netFormulary South East London Joint Medicines Formulary NHS
Guy's and St Thomas' NHS Foundation Trust
Kings College Hospital NHS Foundation Trust
Lewisham and Greenwich NHS Trust
 
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 Formulary Chapter 10: Musculoskeletal and joint diseases - Full Chapter
10.01.01  Expand sub section  Non-steroidal anti-inflammatory drugs
Acelofenac tabs

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Formulary
   
Arthrotec tabs  (diclofenac + misoprostol)

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Aspirin tabs

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Celecoxib capsules

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Diclofenac sodium e/c, m/r & disp tabs, suppositories, injection

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Formulary Approved off label indication:
Stat rectal dose prior to ERCP for prevention of post-ERCP pancreatitis

Link  MHRA Jun 2013: Diclofenac: new contraindications and warnings    
Fenbufen tabs

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Flurbiprofen tabs

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Ibuprofen tabs, suspension

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Indometacin caps, m/r caps, suppositories

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Formulary Approved for licensed use, and the following off label indications:
  • Stat rectal dose prior to ERCP for prevention of post-ERCP pancreatitis
  • Chronic paroxysmal hemicrania
  •    
    Ketoprofen caps

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    Formulary
       
    Mefenamic acid caps, tabs

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    Formulary In secondary care use on gynaecology advice only for:
  • dysmenorrhoea
  • Menorrhagia
  •    
    Meloxicam tabs

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    Nabumetone tabs, suspension

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    Restricted Drug Restricted For palliative care patients with pain relating to soft tissue, visceral or bone inflammation
       
    Naproxen tabs, e/c tabs

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    Formulary
       
    Sulindac tabs

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    Formulary
       
    Phenylbutazone tablets

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    Restricted Drug Unlicensed
    Red
    Restricted use
    Ankylosing spondylitis
       
     ....
    Key
    note Notes First Choice Item First Choice item
    Section Title Section Title (top level) Non Formulary Item Non Formulary section
    Section Title Section Title (sub level)
    Cytotoxic Drug
    Cytotoxic Drug
    Restricted Drug
    Restricted Drug
    CD
    Controlled Drug
    Unlicensed Drug
    Unlicensed
    High Cost Medicine
    High Cost Medicine
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    Link to SPCs
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    Link to adult BNF
    Track Changes
    Display tracking information
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    Cancer Drugs Fund
    Cancer Drugs Fund
       

     

    Traffic Light Status Information

    Status Description
      Red   Specialist Prescribing only. The responsibility for prescribing, monitoring, dose adjustment and review should remain with the specialist. In very exceptional circumstances a specialist may discuss individual patient need for a RED drug to be prescribed by a GP and the GP should consider informing the Medicines Management team before a decision is made to prescribe for individual patients.   
      Amber 1   Treatment can be initiated in primary care after a recommendation from an appropriate specialist  
      Amber 2   Specialist initiation followed by maintenance prescribing in primary care  
      Amber 3   Specialist initiation with ongoing monitoring required. After dose stabilisation GPs can be requested to take over prescribing responsibilities using the approved APC shared care documentation  
      Green   Specialist and non-specialist initiation  
      Grey   Not recommended for prescribing  

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