| 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 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. |
|||||
| 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. |
|||||
| 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 | ||||