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 Formulary Chapter 3: Respiratory system - Full Chapter
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03.04.03  Expand sub section  Allergic emergencies
03.04.03  Expand sub section  Anaphylaxis
Adrenaline / epinephrine (EpiPen®)
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Formulary
Green
 
 
Adrenaline / Epinephrine (Jext®)
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Formulary
Green
 
 
Adrenaline / Epinephrine (Emerade®)
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Formulary
Green

There has been a patient-level recall of Emerade 500 micrograms pens. This follows earlier recalls for Emerade 150 and 300 microgram pens. (18 May 2020)

Supplies of Emerade will therefore no longer be available in the UK until technical issues with the pen are resolved.

MHRA - Advice for patients with an Emerade 500 microgram auto-injector letter

 
 
Adrenaline / Epinephrine 1 in 1,000 (Minijet ® Adrenaline 1 in 1000)
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Formulary
Red
 
 
Adrenaline / Epinephrine 1 in 10,000 (Minijet ® Adrenaline 1 in 10000)
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Formulary
Red
 
 
03.04.03  Expand sub section  Angioedema
Conestat Alfa (Ruconest®)
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Formulary
Red
NHS England

Hospital only- NHSE Commissioned

 
 
Dupilumab (Dupixent®)
(Subcutaneous injection)
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Formulary
Red
 
Link  NICE TA751: Dupilumab for treating severe asthma with type 2 inflammation
 
Icatibant (Firazyr®)
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Restricted Drug Restricted
Red
NHS England

Hospital only- NHSE Commissioned

 
 
Lanadelumab (Takhzyro®)
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Formulary
Red
NHS England

In line with NICE

Highly specialist allergy centre- NHSE commissioned

 
Link  NICE TA606: Lanadelumab for preventing recurrent attacks of hereditary angioedema
 
C1- esterase Inhibitor (Berinert®)
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Restricted Drug Restricted
Red
NHS England
 
 
Berotralstat (Orladeyo® )
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Restricted Drug Restricted
Red
NHS England

Use in line with NICE TA

 
Link  NICE TA738:Berotralstat for preventing recurrent attacks of hereditary angioedema
 
C1- esterase Inhibitor (Cinryze®)
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Restricted Drug Restricted
Red
NHS England
 
 
03.04.03  Expand sub section  Intramuscular adrenaline (epinephrine)
03.04.03  Expand sub section  Intravenous adrenaline (epinephrine) to top
03.04.03  Expand sub section  Self-administration of adrenaline (epinephrine)
 ....
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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