netFormulary Central Lancashire Formulary NHS
Lancashire Teaching Hospitals NHS Foundation Trust
Chorley and South Ribble CCG
Greater Preston CCG
 
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 Formulary Chapter 3: Respiratory system - Full Chapter
Notes:

Inhalers should be prescribed by brand name - to ensure that patients receive the correct inhaler type and to reduce confusion at the point of prescribing and dispensing. 

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03.07  Expand sub section  Mucolytics
Carbocisteine
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Green
 
   
Erdosteine
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Formulary
Green

Erdotin®

 
   
Acetylcysteine
(Mucolytic)
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Formulary
Red
 
   
03.07  Expand sub section  Dornase alfa
Dornase Alfa (Pulmozyme®)
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Formulary
Red
High Cost Medicine
NHS England

Shared Care between Specialist Centre and Secondary Care

 
   
03.07  Expand sub section  Hypertonic Sodium Chloride
Sodium chloride (hypertonic)
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Formulary
Green

3%, 6%, 7%  nebuliser solution

 
   
03.07  Expand sub section  Mannitol
Mannitol inhalation (Bronchitol ®)
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Formulary
Red
High Cost Medicine
NHS England

Inhalation powder capsules with device 40mg

Shared Care between Specialist Centre and Secondary Care

 
Link  NICE TA266: Cystic fibrosis - mannitol dry powder for inhalation
   
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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
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Link to adult BNF
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Link to children's BNF
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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

Amber

Suitable for prescribing in primary care following recommendation or initiation by a specialist. Little or no specific monitoring required. Patient may need a regular review, but this would not exceed that required for other medicines routinely prescribed in primary care. Brief prescribing document or information sheet may be required.  

Amber 1

Suitable for prescribing in primary care following recommendation or initiation by a specialist. Minimal monitoring required. Patient may need a regular review, but this would not exceed that required for other medicines routinely prescribed in primary care. Full prior agreement about patient’s on-going care must be reached under the shared care agreement.  

Amber 2

Initiated by specialist and transferred to primary care following a successful initiation period. Significant monitoring required on an on-going basis. Full prior agreement about patient’s on-going care must be reached under the shared care agreement. Suitable for enhanced service.  

Black

NOT recommended for use by the NHS in Lancashire. Includes medicines that NICE has not recommended for use and terminated technology appraisals, unless there is a local need.  

Blue

Products shown as blue have different Traffic Light List classifications dependent on indication. See the accompanying text next to the product for further information  

Green

Appropriate for initiation and ongoing prescribing in both primary and secondary care. Generally, little or no routine drug monitoring is required.  

Purple

Low Priority for Prescribing - see Low Priority for Prescribing Policy  

Red

Medicine is supplied by the hospital for the duration of the treatment course. Primary care initiation or continuation of treatment is not recommended unless exceptional circumstances such as specialist GP.  

Red Specialist Centre

Prescribing restricted to Specialist Centres only  

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