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
 Formulary Chapter 3: Respiratory system - Full Chapter
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03.05.01  Expand sub section  Respiratory stimulants
Doxapram injection
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Mannitol inhalation powder (Osmohale)
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Formulary This product is for diagnostic use only For identifying bronchial hyperresponsiveness in subjects with a baseline FEV1 of 70% or more of the predicted value. 
Almitrine injection
Unlicensed Drug Unlicensed
Acute Respiratory Distress Syndrome (ARDS) in combination with Nitric Oxide inhalation: Dose: 4-16 micrograms/kg/min by IV injection. COPD: Dose: 8 micrograms/kg/min by IV injection 
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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
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Scottish Medicines Consortium
Cytotoxic Drug
Cytotoxic Drug
Controlled Drug
High Cost Medicine
High Cost Medicine
Cancer Drugs Fund
Cancer Drugs Fund
NHS England

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.   

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  


Specialist and non-specialist initiation  


Not recommended for prescribing