nhs fife formula abbreviated drug list
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THE FIFE FORMULARY
Abbreviated Drug List
APRIL 2004
Version 5
Fife Area Drug & Therapeutics Committeehas produced this formulary
for use in hospitals and general practicethroughout the Kingdom of Fife
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Contents
Chapter Page
Notes on Formulary Entries i
1. Gastrointestinal System 1
2. Cardiovascular System 2
3. Respiratory System 5
4. Central Nervous System 6
5. Infections 9
6. Endocrine System 12
7. Obstetrics, Gynaecology and Urinary-tract Disorders 14
8. Malignant Disease and Immunosupression 16
9. Nutrition and Blood 18
10. Musculoskeletal and Joint Diseases 20
11. Eyes 2112. Ear, Nose and Oropharynx 22
13. Skin 23
14. Vaccines 26
15. Anaesthesia 26
16. Poisoning 27
The formulary is regularly updated. Seewww.show.scot.nhs.uk/fifeadtcfor the current version.
http://www.show.scot.nhs.uk/fifeadtchttp://www.show.scot.nhs.uk/fifeadtchttp://www.show.scot.nhs.uk/fifeadtc -
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Notes on Formulary Entries
New Layout
Drugs considered suitable for general use are have no shading surrounding them while drugsconsidered for use or initiation by or on the advice of specialists only are contained within ashaded box. These drugs should not normally be prescribed without the advice of a specialist.The restrictions on their use can be found in the A4 full Fife Joint Formulary which should beconsulted before prescribing.
Monitoring the safety and quality of medicines: New drugs under intensive surveillance(Black Triangle list)
Drugs that are under intense surveillance at the time of publication are indicated by theaddition of a black triangle next to the entryw. A black triangle will be assigned to a product ifthe drug is a new active substance. However, a product containing previously licensed activesubstances may also be monitored if it meets one or more of the following criteria:
a new combination of active substances;
administration via a novel route or drug delivery system; a significant new indication which may alter the established risk/benefit profile of
that drug.
The CSM/MCA wish to receive all suspected ADRs associated with these products in order toconfirm the risk/ benefit profile established during the pre-marketing phase. The black triangledrugs are monitored closely for a minimum of two years and the black triangle symbol is notremoved until the safety of the drug is well established.Yellow Cards can be found in:
British National Formulary (BNF)
Nurse Prescribers' Formulary
ABPI Compendium of Data Sheets and Summaries of Product Characteristics
MIMS Companion
Electronically throughwww.yellowcard.gov.uk
or by calling CSM Scotland on 0131 242 2919
http://www.yellowcard.gov.uk/http://www.yellowcard.gov.uk/http://www.yellowcard.gov.uk/ -
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1.6.4 Osmotic laxativesFletchers' Phosphate EnemaLactuloseMicralax Micro-enemaMovicol1.6.5 Bowel cleansing solutions
Hospital Use Only
Fleet Phospho-SodaKlean-PrepSodium Picosulfate (Picolax)
1.7 Local preparations for oraland rectal disorders
1.7.1 Soothing haemorrhoidal
preparationsAnusolLidocaine
1.7.2 Compound haemorrhodialpreparations withcorticosteroid
Anugesic HCHydrocortisoneScheriproct1.7.3 Rectal sclerosants
Hospital Use Only
Oily phenol injection
1.8 Stoma Care
For further advice on these products,contact the stoma care nurse at FifeAcute Hospitals NHS Trust.
1.9 Drugs affecting intestinalsecretions
1.9.1 Drugs affecting biliarycomposition and flow
Hospital Initiation Only
Ursodeoxycholic acid.
1.9.4 PancreatinCreonPancrex V
Hospital Initiation Only
Nutrizym 22Pancrease HL2. CARDIOVASCULAR
SYSTEM
2.1 Positive inotropic drugs
2.1.1 Cardiac glycosidesDigoxin
Digoxin-specific antibody
Hospital Use Only
Digibind
2.2 Diuretics
2.2.1 Thiazides and relateddiuretics
Bendroflumethiazide
Hospital Initiation Only
MetolazoneIndapamide
2.2.2 Loop DiureticsFurosemideBumetanide
2.2.3 Potassium-sparing diuretics
AmilorideAldosterone antagonistsSpironolactone
2.2.5 Osmotic diuretics
Hospital Use Only
Mannitol
2.2.8 Diuretics with PotassiumNo products are recommended.
2.3 Anti-arrhythmic drugs
2.3.2 Drugs for arrhythmias
Verapamil
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Hospital Initiation Only
AmiodaroneDisopyramideFlecainidePropafenoneSotalol
Hospital Use Only
Adenosine (not includingAdenoscan)LignocaineMexiletine
2.4 Beta-adrenoceptor blockingdrugs
Atenolol
Bisoprolol w(suitable alternative to atenolol in thepresence of heart failure)
Hospital Initiation Only
Carvedilol wNebivolol
Hospital Use Only
EsmololLabetalolMetoprololSotalol
2.5 Antihypertensive therapy
2.5.1 Vasodilator antihypertensivedrugs
Hydralazine
Hospital Use Only
Sodium nitroprusside
2.5.2 Centrally-actingantihypertensive drugs
Hospital Initiation Only
ClonidineMoxonidine
2.5.4 Alpha-adrenoceptorblocking drugs
Doxazosin (not approved for BPH )
2.5.5 Drugs affecting the renin-angiotensin system2.5.5.1Angiotensin-converting
enzyme inhibitorsLisinoprilPerindoprilRamiprilTrandolapril
2.5.5.2 Angiotensin-II receptorantagonists
CandesartanIrbesartanLosartanTelmisartanValsartan
2.6 Nitrates, calcium-channel
blockers and potassium-channel activators
2.6.1 NitratesIsosorbide mononitrateGlyceryl trinitrate
Hospital Use Only
Isosorbide dinitrate(not includingtransdermal spray)
2.6.2 Calcium-channel blockersAmlodipineDiltiazemNifedipineVerapamil
Hospital Use Only
Nimodipine
2.6.3. Potassium-channelactivators
Nicorandil
2.6.4 Peripheral and cerebralvasodilators
2.6.4.1Peripheral vasodilators andrelated drugs
Naftidrofuryl oxalateNifedipine
2.6.4.2 Cerebral vasodilatorsNo products are recommended
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2.7 SympathomimeticsAdrenaline
2.7.1 Inotropicsympathomimetics
Hospital Use Only
DobutamineDopamineDopexamineIsoprenaline
2.7.2 Vasoconstrictorsympathomimetics
Hospital Use Only
Ephedrine hydrochlorideMetaraminolNoradrenalinePhenylephrine
2.8 Anticoagulants andprotamine
2.8.1 Parenteral AnticoagulantsHeparin
Low molecular weight heparins(LMWH)
Hospital Use OnlyDalteparinEnoxaparinTinzaparin
Hiridins and epoprostenol
Hospital Use Only
LepirudinEpoprostenol
Specialist Use Only
Fondaparinux w
2.8.2 Oral anticoagulantsWarfarinPhenindione (alternative wherewarfarin cannot be tolerated)
2.8.3 Protamine sulphateProtamine
2.9 Antiplatelet drugsAspirinClopidogrelDipyridamole
2.10 Fibrinolytic drugs
Hospital Use Only
StreptokinaseTenecteplase
2.11 Antifibrinolytic drugs andhaemostatics
EthamsylateTranexamic acid
Hospital Use Only
Aprotinin
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2.12 Lipid-regulating drugs
Anion-exchange resinsColestyramineColestipol
Clofibrate groupBezafibrateCiprofibrateFenofibrateGemfibrozil
StatinsAtorvastatinPravastainRosuvastatinSimvastatin
2.13 Local sclerosants
Hospital Use Only
Ethanolamine oleateSodium tetradecyl sulphate
3. RESPIRATORY SYSTEM
3.1 Bronchodilators
3.1.1Adrenoceptor agonists
3.1.1.1Selective beta2agonists
Short-actingSalbutamolTerbutaline
Long-actingFormoterolSalmeterol
3.1.1.2 Other adrenoceptorstimulants
Adrenaline
3.1.2 Antimuscarinicbronchodilators
IpratropiumTiotropium
3.1.3 TheophyllineAminophyllineTheophylline
3.1.4 Compound bronchodilatorpreparations
CombiventIpratropium 20micrograms/salbutamol 100 micrograms permetered inhalation
3.2 Corticosteroids
Inhaled steroidsBeclometasoneBudesonideFluticasone
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SystemicsteroidsPrednisoloneHydrocortisone
Compound preparations
Seretide
Symbicort
3.3 Cromoglycate relatedtherapy and leukotrienereceptor antagonists
3.3.1 Cromoglicate, relatedtherapy and leukotrienereceptor antagonists
Cromoglicate sodiumNedocromil sodium inhaler
3.3.2 Leukotriene receptorantagonists
MontelukastZafirlukast
3.4 Antihistamines,hyposensitisation andallergic emergencies
3.4.1 Antihistamines
Non SedatingCetirizine NEFLoratidineSedatingAlimemazineChlorphenamine
HydroxyzinePromethazine
3.4.3 Allergic Emergencies
Step 1 Adrenaline (Epinephrine)
(incl.autoinjector)And then call for helpAfter help calledChlorphenamineHydrocortisone
3.5 Respiratory stimulants andpulmonary surfactants
3.5.1 Respiratory stimulants
Hospital Use Only
Doxapram
3.5.2 Pulmonary surfactants
Hospital Use Only
Colfosceril palmitatePoractant
3.7 MucolyticsCarbocisteine
Mecysteine hydrochloride
3.8 Aromatic inhalationsMenthol crystals
3.9 Cough Preparations
3.9.1 Cough suppressantsPholcodine
3.9.2 Expectorant and demulcentcough preparations
Simple linctus
3.10 Systemic nasaldecongestants
No products are recommended
4. CENTRAL NERVOUSSYSTEM
4.1 Hypnotics and anxiolytics
4.1.1 Hypnotics
BenzodiazepinesNitrazepamTemazepam (tablets)
Zolpidem and zopicloneZolpidem tartrateZopiclone
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Chloral and derivatives
Specilaist Initiation Only
Chloral hydrateTriclofos elixir
4.1.2 Anxiolytics
BenzodiazepinesChlordiazepoxideDiazepamLorazepam
Other drugs for anxietyPropranolol
4.2 Drugs used in psychoses
and related disorders
4.2.1 Antipsychotic drugsTypical AntipsychoticsInitiation for psychosis should be byor in consultation with mental healthspecialist.
ChlorpromazineHaloperidolPromazineSulpirideTrifluoperazineZuclopenthixol dihydrochloride
Specialist Initiation OnlyBenperidol
ThioridazineZuclopenthixol acetate
Atypical Antipsychotics
Specialist Initiation Only
AmisulpirideClozapineOlanzapineQuetiapineRisperidone
4.2.2 Antipsychotic depotinjections
Typical Antipsychotics
Specialist Iniation Only
Flupentixol decanoateFluphenazine decanoateHaloperidol decanoatePipotiazine palmitateZuclopenthixol decanoate
Atypical Antipsychotics
Specialist Iniation Only
Risperdal Consta4.2.3 Antimanic drugsSpecialist Iniation Only
LithiumCarbamazepineSemisodium Valproate(Depakote)
Lithium products should beprescribed by brand name.
4.3 Antidepressant drugs
4.3.1 Tricyclic and relatedantidepressant drugs
TricyclicsAmitriptylineClomipramineDosulepinImipramineLofepramineTrimipramine
Related antidepressants
Trazodone
4.3.2 Monoamine-oxidaseinhibitors (MAOI's)
Hospital Initiation Only
PhenelzineTranylcypromine
Reversible inhibitors of mono-amine oxidaseMoclobemide
4.3.3 Selective Serotonin re-uptakeinhibitors
CitalopramFluoxetineParoxetineSertraline
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4.3.4 Other Antidepressant DrugsMirtazapineReboxetineVenlafaxine
Specialist Initiation Only
Tryptophan
4.4 Central nervous systemstimulants
Specialist Initiation Only
Methylphenidate hydrochloride
4.6 Drugs used in nausea andvertigoBetahistineCinnarizineDomperidoneHyoscine hydrobromideMetoclopramideProchlorperazine
Hospital Use Only
ChlorpromazineCyclizineGranisetronHaloperidolMethotrimeprazineNabilone
OndansetronPromethazineTropisetron
4.7 Analgesics
4.7.1 Non-Opioid analgesicsParacetamol NPF/ NEFIbuprofen (low dose) NEFNefopam NEF
Compound analgesic preparationsCo-codamol 30/ 500Co-dydramol
4.7.2 Opioid analgesicsCodeine phosphate
CyclimorphDiamorphine
Dihydrocodeine (not including DF118Forte)Morphine sulphate (excluding MorcapSR)OxycodonePethidineTramadol oral
Hospital Use Only
Hydromorphone hydrochlorideFentanylTramadol injection
4.7.3 Neuropathic Pain
1st Line Amitriptyline
Nortriptyline2ndLine Gabapentin
Trigeminal neuralgia
CarbamazepineHospital Use Only
Phenytoin
4.7.4 Antimigraine drugs
4.7.4.1Treatment of acutemigraine attack
Naratriptan
SumatriptanZolmitriptan
4.7.4.2 Prophylaxis of migraine
PizotifenPropranolol
4.8 Antiepileptics
4.8.1 Control of epilepsy
CarbamazepinePhenobarbitolPhenytoinSodium valproate
Hospital Initiation Only
Acetazolamide
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Clobazam (Schedule 11. Endorse SLS)ClonazepamEthosuximideGabapentinLamotrigineLevetiracetam wOxcarbazepine wPregabalinPrimidoneTopiramateVigabatrin4.8.2 Drugs used in status
epilepticusDiazepam
Hospital Use Only
Clonazepam
LorazepamParaldehydePhenytoin
4.8.3 Febrile convulsionsParacetamolDiazepam
4.9 Drugs used in parkinsonismand related disorders
4.9.1 Dopaminergic drugsCo-beneldopa (Madopar)Co-careldopa (Sinemet)Pramipexole wSelegiline
Hospital Use Only
ApomorphineCabergolineLisuridePergolideRopinirole
4.9.2 Antimuscarinic drugsBenztropineOrphenadrineProcyclidineTrihexyphenidyl
4.9.3 Drugs used in essentialtremor, chorea, tics andrelated disorders
Propranolol
Hospital Use Only
ChlorpromazineHaloperidolPimozidePrimidoneSulpirideTetrabenazine
Torsion dystonias and otherinvoluntary movements
Hospital Use Only
Botulinum A toxin-haemagglutinincomplex
4.10 Drugs used in substancedependence
Drugs used in alcoholdependenceDisulfiramAcamprosate
Drugs used for cigarette smokingBupropion (Amfembutamone) wNicotine ProductsFirst L ine: gum and patches
Drugs used in opioid dependenceMethadone 1mg/ml mixture
4.11 Drugs for dementia
Specialist I nitiation Only
Donepezil hydrochlorideGalantamineRivastigmine
5. INFECTIONS
See Fife Antibiotic guidance formanagement of common infectionsand serious infections in hospital.
5.1 Antibacterial drugs
5.1.1 Penicillins
5.1.1.1Benzylpenicillin andphenoxymethylpenicillin
BenzylpenicillinPhenoxymethylpenicillin
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5.1.1.2 Penicillinase resistantpenicillins
Flucloxacillin
5.1.1.3 Broad spectrum penicillinsAmoxicillinCo-amoxiclav
5.1.1.4 Antipseudomonalpenicillins
Hospital Use Only
TazocinTimentin5.1.2 Cephalosporins,
cephamycins, and other
beta-lactams
Cephalosporins and cephamycinsCefaclorCefalexinCefadrine
Hospital Use OnlyCefiximeCefotaximeCeftazidimeCeftriaxoneCefuroxime
Other beta-lactam antibioticsHospital Use Only
AztreonamImipenem with cilastatinMeropenem
5.1.3 TetracyclinesDoxycyclineMinocyclineOxytetracyclineTetracycline
5.1.4 Aminoglycosides
Hospital Use Only
AmikacinGentamicin
NeomycinNetilmicinTobramycin
5.1.5 MacrolidesErythromycinAzithromycinClarithromycin
Azithromycin should be used onlyfor indications which require itspowerful anti-chlamydial effect.
5.1.6 Clindamycin
Hospital Initiation Only
Clindamycin(not i ncluding vaginalcream)
5.1.7 Some other antibiotics
Hospital Use Only
ChloramphenicolColistinFusidic acidLinezolid wTeicoplaninVancomycin
5.1.8 Sulphonamides andtrimethoprim
Trimethoprim
Hospital Use Only
Co-trimoxazoleSulfadiazineSulfadimidine
5.1.9 Anti-tuberculous agentsThese drugs will normally berecommended on specialist advice.
Rifampicin
Recommended for the prevention ofsecondary cases of meningococcalmeningitis and Haemophilusinfluenzae type b infection.
Hospital/Specialist Initiation Only
Ethambutol
IsoniazidPyrazinamideRifabutinRifater
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RifinahRimactazidStreptomycin
5.1.10 Antileprotic drugs
Hospital Initiation Only
Dapsone
5.1.11MetronidazoleMetronidazole (not including vaginal gel)
5.1.12 QuinolonesCiprofloxacin (excluding 100mg tabletsfor uncomplicated UT I)
MoxifloxacinNorfloxacin
Ofloxacin
5.1.13 Urinary-tract infectionsNitrofurantoin
5.2 Antifungal drugsTerbinafineFluconazoleGriseofulvinItraconazole (not approved for fungal nailinfections)
Hospital Use Only
AmphotericinFlucytosineKetoconazole
Nystatin
Liposomal amphotericins arerestricted for use in systemicmycoses when toxicity precludes theuse of conventional amphotericin.
5.3 Antiviral agents
HIV infection
Nucleoside reverse transcriptaseinhibitors
Hospital Use Only
CombivirDidanosineLamivudineStavudine
ZalcitabineZidovudine
Protease inhibitors
Hospital Use OnlyAtazanavir wIndinavirRitonavirSaquinavir
5.3.2 Herpesvirus infections
5.3.2.1Herpes simplex andvaricella-zosterAciclovirFamciclovir (not approved for genitalherpes)
Valaciclovir
5.3.2.2 Cytomegalovirus infection
Hospital Use Only
CidofovirFoscarnetGanciclovir (including ophthalmicimplants)
5.3.4 InfluenzaZanamivir
Respiratory syncytial virus
Hospital Use Only
TribavirinPalivizumab w
5.4 Antiprotozoal agents
5.4.1 AntimalarialsUse on specialist advice
ChloroquineMefloquineProguanil
Hospital Use Only
PrimaquineQuinineHalofantrine
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For information on malariaprophylaxis or travel advice, healthcare professionals only can contactTel 0141 300 1130 or go towww.travax.scot.nhs.uk
5.4.8 Drugs for pneumocystispneumonia
Hospital Use Only
Co-trimoxazolePentamidineAtovaquone
5.5 Anthelmintics
5.5.1 Drugs for threadworms
MebendazolePripsen6. ENDOCRINE SYSTEM
6.1 Drugs used in diabetes
6.1.1 InsulinsSee BNF for details.
Includes NovoMix 30w,Insulinlispro, Insulin glarginewand Insulindetemirw. All insulins should beinitiated on hospital advice withcontinuation of prescribing inprimary care.
6.1.2 Oral antidiabetic drugs
6.1.2.1SulphonylureasGliclazideGlipizide
6.1.2.2 BiguanidesMetformin
6.1.2.3 Other antidiabetic drugs
Hospital Use Only
AcarboseNateglinidePioglitazone wRosiglitazone w
6.1.4 Treatment of hypoglycaemiaGlucoseGlucagon
6.2 Thyroid and Antithyroiddrugs
6.2.1 Thyroid hormonesLevothyroxine
Hospital Use Only
Liothyronine
6.2.2 Antithyroid drugsCarbimazole
Hospital Use Only
Aqueous iodinePropylthiouracil
6.3 Corticosteroids
6.3.1 Replacement therapyFludrocortisoneHydrocortisone
6.3.2 Glucocorticoid TherapyDexamethasoneHydrocortisonePrednisolone (including Prednesol)
Hospital Use Only
BetamethasoneCortisoneMethylprednisoloneTriamcinolone
6.4 Sex Hormones
6.4.1 Female sex hormones
6.4.1Female Sex Hormones
Tablets are considered the firstchoice formulation.
Patches may be appropriate in
Patients in whom there is a clinicalneed to avoid first passmetabolism of oestrogens
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Patients who cannot tolerate
tablets or express a strongpreference for patches.
Sequential Combined Therapy(cyclical)
1stLine - Tablets1st ChoiceC19 Progestogen
Elleste Duet(Estradiol/ norethisterone1mg/ 1mg or2mg/ 1mg). OR
Prempak-C(Conj equineoestrogen/ Norgesterol0.625mg/ 150microgram or
1.25mg/ 150microgram)
AlternativeC21 Progestogen
Femoston(Estradiol/ dydrogesterone.1mg/ 10mg; 2mg/ 10mg; 2mg/ 20mg)
2ndLine - Patches1st Choice
Evorel Sequi (Estradiol/Norethisterone50microgram/ 170microgram,MX Patch)
Continuous Combined Therapy
1stLine - Tablets1st ChoiceC19 Progestogen
Kliovance (Estradiol/norethisterone1mg/ 500micrigram)OR
Kliofem (Estradiol/ norethisterone2mg/1mg
AlternativeC21 Progestogen
Femoston-conti (Estradiol /Dydrogesterone1mg/ 5mg) or
Premique (Conj equine oestrogen/Medroxyprogesterone0.625microgram/ 5mg)
Premique Low Dose(Conj equineoestrogen/ medroxyprogesterone0.3mg/1.5mg)
2ndLine - Patches
1st Choice
Evorel Conti (Estradiol/
Norethisterone50microgram/ 170microgramMX Patch)Oestrogen only (unopposed)1st line Tablets1st Choice
Elleste-Solo (Estradiol1mg or 2mg)
Alternative
Premarin(Conj. EquineOestrogens0.625mg or 1.25mg)
2ndLine Patches1st Choice
Evorel Patch(Estradiol Twiceweekly25microgram;50microgram;75microgram;1
00microgram)
Alternative
FemSeven Patch(Estradiolweekly50microgram;75microgram;100microgram)
Other productsTiboloneRaloxifene Tablets
6.4.1.2ProgestogensNorethisterone
Hospital Use Only
Hydroxyprogesterone Hexanoate
6.4.2 Male sex hormones andantagonists
Hospital Use Only
Testosterone
Anti-androgensCyproterone
Hospital Use Only
FinasterideDutasteride w
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6.5 Hypothalamic and Pituitaryhormones and anti-oestrogens
6.5.1 Hypothalamic and anteriorpituitary hormones and anti-oestrogens
Anti-oestrogensClomiphene (Clomifene)
Anterior pituitary hormonesCorticotrophinsHospital Use Only
Tetracosactrin (Tetracosactide)
Gonadotrophins
Hospital Use Only
Chorionic gonadotrophinHuman menopausal gonadotrophinsUrofollitrophin
Growth HormoneSomatropin (recombinant humangrowth hormone)
Hypothalamic hormones
Hospital Use Only
GonadorelinProtirelinSermorelin
6.5.2 Posterior pituitary hormonesand antagonists
Posterior pituitary hormonesArgipressinDesmopressinHospital Use Only
Terlipressin
Antidiuretic hormone antagonists
Hospital Use Only
Demeclocycline
6.6 Drugs affecting bonemetabolism
6.6.1 Calcitonin and teriparatide
Hospital Use Only
Salcatonin (Calcitonin salmon)
Specialist I nitiation Only
Teriparatide w
6.6.2 BisphosphonatesAlso see sections 9.5.1.1 (Calciumsupplements) and 9.6.4 (Vitamin D)and Fife Guidance for Treatment ofOsteoporosis
Alendronic acidDidronel PMO
Risedronate
Hospital Use Only
Disodium etidronateDisodium pamidronateSodium Clodronate
6.7 Other endocrine drugs
6.7.1 Bromocriptine and otherdopaminergic drugs
Hospital Use Only
BromocriptineCabergoline
6.7.2 Drugs affectinggonadotrophins
Danazol
Gonadorelin analoguesBuserelin
Hospital Use Only
GoserelinLeuprorelinNafarelin
6.7.3 Metyrapone and Trilostane
Hospital Use Only
MetyraponeTrilostane
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7. OBSTETRICS,GYNAECOLOGY ANDURINARY TRACTDISORDERS
7.1 Drugs used in Obstetrics
7.1.1 Prostaglandins andoxytocics
Ergometrine
SyntometrineHospital Use Only
CarboprostDinoprostone (not including Propess-RS)Gemeprost
Oxytocin
7.1.1.1Ductus Arteriosus
Hospital Use Only
Alprostadil
7.1.2 Mifepristone
Hospital Use Only
Mifepristone
7.1.3 Myometrial relaxants
Hospital Use Only
RitodrineAtosiban
7.2 Treatment of vaginal andvulval conditions
7.2.1 Preparations for vaginalatrophy
1st line - creamsOrtho-GynestCream(Estriol 0.01%)OvestinCream(Estriol 0.1%)
2nd line - vaginal tablets
Vagifem(Estradiol 25microgram)
7.2.2 Vaginal and vulval infections
Fungal infectionsClotrmazoleMiconazoleNystatin
Oral fluconazole in a single dose of150mg is useful in the treatment ofrecurrent or resistant vaginalcandidiasis (see section 5.2).
Other infectionsAci-JelPovidone-iodineSultrin7.3 ContraceptivesSee BNF section
7.3.1Emergency ContraceptionLevonelle - 2
7.4 Drugs for genito-urinarytract disorders
7.4.1Drugs for urinary retentionand treatment of benignprostatic hyperplasia
AlfuzosinTamsulosinTerazosinIndoramin.Specialist Initiation OnlyFinasteride
Dutasteride
7.4.2 Drugs for urinary frequency,enuresis and incontinence
Tolterodine XLTrospiumOxybutynin
Duloxetine
7.4.3Drugs used in urologicalpain
Alkalinisation of urinePotassium citrate
7.4.4 Bladder instillations andurological surgery
Chlorhexidine
Hospital Use Only
Dimethyl sulfoxideGlycine
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7.4.5 Drugs for impotenceSildenafilAlprostadilApomorphine wTadalifil w
Restricted by NHS Medical ServiceRegs Schedule 11.
8. MALIGNANT DISEASEANDIMMUNOSUPPRESSION
8.1 Cytotoxic drugs
Drugs for cytotoxic-induced side-Effects
Methotrexate-induced mucositis andmyelosuppression
Hospital Use Only
Calcium folinate
Urothelial toxicity
Hospital Use Only
Mesna
8.1.1 Alkylating drugs
Hospital Use Only
BusulfanCarmustineChlorambucilCyclophosphamideEstramustineIfosfamideLomustineMelphalanChlormethine/ MustineThiotepaTreosulfan
8.1.2 Cytotoxic antibiotics
Hospital Use Only
AclarubicinBleomycinDactinomycin
DaunorubicinDaunoXomeDoxorubicinEpirubicinIdarubicin hydrochlorideMitomycinMitoxantrone
8.1.3 Antimetabolites
Specialist Use Only
Gemcitabine
Hospital Use Only
CladribineCytarabine
Fludarabine (w oral)FluorouracilMercaptopurineMethotrexateTioguanine
8.1.4 Vinca alkaloids andetoposide
Hospital Use Only
EtoposideVinblastineVincristineVindesineVinorelbine
8.1.5 Other antineoplastic drugs
Hospital Use Only
AmsacrineBortezomib wCarboplatinCisplatinCrisantaspaseDacarbazineDocetaxelHydroxycarbamideImatinib wIrinotecanPaclitaxelPentostatin
ProcarbazineTopotecanTretinoin
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8.2 Drugs affecting the immuneresponse
8.2.1 Proliferativeimmunosuppressants
Hospital Initiation Only
AzathioprineMycophenolate mofetil w
8.2.2 Corticosteroids and otherimmunosuppressants
CiclosporinPrednisolone
Cyclosporin products should beprescribed by brand name.Hospital Use Only
Tacrolimus
8.2.3 RituximabHospital Use Only
Rituximab w
8.2.4 Other Immunomodulatingdrugs
Hospital Use Only
Interferon alfa (not approved for non-Hodgkin s lymphoma or malignant
melanoma)
8.3 Sex hormones and hormone
antagonists in malignantdisease
8.3.1 Oestrogen
Hospital Use Only
Diethylstilbestrol
8.3.2 Progestogens
Hospital Use Only
MedroxyprogesteroneMegestrol
8.3.4 Hormone antagonists
8.3.4.1 Breast cancer
Hospital Initiation Only
(a) Neo-adjuvant therapy ofpostmenopausal breast cancer
LetrozoleTamoxifen
Hospital Initiation Only
(b) Adjuvant therapy
Postmenopausal breast cancer
Tamoxifen
Anastrozole
Premenopausal breast cancer
Tamoxifen GoserelinAnastrozole + Goserelin
Hospital Initiation Only
(c) Metastatic breast cancer
No prior adjuvant tamoxifen
LetrozoleTamoxifen
Prior adjuvant tamoxifen
LetrozoleExemestane w
8.3.4.2 Prostate cancer andgonadorelin analogues
Hospital Use Only
AminoglutethimideBicalutamideBuserelinCyproteroneFlutamideGoserelinLeuprorelin
8.3.4.3 Somatostatin analogues
Hospital Use Only
Octreotide
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9. NUTRITION ANDBLOOD
9.1 Anaemia and some otherblood disorders
9.1.1 Iron deficiency anaemias
9.1.1.1Oral ironFerrous fumarateFerrous gluconateFerrous sulphateSodium feredetate (Sytron)
Iron and folic acidPregaday9.1.1.2 Parenteral iron
Iron sorbitol
9.1.2 Drugs used in megaloblasticanaemias
Folic acid (400micrograms)Hydroxocobalamin
9.1.3 Drugs used in hypoplastic,haemolytic and renalanaemias
Erythropoietin
Hospital Use Only
Darbepoetin wEpoetin alpha and beta
Iron Overload
Hospital Use Only
Desferrioxamine
9.1.6 Drugs used in Neutropenia
Hospital Use Only
FilgrastimLenograstimMolgramostim
9.2 Fluids and electrolytes
9.2.1 Oral preparations for fluidand electrolyte imbalance
9.2.1.1Oral PotassiumPotassium chloride
Potassium Removal
Hospital Use Only
Calcium polystyrene sulphonateSodium polystyrene sulphonate
9.2.1.2 Oral sodium and water
Hospital Use Only
Sodium bicarbonateSodium chloride
Oral rehydration saltsDioralyte9.2.1.3 Oral bicarbonate
Hospital Use Only
Sodium bicarbonate
9.2.2 Parenteral preparations forfluid and electrolyteimbalance
9.2.2.1Electrolytes and waterSee BNF section
9.2.2.2Plasma and plasmasubstitutes
Hospital Use Only
Pentastarch infusionsDextran 40Dextran 70Gelofusine9.3 Intravenous nutritionUse only on specialist advice
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9.5 Minerals
9.5.1 Calcium and magnesium
9.5.1.1Calcium SupplementsCalcium carbonateCalcium chlorideCalcium gluconateCalcium phosphateCalcium SandozSandocal9.5.1.2 HypercalcaemiaSee section 6.6
9.5.1.3 Magnesium
Hospital Use Only
Magnesium hydroxideMagnesium sulphate
9.5.2 Phosphorus
9.5.2.1Phosphate Supplements
Hospital Use Only
Phosphate Sandoz9.5.2.2 Phosphate-binding agents
Hospital Use Only
Aluminium hydroxideCalcium acetateCalcium carbonate
9.5.3 Fluoride
Hospital Use Only
Sodium fluoride
9.5.4 ZincZinc sulphate
9.6 Vitamins
9.6.1 Vitamin A
Hospital Use Only
Retinol
9.6.2 Vitamin B groupPyridoxineThiamineVitamin B, CompoundVitamin B, compound, strong
Hospital Use Only
Pabrinex
9.6.3 Vitamin CAscorbic acid
9.6.4 Vitamin DAlfacalcidolCholecalciferol (colecalciferol)10microgram(400units) with (600mg calcium)CalciferolCalcitriol (not approved for use inosteoporosis and not including Calcijex)
Calcium with Ergocalciferol
Refer to the Fife Guidance on thetreatment of Osteoporosis forinformation on prescribing theseproducts for osteoporosis
9.6.5 Vitamin E
Hospital Use Only
Alpha tocopheryl acetate
9.6.6 Vitamin KMenadiol sodium phosphatePhytomenadione
9.6.7 Multivitamin preparationsAbidecVitamins capsules
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Vitamin and mineral supplementsand adjuncts to synthetic diets
Specialist initiation Only
Ketovite9.8 Metabolic disorders
9.8.1Drugs used in metabolicdisorders
Wilsons DiseaseHospital Use Only
Penicillamine
Carnitine deficiency
Hospital Use Only
L-carnitine
10. MUSCULOSKELETALAND JOINT DISEASES
10.1 Drugs used in rheumaticdiseases and gout
10.1.1Non steroidal anti-inflammatory drugs(NSAIDs)
Standard NSAIDs1st Choice IbuprofenAlternative Diclofenac
NaproxenMefenamic Acid is still used fortreatment of dysmenorrhoea
Cox II agentsCelecoxibMeloxicam
Use celecoxib 200mg twice a day in RA
patients only
10.1.2.2 Local corticosteroidinjectionsMethylprednisoloneTriamcinolone10.1.3 Drugs which suppress the
rheumatic disease process
Leflunomide wSulfasalazine
Hospital Use Only
AuranofinAzathioprineCiclosporinEtanercept wHydroxychloroquineInfliximab wMethotrexatePenicillamineSodium aurothiomalate
10.1.4 Drugs in the treatment ofgout
Interval treatmentAllopurinol
Acute attacksIndometacinEtoricoxib
Hospital Use Only
Colchicine
10.2 Drugs used inneuromuscular disorders
10.2.1Drugs which enhanceneuromuscular transmission
Hospital Initiation Only
Pyridostigmine
Hospital Use Only
EdrophoniumNeostigmine
10.2.2 Skeletal muscle relaxantsBaclofenDiazepamQuinine
Hospital Initiation Only
Dantrolene
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10.3 Drugs for the relief of soft-tissue inflammation
10.3.1Enzymes
Hospital Use Only
Hyaluronidase
10.3.2 Rubefacients
TransvasinMovelatCounter-irritant for post herpeticneuralgiaCapsaicin
PoulticesKaolin poultice
11. EYE
11.3 Anti-infective eyepreparations
11.3.1AntibacterialsChloramphenicolCiprofloxacinFusidic acidGentamicinOfloxacinPolyfaxPropamidine
11.3.2 AntifungalSee BNF section
11.3.3 AntiviralsAciclovir
11.4 Corticosteroids and otheranti-inflammatorypreparations
11.4.1CorticosteroidsBetamethasonePrednisolone Phosphate 0.5%(Predsol)
Hospital Initiation Only
Betnesol NFluorometholoneMaxidex
Prednisolone acetate 1%(Predforte)
11.4.2 Other Anti-inflammatorypreparations
Nedocromil sodiumSodium cromoglicate
11.5 Mydriatics and cycloplegics
AntimuscarinicsCyclopentolateTropicamide
Hospital Initiation Only
AtropineHomatropine
Sympathomimetics
Hospital Initiation Only
ApraclonidinePhenylephrine
11.6 Treatment of glaucoma
Beta-blockers
Hospital Initiation Only
BetaxololCarteololLevobunololTimolol
Prostaglandin analogues
Hospital Initiation Only
Bimatoprost Latanoprost
Travoprost
Sympathomimetics
Hospital Initiation Only
Brimonidine
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Carbonic anhydrase inhibitorsand systemic drugs
Hospital Initiation Only
AcetazolamideDorzolamide
Miotics
Hospital Use Only
Pilocarpine eye drops
Combination products
Hospital Initiation Only
Cosopt
Xalacom
11.7 Local anaestheticsTetracaineProxymetacaine
Hospital Use Only
Oxybuprocaine (Benoxinate)CocaineLidocaine and FluoresceinProxymetacaine and fluorescein
11.8 Miscellaneous ophthalmicpreparations
11.8.1Tear deficiency, ocularlubricants and astringents
CarbomersHydroxyethylcelluloseHypromelloseIlubeLacri-LubePolyvinyl alcohol
11.8.2 Ocular diagnostic and peri-operative preparations
Ocular diagnostic preparationsFluorescein
Hospital Use Only
Rose bengal
Ocular peri-operative drugs
Hospital Initiation Only
FlurbiprofenKetorolac
Hospital Use Only
Acetylcholine chlorideApraclonidine eye dropsDiclofenac
11.9 Contact lensesSee BNF section
12. EAR, NOSE ANDOROPHARYNX
12.1 Drugs acting on the ear
12.1.1Otitis externaAluminium acetateAudicortBetamethasoneBetnesol-NClotrimazoleFramycetinGentamicinGentisone HCLocorten-VioformOtomizeOtosporinTri-Adcortyl Otic
12.1.3 Removal of waxCerumolSodium bicarbonate
12.2 Drugs acting on the nose
12.2.1Drugs used in nasal allergyAzelastineBeclometasoneBetamethasoneBudesonideFluticasone Nasal SprayMometasone Nasal SpraySodium cromoglicate
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12.2.2 Topical nasaldecongestants
SympathomimeticsEphedrineXylometazolineAntimuscarinicsIpratropium
12.2.3 Anti-infective nasalpreparations
MupirocinNaseptin12.3 Drugs acting on the
oropharynx
12.3.1Drugs for oral ulcerationand inflammation
Adcortyl in OrabaseBenzydamineCholine salicylateHydrocortisone pellets
12.3.2 Oropharyngeal anti-infective drugs
AmphotericinMiconazoleNystatin
12.3.3 Lozenges, sprays and gelsNot recommended.
12.3.4 Mouthwashes, gargles anddentifrices
Chlorhexidine
Hydrogen peroxideSodium chloride
12.3.5 Treatment of dry mouthArtificial saliva
13. SKIN
13.2 Emollient and barrierpreparations
13.2.1EmollientsAqueous creamCalmuridDimeticoneDiprobaseE45
Emulsifying ointmentHydromolKamillosan
Keri lotionOilatumParaffin, white softParaffin, yellow softUnguentum M
13.2.1.1Emollient bath additivesAlpha-Keri BathAveenoBalneumHydromol EmollientOilatumEmollient
13.2.2 Barrier preparationsDimeticoneSudocremZinc CreamZinc Ointment
13.3 Topical local anaestheticand antipruritic preparations
CalamineCrotamiton
13.4 Topical corticosteroidsTopical corticosteroids can beclassified according to their potency:Mildly potentEurax-hydrocortisoneFluocinolone acetonide 0.0025%(Synalar 1 in 10)Hydrocortisone base or acetate (0.1 -2.5%)Mildison
Moderately potentAlphadermClobetasone butyrate (Eumovate )Desoximetasone (0.05%) (StiedexLP)Fluocinolone acetonide 0.00625%(Synalar 1 in 4)
PotentBeclometasone dipropionate(Propaderm)Betamethasone dipropionate(Diprosone)Betamethasone valerateDesoximetasone (0.25%) (Stiedex)DiprosalicFluocinolone acetonide (0.025%)
(Synalar)Hydrocortisone butyrate (Locoid)Mometasone (Elocon)
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Hospital Use Only
Fluticasone cream only (Cutivate)
Very potentClobetasol propionate(Dermovate)
Topical corticosteroids withantibacterials
Mildly potentCanesten HCDaktacortFucidin HNystaform HC
Moderately potentTrimovatePotentBetnovate-CFucibetLotridermSynalar C13.5 Preparations for psoriasis
and eczema
13.5.1Preparations for eczemaIchthammol
13.5.2 Preparations for Psoriasis
Topical preparations
Alphosyl HCCalcipotriolCarbo-DomeCoal tarCocoisDithranolPolytar emollientPragmatarPsoralen paintPsorinSalicylic Acid
Oral retinoids for psoriasis
Hospital Use Only
Acetretin
13.5.3 Drugs affecting the immuneresponse
Hospital Use Only
CiclosporinMethotrexate
Tacrolimus OintmentPimecrolimus 1% cream
See Full formauley for prescribingrequirements
13.6 Preparations for acne
13.6.1Topical preparations foracne
Benzoyl peroxideClindamycin (not including vaginalcream)DuacErythromycinIsotretinoin gelQuinodermTretinoinZineryt13.6.2 Oral preparations for acneDianetteErythromycinMinocyclineOxytetracycline
Oxytetracycline is the tetracycline of
first choice in acne.
Hospital Use Only
Isotretinoin
13.7 Preparations for warts andcalluses
SalactolSilver nitrate
Anogenital WartsPodophyllotoxinPodophyllum
13.8 Sunscreens andcamouflaging preparations
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13.8.1Sunscreen preparationsRoc Total Sunblock(UVB-SPF >25)E45 Sunsunblock (UVB-SPF 15)Uvistatultrablock (UVB-SPF 30)Uvistatlipscreen (UVB-SPF 15)
13.8.2 CamouflagersCovermarkVeil13.9 Shampoos and other scalp
preparationsAlphosyl 2 in1CapasalCeanel ConcentrateCoal tarPolytar
Povidone iodineSelenium sulphide
13.10 Anti-infective skinpreparations
13.10.1Antibacterial preparations
13.10.1.1Topical onlyMupirocinSilver sulfadiazine
In Acute Trust prescribe on theadvice of the Tissue Viability Nurseonly
Hospital Use Only
Graneodin13.10.1.2 Topical and systemicChlortetracyclineFusidic acidMetronidazole (not including Rozexor
Zidoval )
13.10.2 Antifungal preparationsClotrimazoleEconazole )GriseofulvinMiconazoleNystaformNystatinTerbinafine
13.10.3 Antiviral preparations
AciclovirIdoxuridinePenciclovir13.10.4 Parasiticidal preparationsBenzyl benzoateCarbarylMalathionPermethrinPhenothrin
13.10.5 Preparations for minorcuts and abrasions
Magnesium sulphatePovidone-iodine
13.11 Skin cleansers andanitseptics
13.11.1Alcohols and salineIndustrial methylated spiritsSodium chlorideSurgical spirit
13.11.2 Chlorhexidine saltsChlorhexidineChlorhexidine/ Cetrimide
13.11.3 Cationic surfactants andsoapsSee BNF section
13.11.4 Chlorine and iodinePovidone-iodine
13.11.5 Phenolics
See BNF section
13.11.6 Astringents, oxidisers anddyes
Hydrogen peroxidePotassium permanganateZinc sulphate
13.11.7 Desloughing agentsAserbineHioxyl
Specialist Use Only
Varidase topical13.12 Antiperspirants
Aluminium chloride hexahydrate13.13 Wound managementSee BNF section
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Fife Acute Hospitals NHS Trust hasa Wound Management Formulary.Refer to this for advice on the use ofwound management products withinthe hospital setting.
14. IMMUNOLOGICALPRODUCTS ANDVACCINES
14.4 Vaccines and AntiseraSee BNF section
15 ANAESTHESIA
15.1 General anaesthetics
15.1.1Intravenous anaesthetics
Hospital Use Only
EtomidateKetaminePropofolThiopental
15.1.2 Inhalational anaesthetics
Hospital Use Only
DesfluraneEntonox/ EquanoxHalothaneIsofluraneNitrous oxideSevoflurane
15.1.3 Antimuscarinicpremedication drugs
Hospital Use Only
AtropineGlycopyrroniumHyoscine hydrobromide
15.1.4 Sedative and analgesic peri-operative drugs
15.1.4.1Anxiolytics andneuroleptics
Hospital Use Only
AlimemazineClomethiazoleChlorpromazineDiazepamLorazepamMidazolamTemazepam tablets
15.1.4.2 Non opioid analgesics
Hospital Use Only
DiclofenacKetorolac injectionTenoxicam injection
15.1.4.3 Opioid analgesics
Hospital Use Only
AlfentanilFentanyl injectionMorphinePethidineRemifentanil
15.1.5 Muscle relaxants
Non depolarising
Hospital Use Only
AtracuriumMivacuriumPancuroniumRocuroniumVecuronium
Depolarising
Hospital Use Only
Suxamethonium
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15.1.6 Anticholinesterases used inanaesthesia
Hospital Use Only
EdrophoniumNeostigmineRobinul-Neostigmine15.1.7 Antagonists for central and
respiratory depression
Hospital Use Only
DoxapramFlumazenilNaloxone
15.1.8 Antagonists for malignanthyperthermia
Hospital Use Only
Dantrolene
15.2 Local anaesthesia
Hospital Use Only
Tetracaine gelBupivacaineCocaineEmlaLevobupivicaine wLidocainePhenolPrilocaineProcaine
16. EMERGENCYTREATMENT OFPOISONING
See BNF Section for details
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