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 Formulary Chapter 3: Respiratory system - Full Chapter
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03.02.03  Expand sub section  Combination products (ICS+LABA) for COPD
03.02.03  Expand sub section  Triple Therapy products for COPD
Beclometasone/formoterol/glycopyrronium  (Trimbow 87/5/9 ®)
View adult BNF View SPC online View childrens BNF
Formulary
Green

Trimbow 87/5/9 is licensed for Moderate-to-severe chronic obstructive pulmonary disease and Asthma maintenance therapy

 
Link  How to use a Metered Dose Inhaler
Link  How to use a Metered Dose Inhaler with a Large Volume Spacer Device
Link  How to use a Metered Dose Inhaler with a Small Volume Spacer Device
 
Beclometasone/formoterol/glycopyrronium
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
Link  How to use a Metered Dose Inhaler
Link  How to use a Metered Dose Inhaler with a Large Volume Spacer Device
Link  How to use a Metered Dose Inhaler with a Small Volume Spacer Device
 
Beclometasone/formoterol/glycopyrronium  (Trimbow 172/5/9 ®)
View adult BNF View SPC online View childrens BNF
Formulary
Amber Initiation

Note:

-Two strengths of Trimbow available 

* Trimbow 172/5/9

* Trimbow 87/5/9

-Trimbow 172/5/9 is licensed for Asthma maintenance therapy only 

 
Link  How to use a Metered Dose Inhaler
Link  How to use a Metered Dose Inhaler with a Large Volume Spacer Device
Link  How to use a Metered Dose Inhaler with a Small Volume Spacer Device
 
Beclometasone/formoterol/glycopyrronium (Trimbow NEXThaler®)
View adult BNF View SPC online View SMC online View childrens BNF
Formulary
Green

How to use a NEXThaler Inhaler

 
 
Fluticasone/vilanterol/Umeclidinium (Trelegy Ellipta®)
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
Link  How to use an Ellipta Inhaler
 
 ....
Key
Restricted Drug Restricted Drug
Unlicensed Drug Unlicensed
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
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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