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- Tablets
Restricted Antimicrobial required GUM specialist Approval.
- Tablets
- Subcutaneous injection (sc)
- Intravenous infusion
- Subcutaneous injection (sc)
- Oral drops
On advice from specialist
NHSE do not recommend the routine prescription of vitamins and mineral preparations, with the exceptions of patients with medically diagnosed deficiency, including those with lifelong or chronic conditions, or post surgery resulting in malabsorption (e.g. Whipple’s procedure and some other GI surgeries), calcium and vitamin D for osteoporosis, prescription-only vitamin D analogues or malnutrition. Continuing need should be reviewed on a regular basis. Not for use for prevention of deficiency
- Tablets
- Tablets
- Tablets
- Tablets
- Injection
- Injection
Off label. Acutely decompensated heart failure. RSCH Cardiology only
- Tablets
- Spray
- Irrigation solution
- Eye drops (preservative free)
- Eye drops
- Intravenous infusion
- Effervescent tablets
- Capsules
- Granules
- Oral solution
- Powder
- Tablets
These are either unlicensed or are not considered cost-effective treatment options - see guidelines for recommended products.
- Dispersible tablets
- Suspension
- Tablets
Follow local guidelines on the use of antimicrobials
- Eye ointment
- Infusion
Follow local guidelines on the use of antimicrobials
- Inhaler (dry powder)
Combination with LABA recommended in COPD.
Prescribe by BRAND
- Inhaler (dry powder)
Prescribe by BRAND
- Not Specified
- Semi-Solid
- Liquid
Altraplen Energy is the preferred second line 1.5kcal/ml supplement when required in primary care. Ready to drink supplements should only be prescribed if individual cannot prepare milkshake from powder.
- Liquid
Secondline ONS
Fortisip Plant Based is the preferred Surrey Heartlands ready to drink plant based ONS.
Only prescribe if individual dislikes milk or requires lactose free supplement.
Suitable for vegans
- Liquid
Prescribe on advice from specialist e.g. dietitian
- Liquid
Prescribe on advice from specialist e.g. dietitian
- Liquid
Actagain 2.4 Daily and Altraplen Compact Daily are the preferred second line compact ready to drink supplements when required in primary care. Ready to drink supplements should only be prescribed if individual cannot prepare milkshake from powder and requires ready to drink and/or low volume.
- Liquid
Secondline ONS
Altrajuce is the Surrey Heartlands preferred fruit juice style ONS for primary care.
Only prescribe if individual dislikes milk or requires lactose free supplement.
- Liquid
Prescribe on advice from specialist e.g. dietitian
- Liquid
Prescribe on advice from specialist e.g. paediatric dietitian
- Powder
Prescribe on advice from specialist e.g. paediatric dietitian
- Powder
Reconstitutes to a semi solid
Prescribe on advice from specialist e.g. dietitian
- Powder
Prescribe on advice from specialist e.g. dietitian
- Powder
Prescribe on advice from specialist e.g. dietitian
- Powder
Prescribe on advice from specialist e.g. dietitian
- Powder
Secondline ONS
ActaSolve Smoothie is the Surrey Heartlands preferred powdered plant based ONS.
Only prescribe if individual dislikes milk or requires lactose free supplement.
Suitable for vegans
- Oral suspension
- Subcutaneous injection (sc)
- Subcutaneous injection (sc)
- Subcutaneous injection (sc)
- Subcutaneous injection (sc)
- Not Specified
- Subcutaneous injection (sc)
- Subcutaneous injection (sc)
- Tablets
- Intravenous infusion
- Intravenous injection (IV)
- Spray
- Spray
- Spray
- Spray
- Wipes
- Wipes
- Wipes
- Auto-injector
- Injection
- Injection
- Pre-filled syringe
- Inhalation
- Eye drops (preservative free)
- Not Specified
- Intravitreal injection
- Intravitreal injection
- Not Specified
Not assessed for inclusion on the formulary. Contact pharmacy team for advice on making an application.
- Not Specified
- Injection
- Injection
To treat relapsing symptomatic benign cystic, and predominantly cystic thyroid nodules
- Intravenous infusion
ASPH are the only Surrey Heartlands Trust commissioned to provide this.
- Tablets
ONCE WEEKLY tablets
ONCE DAILY tablets
- Oral solution
Reserve for patients with swallowing difficulties.
- Effervescent tablets
Reserve for patients who have tried alendronate and/or risedronate but are unable to swallow tablets (as opposed to patients with swallowing difficulties in whom the oral solution may be appropriate).
- Tablets
- Capsules
- Oral drops
Prevention or treatment of vitamin D deficiency in renal or cholestatic liver disease
- Powder
- Powder
- Injection
- Injection
Primary Care prescribing on advice from palliative care specialist team
See separate listings for palliative care and use in anaesthesia.
- Modified release tablets
- Tablets
- Oral solution
- Not Specified
- Subcutaneous injection (sc)
- Not Specified
- Subcutaneous injection (sc)
Allergovit - RSFT Immunology only.
- Sub-lingual drops
Oralvac Compact drops - RSFT Immunology only
- Subcutaneous injection (sc)
Pollinex quattro - RSFT Immunology only
- Sublingual tablets
Lais tablets (grass pollen) - RSFT immunology only
- Tablets
- Tablets
- Tablets
- Tablets
- Tablets
- Chewable tablets
- Suspension
- Tablets
SASH - suspension only for neonatal or paediatric use
NHSE do not recommend the routine prescription of vitamins and mineral preparations, with the exceptions of patients with medically diagnosed deficiency, including those with lifelong or chronic conditions, or post surgery resulting in malabsorption (e.g. Whipple’s procedure and some other GI surgeries), calcium and vitamin D for osteoporosis, prescription-only vitamin D analogues or malnutrition. Continuing need should be reviewed on a regular basis. Not for use for prevention of deficiency
- Capsules
- Oral suspension
osteonecrosis of the jaw, ORN, ONJ
FOR ORAL SURGEONS ONLY: Prevention: along with pentoxifylline 1 week before extraction and continue for 3 months (until good healing had been observed). For treatment to be continued long term until healing is observed.
- Capsules
- Suspension
For ENT specialist prescribing only
- Cream
- Intraurethral
- Intracavernosal injection
- Cream
- Intracavernosal injection
- Intraurethral
- Intrapleural injection
Intrapleural use only
- Intravenous injection (IV)
- Intravenous infusion
- Intravenous injection (IV)
- Powder
- Powder
- Liquid
Secondline ONS
Altrajuce is the Surrey Heartlands preferred fruit juice style ONS.
Only prescribe if individual dislikes milk or requires lactose free supplement.
- Liquid
Prescribe on advice from specialist e.g. dietitian
- Liquid
Actagain 2.4 Daily and Altraplen Compact Daily are the preferred second line compact ready to drink supplements when required in primary care. Ready to drink supplements should only be prescribed if individual cannot prepare milkshake from powder and requires ready to drink and/or low volume.
- Liquid
Altraplen Energy is the preferred second line 1.5kcal/ml supplement when required in primary care. Ready to drink supplements should only be prescribed if individual cannot prepare milkshake from powder.
- Liquid
Prescribe on advice from specialist e.g. dietitian
- Liquid
- Liquid
Prescribe on advice from specialist e.g. paediatric dietitian
- Oral suspension
- Subcutaneous injection (sc)
Alutard - RSFT Immunology only
- Subcutaneous injection (sc)
Venomil - RSFT Immunology only
- Capsules
- Oral solution
NICE TA168 & 158 do not recommend for use in treatment or prophylaxis of influenza
- Capsules
- Oral solution
- Not Specified
NHSE commissioned services only. No Surrey Heartlands Trusts are commissioned to provide this.
- Not Specified
- Injection
- Inhalation
- Intravitreal injection
- Inhalation
- Inhalation
- Oral solution
- Tablets
- Injection
- Intestinal gel
- Tablets
- Injection
- Oral solution
- Tablets
Initiation by a mental health specialist and stabilisation for at least 3 months before any request to transfer prescribing responsibility.
Off-label use.
- Oral solution
- Tablets
Initiation by a SABP specialist and stabilisation for at least 3 months before any request to transfer prescribing responsibility.
Second line treatment option in the management of schizophrenia once metabolic syndrome has been identified.
- Tablets
- Oral solution
- Oral solution
- Tablets
- Oral solution
- Tablets
- Oral solution
- Tablets
- Oral solution
- Tablets
- Capsules
- Oral suspension
- Sachets (SUGAR FREE powder)
- Injection
- Tablets
- Capsules
- Subcutaneous injection (sc)
- Injection
For Adults Only
- Not Specified
- Not Specified
- Tablets
1st month supply from specialist team before request for primary care prescribing
- Tablets
Specialist initiation and prescribing for at least 1 month before any request is made for primary care prescribing.
- Infusion
- Injection
Off-label use. Septic shock, refractory shock.
- Eye drops
- Sunscreen lotion SPF 50+
- Sunscreen lotion SPF 50+
NHSE commissioned services only. No Surrey Heartlands Trusts are commissioned to provide this.
- Not Specified
- Cream
- Ointment
- Suppositories
- Tablets
- Tablets
- Tablets
- Pre-filled syringe
- Subcutaneous infusion
- Subcutaneous injection (sc)
- Not Specified
- Eye drops
- Eye drops (preservative free
- unit dose)
- Not Specified
- Tablets
- Capsules
- Powder
- Powder
- Powder
Enteral feeds should NOT be prescribed in primary care in Guildford and Waverley or North West Surrey. In Surrey Downs and East Surrey prescribe on request from specialist dietitian
- Powder
- Enema
- Intravenous infusion
- Injection
- Injection
- Oral solution
- Oro-dispersible tablets
- Tablets
Initiation by a mental health specialist and stabilisation for at least 3 months before any request to transfer prescribing responsibility.
Initiation by a mental health specialist and stabilisation for at least 3 months before any request to transfer prescribing responsibility.
- Tablets
Initiation by a SABP specialist and stabilisation for a minimum of 3 months before any request to transfer prescribing responsibility.
- Oro-dispersible tablets
Initiation by a SABP specialist and stabilisation for a minimum of 3 months before any request to transfer prescribing responsibility.
Reserve for patients who are unable to swallow tablets.
- Oral solution
Initiation by a SABP specialist and stabilisation for a minimum of 3 months before any request to transfer prescribing responsibility.
Oro-dispersible tablets are more cost effectice than oral solution. Reserve oral solution for use in patients where the required dose is not available in an oro-dispersible form.
- Injection
Off-label use.
- Oro-dispersible tablets
Reserve for patients who are unable to swallow tablets.
- Oral solution
Oro-dispersible tablets are more cost effectice than oral solution. Reserve oral solution for use in patients where the required dose is not available in an oro-dispersible form.
- Tablets
Initiation by a SABP specialist and stabilisation for a minimum of 3 months before any request to transfer prescribing responsibility.
- Depot injection
One monthly or two monthly injecton schedule available
- Monthly injection – Deltoid or gluteal muscle
- Injection every 2 months – Gluteal muscle only
For administration under the shared-care LCS when prescribed in Primary Care.
- Depot injection
Where there is no LCS in place, the prescribing responsibility remains with SABP.
Secondary Care may prescribe for in-patients (on the instruction of a SABP specialist) and prescribing continued by SABP after discharge.
- Powder
Prescribe on advice from specialist e.g. dietitian
- Pastilles
- Oromucosal gel
ASPH and RSFT - only for dry mouth associated with radiotherapy or sicca syndrome (Sjögren's syndrome).
SASH - use Oralieve gel for general dry mouth.
- Oromucosal spray
Symptomatic treatment of dry mouth.
ASPH restrict to oncology.
SASH use SALIVEZE brand.
- Chewable tablets
- Effervescent tablets
- Tablets
NHSE do not recommend the routine prescription of vitamins and mineral preparations, with the exceptions of patients with medically diagnosed deficiency, including those with lifelong or chronic conditions, or post surgery resulting in malabsorption (e.g. Whipple’s procedure and some other GI surgeries), calcium and vitamin D for osteoporosis, prescription-only vitamin D analogues or malnutrition. Continuing need should be reviewed on a regular basis. Not for use for prevention of deficiency
- Dispersible tablets
- Suppositories
- Tablets
- Enteric coated tablets
- Not Specified
- Soluble tablets
Used as a mouthwash, in line with St Luke's SACT protocols.
- Dispersible tablets
- Suppositories
- Tablets
- Enteric coated tablets
- Subcutaneous injection (sc)
- Not Specified
- Not Specified
- Not Specified
- Tablets
- Oral solution
- Tablets
- Oral solution
- Tablets
- Intravenous infusion
- Intravenous injection (IV)
- Oral solution
- Tablets
- Tablets
- Capsules
- Oral solution
This entry has not yet been reviewed for inclusion on the joint formulary. However, this information has been published due to the ongoing requirement for prescribers to access the shared care agreement and other resources that were in place prior to the launch of the joint formulary.
Please refer to the list of agreed formulations and former traffic light status available on the PAD page (accessed by clicking the drug name).
- Capsules
This entry has not yet been reviewed for inclusion on the joint formulary. However, this information has been published due to the ongoing requirement for prescribers to access the shared care agreement and other resources that were in place prior to the launch of the joint formulary.
Please refer to the list of agreed formulations and former traffic light status available on the PAD page (accessed by clicking the drug name).
- Tablets
- Infusion
- Injection
- Intravenous injection (IV)
- Eye drops
- Sub-lingual drops
- Eye drops (unit dose)
- Sub-lingual drops
- Eye drops
- Eye drops (preservative free
- unit dose)
- Intravenous injection (IV)
- Eye drops (preservative free
- unit dose)
- Eye drops
- Eye drops
- Eye drops (preservative free
- unit dose)
- Not Specified
- Not Specified
- Not Specified
- Not Specified
- Tablets
Haematology use only - treating primary chronic immune thrombocytopenia as per NICE TA853.
- Not Specified
Hepatology use only - treating thrombocytopenia in people with chronic liver disease needing a planned invasive procedure as per NICE TA626
- Intracavernosal injection
- Powder
- Powder
- Powder
Prescribe on advice from specialist e.g. dietitian
- Oral suspension
- Tablets
- Oral suspension
- Tablets
- Oral suspension
- Tablets
- Oral suspension
- Tablets
- Oral suspension
- Tablets
- Oral suspension
- Tablets
- Oral suspension
- Tablets
- Oral suspension
- Tablets
- Oral suspension
- Tablets
- Oral suspension
- Tablets
- Suspension
- Tablets
For EXISTING patients only - GPs may continue prescribing for existing post-transplant patients only. NHS England are looking to repatriate these patients in the future. GPs must not accept requests to prescribe for new patients.
- Suspension
- Tablets
- Oral suspension
- Tablets
- Eye drops
- Nasal spray
Recommended as an alternative where an intranasal antihistamine is indicated
- Not Specified
- Capsules
- Oral suspension
- Injection
- Not Specified