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A-Z of Drugs : A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

A-Z of Drugs

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

Search Results : Adrenal insufficiency (Fludrocortisone acetate - Adrenal insufficiency)

Records returned : 11 (on 29 May 2025 at 13:11:44). Return to search results for ' Adrenal insufficiency '.

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Icon Key

NFD1

Non formulary

NFD2

Not assessed for formulary status. Apply to APC / DTC before use.

Controlled drug. Prescribing and/or storage requirements may apply

Restrictions apply

Safety Alert

Unlicensed - no UK marketing license in place

Off-label use. Not licensed for this indication.

NHSE

Treatment commissioned by NHS England

CDF

Cancer Drugs Fund

ICB

Treatment commissioned by the ICB

BlueTeq form to be completed

NICE

Link to the NICE website

Low carbon device

Status Key

Red

Specialist ONLY drugs - treatment initiated and continued by specialist clinicians

Amber

Prescribing initiated and stabilised by specialist but has potential to transfer to primary care under a formal shared care agreement

Green

GPs (or non-medical prescribers in primary care) are able to take full responsibility for initiation and continuation of prescribing.

Green (see narrative)

GPs (or non-medical prescribers in primary care) are able to take full responsibility for initiation and continuation of prescribing. Please refer to the narrative on the Drug Profile page where additional information may be conveyed as to the place in therapy or restrictions for use that have been locally agreed.

Non Formulary

Not recommended for use in any health setting across the Surrey Heartlands Integrated Care System

Blue

Prescribing initiated and stabilised by specialist but has potential to transfer to primary care WITHOUT a formal shared care agreement. Please note that in some circumstances a specialist may recommend that prescribing can be started in primary care.

See narrative

See narrative - may be applied in instances where a traffic light status has not yet been agreed but an entry to the formulary has been made to clarify interim arrangements.

Drug

Indication

Status

Restrictions/Comments

Formulary Status

Links

1. Fludrocortisone acetate

Drug:

Fludrocortisone acetate

Indication :

Adrenal insufficiency

Status :

Blue

Formulations :

Tablets

Restrictions / Comments:

Important

See PAD for guidance on providing reserve supplies for dosing during acute illness

2nd line option. Requests for primary care prescribing on recommendation from specialist endocrinology team only.

Formulary Status :

Primary Care

ASPH

RSFT

SASH

SABP

Links :

SPC

2. Hydrocortisone

Drug:

Hydrocortisone

Indication :

Adrenal insufficiency

Status :

Blue

Formulations :

Granules in capsules for opening

Restrictions / Comments:

Important

See PAD for guidance on providing reserve supplies for dosing during acute illness

For infants / children on doses BELOW 5mg. Capsules for opening. 0.5mg, 1mg and 2mg only. Doses of 5mg or more - to halve a 10mg tablet and use lower strength capsules to achieve correct dose. Requests for primary care prescribing after 1st month supply and stabilisation by specialist team.

Formulary Status :

Primary Care

ASPH

RSFT

SASH

SABP

Links :

SPC

3. Hydrocortisone

Drug:

Hydrocortisone

Indication :

Adrenal insufficiency

Status :

Blue

Formulations :

Tablets

Restrictions / Comments:

Important

Preferred

See PAD for guidance on providing reserve supplies for dosing during acute illness

Can be halved for doses of 5mg. Requests for primary care prescribing after 1st month supply and stabilisation by specialist team.

Formulary Status :

Primary Care

ASPH

RSFT

SASH

SABP

Links :

SPC

4. Hydrocortisone

Drug:

Hydrocortisone

Indication :

Adrenal insufficiency

Status :

Blue

Formulations :

Soluble tablets

Restrictions / Comments:

Important

See PAD for guidance on providing reserve supplies for dosing during acute illness

For patients on dose of 10mg AND unable to swallow solid dose forms. Requests for primary care prescribing after 1st month supply and stabilisation by specialist team.

Formulary Status :

Primary Care

ASPH

RSFT

SASH

SABP

Links :

SPC

5. Hydrocortisone

Drug:

Hydrocortisone

Indication :

Adrenal insufficiency

Status :

Blue

Formulations :

Modified release tablets

Restrictions / Comments:

Important

See PAD for guidance on providing reserve supplies for dosing during acute illness

2nd line option. Primary Care may initiate prescribing on request from the specialist endocrinology team.

Formulary Status :

Primary Care

ASPH

RSFT

SASH

SABP

Links :

SPC

9. Hydrocortisone

Drug:

Hydrocortisone

Indication :

Adrenal insufficiency

Status :

Red

Formulations :

Oral solution

Restrictions / Comments:

Important

See PAD for guidance on providing reserve supplies for dosing during acute illness

For use in infants and children where smaller doses are required.

Formulary Status :

Primary Care

ASPH

RSFT

SASH

SABP

Links :

SPC

10. Hydrocortisone

Drug:

Hydrocortisone

Indication :

Adrenal insufficiency

Status :

Non Formulary

Formulations :

Buccal tablets

Restrictions / Comments:

Important

See PAD for guidance on providing reserve supplies for dosing during acute illness

(MHRA drug safety update December 2018) https://www.gov.uk/drug-safety-update/hydrocortisone-muco-adhesive-buccal-tablets-should-not-be-used-off-label-for-adrenal-insufficiency-in-children-due-to-serious-risks

Formulary Status :

Primary Care

ASPH

RSFT

SASH

SABP

Links :

SPC

NFD1

6. Prednisolone

Drug:

Prednisolone

Indication :

Adrenal insufficiency

Status :

Blue

Formulations :

Tablets

Restrictions / Comments:

Important

Preferred

- Prednisolone is an alternative treatment for use where multiple daily doses of hydrocortisone are not appropriate. - See PAD for guidance on providing reserve supplies for dosing during acute illness

Requests for primary care prescribing after 1st month supply and stabilisation by specialist team.

Formulary Status :

Primary Care

ASPH

RSFT

SASH

SABP

Links :

SPC

7. Prednisolone

Drug:

Prednisolone

Indication :

Adrenal insufficiency

Status :

Blue

Formulations :

Soluble tablets

Restrictions / Comments:

Important

For patients unable to swallow solid dose forms. Requests for primary care prescribing after 1st month supply and stabilisation by specialist team.

Formulary Status :

Primary Care

ASPH

RSFT

SASH

SABP

Links :

SPC

8. Prednisolone

Drug:

Prednisolone

Indication :

Adrenal insufficiency

Status :

Blue

Formulations :

Oral solution

Restrictions / Comments:

Important

For use in patients who are unable to swallow solid dose forms. Request for primary care prescribing after initiation and stabilisation - at least 1 month supply from specialist team.

Formulary Status :

Primary Care

ASPH

RSFT

SASH

SABP

Links :