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 Formulary Chapter 6: Endocrine system - Full Chapter
Notes:

Diabetes Guidelines

 Details...
06.06.02  Expand sub section  Bisphosphonates and other drugs affecting bone metabolism
06.06.02  Expand sub section  Bisphosphonates
Alendronic Acid
(Once-Weekly)
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Formulary
Green 1
 
   
Ibandronic Acid
(osteoporosis)
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Formulary
Green 2

 150mg tablet once a month for osteoporosis

 

 
   
Ibandronic acid IV infusion (Bondronat)
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Formulary
Green 2

3mg/3ml pre-filled syringe for IV injection every 3 months

 
   
Risedronate
(once weekly)
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Formulary
Green 2
 
   
Sodium Clodronate
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Restricted Drug Restricted
Amber

Restricted to haematology and oncology initiation only (Bonefos)

 
   
Zoledronic Acid
(5mg - Osteoporosis/Paget's)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red

Injectable preparation not suitable for primary care prescribing

 

 
   
Zoledronic Acid (4mg - hypercalcaemia/malignancy)
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Restricted Drug Restricted
Red

 Restricted to haematology initiation only

 
   
06.06.02  Expand sub section  Denosumab
06.06.02  Expand sub section  Strontium renelate
 ....
 Non Formulary Items
Alendronic Acid
(Once Daily)

View adult BNF View SPC online View childrens BNF
Non Formulary

Use ONCE WEEKLY generic preparation

 
Alendronic Acid  (Fosamax)

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Non Formulary

Use ONCE WEEKLY generic preparation

 
Alendronic Acid  (Fosamax Once Weekly)

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Non Formulary

Prescribe generically

 
Alendronic acid + Colecalciferol  (Fosavance)

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Non Formulary

Use individual components with vitamin D from a calcium combination preparation eg Calci-D

 

 
Disodium Etidronate  (Didronel PMO)

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Non Formulary
 
Disodium Etidronate  (Didronel)

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Non Formulary
 
Disodium Pamidronate

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Non Formulary
 
Disodium Pamidronate  (Aredia Dry Powder)

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Non Formulary
 
Ibandronic Acid
(oncology)

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Non Formulary

See Herefordshire LPT

 
Ibandronic Acid injection  (Bonviva)

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Non Formulary

Prescribe generically

 
Risedronate
(daily for Paget's)

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Non Formulary
 
Sodium Clodronate  (Clasteon)

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Non Formulary
 
Tiludronic Acid  (Skelid)

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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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