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 Formulary Chapter 1: Gastro-intestinal system - Full Chapter
01.06.02  Expand sub section  Stimulant laxatives
Senna
(Tablets, Syrup)
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Green

Tablets 7.5mg, Syrup 7.5mg/5ml

Syrup is currently more cost effective than tablets

Time to effect approximately 8 to 12 hours

 
 
Docusate Sodium
(Capsules, Liquid)
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Green

Capsules 100mg, Liquid 50mg/5ml

Solution is utterly unpalatable- only fit for use down tubes

Probably acts as a softening laxative as well as a stimulant

Time to effect is approximately 24 to 48 hours

 
 
Glycerol (Glycerin) Suppositories
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Green 		 
 
Bisacodyl
(Tablets, Suppositories)
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Green

5mg E/C tablets

10mg Suppository

 
 
Co-danthramer
(Capsules)
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Amber Recommended

Capsules 25/200, 75/1000

Co-danthramer strong preferred as per palliative care formulary guidance

 

 
 
Co-danthrusate
(Capsules)
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Amber Recommended

Capsules 50/60

 

 
 
Danthron
(Capsules)
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Amber Recommended 		 
 
 link Link    NICE CG61: Irritable Bowel Syndrome
 link Link    NICE CG99: Constipation in children and young people
 link Link    NICE TA345 for Naloxegol
01.06.02  Expand sub section  Other Stimulant laxatives
 ....
 Non Formulary Items
Docusate Sodium  (Norgalax® Micro-enema)

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Senna  (Manevac®)

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Senna  (Senokot®) (Granules)

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Sodium hydrogen carbonate / sodium dihydrogen phosphate  (Lecicarbon A®)

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Sodium Picosulfate  (Dulco-lax®)

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Black
  
Key
Restricted Drug Restricted Drug
Unlicensed Drug Unlicensed
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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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