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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Formulary  
   
Aspirin tabs
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Celecoxib capsules
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Formulary  
   
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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    Formulary  
       
    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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    Unlicensed Drug Unlicensed
    Red
    Restricted use Ankylosing spondylitis 
       
     ....
    Key
    note Notes
    Section Title Section Title (top level)
    Section Title Section Title (sub level)
    First Choice Item First Choice item
    Non Formulary Item Non Formulary section
    Restricted Drug
    Restricted Drug
    Unlicensed Drug
    Unlicensed
    Track Changes
    Display tracking information
    click to search medicines.org.uk
    Link to adult BNF
    click to search medicines.org.uk
    Link to SPCs
    SMC
    Scottish Medicines Consortium
    Cytotoxic Drug
    Cytotoxic Drug
    CD
    Controlled Drug
    High Cost Medicine
    High Cost Medicine
    Cancer Drugs Fund
    Cancer Drugs Fund
    NHSE
    NHS England
    Homecare
    Homecare
    CCG
    CCG

    Traffic Light Status Information

    Status Description

    Red

    Specialist or hospital prescribing only. The responsibility for prescribing, monitoring, dose adjustment and review should remain with the specialist or hospital. 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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