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.
Gliolan powder for oral solution
Indocyanine green (ICG) dye
Approved off label indications:
Detection of sentinal nodes in breast surgery. Added to 9mTc nanocolloid. 50 microlitres of 5 mg/mL injected at tumour site, 2 hours before surgery
Intra operative imaging of pulmonary and mediastinal vasculature in thoracic surgery. Dose = 0.1 - 0.5 mg/kg (usually a 25 mg or 50 mg vial)
Acid citrate glucose infusion
Anticoagulant used during apheresis
Cold storage solution
Perfusion solution for liver grafts from Non Heart Beating Donors
Intrinsic factor caps
Part 2 of Schilling test for vitamin B12 deficiency
Muromonab-CD3 injection (monoclonal (OKT3))
Liver and renal graft rejection
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Scottish Medicines Consortium
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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