimat)
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
   
03.01.05  Peak flow meters, inhaler devices and nebulisers
03.01.05  Peak flow meters
03.01.05  Drug delivery devices to top
AeroChamber Plus ®
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
   
Haleraid ®
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
   
Volumatic ®
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
   
03.01.05  Nebulisers
03.01.05  Nebuliser Diluent
Sodium Chloride
View adult BNF View SPC online View childrens BNF
Formulary
Green

Sodium Chloride 0.9% - use saline injection (hospital) or

Saline Steripoule® in primary care

 

 

 
   
03.02  Corticosteroids
Beclometasone and formoterol (Fostair®)
View adult BNF View SPC online View childrens BNF
First Choice
Green 1

Beclometasone dipropionate & formoterol fumarate (MDI) & NEXThaler (DPI)

NB beclometasone equivalent to QVAR® and therefore double potency BDP

First line combination in asthma for new patients and those stepping down

Consider first line in COPD where a combination ICS/LABA product is required in MDI presentation

 
Fluticasone propionate and formoterol (Flutiform®)
View adult BNF View SPC online View childrens BNF
Second Choice
Green 2

2nd line agent.

NB: MDI is licensed in asthma only

 
   
Beclometasone
(Other inhalers)
View adult BNF View SPC online View childrens BNF
Formulary
Green

PRESCRIBE BY BRAND TO ENSURE CONSISTENCY OF SUPPLY

 
   
Beclometasone (Clenil Modulite®)
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
   
Beclometasone (Easyhaler®)
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
   
Beclometasone (Qvar®)
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
   
Beclometasone and formoterol (Fostair NEXThaler®)
View adult BNF View SPC online View childrens BNF
Formulary
Green

Beclometasone dipropionate & formoterol fumarate (MDI) & NEXThaler (DPI)

NB beclometasone equivalent to QVAR® and therefore double potency BDP

First line combination in asthma for new patients and those stepping down

Consider first line in COPD where a combination ICS/LABA product is required in MDI presentation

 
   
Beclometasone Dipropionate (Clenil Modulite®)
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
   
Budesonide and formoterol (DuoResp Spiromax®)
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
   
Budesonide and formoterol (Fobumix Easyhaler®)
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
   
Budesonide and formoterol (Symbicort®)
View adult BNF View SPC online View childrens BNF
Formulary
Green

Turbohaler® NB only 200/6 and 400/12 preparations are licensed in COPD

 

 
   
Fluticasone furoate & vilanterol (Relvar Ellipta®)
View adult BNF View SPC online View childrens BNF
Formulary
Green 2

Relvar Ellipta 92/22® fluticasone furoate & vilanterol 92/22 low strength: for asthma and COPD in line with NICE & BTS guidance.

Relvar Ellipta 184/22® fluticasone furoate & vilanterol 184/22 high strength: for asthma in line with NICE & BTS guidance

 
   
Fluticasone propionate and salmeterol (AirFluSal Forspiro® )
View adult BNF View SPC online View childrens BNF
Formulary
Green 2

Do not start for new COPD patients

 

 
   
Fluticasone propionate and salmeterol (Sirdupla®, Seretide®, Airflusal®)
View adult BNF View SPC online View childrens BNF
Formulary
Green 2

Do not start for new COPD patients

AirFluSal is HCCG preferred brand

NB Only 500 Accuhaler® licensed in COPD

 

 
   
Formoterol fumarate, beclometasone dipropionate and glycopyrronium bromide
(Trimbow®)
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
   
03.03  Cromoglicate, related therapy and leukotriene receptor antagonists
03.03.01  Cromoglicate and related therapy to top
03.03.01  Related therapy
03.03.02  Leukotriene receptor antagonists
Montelukast (Singulair®)
View adult BNF View SPC online View childrens BNF
Formulary
Green

PRESCRIBE GENERICALLY

 
   
03.03.03  Phosphodiesterase type-4 inhibitors
03.04  Antihistamines, hyposensitisation, and allergic emergencies
03.04.01  Antihistamines to top
03.04.01  Non-sedating antihistamines
Cetirizine
View adult BNF View SPC online View childrens BNF
First Choice
OTC

Self Care for minor self-limiting conditions and Hayfever

Licensed adult dose 10mg OD however doses up to four times a day on specialist advice may be recommended eg in complex urticaria

 
Loratadine
View adult BNF View SPC online View childrens BNF
First Choice
OTC

Self care for minor self-limiting conditions and Hayfever.

 
Fexofenadine
View adult BNF View SPC online View childrens BNF
Third Choice
Green 3

3rd line non-sedating option, particularly for urticaria. Prescribe generically.

 

 
   
03.04.01  Sedating antihistamines
Chlorphenamine
View adult BNF View SPC online View childrens BNF
First Choice
OTC

Self Care for minor self-limiting conditions and Hayfever.

 
Cyproheptadine (Periactin®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red

Hospital only for emergency treatment of SSRI poisoning  

 
   
Hydroxyzine
View adult BNF View SPC online View childrens BNF
Formulary
Green

MHRA advice on QT interval and max doses

 
   
Promethazine (Phenergan®)
View adult BNF View SPC online View childrens BNF
Formulary
Green

Prescribe generically

 
   
03.04.02  Allergen Immunotherapy
Bee and Wasp Allergen Extracts (Pharmalgen®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red

NICE TA 246

 
   
Grass pollen extract (Grazax®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber

Specialist initiation: paediatric or respiratory 

 
   
03.04.02  Omalizumab
Omalizumab (Xolair®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red
High Cost Medicine

Injectable product not suitable for primary care prescribing 

 
Link  NICE TA278: Omalizumab for treating allergic asthma
Link  NICE TA339: Omalizumab for previously treated chronic spontaneous urticaria
   
03.04.03  Allergic emergencies to top
03.04.03  Anaphylaxis
Adrenaline / epinephrine 1 in 1,000
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
   
03.04.03  Angioedema
03.04.03  Intramuscular adrenaline (epinephrine)
03.04.03  Intravenous adrenaline (epinephrine)
03.04.03  Self-administration of adrenaline (epinephrine) to top
03.05  Respiratory stimulants and pulmonary surfactants
03.05.01  Respiratory stimulants
Doxapram (Dopram®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red
  • Infusion 1g in 500ml
  • Injection 100mg in 5ml

 

 
   
03.05.02  Pulmonary surfactants
Poractant Alfa (Curosurf®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red
High Cost Medicine

For use only in SCBU.

 

 

 
   
03.06  Oxygen
03.06  Long-term oxygen therapy to top
03.06  Short burst oxygen therpary
03.06  Ambulatory oxygen therapy
03.06  Oxygen therapy equipment
03.06  Arrangements for supplying oxygen
03.07  Mucolytics to top
Acetylcysteine
(Mucolytic)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber

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.

 
   
Carbocisteine
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber

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.

 
   
03.07  Dornase alfa
Dornase Alfa (Pulmozyme®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red
High Cost Medicine

Do not prescribe for new CF patients: NHSE commissioned  

 
   
03.07  Hypertonic Sodium Chloride
Sodium chloride 7% (Hypertonic)
(for nebulisation)
Formulary
Green
 
   
03.07  Mannitol
03.08  Aromatic inhalations
03.09  Cough preparations to top
03.09.01  Cough suppressants
Codeine Linctus BP
View adult BNF View SPC online View childrens BNF
Formulary
OTC

Purchase for self-care in Primary Care

 
   
03.09.01  Palliative care
Controlled Drug Methadone Hydrochloride (Methadone® Linctus)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber

For use in palliative care only

 
   
03.09.02  Expectorant and demulcent cough preparations
Simple Linctus, BP
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

 Self Care Cough mixtures are for patient purchase only in primary care, within the "Over The Counter" (OTC) policy

 
   
Simple Linctus, Paediatric BP
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Self Care Cough mixtures are for patient purchase only in primary care, within the "Over The Counter" (OTC) policy

 
   
03.10  Systemic nasal decongestants
03.11  Antifibrotics to top
pirfenidone (Esbriet®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red
High Cost Medicine

NHSE commissioned for idiopathic pulmonary fibrosis see NICE

 
Link  NICE TA282: Idiopathic pulmonary fibrosis - pirfenidone
Link  NICE TA504: Pirfenidone for treating idiopathic pulmonary fibrosis
   
 ....
 Non Formulary Items
Aclidinium  (Eklira Genuair®)

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

View adult BNF View SPC online View childrens BNF
Non Formulary

Available to purchase over the counter (OTC) for self care

 
Adrenaline / Epinephrine  (Anapen®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Adrenaline / epinephrine  (EpiPen® & Jext®)
(for IM self administration)

View adult BNF View SPC online View childrens BNF
Non Formulary
Link  NICE CG134: Anaphylaxis: Assessment and referral after emergency treatment
 
Adrenaline / Epinephrine  (Jext®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Adrenaline / Epinephrine  (Minijet® Adrenaline 1 in 1000)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Adrenaline / epinephrine 1 in 10,000 (dilute)
(anaphylaxis)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Alimemazine  (Vallergan®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Alpha-1 antitrypsin  (Respreeza®)

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

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Ammonia and Ipecacuanha Mixture BP

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Bambuterol  (Bambec®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Beclometasone Dipropionate  (Beclazone Easi-Breathe®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Beractant  (Survanta®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
 
Bilastine  (Ilaxten®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Budesonide  (Budelin Novolizer®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Budesonide  (Novolizer®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Budesonide  (Pulmicort®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Budesonide  (Pulmicort®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Budesonide Easyhaler®

View adult BNF View SPC online View childrens BNF
Non Formulary
 
C1 Esterase Inhibitor  (Berinert®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
 
C1 esterase inhibitor  (Cinryze® )

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
 
Chlorphenamine Maleate  (Piriton®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Ciclesonide  (Alvesco®)

View adult BNF View SPC online View childrens BNF
Non Formulary

No evidence of benefit over other steroid inhalers

 

 
Clemastine  (Tevegil®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Codeine Phosphate

View adult BNF View SPC online View childrens BNF
Non Formulary

Controlled Drug Injection Only
 
Compressors  (Omron® compAIR CX)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Compressors  (Omron® CX3)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Compressors  (System 22® CR60)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Compressors  (Turboneb®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Conestat Alfa  (Ruconest®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
 
Desloratadine  (Neoclarityn®)

View adult BNF View SPC online View childrens BNF
Non Formulary

See Herefordshire LPT

 

 
Dextromethorphan / quinidine  (Nuedexta®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Diphenhydramine  (Nytol® Simply Sleep Hot Chocolate)

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

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Ephedrine Hydrochloride

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Erdosteine  (Erdotin®)

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

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Flo-Tone MDI

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Fluticasone propionate  (Flixotide®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Fluticasone propionate and salmeterol  (Aerivio®Spiromax)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Formoterol Fumarate  (Foradil®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Grass and Tree Pollen Extract  (Pollinex®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Home Compressors with Nebulisers  (AC 200® HI FLO)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Home Compressors with Nebulisers  (AC 4000®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Home Compressors with Nebulisers  (Aquilon®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Home Compressors with Nebulisers  (De-Vibiss 4650®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Home Compressors with Nebulisers  (De-Vibiss 5650®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Home Compressors with Nebulisers  (Econoneb®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Home Compressors with Nebulisers  (Freeway Freedom®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Home Compressors with Nebulisers  (PARI BOY Mobile® S)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Home Compressors with Nebulisers  (PARI JuniorBOY ®S)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Home Compressors with Nebulisers  (PARI TurboBOY® S)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Home Compressors with Nebulisers  (Porta-Neb®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Home Compressors with Nebulisers  (Tourer®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Home Compressors with Nebulisers  (ultima®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Home Compressors with Nebulisers  (World Traveller® HI FLO)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
House dust mite allergen immunotherapy  (Mitizax®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Hydroxyzine  (Ucerax®)
(Syrup)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Icatibant  (Firazyr®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
 
Ipratropium Bromide  (Ipratropium Steri-Neb®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Ivacaftor
(Kalydeco)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
 
Jet Nebulisers  (Medix® Lifecare Nebuliser System)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Jet Nebulisers  (Medix® Lifecare Nebuliser Chamber)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Jet Nebulisers  (PARI LC® SPRINT)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Jet Nebulisers  (PARI LC® SPRINT BABY)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Jet Nebulisers  (Sidestream® Durable)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Jet Nebulisers  (Ventistream®)

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

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Ketotifen  (Zaditen®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Levocetirizine  (Xyzal®)

View adult BNF View SPC online View childrens BNF
Non Formulary

See Herefordshire LPT

 

 
Lumacaftor + Ivacaftor  (Orkambi®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Link  NICE TA398: Lumacaftor–ivacaftor for treating cystic fibrosis homozygous for the F508del mutation
 
Mannitol inhalation  (Bronchitol ®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
Link  NICE TA266: Cystic fibrosis - mannitol dry powder for inhalation
 
Mecysteine  (Visclair®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Menthol and Eucalyptus Inhalation BP 1980

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Mepolizumab  (Nucala®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Link  NICE TA431 : Mepolizumab for treating severe refractory eosinophilic asthma
 
Mizolastine  (Mizollen®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Mometasone Furoate  (Asmanex®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Controlled Drug  Morphine Hydrochloride

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Nedocromil  (Tilade® CFC-free inhaler)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Nintedanib  (Ofev®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
Link  NICE TA379:Nintedanib for treating idiopathic pulmonary fibrosis
 
Nintedanib  (Vargatef®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
Link  NICE TA347: Recurrent non-small-cell lung cancer
 
Olodaterol  (Striverdi Respimat®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Orciprenaline Sulphate  (Alupent®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Pholcodine  (Galenphol®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Pholcodine Linctus, BP

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Pholcodine Linctus, Strong, BP

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Pseudoephedrine Hydrochloride  (Gulpseud®)

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

Falls into the "Over The Counter" (OTC) category

 

 
Pseudoephedrine Hydrochloride  (Sudafed®)

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

Falls into the "Over The Counter" (OTC) category

 
Reslizumab  (Cinquil®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Link  NICE TA479: Reslizumab for treating severe eosinophilic asthma
 
Roflumilast  (Daxas®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Link  NICE TA244: Chronic obstructive pulmonary disease - roflumilast (only as part of a trial)
Link  NICE TA461 : Roflumilast for treating chronic obstructive pulmonary disease
 
Rupatadine  (Rupafin®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Salbutamol  (Asmasal Clickhaler®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Salbutamol  (Salamol®Easi-Breathe)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Salbutamol  (Ventmax® SR)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Salbutamol  (Ventolin®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Salbutamol  (Volmax®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Sodium Cromoglicate

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Sodium Cromoglicate  (Comogen Easi-Breathe®)

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

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Ultrasonic Nebulisers  (F16 Wave®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Ultrasonic Nebulisers  (Liberty®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Ultrasonic Nebulisers  (Omron MicroAIR®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Ultrasonic Nebulisers  (Omron® NE-U17)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Ultrasonic Nebulisers  (Ultra Neb ®2000)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Zafirlukast  (Accolate®)

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
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  

netFormulary