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OUH Formulary Approved for Use in Breast Surgery

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OUH Formulary Approved for Use in Breast Surgery Oxford University Hospitals NHS Foundation Trust Formulary FORMULARY (Y): the medicine can be used as per its licence. RESTRICTED FORMULARY (R): the medicine can be used as per the agreed restriction. NON-FORMULARY (NF): the medicine is not on the formulary and should not be used unless exceptional approval has been obtained from MMTC. UNLICENSED MEDICINE – RESTRICTED FORMULARY (UNR): the medicine is unlicensed and can be used as per the agreed restriction. SPECIAL MEDICINE – RESTRICTED FORMULARY (SR): the medicine is a “special” (unlicensed) and can be used as per the agreed restriction. EXTEMPORANEOUS PREPARATION – RESTRICTED FORMULARY (EXTR): the extemporaneous preparation (unlicensed) can be prepared and used as per the agreed restriction. UNLICENSED MEDICINE – NON-FORMULARY (UNNF): the medicine is unlicensed and is not on the formulary. It should not be used unless exceptional approval has been obtained from MMTC. SPECIAL MEDICINE – NON-FORMULARY (SNF): the medicine is a “special” (unlicensed) and is not on the formulary. It should not be used unless exceptional approval has been obtained from MMTC. EXTEMPORANEOUS PREPARATION – NON-FORMULARY (EXTNF): the extemporaneous preparation (unlicensed) cannot be prepared and used unless exceptional approval has been obtained from MMTC. CLINICAL TRIALS (C): the medicine is clinical trial material and is not for clinical use. NICE TECHNOLOGY APPRAISAL (NICETA): the medicine has received a positive appraisal from NICE. It will be available on the formulary from the day the Technology Appraisal is published. Prescribers who wish to treat patients who meet NICE criteria, will have access to these medicines from this date. However, these medicines will not be part of routine practice until a NICE TA Implementation Plan has been presented and approved by MMTC (when the drug will be given a Restricted formulary status). Medicines Management and Therapeutics Committee (send Comments to [email protected]) 01 Gastro-intestinal system OBETICHOLIC ACID OBETICHOLIC ACID 10mg TABLETS R Obeticholic acid is an option for treating primary biliary cholangitis, as per NICE TA443. MMTC July 2018 01.01 Dyspepsia and gastro-oesophageal reflux disease MAGNESIUM TRISILICATE MAGNESIUM TRISILICATE MIXTURE BP NF 01.01.01 Antacids and simeticone ALUMINIUM HYDROXIDE ALUMINIUM HYDROXIDE 475mg CAPSULES R For use by Renal patients only. Medicines Effectiveness, September 2014. CO-MAGALDROX CO-MAGALDROX 195/220 LIQUID Y CO-MAGALDROX 300/600 LIQUID NF MAALOX PLUS LIQUID R For use by Katharine House only. Medicines Effectiveness, November 2013. CO-SIMALCITE CO-SIMALCITE SUSPENSION 500ml R Restricted to Katharine House Hospice. Medicines Effectiveness, May 2013. SIMETICONE SIMETICONE 40mg/ml LIQUID Y 01.01.02 Compound alginates and proprietary indigestion preparations GAVISCON GAVISCON ADVANCE TABLETS NF GAVISCON INFANT SACHETS Y PEPTAC LIQUID PEPTAC LIQUID Y 01.02 Antispasmodics and other drugs altering gut motility ALVERINE CITRATE ALVERINE CITRATE 60mg CAPSULES Y DICYCLOVERINE DICYCLOVERINE 10mg TABLETS Y HYOSCINE BUTYLBROMIDE HYOSCINE BUTYLBROMIDE 10mg TABLETS Y HYOSCINE BUTYLBROMIDE 20mg IN 1ml INJECTION Y LINACLOTIDE LINACLOTIDE 290microgram CAPSULES NF MEBEVERINE MEBEVERINE 50mg/5ml S/F ORAL SUSPENSION NF MEBEVERINE 135mg TABLETS Y PEPPERMINT PEPPERMINT OIL CAPSULES Y PEPPERMINT WATER UNR For relief of abdominal colic and distension. Medicines Effectiveness, April 2013 PROPANTHELINE PROPANTHELINE 15mg TABLETS Y 01.03 Antisecretory drugs and mucosal protectants CIMETIDINE CIMETIDINE 200mg/5ml LIQUID R For use as pre-medication in chemotherapy for adults and as first line H2 antagonist where PPIs are contraindicated, in patients who cannot swallow tablets. Medicines Effectiveness July 2020 Esomeprazole ESOMEPRAZOLE 40mg INJECTION NF FAMOTIDINE FAMOTIDINE 20mg TABLETS R Restricted for use in patients who have a contraindication to Proton Pump Inhibitors. Medicines Effectiveness, OMEPRAZOLE OMEPRAZOLE 10mg/5ml LIQUID 75ml R Restricted for use in paediatric patients with NG tubes smaller than 8Fr only. MMTC, April 2020 VEDOLIZUMAB HC VEDOLIZUMAB 108mg in 0.68ml PRE-FILLED R For the treatment of moderately SYRINGE to severely active ulcerative colitis and moderately to severely active Crohn's disease after prior therapy. MMTC, May 2020 HC VEDOLIZUMAB 108mg in 0.68ml PRE-FILLED PEN R For the treatment of moderately to severely active ulcerative colitis and moderately to severely active Crohn's disease after prior therapy. MMTC, May 2020 01.03.01 H2-receptor antagonists CIMETIDINE CIMETIDINE 400mg TABLETS R For use as pre-medication in chemotherapy for adults and as first line H2 antagonist where PPI?s are contraindicated.Medicines Effectiveness July 2020 CIMETIDINE 200mg TABLETS R For use as pre-medication in chemotherapy for adults and as first line H2 antagonist where PPI?s are contraindicated. Medicines Effectiveness July 2020 CIMETIDINE 200mg/5ml LIQUID R For use as pre-medication in chemotherapy for adults and as first line H2 antagonist where PPIs are contraindicated, in patients who cannot swallow tablets. Medicines Effectiveness July 2020 FAMOTIDINE FAMOTIDINE 40mg TABLETS R Restricted for use in patients who have a contraindication to Proton Pump Inhibitors Medicines Effectiveness, November 2019 RANITIDINE HC RANITIDINE 50mg IN 2ml INJECTION Y RANITIDINE 150mg TABLETS Y RANITIDINE 150mg TABLETS EFFERVESCENT Y RANITIDINE 50mg IN 2ml INJECTION Y RANITIDINE 75mg/5ml LIQUID R For paediatric patients only. It is cheaper to disperse tablets for adults. Medicines Effectiveness, December 2004 01.03.03 Chelates and complexes SUCRALFATE SUCRALFATE 1g TABLETS UNR For use by Critical Care areas only. Medicines Effectiveness, September 2014 SUCRALFATE 1g/5ml LIQUID 200ml Y 01.03.03 Chelates and complexes SUCRALFATE SUCRALFATE 1g TABLETS UNR For use by Critical Care areas only. Medicines Effectiveness, September 2014. SUCRALFATE 1g TABLETS R For use by Critical Care areas only. Medicines Effectiveness, September 2014 01.03.04 Prostaglandin analogues BIMATOPROST BIMATOPROST 300micrograms/ml & TIMOLOL SR 5mg/ml EYE DROPS TTO PACK 3ml LATANOPROST LATANOPROST 0.005% (50micrograms/ml) UNIT SR DOSE EYE DROPS TTO PACK MISOPROSTOL MISOPROSTOL 200microgram TABLETS Y 01.03.05 Proton pump inhibitors ESOMEPRAZOLE ESOMEPRAZOLE 10mg SACHETS R For use in patients with an enteral feeding tube sized between 6-8fr. MMTC, November 2020 ESOMEPRAZOLE 20mg TABLETS NF LANSOPRAZOLE LANSOPRAZOLE 30mg FASTAB R For patients with swallowing difficulties or feeding tubes. Medicines Effectiveness, March 2009. LANSOPRAZOLE 15mg FASTAB R For patients with swallowing difficulties or feeding tubes. Medicines Effectiveness, March 2009. LANSOPRAZOLE 30mg CAPSULES Y LANSOPRAZOLE 15mg CAPSULES Y OMEPRAZOLE OMEPRAZOLE 20mg CAPSULES Y OMEPRAZOLE 40mg INFUSION R For patients with endoscopic evidence OR recent peptic bleeding, on the recommendation of a senior gastroenterologist (SpR or consultant). Medicines OMEPRAZOLE 20mg CAPSULES (Teva brand for Y extemp use only) OMEPRAZOLE 10mg TABLETS R For paediatric patients only. Medicines Effectiveness, March 2009. OMEPRAZOLE 10mg CAPSULES Y OMEPRAZOLE 10mg/5ml LIQUID (EXTEMP) NF For PAEDIATRIC patients with NG tubes smaller than 8Fr ONLY. NB: FasTabs® dissolve in 10ml of water and can be used in patients with swallowing difficulties or administered via an 8Fr NG tube without blockage. Medicines Effectiveness, June 2018 OMEPRAZOLE 20mg TABLETS R For paediatric patients only. Medicines Effectiveness, March 2009. PANTOPRAZOLE PANTOPRAZOLE 40mg INJECTION NF PANTOPRAZOLE 40mg E.C TABLETS NF PANTOPRAZOLE 20mg TABLETS E/C NF RABEPRAZOLE RABEPRAZOLE 10mg TABLETS E/C NF RABEPRAZOLE 20mg TABLETS E/C NF 01.03.05 Proton pump inhibitors (PPIs) OMPERAZOLE OMEPRAZOLE 40MG CAPSULES NF 01.04 Acute diarrhoea ELUXADOLINE ELUXADOLINE 100mg TABLETS R Eluxadoline is an option for treating irritable bowel syndrome with diarrhoea in adults, as per NICE TA47. MMTC July 2018 01.04.02 Antimotility drugs CO-PHENOTROPE CO-PHENOTROPE TABLETS (LOMOTIL) NF KAOLIN + MORPHINE KAOLIN AND MORPHINE MIXTURE BP NF LOPERAMIDE LOPERAMIDE 2mg CAPSULES Y LOPERAMIDE 2mg CAPSULES (OTC PACK 30) Y LOPERAMIDE 1mg/5ml LIQUID Y LOPERAMIDE 25mg/5ml LIQUID UNR For swallowing difficulties and short bowel syndrome where they need to give the smallest volume possible to aid absorption. Medicines Effectiveness, July 2009. 01.05 Chronic bowel disorders BALSALAZIDE BALSALAZIDE SODIUM 750mg CAPSULES NF BUDESONIDE BUDESONIDE 3mg CAPSULES E/C (BUDENOFALK) R For gastroenterology only. MAC, December 2010. BUDESONIDE 2mg in 100ml ENEMAS NF BUDESONIDE 3mg CAPSULES M/R NF HYDROCORTISONE HYDROCORTISONE ACETATE 10% RECTAL FOAM Y MESALAZINE MESALAZINE 1g SUPPOSITORIES (pentasa) Y MESALAZINE 1g/APPLICATION FOAM ENEMA Y MESALAZINE 1g/SACHET GRANULES M/R (PENTASA) Y MESALAZINE 500mg SACHET GRANULES NF (SALOFALK) MESALAZINE 500mg TABLETS M/R (PENTASA) Y MESALAZINE 1g/100ml ENEMA (PENTASA) Y MESALAZINE 400mg TABLETS M/R (ASACOL) R ASACOL preparations are for long standing patients only. All new patients should be on a PENTASA preparation. Medicines Effectiveness, September 2000. MESALAZINE 800mg TABLETS M/R (OCTASA) Y MESALAZINE 400mg TABLETS M/R (OCTASA) Y OLSALAZINE OLSALAZINE 500mg TABLETS Y OLSALAZINE 250mg CAPSULES Y PREDNISOLONE PREDNISOLONE 20mg/APPLICATION RECTAL FOAM NF (14 DOSE) PREDNISOLONE 5mg SUPPOSITORIES Y PREDNISOLONE 20mg in 100ml ENEMA (PREDSOL) Y SODIUM CROMOGLICATE SODIUM CROMOGLICATE 100mg CAPSULES NF 01.05.01 Aminosalicylates MESALAZINE MESALAZINE
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