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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 3: Respiratory system - 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.

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 Details...
03.01  Expand sub section  Bronchodilators
03.01.01  Expand sub section  Adrenoceptor agonists
03.01.01.01  Expand sub section  Selective Beta2 agonists
03.01.01.01  Expand sub section  Short-acting beta2 agonists
Salbutamol aerosol inhaler, easi-breathe inhaler, easyhaler, nebules, injection, m/r tablets, oral solution
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Formulary

 
   
Terbutaline inhalation powder, injection, nebuliser
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Formulary  
   
03.01.01.01  Expand sub section  Long-acting beta2 agonists to top
 note 
03.01.01.02  Expand sub section  Other adrenoceptor agonists
Ephedrine tabs
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Formulary  
   
03.01.02  Expand sub section  Antimuscarinic bronchodilators
 note 

Patients established on inhaler devices not on the formulary only to be switched to an alternative device if part of a formal clinical review

03.01.02  Expand sub section  Short Acting Anti-muscarinic Bronchodilators
Ipratropium aerosol inhaler, nebuliser solution
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Formulary

 
   
03.01.02  Expand sub section  Long Acting Anti-muscarinic Bronchodilators
Eklira Genuair® dry powder inhaler (aclidinium)
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Formulary
Green

 
   
Incruse Ellipta® dry powder inhaler (umeclidinium)
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Formulary
Green

 
   
Seebri Breezhaler® dry powder inhaler (glycopyrronium)
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Formulary
Green

 
   
Spiriva Respimat® aerosol inhaler (tiotropium - asthma)
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Formulary
Amber 2

 
Link  MHRA Feb 2015: Tiotropium Respimat and Handihaler
Link  SE London APC recommendation: Tiotropium Respimat for adult asthma
   
Spiriva Respimat® aerosol inhaler (tiotropium - COPD)
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Formulary
Green

 
Link  SEL APC recommendation: Tiotropium Respimat® (Spiriva® Respimat®) 2.5 micrograms inhalation solution for the treatment of chronic obstructive pulmonary disease (COPD) in adults
   
03.01.03  Expand sub section  Theophylline to top
Aminophylline m/r tabs, injection
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Formulary  
   
Theophylline m/r tabs, m/r caps
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Formulary  
   
03.01.04  Expand sub section  Compound bronchodilator preparations
 note  Patients established on inhaler devices not on the formulary only to be switched to an alternative device if part of a formal clinical review
Anoro Ellipta® dry powder inhlaer (umeclidinium and vilanterol)
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Formulary
Green

 
   
Duaklir Genuair® dry powder inhaler (aclidinium and formoterol)
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Formulary
Green

 
   
Ultibro Breezhaler® dry powder inhlaer (glycopyronium and indacaterol)
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Formulary
Green

 
   
Spiolto® Respimat® inhaler device (tiotropium and olodaterol)
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Formulary
Green

 
Link  SEL APC recommendation: Spiolto® Respimat® (tiotropium/olodaterol) inhalation solution for the treatment of chronic obstructive pulmonary disease (COPD) in adults
   
Ipratropium with salbutamol nebules (Combivent®)
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Formulary  
   
03.01.05  Expand sub section  Peak flow meters, inhaler devices and nebulisers
03.01.05  Expand sub section  Peak flow meters
Low range peak flow meter (Mini-Wright®)
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Formulary  
   
Standard range peak flow meter (Mini-Wright®)
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Formulary  
   
03.01.05  Expand sub section  Drug delivery devices
AeroChamber Plus® spacer device (standard, with mask, infant, child)
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Formulary
Green

 
   
Volumatic® spacer device (standard, paediatric)
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Formulary
Green

 
   
AeroTrach Plus® spacer device (aerochamber device for tracheostomy patients)
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Formulary

 
   
DispozABLE® spacer device
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Formulary Single use device for use in bronchodilation challenge only 
   
Haleraid®
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Formulary
Green

 
   
Nebuhaler® spacer device (standard, paediatric)
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Formulary
Green

 
   
 ....
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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