South East London Joint Medicines Formulary Formulary

	South East London Joint Medicines Formulary
	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 20: Miscellaneous products - Full Chapter

Notes:

Where a formulary entry does not detail a medicine’s indications for use, the medicine can be assumed to be approved for all licensed indications.

Formulary approved "off-label" use is detailed separately.

Details...

Miscellaneous preparations

Acetylcysteine injection (poisoning)

Formulary

For use in paracetamol overdose. Follow local protocols and advice from the National Poisons Information Centre

Tisseel^® fibrin sealant

Formulary

Must be used in accordance with a local Trust-approved guideline

For supportive treatment in surgery for improvement of haemostasis where standard techniques are insufficient

Tisseel^® fibrin sealant (off-label uses)

Formulary

Approved off-label indication:

For sealing the conjunctival graft during pterygium surgery

Evicel^® fibrin sealant

Formulary

Must be used in accordance with a local Trust-approved guideline

For supportive treatment in surgery for improvement of haemostasis where standard techniques are insufficient

Floseal^® haemostatic matrix

Formulary

Neurosurgery

Surgiflo^® haemostatic matrix kit

Formulary

Neurosurgery

SE London APC Recommendation: SURGIFLO haemostatic matrix for bleeding in neurological procedures

Tachosil^® medicated sponge (haemostasis in surgery)

Formulary

To be used in accordance with a local Trust-approved guideline

For supportive treatment in surgery for improvement of haemostasis where standard techniques are insufficient

Tachosil^® medicated sponge (sealing of the dura mater in neurosurgery)

Formulary

To be used in accordance with a local Trust-approved guideline

For supportive treatment in neurosurgery, including supportive sealing of the dura mater to prevent postoperative cerebrospinal fluid leakage.

TauroLock^® catheter lock solution

Formulary

For patients receiving long term, home parenteral nutrition who have experienced one episode of confirmed catheter-related blood stream infection (CRBSI)

TauroLock^® HEP500 catheter lock solution

Formulary

Restricted as second-line alternative to trisodium citrate 46.7% for patients

Who are IVDUs or

Can not tolerate high levels of citrate, or

In dialysis patients with recurrent bacteraemia

Trisodium citrate 46.7% catheter lock solution

Formulary

Antimicrobial and anticoagulant catheter locking solution for central venous catheters used in renal dialysis patients

....

Non Formulary Items

Herbal treatments

Non Formulary

Not for prescribing in SE London

SE London APC: Patient Information Leaflet: Changes to herbal treatment prescribing

Homeopathy treatments

Non Formulary

Not for prescribing in SE London

SE London APC: Patient Information Leaflet: Changes to homeopathic remedy prescribing

Key

	Notes
	Section Title (top level)
	Section Title (sub level)
	First Choice item
	Non Formulary section
	Restricted Drug
	Unlicensed
	Display tracking information
	Link to adult BNF
	Link to SPCs
	Scottish Medicines Consortium

	Cytotoxic Drug
	Controlled Drug
	High Cost Medicine
	Cancer Drugs Fund
	NHS England
	Homecare
	CCG

Traffic Light Status Information

Status	Description
	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.
	Treatment can be initiated in primary care after a recommendation from an appropriate specialist
	Specialist initiation followed by maintenance prescribing in primary care
	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
	Specialist and non-specialist initiation
	Not recommended for prescribing