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- Not Specified
NHSE commissioned services only. No Surrey Heartlands Trusts are commissioned to provide this.
- Powder
For agents not bound by activated charcoal e.g. iron, lithium, bodypackers
- Sachets (powder)
- Sachets (powder)
- Sachets (powder)
- Sachets (powder)
- Sachets (powder)
- Sachets (powder)
- Sachets (powder)
- Sachets (powder)
- Sachets (powder)
- Sachets (powder)
- Sachets (powder)
- Sachets (powder)
- Sachets (powder)
Prescribing in primary care on specialist recommendation
- Chewable tablets
Prescribing in primary care on specialist recommendation
- Oral suspension
- Injection
- Oral suspension
- Intravenous infusion
- Liquid
Second line treatment option for scabies. Permethrin cream / rinse or ivermectin tablets are preferred treatment options for scabies.
- Intravenous infusion
- Not Specified
- Capsules
No local trust is a NHSE commissioned specialist cardiac centre
- Powder
Prescribe on advice from specialist e.g. dietitian
- Powder
Prescribe on advice from specialist e.g. dietitian
- Suspension
- Tablets
- Capsules (slow release)
- Tablets
1st month supply from specialist team before request for primary care prescribing
- Injection
Sayana Press
Patients may be trained to self-administer Sayana Press
- Pre-filled syringe
Depo Provera
CSM advice: Depo-Provera should only be used when other methods of contraception are inappropriate. Benefits of using medroxyprogesterone acetate beyond 2 years should be evalated against risk.
Women with risk factors for osteoporosis should consider alternative methos of contraception.
- Tablets
1st month supply from specialist team before request for primary care prescribing
- Tablets
- Tablets
- Tablets
Off-label use. Hot flushes caused by long-term androgen suppression in men with prostate cancer
1st month supply from specialist team before request for primary care prescribing
- Tablets
- Capsules
- Tablets
- Oral suspension
- Capsules
- Tablets
- Oral suspension
See separate entry for use in menorrhagia and dysmenorrhoea.
- Tablets
Off-label use. On recommendation of palliative care team.
- Tablets
1st month supply from specialist team before request for primary care prescribing
- Not Specified
- Modified release tablets
ONLY for patients OVER 55 YEARS (without neurodevelopmental disorders)
Maximum 13 weeks treatment
Melatonin 2mg MR tablets are the recommended preferred 1st line product
Prescribe generically. Circadin is NON-FORMULARY
- Immediate release tablets
ONLY for patients OVER 55 YEARS (without neurodevelopmental disorders)
Maximum 13 weeks treatment
If immediate onset of action is required or crushed to aid swallowing
- Oral solution
ONLY for patients OVER 55 YEARS (without neurodevelopmental disorders)
Maximum 13 weeks treatment
Reserved ONLY if feeding tube in situ, or significant swallowing difficulties, and the use of the whole or crushed tablets are unsuitable
- Not Specified
ONLY for patients OVER 55 YEARS (without neurodevelopmental disorders)
Maximum 13 weeks treatment
All formulations of melatonin for adults under 55 without neurodevelopmental disorders were agreed by APC as NON-FORMULARY
- Capsules
ONLY for patients OVER 55 YEARS (without neurodevelopmental disorders)
Maximum 13 weeks treatment
Not a cost effective option
- Not Specified
- Modified release tablets
Rapid eye movement sleep behaviour disorder. (RBD)
On specialist recommendation
Melatonin 2mg MR tablets are the recommended preferred 1st line product
Prescribe generically. Circadin is NON-FORMULARY
- Immediate release tablets
Rapid eye movement sleep behaviour disorder. (RBD)
If immediate onset of action is required or crushed to aid swallowing
On specialist recommendation
- Oral solution
Rapid eye movement sleep behaviour disorder. (RBD)
Reserved ONLY if feeding tube in situ, or significant swallowing difficulties, and the use of the whole or crushed tablets are unsuitable
On specialist recommendation
- Capsules
Rapid eye movement sleep behaviour disorder. (RBD)
- Oral solution
For inducing sleep in people requiring an EEG or audiology testing
- Not Specified
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).
- Not Specified
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
Not a preferred NSAID, limited place in therapy.
ASPH - restricted to rheumatology only.
- Not Specified
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).
- Not Specified
- Tablets
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
- Not Specified
- Injection
- Injection
- Cartridges
- Injection
Mepivivacaine 30mg per mL
- Not Specified
- Intramuscular injection (IM)
- Tablets
- Oral suspension
- Tablets
Tablets and oral suspension are NOT bioequivalent. Do not confuse with mercaptamine (similar name).
Principles for shared care found here: https://surrey.res.services/PAD/Profile/NonClinicalProfile/9136
- Oral suspension
- Tablets
Tablets and oral suspension are NOT bioequivalent. Do not confuse with mercaptamine (similar name).
Principles for shared care found here: https://surrey.res.services/PAD/Profile/NonClinicalProfile/9136
- Oral suspension
- Tablets
Tablets and oral suspension are NOT bioequivalent. Do not confuse with mercaptamine (similar name).
Principles for shared care found here: https://surrey.res.services/PAD/Profile/NonClinicalProfile/9136
- Lozenges
- Lozenges
- Injection
- Gastro-resistant tablets
- Suppositories
- Modified release tablets
- Granules (slow release)
- Modified release tablets
- Enema
- Foam enema
- Gastro-resistant tablets
- Intravenous injection (IV)
- Tablets
- Intravenous infusion
- Intravenous injection (IV)
- Modified release tablets
- Tablets
NOTE: 1g ordinary tablets are disproportionately expensive in primary care. 1g modified release tablets are recommended.
- Oral solution
- Powder
- Tablets
Not a cost-effective option. Prescribe as separate components.
- Tablets
- Tablets
Sitagliptin is the preferred DPP4. Reserve combination products for patients in whom separate components are less appropriate. Existing patients would not be expected to change therapy unless appropriate to do so.
- Oral solution
Palliative care teams only. Caution when converting from other opioids.
- Subcutaneous infusion
Palliative care teams only. Caution when converting from other opioids.
- Tablets
- Tablets
Option for non-scarring alopecia
- Injection
- Tablets
Weekly dosing. Tablets - only to prescribe as 2.5mg. DO NOT prescribe or supply 10mg tablets.
Principles for shared care found here: https://surrey.res.services/PAD/Profile/NonClinicalProfile/9136
- Injection
- Tablets
DO NOT prescribe or supply 10mg tablets. WEEKLY dose frequency. Advise patients to carry the patient alert card / book
Principles for shared care found here: https://surrey.res.services/PAD/Profile/NonClinicalProfile/9136
- Intramuscular injection (IM)
- Injection
- Tablets
Tablets - only prescribe as 2.5mg. DO NOT prescribe or supply 10mg tablets. WEEKLY dosing.
Principles for shared care found here: https://surrey.res.services/PAD/Profile/NonClinicalProfile/9136
- Injection
- Tablets
WEEKLY dosing. Only 2.5mg tablets to be prescribed. DO NOT prescribe or supply 10mg tablets
Principles for shared care found here: https://surrey.res.services/PAD/Profile/NonClinicalProfile/9136
- Injection
- Tablets
- Injection
- Tablets
WEEKLY dosing. Tablets - only prescribe as 2.5mg. DO NOT prescribe or supply 10mg tablets.
Principles for shared care found here: https://surrey.res.services/PAD/Profile/NonClinicalProfile/9136
- Injection
- Tablets
WEEKLY dosing. Tablets - only prescribe as 2.5mg. DO NOT prescribe or supply 10mg tablets.
Principles for shared care found here: https://surrey.res.services/PAD/Profile/NonClinicalProfile/9136
- Inhalation
Acute, trauma pain.
RSFT - for
- Use during removal of brachytherapy
- Transperineal prostate biopsies
- Pain management by the acute pain team for adult non-obstetric patients
- Procedural pain relief in gynaecological outpatients excluding obstetrics or paediatrics patients
- Pain management during invasive procedures undertaken in the radiology suite
- Spray
- Cream
Dermatology only - for use with photodynamic therapy
- Tablets
- Injection
- Modified release tablets
18mg, 27mg, 36mg, 54mg: Prescribe by brand - use the branded-generic with the lowest acquisition cost
Adult ADHD - to be diagnosed, initiated and stabilised on ADHD medication by a SABP specialist before shared-care can be requested.
Patients transitioning from children's services can continue to be managed under existing arrangements
Principles for shared care found here: https://surrey.res.services/PAD/Profile/NonClinicalProfile/9136
- Immediate release tablets
- Oral solution
Adult ADHD - to be diagnosed, initiated and stabilised on ADHD medication by a SABP specialist before shared-care can be requested.
Patients transitioning from children's services can continue to be managed under existing arrangements.
Principles for shared care found here: https://surrey.res.services/PAD/Profile/NonClinicalProfile/9136
- Modified release capsules
Adult ADHD - to be diagnosed, initiated and stabilised on ADHD medication by a SABP specialist before shared-care can be requested.
Patients transitioning from children's services can continue to be managed under existing arrangements
Principles for shared care found here: https://surrey.res.services/PAD/Profile/NonClinicalProfile/9136
- Modified release tablets
Prescribe by brand. Xaggitin XL, Xenidate XL, Affenid XL and Delomsart are the locally agreed brands.
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).
Principles for shared care found here: https://surrey.res.services/PAD/Profile/NonClinicalProfile/9136
- Immediate release tablets
Prescribe immediate release tablets generically.
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).
Principles for shared care found here: https://surrey.res.services/PAD/Profile/NonClinicalProfile/9136
- Tablets
RSFT only
- Tablets
- Intramuscular injection (IM)
Methylprednisolone acetate (Depo-Medrone)
- Intravenous infusion
- Intravenous injection (IV)
Methylprednisolone sodium succinate (Solu-Medrone)
- Intravenous infusion
- Tablets
- Intra-articular injection
as Methylprednisolone ACETATE (Depo-medrone)
- Intratympanic injection
- Intra-ocular injection
- Intra-articular injection
- Injection
Methylene Blue - Off-label. Septic shock, refractory shock.
- Intravenous injection (IV)
- Oral solution
- Tablets
- Injection
- Oral solution
- Tablets
- Subcutaneous infusion
- Injection
- Tablets
- Tablets
- Oral solution
- Tablets
- Tablets
- Tablets
- Tablets
- Tablets
- Injection
- Tablets
- Oral solution
- Tablets
- Infusion
- Suppositories
- Gel
- Vaginal gel
- Tablets
- Gel
Alternative treatment if ivermectin not available or inappropriate as per CKS.
0.75% gel
- Cream
Alternative treatment if ivermectin not available or inappropriate as per CKS.
0.75% cream
- Capsules
Under specialist supervision in hospital.
- Capsules
- Capsules
Cardiology specialists only.
Namuscla brand is non-preferred for this indication
- Capsules
- Cream
- Powder
Note potential serious interaction with warfarin and topical miconazole preparations.
See separate entry for oral candidiasis: Miconazole - Oral candidiasis - surrey.res.services
- Spray
Note potential serious interaction with warfarin and topical miconazole preparations.
- Oromucosal gel
Note potential serious interaction with warfarin and topical miconazole preparations (including oral gel).
- Oromucosal solution
- Subcutaneous infusion
- Subcutaneous injection (sc)
- Oral solution
- Oral solution
- Pre-filled oral syringe
- Liquid
- Pre-filled oral syringe
- Liquid
- Tablets
- Not Specified
- Tablets
- Injection
- Injection
- Injection
Off-label use. For ITU administration via nebuliser system.
- Not Specified
- Modified release tablets
- Tablets
- Tablets
Option for scarring / non-scarring alopecia
- Foam
- Topical solution
Available to purchase over the counter (OTC) for self-care.
- Not Specified
- Intravenous infusion
- Subcutaneous injection (sc)
- Oro-dispersible tablets
- Tablets
- Oral solution
Liquid formulation is not cost effective; consider orodispersible tablets.
- Tablets
- Tablets
- Vaginal tablets
- Not Specified
- Not Specified
- Not Specified
- Not Specified
- Eye drops (preservative free)
- Subconjunctival injection
- Not Specified
- Tablets
Initiation and stabilisation by specialist for a minimum of 6 months before any transfer of prescribing responsibility is requested.
- Tablets
- Tablets
- Tablets
- Tablets
- Powder
Prescribe on advice from specialist e.g. dietitian
- Capsules
Primary care and outpatient prescribing of antivirals for COVID 19 treatment is through the CMDU service.
Hospital inpatients - as per local hospital guidelines
- Nasal spray
Recommended 1st line treatment option
- Nasal spray
- Inhaler (dry powder)
Specialist* recommendation only. Used in severe asthma.
* a healthcare professional with higher training in respiratory medicine and proficeincy in the management of asthma
Only triple therapy DPI licensed for asthma.
Prescribe by BRAND
- Nasal spray
- Solution

- Chewable tablets
- Sachets (granules)
- Tablets
- Oral drops
- Immediate release tablets
- Oral solution
- Oro-dispersible tablets
- Modified release capsules
- Modified release tablets
Prescribe modified-release preparations by brand - refer to local guidelines for preferred brands. Zomorph capsules (12-hourly) can be opened for administration in patients unable to swallow the capsules.
- Immediate release tablets
- Oral solution
- Oro-dispersible tablets
- Capsules (slow release)
- Granules (slow release)
- Tablets (slow release)
- Injection
- Solution for infusion
- Suppositories
- Immediate release tablets
- Oral solution
- Oro-dispersible tablets
- Subcutaneous infusion
- Subcutaneous injection (sc)
- Modified release capsules
- Modified release tablets
Prescribe modified-release preparations by brand - refer to local guidelines for preferred brands. Zomorph capsules (12-hourly) can be opened for administration in patients unable to swallow the capsules.
- Mouthwash
- Eye drops
- Tablets
- 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
- Nasal ointment
- Nasal ointment
- Capsules
- Oral suspension
- Tablets
Principles for shared care found here: https://surrey.res.services/PAD/Profile/NonClinicalProfile/9136
- Capsules
- Oral suspension
- Tablets
Principles for shared care found here: https://surrey.res.services/PAD/Profile/NonClinicalProfile/9136
- Capsules
- Oral suspension
- Tablets
Principles for shared care found here: https://surrey.res.services/PAD/Profile/NonClinicalProfile/9136
- Capsules
- Oral suspension
- Tablets
Prescribe generically (except in transplant indications)
Principles for shared care found here: https://surrey.res.services/PAD/Profile/NonClinicalProfile/9136
- Capsules
- Oral suspension
- Tablets
Prescribe generically (except in transplant indications)
Principles for shared care found here: https://surrey.res.services/PAD/Profile/NonClinicalProfile/9136
- Capsules
- Oral suspension
- Tablets
Prescribe generically (except in transplant indications)
Principles for shared care found here: https://surrey.res.services/PAD/Profile/NonClinicalProfile/9136
- Capsules
- Oral suspension
- Tablets
Prescribe generically (except in transplant indications)
Principles for shared care found here: https://surrey.res.services/PAD/Profile/NonClinicalProfile/9136
- Capsules
- Oral suspension
- Tablets
Prescribe generically (except in transplant indications)
Principles for shared care found here: https://surrey.res.services/PAD/Profile/NonClinicalProfile/9136
- Capsules
- Oral suspension
- Tablets
Prescribe generically (except in transplant indications)
Principles for shared care found here: https://surrey.res.services/PAD/Profile/NonClinicalProfile/9136
- Capsules
- Gastro-resistant tablets
- Oral suspension
- Tablets
Principles for shared care found here: https://surrey.res.services/PAD/Profile/NonClinicalProfile/9136
- Capsules
- Oral suspension
- Tablets
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.
- Capsules
- Oral suspension
- Tablets
- Capsules
- Gastro-resistant tablets
- Oral suspension
- Tablets
Principles for shared care found here: https://surrey.res.services/PAD/Profile/NonClinicalProfile/9136
- Tablets
FOR EXISTING PATIENTS only:
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 requests to prescribe for new patients.
- Not Specified
FOR NEW PATIENTS: RED drug for post-transplant. Funded via NHS England.
GPs should not accept any new request to start prescribing mycophenolic acid post-transplant.