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- Tablets
50mg tablets for bone metastases in breast cancer. Specialist initiation and prescribing for at least 1 month before any request is made for primary care prescribing.
- Intravenous infusion
Used in
- hypercalcaemia of malignancy
- bone metastases
- prevention of skeletal events
- Tablets
150mg tablets
(note - 50mg tablets are not licensed for this indication)
- Intravenous infusion
- Infusion
- Oral suspension
- Tablets
- Gel
- Oral suspension
- Tablets
- Intravenous infusion
- Oral suspension
- Tablets
- Oro-dispersible tablets
- Infusion
- Capsules
- Modified release capsules
- Injection
- Capsules
- Intravenous infusion
- Intravenous injection (IV)
- Not Specified
NHSE - comissioned from specialist centres only. Not provided by any Surrey Heartlands Trusts.
- Tablets
- Not Specified
NHSE commissioned services only. No Surrey Heartlands Trusts are commissioned to provide this.
- Intravenous infusion
- Not Specified
NHSE Specialist Centres only. Not a service that is provided by any of the Surrey Heartlands Acute Trusts.
NHS England specialist centres only. Not a service that is provided by any of the Surrey Heartlands Acute Trusts
- Infusion
- Not Specified
- Not Specified
- Not Specified
- Subcutaneous injection (sc)
- Inhaler (dry powder)
LABA monotherapy no longer recommended for asthma or COPD.
Not for initiation in new patients.
- Modified release tablets
- Tablets
- Injection
For use in endoscopic procedures.
- Oral solution
- Tablets
Restricted Antimicrobial - requires GUM Specialist approval
- Injection
- Injection
- Capsules
- Capsules (slow release)
- Not Specified
- Liquid
Prescribe on advice from specialist e.g. dietitian
500ml presentation for enteral feeding only.
- Liquid
- Liquid
Prescribe on advice from specialist e.g. dietitian
- Liquid
- Intravenous infusion
- Subcutaneous injection (sc)
- Not Specified
- Not Specified
- Not Specified
- Intravenous infusion
- Intravenous infusion
- Subcutaneous injection (sc)
- Intravenous infusion
- Subcutaneous injection (sc)
- Not Specified
- Intravenous infusion
- Subcutaneous injection (sc)
- Not Specified
- Intravenous infusion
- Subcutaneous injection (sc)
- Intravenous infusion
- Intravenous infusion
- Subcutaneous injection (sc)
- Not Specified
- Tablets
- Not Specified
- Cartridges
- Pre-filled pen
- Vials
For adult patients ONLY
Prescribe by brand and state form.
Initiation by diabetologists only. A minimum prescribing duration of three months by secondary care before transferring to primary care.
- Cartridges
- Pre-filled pen
- PumpCart
- Vials
Biosimilar insulin aspart (Trurapi) should be used in preference to NovoRapid. Prescribe by brand and state form.
- Cartridges
- Pre-filled pen
- Vials
- Cartridges
- Pre-filled pen
- Injection
- Cartridges
- Pre-filled pen
- Cartridges
- Pre-filled pen
- Cartridges
- Pre-filled pen
- Vials
- Pre-filled pen
- Pre-filled pen
- Cartridges
- Pre-filled pen
- Vials
- Cartridges
- Pre-filled pen
- Vials
- Cartridges
- Pre-filled pen
- Vials
- Cartridges
- Pre-filled pen
- Vials
- Device
Note; Neither Continuous Glucose Monitoring (CGM) nor Omnipod 5 is commissioned for this cohort.
- Device
- Intramuscular injection (IM)
- Subcutaneous injection (sc)
Interferon beta 1a (Avonex, Rebif)
- Subcutaneous injection (sc)
Interferon beta 1b (Betaferon, Extavia)
- Intravenous infusion
- Topical solution
- Oral solution
For patients unable to take tablets.
Iodine 5%, potassium iodide 10% (130mg/ml iodine)
- Inhaler (Metered Dose)
No added benefit in patient's on LAMA.
Not for initiation in new patients.
- Inhaler (Metered Dose)
Specialist paediatric recommendation.
- Nebules
Specialist* recommendation following patient initiation and education on nebuliser therapy, unless for administration as PSD in practice for acute attack.
* a healthcare professional with higher training in respiratory medicine and proficeincy in the management of asthma
- Nebules
Specialist recommendation following patient initiation and education on nebuliser therapy, unless for administration as PSD in practice for acute attack.
- Nasal spray
- Nasal spray
- Sublingual spray
- Inhaler (Metered Dose)
- Sublingual spray
- Nebules
Specialist recommendation following patient initiation and education on nebuliser therapy
- Not Specified
Primary care prescribers are not expected to have the clinical expertise to prescribe these devices and should therefore not be asked to prescribe until a formal evaluation and recommendations have been submitted to the APC. Contact pharmacy for advice.
- Tablets
- Not Specified
- Intramuscular injection (IM)
- Intravenous infusion
- Intravenous injection (IV)
Ferric derisomaltose is preferred.
- Intravenous infusion
- Intravenous injection (IV)
Ferric derisomaltose is preferred.
- Tablets
- Not Specified
- Cartridges
- Vials
- Cartridges
- Pre-filled pen
- Vials
- Cartridges
- Vials
- Cartridges
- Vials
- Injection
- Modified release tablets
- Tablets
- Tablets
- Modified release capsules
- Modified release tablets
- Sachets (granules)
- Oral lyophilisates
Ituluzax (birch pollen) - RSFT Immunology only. Approved for over 18s only
- Tablets
- Tablets
- Not Specified
- Not Specified
- Subcutaneous injection (sc)
- Not Specified
- Subcutaneous injection (sc)