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 8: Malignant disease and immunosuppression - Full Chapter
Notes:
Please also refer to the Cancer Drugs Fund list
 Details...
08.03.04.01  Expand sub section  Breast cancer
Anastrozole tabs
View adult BNF View SPC online 		Formulary
Amber 1 		 
   
Exemestane tabs
View adult BNF View SPC online 		Formulary
Amber 2 		 
   
Letrozole tabs
View adult BNF View SPC online 		Formulary
Amber 1 		 
   
Letrozole tabs
View adult BNF View SPC online 		Formulary Approved off-label indication: Fertility preservation in patients undergoing ovarian stimulation prior to chemotherapy in oestrogen receptor postive breast cancer Consultant specialists in oncology and fertility only Dose = 5 mg daily for 10-15 days during the course of ovarian stimulation  
   
Tamoxifen tabs, oral solution
View adult BNF View SPC online 		Formulary Amber Traffic Light For all licensed indications Red Traffic Light Gynaecomastia:
  • SPECIALIST USE ONLY
  • Usual course length = 3 months  
    •    
     link Link    NICE CG164: Familial Breast Cancer
     link Link    NICE CG80: Early and locally advanced breast cancer
     link Link    NICE CG81: Breast cancer (advanced)
     link Link    NICE TA112: Breast cancer (early) - hormonal treatments
     ....
    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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