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Musculoskeletal system
Musculoskeletal system / Pain and inflammation in musculoskeletal disorders
  aceclofenac Off Formulary
  aspirin On Formulary
  Gastro-resistant tablet
Aspirin (Non-proprietary) On Formulary
Nu-Seals (Alliance Pharmaceuticals Ltd) Off Formulary
  Suppository
Aspirin (Non-proprietary) On Formulary
  celecoxib Restricted
  dexketoprofen Off Formulary
  diclofenac potassium Off Formulary
  diclofenac sodium Restricted
DICLOFENAC SODIUM

Ibuprofen  and Naproxen 1st line

SR capsules and dispersible tablets are non- formulary

  Modified-release tablet
Dicloflex 75mg SR (Dexcel-Pharma Ltd) Off Formulary
Dicloflex Retard (Dexcel-Pharma Ltd) Off Formulary
Enstar XL (Ennogen Pharma Ltd) Off Formulary
  Gastro-resistant tablet
Diclofenac sodium (Non-proprietary) Off Formulary
  Modified-release capsule
Diclomax Retard (Galen Ltd) Off Formulary
Diclomax SR (Galen Ltd) Off Formulary
Motifene (Glenwood GmbH) Off Formulary
  Solution for injection
Akis (Flynn Pharma Ltd) Off Formulary
Voltarol (Novartis Pharmaceuticals UK Ltd) On Formulary
Single use

Single use only

  Eye drops
Voltarol Ophtha (Thea Pharmaceuticals Ltd) Off Formulary
Voltarol Ophtha Multidose (Thea Pharmaceuticals Ltd) Off Formulary
  Suppository
Econac (Advanz Pharma) On Formulary
Voltarol (Novartis Pharmaceuticals UK Ltd) On Formulary
  etodolac Off Formulary
  Modified-release tablet
Etolyn (Viatris UK Healthcare Ltd) Off Formulary
Etopan XL (Sun Pharmaceutical Industries Europe B.V.) Off Formulary
Lodine SR (Almirall Ltd) Off Formulary
  etoricoxib Off Formulary
  flurbiprofen Off Formulary
  Eye drops
Ocufen (AbbVie Ltd) Off Formulary
  ibuprofen On Formulary
  Modified-release tablet
Brufen Retard (Viatris UK Healthcare Ltd) Off Formulary
  indometacin Off Formulary
  ketoprofen Off Formulary
  Modified-release capsule
Larafen CR (Ennogen Pharma Ltd) Off Formulary
Oruvail (Sanofi) Off Formulary
  mefenamic acid Off Formulary
  Oral suspension
Mefenamic acid (Non-proprietary) Off Formulary
  meloxicam Restricted
MELOXICAM

Consultant Rheumatologist only.

  Orodispersible tablet
Meloxicam (Non-proprietary) Restricted
MELOXICAM

Consultant Rheumatologist only.

  nabumetone Off Formulary
  naproxen On Formulary
  Gastro-resistant tablet
Naproxen (Non-proprietary) On Formulary
Naprosyn EC (Atnahs Pharma UK Ltd) On Formulary
  Oral suspension
Naproxen (Non-proprietary) Off Formulary
  naproxen with esomeprazole Off Formulary
  piroxicam Off Formulary
  Orodispersible tablet
Feldene Melt (Pfizer Ltd) Off Formulary
  sulindac Off Formulary
  tenoxicam Off Formulary
  tiaprofenic acid Off Formulary
Musculoskeletal system / Local inflammation of joints and soft tissue
  dexamethasone On Formulary NICE TA229
NICE TA824
NICE TA460
  hydrocortisone On Formulary
HYDROCORTISONE

Topical 1st Line mild corticosteroid is Hydrocortisone. Also 1st Line for overgranulation in PAEDS 1% strength.

 

Softacort eye drops are second line.  Restricted to patients that cannot tolerate FML eye drops 

  methylprednisolone On Formulary
  Powder and solvent for solution for injection
Solu-Medrone (Pfizer Ltd) On Formulary
  Suspension for injection
Depo-Medrone (Pfizer Ltd) On Formulary
  methylprednisolone with lidocaine
  Suspension for injection
Depo-Medrone with Lidocaine (Pfizer Ltd) Off Formulary
  prednisolone On Formulary
  triamcinolone acetonide On Formulary
  Suspension for injection
Adcortyl Intra-articular / Intradermal (Bristol-Myers Squibb Pharmaceuticals Ltd) On Formulary
Kenalog (Bristol-Myers Squibb Pharmaceuticals Ltd) On Formulary
Musculoskeletal system / Soft tissue disorders
  hyaluronidase On Formulary
  Powder for solution for injection
Hyaluronidase (Non-proprietary) On Formulary
Musculoskeletal system / Hyperuricaemia and gout
  allopurinol On Formulary
  canakinumab Off Formulary
  colchicine On Formulary
  diclofenac potassium Off Formulary
  diclofenac sodium Restricted
DICLOFENAC SODIUM

Ibuprofen  and Naproxen 1st line

SR capsules and dispersible tablets are non- formulary

  Modified-release tablet
Dicloflex 75mg SR (Dexcel-Pharma Ltd) Off Formulary
Dicloflex Retard (Dexcel-Pharma Ltd) Off Formulary
Enstar XL (Ennogen Pharma Ltd) Off Formulary
  Gastro-resistant tablet
Diclofenac sodium (Non-proprietary) Off Formulary
  Modified-release capsule
Diclomax Retard (Galen Ltd) Off Formulary
Diclomax SR (Galen Ltd) Off Formulary
Motifene (Glenwood GmbH) Off Formulary
  Solution for injection
Akis (Flynn Pharma Ltd) Off Formulary
Voltarol (Novartis Pharmaceuticals UK Ltd) Off Formulary
Single use

Single use only

  Eye drops
Voltarol Ophtha (Thea Pharmaceuticals Ltd) Off Formulary
Voltarol Ophtha Multidose (Thea Pharmaceuticals Ltd) Off Formulary
  Suppository
Econac (Advanz Pharma) Off Formulary
Voltarol (Novartis Pharmaceuticals UK Ltd) Off Formulary
  etoricoxib Off Formulary
  febuxostat Restricted NICE TA164
FEBUXOSTAT

In line with Sussex APC Joint first line with allopurinol as recommended by consultant physician or rhematologist in line with NICE guidance (NG219)

  indometacin Off Formulary
  ketoprofen Off Formulary
  Modified-release capsule
Larafen CR (Ennogen Pharma Ltd) Off Formulary
Oruvail (Sanofi) Off Formulary
  naproxen On Formulary
  Gastro-resistant tablet
Naproxen (Non-proprietary) On Formulary
Naprosyn EC (Atnahs Pharma UK Ltd) On Formulary
  Oral suspension
Naproxen (Non-proprietary) Off Formulary
  naproxen with esomeprazole Off Formulary
  sulindac Off Formulary
Musculoskeletal system / Arthritis
  abatacept Restricted NICE TA195
NICE TA375
NICE TA715
ABATACEPT

Consultant rheumatologist only as per NICE guidance. 
  

  Solution for injection
Orencia (Bristol-Myers Squibb Pharmaceuticals Ltd, Imported (Germany)) Restricted
ABATACEPT

Consultant rheumatologist only as per NICE guidance. 
  

Orencia ClickJect (Bristol-Myers Squibb Pharmaceuticals Ltd) Restricted
ABATACEPT

Consultant rheumatologist only as per NICE guidance. 
  

  Powder for solution for infusion
Orencia (Bristol-Myers Squibb Pharmaceuticals Ltd) Restricted
ABATACEPT

Consultant rheumatologist only as per NICE guidance. 
  

  aceclofenac Off Formulary
  adalimumab Restricted NICE TA187
NICE TA329
NICE TA199
NICE TA195
NICE TA375
NICE TA715
NICE TA383
NICE TA392
NICE TA146
NICE TA460
ADALIMUMAB

Consultant rheumatologist only. As per NICE guidance. See Rheumatology Homecare SOP and Cytokine Modulator Referral form and Checklist.

Not relevant to QVH for inflammatory bowel disease, plaque psoriasis or uveitis.

 

  Solution for injection
Humira (AbbVie Ltd) Restricted
  anakinra Restricted NICE TA685
Consultant rheumatologist only. As per NICE guidance.

As per relevant NICE guidelines for Rheumatology

  Solution for injection
Kineret (Swedish Orphan Biovitrum Ltd) Off Formulary
  apremilast Restricted NICE TA433
NICE TA419
APREMILAST

Restricted to Consultant Rheumatologist as per NICE TA433 only

  azathioprine Restricted
AZATHIOPRINE

Dermatology and rheumatology initiation only. TPMP pre-dosing needed.

Sharecare guidelines are available.

  baricitinib Restricted NICE TA466
NICE TA681
NICE TA926
BARICITINIB

 Restricted to Consultant Rheumatologist as per NICE criteria.

  capsaicin On Formulary
  celecoxib Restricted
  certolizumab pegol Restricted NICE TA375
NICE TA383
NICE TA415
NICE TA445
NICE TA574
CERTOLIZUMAB PEGOL

Consultant rheumatologist only. As per NICE guidance. See Rheumatology Homecare SOP and Cytokine Modulator Referral form and Checklist.
 

  Solution for injection
Cimzia (UCB Pharma Ltd) Restricted
CERTOLIZUMAB PEGOL

Consultant rheumatologist only. As per NICE guidance. See Rheumatology Homecare SOP and Cytokine Modulator Referral form and Checklist.
 

  chloroquine Off Formulary
  Oral solution
Malarivon (Wallace Manufacturing Chemists Ltd) Off Formulary
  ciclosporin Restricted NICE TA369
CICLOSPORIN

Initiation on advice of consultant for prevention of acute rejection episodes for ophthalmology. Available as 0.2% eye ointment and 2% preservative free eyedrops (UNLICENSED).

Ikervis available for treatment of keratitis in dry eye disease that has not responded with tear substitutes (As per NICE TA 369). First 4 months supply available from QVH, then supply should be continued in primary care.
 
Consultant opthalmologist and rheumatologist initation only 

  cyclophosphamide Off Formulary
  diclofenac potassium Off Formulary
  diclofenac sodium Restricted
DICLOFENAC SODIUM

Ibuprofen  and Naproxen 1st line

SR capsules and dispersible tablets are non- formulary

  Modified-release tablet
Dicloflex 75mg SR (Dexcel-Pharma Ltd) Off Formulary
Dicloflex Retard (Dexcel-Pharma Ltd) Off Formulary
Enstar XL (Ennogen Pharma Ltd) Off Formulary
  Gastro-resistant tablet
Diclofenac sodium (Non-proprietary) Off Formulary
  Modified-release capsule
Diclomax Retard (Galen Ltd) Off Formulary
Diclomax SR (Galen Ltd) Off Formulary
Motifene (Glenwood GmbH) Off Formulary
  Solution for injection
Akis (Flynn Pharma Ltd) Off Formulary
Voltarol (Novartis Pharmaceuticals UK Ltd) On Formulary
Single use

Single use only

  Eye drops
Voltarol Ophtha (Thea Pharmaceuticals Ltd) Off Formulary
Voltarol Ophtha Multidose (Thea Pharmaceuticals Ltd) Off Formulary
  Suppository
Econac (Advanz Pharma) On Formulary
Voltarol (Novartis Pharmaceuticals UK Ltd) On Formulary
  etanercept Restricted NICE TA103
NICE TA195
NICE TA375
NICE TA715
NICE TA199
NICE TA383
ETANERCEPT

Consultant rheumatologist only. As per NICE guidance.

First line brand Benepali
 
Not relevant to QVH for inflammatory bowel disease or plaque psoriasis.

 

  Solution for injection
Benepali (Biogen Idec Ltd) Restricted
ETANERCEPT

Consultant rheumatologist only. As per NICE guidance.

First line brand Benepali
 
Not relevant to QVH for inflammatory bowel disease or plaque psoriasis.

 

Enbrel (Pfizer Ltd) Restricted
ETANERCEPT

Consultant rheumatologist only. As per NICE guidance.

First line brand Benepali
 
Not relevant to QVH for inflammatory bowel disease or plaque psoriasis.

 

Enbrel MyClic (Pfizer Ltd) Restricted
ETANERCEPT

Consultant rheumatologist only. As per NICE guidance.

First line brand Benepali
 
Not relevant to QVH for inflammatory bowel disease or plaque psoriasis.

 

Erelzi (Sandoz Ltd) Restricted
ETANERCEPT

Consultant rheumatologist only. As per NICE guidance.

First line brand Benepali
 
Not relevant to QVH for inflammatory bowel disease or plaque psoriasis.

 

  Powder and solvent for solution for injection
Enbrel (Pfizer Ltd) Restricted
ETANERCEPT

Consultant rheumatologist only. As per NICE guidance.

First line brand Benepali
 
Not relevant to QVH for inflammatory bowel disease or plaque psoriasis.

 

  etodolac Off Formulary
  Modified-release tablet
Etolyn (Viatris UK Healthcare Ltd) Off Formulary
Etopan XL (Sun Pharmaceutical Industries Europe B.V.) Off Formulary
Lodine SR (Almirall Ltd) Off Formulary
  etoricoxib Off Formulary
  filgotinib Restricted NICE TA676
NICE TA792
Consultant rheumatologist only.

As per relevant NICE guidelines

  flurbiprofen Off Formulary
  Eye drops
Ocufen (AbbVie Ltd) Off Formulary
  glucosamine Off Formulary
  golimumab Restricted NICE TA220
NICE TA375
NICE TA225
NICE TA383
NICE TA497
NICE TA329
GOLIMUMAB

Consultant rheumatologist only. As per NICE guidance. 


Not relevant to QVH for inflammatory bowel disease or plaque psoriasis.

  Solution for injection
Simponi (Merck Sharp & Dohme (UK) Ltd) Restricted
GOLIMUMAB

Consultant rheumatologist only. As per NICE guidance. See Rheumatology Homecare SOP and Cytokine Modulator Referral form and Checklist.

Not relevant to QVH for inflammatory bowel disease or plaque psoriasis.

GOLIMUMAB

Consultant rheumatologist only. As per NICE guidance. 


Not relevant to QVH for inflammatory bowel disease or plaque psoriasis.

  guselkumab Restricted NICE TA521
NICE TA815
  hydroxychloroquine sulfate On Formulary
  ibuprofen On Formulary
  Modified-release tablet
Brufen Retard (Viatris UK Healthcare Ltd) Off Formulary
  indometacin Off Formulary
  infliximab Off Formulary NICE TA134
NICE TA195
NICE TA375
NICE TA715
NICE TA199
NICE TA187
NICE TA163
NICE TA329
NICE TA383
INFLIXIMAB

Patient transferred to another provider if this treatment is required by intraveous infusion for arthiritis.

 

  ixekizumab Restricted NICE TA442
NICE TA537
NICE TA718
IXEKIZUMAB

Restricted to Consultant Rheumatologist in line with NICE guidelines only

  Solution for injection
Taltz (Eli Lilly and Company Ltd) Restricted
IXEKIZUMAB

Restricted to Consultant Rheumatologist in line with NICE guidelines only

  ketoprofen Off Formulary
  Modified-release capsule
Larafen CR (Ennogen Pharma Ltd) Off Formulary
Oruvail (Sanofi) Off Formulary
  leflunomide On Formulary
  mefenamic acid Off Formulary
  Oral suspension
Mefenamic acid (Non-proprietary) Off Formulary
  meloxicam Restricted
MELOXICAM

Consultant Rheumatologist only.

  Orodispersible tablet
Meloxicam (Non-proprietary) Restricted
  methotrexate Restricted
Methotrexate

Initiation by consultant rheumatologistonly. Shared care guidelines available.

Injection supplied via Healthcare at Home.

Weekly dosing. See methotrexate policy.

  Oral solution
Methotrexate (Non-proprietary) Off Formulary
Jylamvo (Esteve Pharmaceuticals Ltd) Off Formulary
  Solution for injection
Methotrexate (Non-proprietary) Restricted
Methofill (Accord-UK Ltd) Restricted
Metoject PEN (medac UK) Restricted
Nordimet (Nordic Pharma Ltd) Restricted
Zlatal (Nordic Pharma Ltd) Restricted
  Solution for infusion
Methotrexate (Non-proprietary) Off Formulary
  nabumetone Off Formulary
  naproxen On Formulary
  Gastro-resistant tablet
Naproxen (Non-proprietary) On Formulary
Naprosyn EC (Atnahs Pharma UK Ltd) On Formulary
  Oral suspension
Naproxen (Non-proprietary) Off Formulary
  penicillamine Off Formulary
  piroxicam Off Formulary
  Orodispersible tablet
Feldene Melt (Pfizer Ltd) Off Formulary
  risankizumab Restricted NICE TA596
NICE TA803
NICE TA888
  rituximab Off Formulary NICE TA308
NICE TA195
NICE TA243
NICE TA137
NICE TA193
NICE TA226
NICE TA174
NICE TA359
NICE TA561
RITUXIMAB

Not relevant to QVH for these indications. Patients would be referred for this treatment elsewhere

  Solution for infusion
MabThera (Roche Products Ltd) Off Formulary
RITUXIMAB

Not relevant to QVH for these indications. Patients would be referred for this treatment elsewhere

Rixathon (Sandoz Ltd) Off Formulary
RITUXIMAB

Not relevant to QVH for these indications. Patients would be referred for this treatment elsewhere

Truxima (Celltrion Healthcare UK Ltd) Off Formulary
RITUXIMAB

Not relevant to QVH for these indications. Patients would be referred for this treatment elsewhere

  sarilumab Restricted NICE TA485
SARILUMAB

Restricted to Consultant Rheumatologist only in line with NICE guidelines.

  Solution for injection
Kevzara (Sanofi) Restricted
SARILUMAB

Restricted to Consultant Rheumatologist only in line with NICE guidelines.

  secukinumab Restricted NICE TA350
NICE TA407
NICE TA719
NICE TA445
NICE TA935
SECUKINUMAB

Restricted to Consultant Rheumatologist as per NICE guidance.
Supplied via homecare services

  Solution for injection
Cosentyx (Novartis Pharmaceuticals UK Ltd) Restricted
SECUKINUMAB

Restricted to Consultant Rheumatologist as per NICE guidance.
Supplied via homecare services

  sulfasalazine Restricted
Sulfasalazine

Restricted to Consultant Rheumatologist only

Sulfasalazine shared care guidelines

  Gastro-resistant tablet
Sulfasalazine (Non-proprietary) Restricted
Sulfasalazine

Restricted to Consultant Rheumatologist only

Sulfasalazine shared care guidelines

Salazopyrin EN (Pfizer Ltd) Restricted
  Oral suspension
Sulfasalazine (Non-proprietary) Restricted
Sulfasalazine

Restricted to Consultant Rheumatologist only

Sulfasalazine shared care guidelines

  Suppository
Salazopyrin (Pfizer Ltd) Restricted
Sulfasalazine

Restricted to Consultant Rheumatologist only

Sulfasalazine shared care guidelines

  sulindac Off Formulary
  tenoxicam Off Formulary
  tiaprofenic acid Off Formulary
  tocilizumab Restricted NICE TA375
NICE TA247
NICE TA518
NICE TA878
TOCILIZUMAB

Consultant rheumatologist only as per NICE guidance. 
 
  

  Solution for injection
RoActemra (Roche Products Ltd) Restricted
TOCILIZUMAB

Consultant rheumatologist only as per NICE guidance. 
 
  

  Solution for infusion
RoActemra (Roche Products Ltd) Off Formulary
TOCILIZUMAB

Consultant rheumatologist only as per NICE guidance. 
 
  

  tofacitinib Restricted NICE TA480
NICE TA543
NICE TA920
NICE TA547
TOFACITINIB

Restricted to Consultant Rheumatologist only in line with NICE guidelines.

  upadacitinib Restricted NICE TA665
NICE TA744
NICE TA768
NICE TA829
NICE TA861
NICE TA814
NICE TA856
NICE TA905
UPADACITINIB

Consultant Rheumatologist only - In line with NICE TA guidance only

Supplied via homecare services

 

Indications for dermatology not relevant to QVH

  ustekinumab Restricted NICE TA180
NICE TA340
NICE TA456
NICE TA633
USTEKINUMAB

.Consultant rheumatologist only. As per NICE guidance. See Rheumatology Homecare SOP and Cytokine Modulator Referral form and Checklist.

Not relevant to QVH for plaque psoriasis or Crohn's disease

  Solution for injection
Stelara (Janssen-Cilag Ltd) Restricted
USTEKINUMAB

.Consultant rheumatologist only. As per NICE guidance. See Rheumatology Homecare SOP and Cytokine Modulator Referral form and Checklist.

Not relevant to QVH for plaque psoriasis or Crohn's disease

  Solution for infusion
Stelara (Janssen-Cilag Ltd) Restricted
USTEKINUMAB

.Consultant rheumatologist only. As per NICE guidance. See Rheumatology Homecare SOP and Cytokine Modulator Referral form and Checklist.

Not relevant to QVH for plaque psoriasis or Crohn's disease

Musculoskeletal system / Neuromuscular disorders
  riluzole Off Formulary NICE TA20
RILUZOLE

Not relevant to QVH

Musculoskeletal system / Muscular dystrophy
  ataluren Off Formulary NICE HST22
Ataluren

Not relevant to QVH

  nusinersen Off Formulary NICE TA588
NUSINERSEN

Not relevant to QVH

  Solution for injection
Spinraza (Biogen Idec Ltd) Off Formulary
Musculoskeletal system / Myasthenia gravis and Lambert-Eaton myasthenic syndrome
  amifampridine Off Formulary
  neostigmine Restricted
NEOSTIGMINE

Injection only formulary

  Solution for injection
Neostigmine (Non-proprietary) Restricted
NEOSTIGMINE

Injection only formulary

  pyridostigmine bromide Off Formulary
Musculoskeletal system / Nocturnal leg cramps
  quinine On Formulary
Musculoskeletal system / Spasticity
  baclofen On Formulary
  cannabis extract Off Formulary
letter-guidance-on-cannabis-based-products-for-medicinal-use_

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  Spray
Sativex (GW Pharma Ltd) Off Formulary
  dantrolene sodium On Formulary
  diazepam On Formulary
DIAZEPAM

1st Line for alcohol withdrawal whilst IN-PATIENT - not for discharge.

  methocarbamol Off Formulary
  tizanidine Off Formulary