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 Formulary Chapter 3: Respiratory system - Full Chapter
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03.01  Expand sub section  Bronchodilators
03.01  Expand sub section  Asthma
03.01  Expand sub section  Chronic obstructive pulmonary disease
03.01  Expand sub section  Croup
03.01.01  Expand sub section  Adrenoceptor agonists to top
03.01.01.01  Expand sub section  Selective Beta2 agonists
Salbutamol
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Formulary
Green

BRANDS/FORMULATION

  • Easyhaler
  • Ventolin Accuhaler
  • Salamol
  • Salamol Easi-Breathe

 

How to use a Metered Dose Inhaler
How to use a Metered Dose Inhaler with a Large Volume Spacer Device
How to use a Metered Dose Inhaler with a Small Volume Spacer Device
How to use an Accuhaler inhaler
How to use an Easyhaler Inhaler
How to use an Easi-Breathe Inhaler

 
 
Salbutamol
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Formulary
Red
  • Salbutamol IV
  • Ventolin Solution for Infusion
  • Ventolin Solution for Injection
 
 
Formoterol Fumarate (Oxis Turbohaler®)
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Formulary
Green



 
 
Salbutamol  (Nebuliser Liquid ® )
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Formulary

Green Green-Nebuliser Liquid

 

Amber Recommended Amber Recommended- Nebuliser Liquid in Paediatrics

 
Link  MHRA Alert: Nebulised asthma rescue therapy in children
 
Terbutaline
(Nebuliser Liquid)
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Formulary
Amber Recommended

How to use a Turbohaler Inhaler

 
 
Terbutaline (Bricanyl®)
(Inhaler)
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Formulary
Green

How to use a Turbohaler Inhaler

 
 
03.01.01.01  Expand sub section  Short-acting beta2 agonists
03.01.01.01  Expand sub section  Long-acting beta2 agonists
03.01.01.02  Expand sub section  Other adrenoceptor agonists
Ephedrine Hydrochloride
(Solution for injections)
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Formulary
Red
 
 
03.01.02  Expand sub section  Antimuscarinic bronchodilators to top
Tiotropium (Spiriva Respimat®)
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Formulary
Green

How to use a Respimat Inhaler

 
 
Aclidinium (Eklira Genuair®)
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Formulary
Green

For COPD only

How to use a Genuair Inhaler

 
 
Ipratropium bromide
(Nebuliser Liquid)
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Formulary
Green

 

  • Ipratropium
  • Atrovent Udv
 
 
Umeclidinium (Incruse® Ellipta®)
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Formulary
Green



How to use an Ellipta Inhaler

 
 
03.01.02  Expand sub section  Short Acting Anti-muscarinic Bronchodilators
03.01.02  Expand sub section  Long Acting Anti-muscarinic Bronchodilators
03.01.03  Expand sub section  Theophylline
Theophylline (Uniphyllin Continus )
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Formulary
Amber Initiation
 
 
Aminophylline IV
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Formulary
Red
 
Link  UKMI Q&A: Switching between aminophylline and theophylline in adults
 
03.01.04  Expand sub section  Compound bronchodilator preparations
Aclidinium & formoterol inhalerBlack Triangle (Duaklir Genuair®)
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Formulary
Green

 

How to use a Genuair Inhaler

 
 
Glycopyrronium/formoterol (Bevespi Aerosphere®)
View adult BNF View SPC online View SMC online View childrens BNF
Formulary
Green
 
 
Tiotropium & Olodaterol (Spiolto® Respimat®)
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Formulary
Green



How to use a Respimat Inhaler

 
 
Umeclidinium & vilanterol (Anoro Ellipta®)
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Formulary
Green



How to use an Ellipta Inhaler

 
 
03.01.05  Expand sub section  Peak flow meters, inhaler devices and nebulisers to top
03.01.05  Expand sub section  Peak flow meters
Low range peak flow meter
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Formulary
Green

 BRANDS

  • Rossmax Peak Flow Meter
  • Easy Peak Flow Meter Low Range
 
 
Standard range peak flow meter
View adult BNF View SPC online View childrens BNF
Formulary
Green

BRANDS

  • Easy Peak Flow Meter
  • Rossmax Peak Flow Meter
 
 
03.01.05  Expand sub section  Drug delivery devices
AeroChamber Plus®
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Formulary
Green
 
 
Drug Delivery Device
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Formulary
Green
  • Aerochamber Plus
  • Aerochamber Plus Flow-vu Anti-static
  • Aerochamber Plus Flow-vu Anti-static With Adult Large Mask
  • Aerochamber Plus Flow-vu Anti-static With Adult Small Mask
  • Aerochamber Plus Flow-vu Anti-static With Medium Mask Child 1-5 Years
  • Aerochamber Plus Flow-vu Anti-static With Small Mask Infant 0-18 Months
  • Aerochamber Plus Flow-vu Anti-static Youth 5
  • Aerochamber Plus With Adult Mask
  • Aerochamber Plus With Child Mask
  • Aerochamber Plus With Infant Mask
  • Volumatic
  • Volumatic With Paediatric Mask
  • Zerostat Vt Spacer
 
Link  How to use a Metered Dose Inhaler with a Large Volume Spacer
Link  HOw to use a Meterted Dose Inhaler with a Small Spacer
 
03.01.05  Expand sub section  Nebulisers
03.01.05  Expand sub section  Nebuliser Diluent
Sodium Chloride
(nebulised)
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Formulary
Green
 
 
 ....
 Non Formulary Items
Bambuterol  (Bambec®)

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Non Formulary
Black
Benzoin Tincture, Compound

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Non Formulary
Black
Drug Delivery Device

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Non Formulary
Black
  • A2a Spacer
  • A2a Spacer With Medium Mask
  • A2a Spacer With Small Mask
  • Able Spacer
  • Able Spacer With Medium Mask
  • Able Spacer With Small Mask
  • Aer8
  • Antistatic Space Chamber Plus
  • Antistatic Space Chamber Plus Compact
  • Antistatic Space Chamber Plus Compact With Large Mask
  • Antistatic Space Chamber Plus Compact With Medium Mask
  • Antistatic Space Chamber Plus Compact With Small Mask
  • Antistatic Space Chamber Plus With Large Mask
  • Antistatic Space Chamber Plus With Medium Mask
  • Antistatic Space Chamber Plus With Small Mask
  • Babyhaler
  • Babyhaler Mini Mask
  • Babyhaler Standard Mask
  • Clip-tone E
  • Clip-tone F
  • Easychamber Spacer
  • Easychamber Spacer With Adult Mask
  • Easychamber Spacer With Child Mask
  • Easychamber Spacer With Infant Mask
  • E-chamber La Grande Spacer
  • E-chamber La Petite Spacer
  • E-chamber La Petite Spacer With Mask
  • E-z Spacer
  • Flo-tone Mdi Circular Fit
  • Flo-tone Mdi Regular Fit
  • Free Breath Spacer
  • Free Breath Spacer With Adult Mask
  • Free Breath Spacer With Child Mask
  • Free Breath Spacer With Infant Mask
  • Optichamber
  • Optichamber Diamond
  • Optichamber Diamond With Large Litetouch Mask 5 Years-adult
  • Optichamber Diamond With Medium Litetouch Mask 1-5 Years
  • Optichamber Diamond With Small Litetouch Mask 0-18 Months
  • Pocket Chamber
  • Pocket Chamber With Adult Mask
  • Pocket Chamber With Child Mask
  • Pocket Chamber With Infant Mask
  • Pocket Chamber With Teenager Mask
  • Rossmax Anti-static Aero Spacer
  • Rossmax Anti-static Aero Spacer With Large Mask 5 Years-adult
  • Rossmax Anti-static Aero Spacer With Medium Mask 1-5 Years
  • Rossmax Anti-static Aero Spacer With Small Mask 0-18 Months
  • Space Chamber Plus
  • Space Chamber Plus Compact
  • Space Chamber Plus Compact With Large Mask
  • Space Chamber Plus Compact With Medium Mask
  • Space Chamber Plus Compact With Small Mask
  • Space Chamber Plus With Large Mask
  • Space Chamber Plus With Medium Mask
  • Space Chamber Plus With Small Mask
Ephedrine Hydrochloride

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Non Formulary
Black
  • Tablets
  • Nasal Drops
Formoterol Fumarate

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Non Formulary
Black
  • Easyhaler
  • Foradil
  • Atimos

 

Glycopyrrolate/ indacaterol inhaler

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Non Formulary
Black
Glycopyrronium  (Seebri breezhaler®)

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Non Formulary
Black

As per COPD guidelines from 11/10/22
How to use a Breezhaler Inhaler

Glycopyrronium/indacaterol  (Ultibro Breezhaler®)

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Non Formulary
Black

 Black from 11/10/22

How to use a Breezhaler Inhaler

Human alpha1- proteinase inhibitor  (Respreeza®)

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Non Formulary
Black
Indacaterol  (Onbrez Breezhaler®)

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Non Formulary
Black
Indacaterol/Mometasone furoate  (Atectura Breezhaler®)

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Non Formulary
Black
Ipratropium bromide
(Pressurised inhalation)

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Non Formulary
Black

 

  • Atrovent 
  • Inhalvent(Black from 23/5/23. Okay for historic patients.Other LAMAs preferred)
Ipratropium bromide with salbutamol  (Combivent®)

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Non Formulary
Black
Low range peak flow meter

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

BRANDS

  • Medi Peak Flow Meter
  • Mini-wright Peak Flow
  • Nspire Pocket Peak Peak
Mometasone/Glycopyrronium bromide/Indacaterol  (Enerzair Breezhaler®)

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Non Formulary
Black
Olodaterol  (Striverdi Respimat ®)

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Non Formulary
Black
Orciprenaline Sulphate  (Alupent®)

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Non Formulary
Salbutamol

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

 

  • Salbulin Novolizer
  • Ventolin Oral Solution
  • Airomir
  • Airomir Autohaler
  • Ventolin Evohaler
  • Salbutamol Tablet
Salmeterol

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
  • Serevent Accuhaler
  • Serevent Evohaler
  • Neovent
  • Soltel 

How to use an Accuhaler Inhaler
How to use a Metered Dose Inhaler
How to use a Metered Dose Inhaler with a Large Volume Spacer Device
How to use a Metered Dose Inhaler with a Small Volume Spacer Device

Salmeterol  (Serevent® accuhaler)

View adult BNF View SPC online View childrens BNF
Non Formulary Removed from formulary for new patients with COPD February 2017
FOR EXISTING PATIENTS ONLY
Standard range peak flow meter

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

BRANDS

  • Airzone Peak Flow Meter
  • Fyne Dynamics Pinnacle Peak Flow Meter
  • Medi Peak Flow Meter
  • Micropeak Peak Flow Meter
  • Mini-wright Peak Flow Meter
  • Nspire Piko-1 Peak Flow Meter
  • Nspire Pocket Peak Peak Flow Meter
  • Philips Respironics Personalbest Peak Flow Meter
  • Vitalograph Child Peak Flow Meter
  • Vitalograph Mypef Peak Flow Meter
  • Vitalograph Peak Flow Meter
Terbutaline

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

 

  • Bricanyl Respules
  • Bricanyl Tablet
Tiotropium

View adult BNF View SPC online View childrens BNF
Non Formulary
Black
  • Acopair
  • Braltus
  • Spiriva
  • Tiogiva
  • Spiriva Handihaler
  
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  

netFormulary