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 Formulary Chapter 1: Gastro-intestinal system - Full Chapter
01.05.02  Expand sub section  Corticosteroids
Hydrocortisone
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Formulary
Amber Recommended
 
 
Prednisolone (oral)
(Tablets)
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Formulary
Green

Tablets 5mg, EC2.5mg, 5mg, Soluble 25mg

Plain tablets are first line option

EC tablets are more expensive than plain tablets without any substantial evidence that they confer any GI benefits

25mg tablets are more expensive per mg than 5mg tablets

Soluble tablets are significantly more expensive than normal tablets which can be crushed and dispersed (unlicensed)

For short term use in acute exacerbation or "flare-ups" of relevant conditions

 

 
 
Budesonide (Budenofalk®)
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Formulary
Amber Recommended
  • Rectal foam Enema
  • Gastro-resistant Capsules
  • Granules

 

 
 
Budesonide (Cortiment®)
(Modified Release Tablets)
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Formulary
Amber Initiation
 
 
Budesonide (Entocort®)
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Formulary
Amber Initiation
  • Enema
  • CR/MR Capsules
 
 
Budesonide (Jorveza®)
(Orodispersible Tablets)
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Formulary
Red

In line with NICE

 
Link  NICE TA708: Budesonide orodispersible tablet for inducing remission of eosinophilic oesophagitis
 
Hydrocortisone foam enema (Colifoam ®)
(125mg/metered application)
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Formulary
Amber Recommended

For specialist initiation

Foam enema 125mg /metered application

 

 
 
01.05.02  Expand sub section  Parenteral
 ....
Key
Restricted Drug Restricted Drug
Unlicensed Drug Unlicensed
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Link to adult BNF
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Link to children's BNF
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Link to SPCs
Cytotoxic Drug
Cytotoxic Drug
CD
Controlled Drug
High Cost Medicine
High Cost Medicine
Cancer Drugs Fund
Cancer Drugs Fund
NHSE
NHS England
Homecare
Homecare
ICB
ICB
Green Low Carbon

Low carbon footprint

Amber Medium Carbon

Medium carbon footprint

Red High carbon footprint

High carbon footprint

Status Description

Green

Medicines which are suitable for initiation and maintenance prescribing by primary and secondary care clinicians. These medicines should be initiated and prescribed within their licensed indications  

Amber Initiation

Amber Specialist Initiation: Initiation and maintenance of prescribing by Specialists and transfer to Primary Care prescribing when appropriate. This may be supported by a RICaD, annotated within the formulary entry.  

Amber SC

Amber Shared Care: Initiation and maintenance of prescribing by Specialists and transfer to Primary Care prescribing, in accordance with an ESCA, annotated within the formulary entry.  

Amber Recommended

Amber Specialist Recommendation: Initiation and maintenance of prescribing in Primary Care following recommendation from a specialist.  

Red

Medicines for initiation and maintenance prescribing by Specialists (hospital or GPs with Special Interest) only  

Grey

Positive NICE TA and /or awaiting local clarification on place in therapy; Please contact your Medicines Optimisation team for more information.  

Black

Non-formulary Medicines which APC/Trust DTC has actively reviewed and do not recommend for use.  

Multiple

Check Notes as varies across the area  

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