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Genito-urinary system
Genito-urinary system / Dysmenorrhoea
  dexketoprofen Off Formulary
  flurbiprofen Off Formulary
  ibuprofen Restricted
IBUPROFEN

Please prescribe generically. The injection and any use for dysmenorrhoea is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

  Orodispersible tablet
Nurofen Meltlets (Reckitt Benckiser Healthcare (UK) Ltd) Off Formulary
  Modified-release tablet
Brufen Retard (Viatris UK Healthcare Ltd) Off Formulary
  Chewable capsule
Nurofen (Reckitt Benckiser Healthcare (UK) Ltd) Off Formulary
  Effervescent granules
Brufen (Viatris UK Healthcare Ltd) Off Formulary
  Oral suspension
Nurofen (Reckitt Benckiser Healthcare (UK) Ltd) Off Formulary
  Oral tablet
Brufen (Viatris UK Healthcare Ltd) Off Formulary
Feminax Express (Bayer Plc) Off Formulary
Nurofen Migraine Pain (Reckitt Benckiser Healthcare (UK) Ltd) Off Formulary
  Oral capsule
Nurofen Express (Reckitt Benckiser Healthcare (UK) Ltd) Off Formulary
  indometacin Off Formulary
Indometacin

For cardiovascular use this is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

  Suppository
Indometacin (Non-proprietary) Off Formulary
  ketoprofen Off Formulary
  mefenamic acid On Formulary
MEFENAMIC ACID

Gynaecology for dysmennorhoea only. Please prescribe generically, all branded products, tablets and oral suspension are Black in the Black Country IMOG formulary.

  Oral suspension
Mefenamic acid (Non-proprietary) Off Formulary
  Oral tablet
Mefenamic acid (Non-proprietary) On Formulary
  Oral capsule
Mefenamic acid (Non-proprietary) Off Formulary
  naproxen On Formulary
NAPROXEN

First choice in patients requiring a non-steroidal anti-inflammatory and for whom ibuprofen is insufficient. Please prescribe generically.

  Gastro-resistant tablet
Naprosyn EC (Atnahs Pharma UK Ltd) Off Formulary
  Oral tablet
Naprosyn (Atnahs Pharma UK Ltd) Off Formulary
Genito-urinary system / Polycystic ovary syndrome
  metformin hydrochloride On Formulary
Metformin

Metformin should be prescribed generically.

Genito-urinary system / Contraception, parenteral progestogen-only
  etonogestrel On Formulary
  Prolonged-release subcutaneous implant
Nexplanon (Organon Pharma (UK) Ltd) On Formulary
  medroxyprogesterone acetate Restricted
Depo-Provera®

Community directorate only

MEDROXYPROGESTERONE ACETATE

For oncological treatment by those experienced and also Gynaecology

  norethisterone On Formulary
Norethisterone

Oncological treatment only by those experienced in its use.

  Solution for injection
Noristerat (Bayer Plc) Off Formulary
Genito-urinary system / Contraception, devices
  intra-uterine contraceptive devices (copper) On Formulary
  levonorgestrel On Formulary
Levonorgestrel

Please prescribe generically.

Genito-urinary system / Contraception, emergency
  intra-uterine contraceptive devices (copper) On Formulary
  levonorgestrel On Formulary
Levonorgestrel

Please prescribe generically.

  ulipristal acetate Restricted
ULIPRISTAL ACETATE

For use in contraception only.

Genito-urinary system / Contraception, oral progestogen-only
  desogestrel On Formulary
Desogestrel

For contraceptive use please prescribe generically.

Off label use for menstrual dysfunction by O&G consultants.

  Oral tablet
Desogestrel (Non-proprietary) On Formulary
Cerazette (Organon Pharma (UK) Ltd) Off Formulary
Cerelle (Gedeon Richter (UK) Ltd) Off Formulary
Desorex (Somex Pharma) Off Formulary
Zelleta (Morningside Healthcare Ltd) Off Formulary
  levonorgestrel On Formulary
Levonorgestrel

Please prescribe generically.

  norethisterone On Formulary
Norethisterone

Oncological treatment only by those experienced in its use.

  Solution for injection
Noristerat (Bayer Plc) Off Formulary
Genito-urinary system / Contraception, combined
  dienogest with estradiol valerate
  Form unstated
Qlaira (Bayer Plc) Restricted
Qlaira

This is AI in the Black Country formulary, i.e. for may be prescribed in primary care after specialist initiation.

  estradiol with nomegestrol Off Formulary
  ethinylestradiol with desogestrel Restricted
Ethinylestradiol with desogestrel

ISHUS only

  ethinylestradiol with drospirenone On Formulary
  ethinylestradiol with etonogestrel On Formulary
  Vaginal delivery system
NuvaRing (Organon Pharma (UK) Ltd) On Formulary
  ethinylestradiol with gestodene On Formulary
  Oral tablet
Femodene (Bayer Plc) Off Formulary
  ethinylestradiol with levonorgestrel On Formulary
  Oral tablet
Levest (Morningside Healthcare Ltd) Off Formulary
  ethinylestradiol with norelgestromin
  Transdermal patch
Evra (Gedeon Richter (UK) Ltd) On Formulary
  norethisterone with mestranol Off Formulary
Genito-urinary system / Erectile dysfunction
  adrenaline/epinephrine Off Formulary
  alprostadil Restricted
ALPROSTADIL

Urology in accordance with DoH guidelines.

For cardiovascular use and patent ductus arteriosus this is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

For use in erectile dysfunction this is AI in the Black Country formulary, i.e. may be prescribed in primary care after specialist initiation. Please see individual brands.

  Powder and solvent for solution for injection
Viridal (Advanz Pharma) Restricted
  Stick
Muse (Viatris UK Healthcare Ltd) Restricted
  Cutaneous cream
Vitaros (The Simple Pharma Company UK Ltd) Restricted
  avanafil Off Formulary
  aviptadil with phentolamine mesilate Restricted
Aviptadil with phentolamine

This is AI in the Black Country formulary, i.e. may be prescribed in primary care after specialist initiation, but 3rd line after oral PDE-5 inhibitors failed and patient not responding to or intolerant of alprostadil

Patients trained and intitaited by the Specialist team. 

  metaraminol Off Formulary
  phenylephrine hydrochloride Off Formulary
PHENYLEPHRINE HYDROCHLORIDE

Restricted uses - ITU/ NNU, Theatres, Cardiology.

This (including eye drops) is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

  Solution for injection
Phenylephrine hydrochloride (Non-proprietary) Restricted
  sildenafil On Formulary
SILDENAFIL

Urology in accordance with DoH guidelines for erectile dysfunction, and Rheumatology in accordance with NHS England's guidelines for Raynaud's disease

The use of sildenafil (25mg, 50mg and 100mg strengths) for pulmonary arterial hypertension is non-formulary.
The use of Revatio
® (20mg) for any use in the Trust is non-formulary.

For cardiovacular use this is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

For use in digital ulceration this is AI in the Black Country IMOC formulary, i.e. it can be prescribed in primary care oafter initilisation in secondary care.

  tadalafil On Formulary
Tadalafil

Please prescribe generically.

  Oral tablet
Tadalafil (Non-proprietary) On Formulary
Adcirca (Eli Lilly and Company Ltd) Off Formulary
Cialis (Eli Lilly and Company Ltd) Off Formulary
Talmanco (Viatris UK Healthcare Ltd) Off Formulary
  vardenafil Off Formulary
Genito-urinary system / Premature ejaculation
  dapoxetine Off Formulary
  lidocaine with prilocaine Off Formulary
  Cutaneous cream
Nulbia (Glenmark Pharmaceuticals Europe Ltd) Off Formulary
Genito-urinary system / Urinary frequency, enuresis, and incontinence
  darifenacin Off Formulary
  duloxetine On Formulary
  Gastro-resistant capsule
Duloxetine (Non-proprietary) On Formulary
Depalta (GlucoRx Ltd) Off Formulary
Duciltia (Pharmathen S.A.) Off Formulary
  fesoterodine fumarate Off Formulary
  flavoxate hydrochloride Off Formulary
  imipramine hydrochloride Off Formulary
  mirabegron On Formulary NICE TA290
  oxybutynin hydrochloride On Formulary
OXYBUTYNIN HYDROCHLORIDE

Patches are restricted to patient intolerant to oral oxybutynin and intravesical preparation is non-formulary.

Please prescribe generically.

  Transdermal patch
Kentera (Accord-UK Ltd) Restricted
  Intravesical solution
Velariq (Medice UK Ltd) Off Formulary
  propantheline bromide Off Formulary
  propiverine hydrochloride Off Formulary
  solifenacin succinate Restricted
SOLIFENACIN SUCCINATE

The tablets are first-line and the liquid should only be used in patients with swallowing difficulties.

Please prescribe generically.

  tolterodine tartrate On Formulary
Tolterodine

Please prescribe generically.

  trospium chloride On Formulary
Genito-urinary system / Urinary retention
  alfuzosin hydrochloride On Formulary
Alfuzosin

Please prescribe the most cost-effective brand

  bethanechol chloride Off Formulary
  doxazosin On Formulary
  Modified-release tablet
Cardura XL (Viatris UK Healthcare Ltd) Off Formulary
Doxadura XL (Dexcel-Pharma Ltd) Off Formulary
Raporsin XL (Accord-UK Ltd) Off Formulary
  dutasteride On Formulary
DUTASTERIDE

Please prescribe generically.

  finasteride On Formulary
  indoramin Off Formulary
  prazosin Off Formulary
  tadalafil Off Formulary
Tadalafil

Please prescribe generically.

  tamsulosin hydrochloride On Formulary
Tamsulosin

Please prescribe generically. N.B.the tablets are more expensive than the capsules.

  Modified-release tablet
Flomaxtra XL (Astellas Pharma Ltd) Off Formulary
  tamsulosin with dutasteride On Formulary
Tamsulosin with dutasteride

Please prescribe generically.

  terazosin Off Formulary
Genito-urinary system / Urological pain
  anethol with borneol, camphene, cineole, fenchone and pinene Off Formulary
  citric acid with potassium citrate On Formulary
  pentosan polysulfate sodium Restricted NICE TA610
Pentosan

This is Red in the Black COuntry formulary, i.e. for hospital use only. Please see NICE TA 610.

  sodium bicarbonate Restricted
SODIUM BICARBONATE

Only the 500mg capsules are in the formulary - all other preparations are non-formulary. The capsules are AI in the Black Country formulary for urological pain, i.e. may be prescribed in primary care after specialist initiation.

  sodium citrate On Formulary
  Granules for oral solution
Sodium citrate (Non-proprietary) Off Formulary
Genito-urinary system / Bladder instillations and urological surgery
  chlorhexidine On Formulary
Chlorhexidine

The eye drops are Red in the Black Country formulary, i.e. for hospital prescribinf only.

  Cutaneous cream
Hibitane Obstetric (Derma UK Ltd) Restricted
Hibitane

This is Red in the Black Country formulary, i.e. for hospital prescribing only.

  chlorhexidine with lidocaine On Formulary
  glycine On Formulary
  Irrigation solution
Glycine (Non-proprietary) On Formulary
  sodium citrate Off Formulary
  Granules for oral solution
Sodium citrate (Non-proprietary) Off Formulary
Genito-urinary system / Induction of labour
  dinoprostone On Formulary
DINOPROSTONE

This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

  oxytocin On Formulary
  Solution for injection
Syntocinon (Exeltis UK Ltd) Off Formulary
Genito-urinary system / Termination of pregnancy
  gemeprost On Formulary
  mifepristone Restricted
MIFEPRISTONE

Obstetrics.

This is Red in the Black Country formulary, i.e. for hospital prescribing only.

  mifepristone and misoprostol Restricted
Mifepristone and misoprostol

This is Red in the Black Country formulary, i.e. for hospital use only.

  misoprostol Restricted
MISOPROSTOL

Consultant Obstetricians only as per RCOG protocol for post partum haemorrhage.
Misoprostol is Red in the Black Country formulary, i.e. for hospital prescribing only.

Genito-urinary system / Preterm labour
  atosiban Restricted
ATOSIBAN

This is Red in the Black Country formulary, i.e. for hospital prescribing only.

Only to be prescribed by Consultant Obstetricians.

  nifedipine Restricted
Nifedipine

Off-label use of the immediate release preparation for postponement of premature labour is Red in the Black Country formulary, i.e. for hospital prescribing only

  Modified-release tablet
Adalat LA (Bayer Plc) On Formulary
  salbutamol Restricted
Salbutamol

The IV formulation is Red in the Black Country IMOC formulary, i.e. for hospital prescribing only. See individaul products to check formulary status of other items which are Green

  terbutaline sulfate Restricted
Terbutaline

Use in pre-term labour is Red in the Black Country formulary, i.e. for hospital prescribing only.

Genito-urinary system / Postpartum haemorrhage
  carbetocin Restricted
Carbetocin

This is Red in the Black Country formulary, i.e. for hospital prescribing only. Please prescribe generically.

  Solution for injection
Carbetocin (Non-proprietary) Restricted
Pabal (Ferring Pharmaceuticals Ltd) Off Formulary
  carboprost Restricted
Carbeprost

This is Red in the Black Country formulary, i.e. for hospital use only and initiated by Obstetrics & Gynaecology specialists only.

  Solution for injection
Hemabate (Pfizer Ltd) Off Formulary
  ergometrine maleate Restricted
Ergometrine

This is Red in the Black COuntry formulary, i.e. for hospital prescribing only.

  Solution for injection
Ergometrine maleate (Non-proprietary) On Formulary
  ergometrine with oxytocin Restricted
Ergometrine with oxytocin

Consultant Obstetricians only.

This is Red in the Black Country formulary, i.e. for hospital prescribing only.

  misoprostol Restricted
  oxytocin On Formulary
  Solution for injection
Syntocinon (Exeltis UK Ltd) Off Formulary
Genito-urinary system / Kidney disorders
  finerenone Restricted NICE TA877
Finerenone

This is commissioned by the ICB and a Blueteq form must be completed for Birmingham and Solihull ICB patients before prescribing. Please contact the Pharmacy High-Cost Drugs team if any assistance is required.

Its position in the Black Country ICB formulary is under review by the Joint Formulary Group and currently it is restricted to hospital patients only and there is no Blueteq form.

  tolvaptan Restricted NICE TA358
Genito-urinary system / Vaginal and vulval bacterial infections
  clindamycin On Formulary
CLINDAMYCIN

Clindamycin 300 mg capsules are expensive and non-formulary, and Black in the Black Country IMOC formulary. Please prescribe as 2 x 150 mg.

Clindamycin suspension 75mg/5ml for children with penicillin allergy

  Solution for injection
Dalacin C (Pfizer Ltd) Off Formulary
  Vaginal cream
Dalacin (Pfizer Ltd) On Formulary
  dequalinium chloride Off Formulary
  lactic acid Off Formulary
Genito-urinary system / Vaginal and vulval fungal infections
  clotrimazole On Formulary
  econazole nitrate Off Formulary
  itraconazole Restricted
  ketoconazole On Formulary
Ketoconazole

This oral form is Red in the Black Country IMOC formulary, i.e. for hospital prescribing only and for specialist use. 

 

  Shampoo
Ketoconazole (Non-proprietary) Off Formulary
Genito-urinary system / Vaginal atrophy
  estradiol On Formulary
  Pessary
Estradiol (Non-proprietary) On Formulary
  Vaginal delivery system
Estring (Pfizer Ltd) On Formulary
  Oral tablet
Estradiol (Non-proprietary) On Formulary
  Transdermal gel
Oestrogel (Besins Healthcare (UK) Ltd) On Formulary
  estriol On Formulary
Estriol

Please prescribe generically and the most cost-effective product.

  ospemifene Off Formulary
  prasterone Off Formulary