Formulary Search

For EXISTING patients: GPs may continue to prescribe for existing post-transplant patients only. NHS England are looking to repatriate these patients in the future. GPs must not accept any new requests to prescribe for new patients.

For NEW patients: RED drug for post-transplant. Funded by NHS England. GPs should not accept any requests to prescribe post-transplant.

Sildenafil is 1st line.

Tadalafil 10mg / 20mg for when-required dosing.

Tadalafil 5mg (once daily option)

2.5mg tadalafil (once dilay) is non-formulary.

2.5mg tablets are non-formulary (very costly)

SASH only - under shared care agreement with tertiary centre.

1st month supply from specialist team before request for primary care prescribing

Specialist initiation and prescribing for at least 1 month before any request is made for primary care prescribing.

Off-label use. Gynaecomastia prevention in men undergoing long-term bicalutamide treatment, if radiotherapy unsuccessful

Non-formulary for new patients, but current patients may continue

RESTRICTED - requires Hepatologist Specialist approval

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 

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 

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 specailist dietitian 

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 

Restricted for patients with renal or hepatic failure

Alternative low carbon DPI (Easyhaler Salbutamol is the more cost-effective treatment option)

Prescribe by BRAND.

Alternative low carbon DPI (Easyhaler Salbutamol is the more cost-effective treatment option)

Prescribe by BRAND.

Specialist* recommendation following patient initiation and education on nebuliser therapy.

* a healthcare professional with higher training in respiratory medicine and proficeincy in the management of asthma

Specialist recommendation following patient initiation and education on nebuliser therapy

Severe acute asthma

Post-menopausal osteoporosis in women. Rheumatology only. 
See separate entry for use in men and juveniles.
Biosimilar teriparatide is recommended. Prescribe by brand.

RSFT only  - commissioned as a Specialised Endocrinology Centre.

See separate entry for use in postmenopausal osteoporosis.

Off-label use. Initiation and review by the specialist team before any request is made for primary care prescribing.

Sustanon (Testosterone esters / testosterone propionate / testosterone decanoate)

Off-label use. Initiation and review by the specialist team before any request is made for primary care prescribing.

Testosterone enantate

Off-label use. Initiation and review by the specialist team before any request is made for primary care prescribing.

Tostran gel - SASH - use in smaller children with neuromuscular conditions who need a more gentle induction.
Off-label use

Off-label use. Initiation and review by the specialist team before any request is made for primary care prescribing.

Testosterone propionate (unlicensed product)

Prescribe generically as "Testosterone 2% transdermal gel 60g".

See PAD for further information and resources.

Testavan and Testogel do NOT deliver suitable doses for this indication

Prescribe as testosterone 2% transdermal gel (off-label use)

Androfeme is unlicensed in the UK. Other products can be used off-label

Initiation in primary care on request from specialist team.

Sustanon (Testosterone esters / testosterone propionate / testosterone decanoate)

Initiation in primary care on request from specialist team.

Nebido (testosterone undecanoate)

Initiation in primary care on request from specialist team.

Testosterone enantate

Initiation in primary care on request from specialist team.

Testavan, Testogel, Tostran - prescribe by brand to avoid errors and confusion. Multiple doses and delivery methods (sachets, pumps, tubes).

Includes choreas, Huntington's chorea, dyskinesia, hemiballismus

IV injection - 30 minute diagnostic test
IM injection - 5 hour diagnostic test

Prevention of Wericnicke's encephalopathy

Second line to vitamins B + C intravenous high potency concentrate solution for infusion 

For supplementation in cases of concern regarding deficiency post-surgery.

On advice from speech and language therapist only 

For infants following ketogenic diet on advice of paediatric speech and language therapist only