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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

A to Z of Drugs : M

Records returned : 215 (on 16 Jul 2025 at 20:37:24).

Show Icon and Status Keys

Drug
Indication
Status
Restrictions/Comments
Formulary Status
Links
Status :
Non Formulary
Formulations :
  • Not Specified
Restrictions / Comments:

Important

NHSE commissioned services only. No Surrey Heartlands Trusts are commissioned to provide this.

 
Links :
NFD1
NHSE
SPC
Status :
Red
Formulations :
  • Powder
Restrictions / Comments:

Important
Preferred

https://www.toxbase.org/

For agents not bound by activated charcoal e.g. iron, lithium, bodypackers

 
Links :
SPC
Indication :
Status :
Green
Formulations :
  • Sachets (powder)
Restrictions / Comments:

Important
Prescribe as macrogol compound oral powder sachets. MHRA/CHM advice: Polyethylene glycol (PEG) laxatives and starch-based thickeners: potential interactive effect.
 
Links :
Indication :
Status :
Red
Formulations :
  • Sachets (powder)
Restrictions / Comments:

Important
Moviprep / Plenvu - ADULTS only. Off-label use. MHRA/CHM advice: Polyethylene glycol (PEG) laxatives and starch-based thickeners: potential interactive effect.
 
Links :
Guidelines
Off Label
SPC
Status :
Green
Formulations :
  • Sachets (powder)
Restrictions / Comments:

Important
Prescribe as macrogol compound oral powder sachets
Prescribe as macrogol compound oral powder sachets. MHRA/CHM advice: Polyethylene glycol (PEG) laxatives and starch-based thickeners: potential interactive effect.
 
Links :
SPC
Status :
Red
Formulations :
  • Sachets (powder)
Restrictions / Comments:

Important
Prescribe as macrogol compound oral powder sachets
Moviprep. Off-label use. SASH reserve for paediatrics only. MHRA/CHM advice: Polyethylene glycol (PEG) laxatives and starch-based thickeners: potential interactive effect.
 
Links :
Off Label
SPC
Status :
Red
Formulations :
  • Sachets (powder)
Restrictions / Comments:

Important
Prescribe as macrogol compound oral powder sachets
Plenvu. Off-label use. MHRA/CHM advice: Polyethylene glycol (PEG) laxatives and starch-based thickeners: potential interactive effect.
 
Links :
Off Label
SPC
Status :
Green
Formulations :
  • Sachets (powder)
Restrictions / Comments:

Important
Prescribe as macrogol compound half-strength oral powder sachets. MHRA/CHM advice: Polyethylene glycol (PEG) laxatives and starch-based thickeners: potential interactive effect.
 
Links :
SPC
Status :
Red
Formulations :
  • Sachets (powder)
Restrictions / Comments:

Important
Moviprep. Off-label for faecal impaction. MHRA/CHM advice: Polyethylene glycol (PEG) laxatives and starch-based thickeners: potential interactive effect.
 
Links :
Off Label
SPC
Status :
Red
Formulations :
  • Sachets (powder)
Restrictions / Comments:

Important
Plenvu. MHRA/CHM advice: Polyethylene glycol (PEG) laxatives and starch-based thickeners: potential interactive effect.
 
Links :
Off Label
SPC
Status :
Red
Formulations :
  • Sachets (powder)
Restrictions / Comments:

Important
MOVIPREP. MHRA warning: aspiration risk when mixed with starch-based thickeners.
 
Links :
SPC
Status :
Red
Formulations :
  • Sachets (powder)
Restrictions / Comments:

Important
PLENVU. SASH / RSFT = 1st line option. MHRA warning: aspiration risk when mixed with starch-based thickeners.
 
Links :
SPC
Status :
Red
Formulations :
  • Sachets (powder)
Restrictions / Comments:

Important
MOVIPREP. Off-label use. MHRA warning: aspiration risk when mixed with starch-based thickeners.
 
Links :
Off Label
SPC
Status :
Red
Formulations :
  • Sachets (powder)
Restrictions / Comments:

Important
PLENVU. Off-label use. MHRA warning: aspiration risk when mixed with starch-based thickeners.
 
Links :
Off Label
SPC
Indication :
Status :
Blue
Formulations :
  • Sachets (powder)
Restrictions / Comments:

Important

Prescribing in primary care on specialist recommendation 

 
Links :
SPC
Indication :
Status :
Blue
Formulations :
  • Chewable tablets
Restrictions / Comments:

Important

Prescribing in primary care on specialist recommendation 

 
Links :
SPC
Indication :
Status :
Green
Formulations :
  • Oral suspension
Restrictions / Comments:

 
Links :
Indication :
Status :
Red
Formulations :
  • Injection
Restrictions / Comments:

 
Links :
SPC
Indication :
Status :
Green
Formulations :
  • Oral suspension
Restrictions / Comments:

 
Links :
SPC
Status :
Red
Formulations :
  • Intravenous infusion
Restrictions / Comments:

 
Links :
SPC
Indication :
Status :
Red
Formulations :
  • Intravenous infusion
Restrictions / Comments:

 
Links :
SPC
Indication :
Status :
Red
Formulations :
  • Not Specified
Restrictions / Comments:

Important
NHSE Specialist Commissioned Services only
 
Links :
NHSE
SPC
Indication :
Status :
Non Formulary
Formulations :
  • Capsules
Restrictions / Comments:

Important

No local trust is a NHSE commissioned specialist cardiac centre

 
Links :
NFD2
NICE
SPC
24. Maxijul Super Soluble
Drug:
Maxijul Super Soluble
(Energy/protein fortifier)
Indication :
Status :
Blue
Formulations :
  • Powder
Restrictions / Comments:

Important

Prescribe on advice from specialist e.g. dietitian 

 
Links :
25. MCT ProCal
Drug:
MCT ProCal
(Energy/protein fortifier)
Indication :
Status :
Non Formulary
Formulations :
  • Powder
Restrictions / Comments:

Important

Prescribe on advice from specialist e.g. dietitian 

 
Links :
Indication :
Status :
Green
Formulations :
  • Suspension
  • Tablets
Restrictions / Comments:

Important
Suspension not licensed in under 10 years. Tablets not licensed in children.
 
Links :
SPC
Indication :
Status :
Green
Formulations :
  • Capsules (slow release)
Restrictions / Comments:

Important
Capsules not licensed in children.
 
Links :
SPC
Indication :
Status :
Blue
Formulations :
  • Tablets
Restrictions / Comments:

Important

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

 
Links :
SPC
Indication :
Status :
Green
Formulations :
  • Injection
Restrictions / Comments:

Important

Sayana Press

Patients may be trained to self-administer Sayana Press

 
Links :
Indication :
Status :
Green (see narrative)
Formulations :
  • Pre-filled syringe
Restrictions / Comments:

Important

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.

 
Links :
Status :
Blue
Formulations :
  • Tablets
Restrictions / Comments:

Important

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

 
Links :
SPC
Indication :
Status :
Green (see narrative)
Formulations :
  • Tablets
Restrictions / Comments:

Important
10mg tablets for adjunctive progestogen therapy
2nd line for endometrial protection in women who have abnormal bleeding on other HRT.
 
Links :
Indication :
Status :
Green
Formulations :
  • Tablets
Restrictions / Comments:

 
Links :
SPC
Indication :
Status :
Blue
Formulations :
  • Tablets
Restrictions / Comments:

Important

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

 
Links :
SPC
Status :
Amber
Formulations :
  • Tablets
Restrictions / Comments:

 
Links :
Guidelines
Off Label
SPC
Indication :
Status :
Green
Formulations :
  • Capsules
  • Tablets
Restrictions / Comments:

 
Links :
SPC
Indication :
Status :
Non Formulary
Formulations :
  • Oral suspension
Restrictions / Comments:

Important
Consider alternative therapy if a liquid formulation is required.
 
Links :
SPC
Indication :
Status :
Green
Formulations :
  • Capsules
  • Tablets
Restrictions / Comments:

 
Links :
SPC
Indication :
Status :
Non Formulary
Formulations :
  • Oral suspension
Restrictions / Comments:

Important
Consider alternative therapy if a liquid formulation is required.
 
Links :
SPC
Status :
Non Formulary
Restrictions / Comments:

Important

See separate entry for use in menorrhagia and dysmenorrhoea.

 
Links :
NFD1
SPC
Status :
Blue
Formulations :
  • Tablets
Restrictions / Comments:

Important

Off-label use. On recommendation of palliative care team.

 
Links :
Off Label
SPC
Indication :
Status :
Blue
Formulations :
  • Tablets
Restrictions / Comments:

Important

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

 
Links :
SPC
Indication :
Status :
Non Formulary
Formulations :
  • Not Specified
Restrictions / Comments:

 
Links :
NFD1
NICE
SPC
Indication :
Status :
Green (see narrative)
Formulations :
  • Modified release tablets
Restrictions / Comments:

Important
Preferred

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

 
Links :
SPC
Indication :
Status :
Green (see narrative)
Formulations :
  • Immediate release tablets
Restrictions / Comments:

Important

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

 

 
Links :
Off Label
SPC
Indication :
Status :
Green (see narrative)
Formulations :
  • Oral solution
Restrictions / Comments:

Important

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

 

 
Links :
Off Label
SPC
Indication :
Status :
Non Formulary
Formulations :
  • Not Specified
Restrictions / Comments:

Important

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

 
Links :
NFD1
NICE
Off Label
SPC
Indication :
Status :
Non Formulary
Formulations :
  • Capsules
Restrictions / Comments:

Important

ONLY for patients OVER 55 YEARS (without neurodevelopmental disorders)

Maximum 13 weeks treatment

Not a cost effective option

 
Links :
NFD1
SPC
Indication :
Status :
Non Formulary
Formulations :
  • Not Specified
Restrictions / Comments:

 
Links :
NFD1
SPC
Indication :
Status :
Blue
Formulations :
  • Modified release tablets
Restrictions / Comments:

Important
Preferred

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

 
Links :
Off Label
SPC
Indication :
Status :
Blue
Formulations :
  • Immediate release tablets
Restrictions / Comments:

Important

Rapid eye movement  sleep behaviour disorder. (RBD)

If immediate onset of action is required or crushed to aid swallowing

On specialist recommendation

 

 
Links :
Off Label
SPC
Indication :
Status :
Blue
Formulations :
  • Oral solution
Restrictions / Comments:

Important

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

 

 
Links :
Off Label
SPC
Indication :
Status :
Non Formulary
Formulations :
  • Capsules
Restrictions / Comments:

Important

Rapid eye movement  sleep behaviour disorder. (RBD)

 
Links :
NFD1
SPC
Indication :
Status :
Red
Formulations :
  • Oral solution
Restrictions / Comments:

Important

For inducing sleep in people requiring an EEG or audiology testing

 
Links :
SPC
Status :
Amber
Formulations :
  • Not Specified
Restrictions / Comments:

Important

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).

 
Links :
SPC
Status :
See narrative
Formulations :
  • Not Specified
Restrictions / Comments:

Important

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).

 
Links :
SPC
Status :
Green (see narrative)
Formulations :
  • Tablets
Restrictions / Comments:

Important

Not a preferred NSAID, limited place in therapy.

ASPH - restricted to rheumatology only.

 
Links :
SPC
Indication :
Status :
See narrative
Formulations :
  • Not Specified
Restrictions / Comments:

Important

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).

 
Links :
Indication :
Status :
Non Formulary
Formulations :
  • Not Specified
Restrictions / Comments:

 
Links :
NFD1
SPC
Status :
Blue
Formulations :
  • Tablets
Restrictions / Comments:

Important

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  

 
Links :
SPC
Indication :
Status :
Formulations :
  • Not Specified
Restrictions / Comments:

 
Links :
SPC
Indication :
Status :
Red
Formulations :
  • Injection
Restrictions / Comments:

 
Links :
SPC
Indication :
Status :
Red
Formulations :
  • Injection
Restrictions / Comments:

 
Links :
SPC
Status :
Red
Formulations :
  • Not Specified
Restrictions / Comments:

Important
Service not currently provided by any Surrey Heartlands Trusts
 
Links :
NHSE
NICE
SPC
Indication :
Status :
Red
Formulations :
  • Intramuscular injection (IM)
Restrictions / Comments:

Important
Obstetric analgesia
 
Links :
Indication :
Status :
Non Formulary
Formulations :
  • Tablets
Restrictions / Comments:

Important
Tablets - Not for chronic or acute, non-malignant pain. Intramuscular injection used in obstetric pain.
 
Links :
Indication :
Status :
Amber
Formulations :
  • Oral suspension
  • Tablets
Restrictions / Comments:

Important
Tablets and oral suspension are NOT bioequivalent. Do not confuse with mercaptamine (similar name).
 
Links :
Off Label
SPC
Status :
Amber
Formulations :
  • Oral suspension
  • Tablets
Restrictions / Comments:

Important
Tablets and oral suspension are NOT bioequivalent. Do not confuse with mercaptamine (similar name).
 
Links :
Guidelines
Off Label
SPC
Indication :
Status :
Amber
Formulations :
  • Oral suspension
  • Tablets
Restrictions / Comments:

Important

Tablets and oral suspension are NOT bioequivalent. Do not confuse with mercaptamine (similar name).

 
Links :
Off Label
SPC
Status :
Non Formulary
Formulations :
  • Lozenges
Restrictions / Comments:

 
Links :
NFD1
SPC
Status :
Non Formulary
Formulations :
  • Lozenges
Restrictions / Comments:

 
Links :
NFD1
SPC
Indication :
Status :
Red
Formulations :
  • Injection
Restrictions / Comments:

Important
Restricted Antimicrobial - requires Microbiology Specialist Approval.
 
Links :
SPC
Status :
Green (see narrative)
Formulations :
  • Gastro-resistant tablets
Restrictions / Comments:

Important
Preferred
Ulcerative colitis only. GP may initiate following diagnosis or advice from specialist. Refer to the Ulcerative Colitis pathway.
Prescribe by brand.: Octasa or Salofalk gastro resistant tablets (or Salofalk granules) are 1st line for new patients Asacol tablets are non-formulary
 
Links :
Status :
Green (see narrative)
Formulations :
  • Suppositories
Restrictions / Comments:

Important
Ulcerative colitis only. GP may initiate following diagnosis or advice from specialist. Refer to the Ulcerative Colitis pathway.
Prescribe by brand: Octasa, Salofalk, Pentasa
 
Links :
Status :
Green (see narrative)
Formulations :
  • Modified release tablets
Restrictions / Comments:

Important
Ulcerative colitis only. GP may initiate following diagnosis or advice from specialist. Refer to the Ulcerative Colitis pathway.
Mezevant XL - Reserve for patients with a high pill burden.
 
Links :
Status :
Green (see narrative)
Formulations :
  • Granules (slow release)
  • Modified release tablets
Restrictions / Comments:

Important
Preferred
Ulcerative colitis only. GP may initiate following diagnosis or advice from specialist. Refer to the Ulcerative Colitis pathway.
Prescribe by brand: Salofalk granules are a 1st-line option for new patients. Pentasa modified-release tablets and granules for patients who require upper GI release.
 
Links :
Status :
Green (see narrative)
Formulations :
  • Enema
  • Foam enema
Restrictions / Comments:

Important
Ulcerative colitis only. GP may initiate following diagnosis or advice from specialist. Refer to the Ulcerative Colitis pathway.
Prescribe by brand: Pentasa / Salofalk enema
 
Links :
Status :
Non Formulary
Formulations :
  • Gastro-resistant tablets
Restrictions / Comments:

Important
Ulcerative colitis only. GP may initiate following diagnosis or advice from specialist. Refer to the Ulcerative Colitis pathway.
Asacol 400mg gastro resitsant tablets have been discontinued. The 800mg tablets are non-formulary.
 
Links :
Status :
Red
Formulations :
  • Intravenous injection (IV)
  • Tablets
Restrictions / Comments:

Important
Preferred
 
Links :
SPC
Indication :
Status :
Red
Formulations :
  • Intravenous infusion
  • Intravenous injection (IV)
Restrictions / Comments:

 
Links :
SPC
Indication :
Status :
Green
Formulations :
  • Modified release tablets
  • Tablets
Restrictions / Comments:

Important
Preferred
NOTE: 1g oridnary tablets are disproportionately expensive in primary care. 1g modified release tablets are recommended.
 
Links :
82. Metformin hydrochloride
Drug:
(Antidiabetic drugs)
Metformin hydrochloride
(Antidiabetic drugs)
Indication :
Status :
Green (see narrative)
Formulations :
  • Oral solution
  • Powder
Restrictions / Comments:

Important
Oral solution should be reserved for patients with enteral feeding tubes or those unable to swallow tablets. Sachets of powder for oral solution are preferred in patients with swallowing difficulties in primary care.
 
Links :
Indication :
Status :
Non Formulary
Formulations :
  • Tablets
Restrictions / Comments:

Important

Not a cost-effective option. Prescribe as separate components.

 
Links :
Indication :
Status :
Green (see narrative)
Formulations :
  • Tablets
Restrictions / Comments:

Important
Reserve combination products for patients in whom the separate components are less appropriate
 
Links :
Indication :
Status :
Non Formulary
Formulations :
  • Tablets
Restrictions / Comments:

Important

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.

 
Links :
Indication :
Status :
Red
Formulations :
  • Oral solution
Restrictions / Comments:

Important

Palliative care teams only. Caution when converting from other opioids.

 
Links :
CD
SPC
Indication :
Status :
Red
Formulations :
  • Subcutaneous infusion
Restrictions / Comments:

Important

Palliative care teams only. Caution when converting from other opioids.

 
Links :
CD
SPC
Status :
Blue
Formulations :
  • Tablets
Restrictions / Comments:

Important
Prescribe on recommendation
 
Links :
SPC
Indication :
Status :
Red
Formulations :
  • Not Specified
Restrictions / Comments:

Important

Option for non-scarring alopecia

 
Links :
Off Label
SPC
Status :
Amber
Formulations :
  • Injection
  • Tablets
Restrictions / Comments:

Important

Weekly dosing. Tablets - only to prescribe as 2.5mg. DO NOT prescribe or supply 10mg tablets

 

 

 
Links :
Off Label
SPC
Status :
Amber
Formulations :
  • Injection
  • Tablets
Restrictions / Comments:

Important
DO NOT prescribe or supply 10mg tablets. WEEKLY dose frequency. Advise patients to carry the patient alert card / book
 
Links :
Status :
Red
Formulations :
  • Intramuscular injection (IM)
Restrictions / Comments:

 
Links :
SPC
Indication :
Status :
Amber
Formulations :
  • Injection
  • Tablets
Restrictions / Comments:

Important
Tablets - only prescribe as 2.5mg. DO NOT prescribe or supply 10mg tablets. WEEKLY dosing.
 
Links :
Off Label
SPC
Status :
Amber
Formulations :
  • Injection
  • Tablets
Restrictions / Comments:

Important
WEEKLY dosing. Only 2.5mg tablets to be prescribed. DO NOT prescribe or supply 10mg tablets
 
Links :
Off Label
SPC
Status :
Amber
Formulations :
  • Injection
Restrictions / Comments:

Important
WEEKLY dosing.
 
Links :
SPC
Status :
Amber
Formulations :
  • Tablets
Restrictions / Comments:

Important
WEEKLY dosing.
2.5mg tablets ONLY. DO NOT PRESCRIBE OR SUPPLY 10mg tablets
 
Links :
SPC
Indication :
Status :
Amber
Formulations :
  • Injection
  • Tablets
Restrictions / Comments:

Important
WEEKLY dosing. Tablets - only prescribe as 2.5mg. DO NOT prescribe or supply 10mg tablets.
 
Links :
Off Label
SPC
Indication :
Status :
Amber
Formulations :
  • Injection
  • Tablets
Restrictions / Comments:

Important
WEEKLY dosing. Tablets - only prescribe as 2.5mg. DO NOT prescribe or supply 10mg tablets.
 
Links :
Off Label
SPC
Indication :
Status :
Red
Formulations :
  • Inhalation
Restrictions / Comments:

Important

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
     
 
Links :
Status :
Red
Formulations :
  • Spray
Restrictions / Comments:

 
Links :
SPC
Status :
Blue
Formulations :
  • Tablets
Restrictions / Comments:

Important
Primary care prescribing on specialist recommendation.
 
Links :
Indication :
Status :
Red
Formulations :
  • Injection
Restrictions / Comments:

Important
For opioid-induced constipation in terminally ill patients when response to other laxatives is inadequate
RSCH Palliative Care Team only
 
Links :
Status :
Amber
Formulations :
  • Modified release tablets
Restrictions / Comments:

Important

18mg, 27mg, 36mg, 54mg: Prescribe by brand - use the branded-generic with the lowest acquisition cost

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).

 
Links :
CD
Off Label
SPC
Status :
Amber
Formulations :
  • Immediate release tablets
Restrictions / Comments:

Important

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).

 
Links :
CD
Off Label
SPC
Status :
Amber
Formulations :
  • Modified release capsules
Restrictions / Comments:

Important

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).

 
Links :
CD
Off Label
SPC
Status :
Amber
Formulations :
  • Modified release tablets
Restrictions / Comments:

Important

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).

 
Links :
CD
SPC
Status :
Amber
Formulations :
  • Immediate release tablets
Restrictions / Comments:

Important

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).

 
Links :
CD
SPC
Indication :
Status :
Red
Formulations :
  • Tablets
Restrictions / Comments:

Important

RSFT only

 
Links :
Off Label
SPC
Indication :
Status :
Green
Formulations :
  • Tablets
Restrictions / Comments:

 
Links :
SPC
Indication :
Status :
Green
Formulations :
  • Intramuscular injection (IM)
Restrictions / Comments:

Important

Methylprednisolone acetate (Depo-Medrone)

 
Links :
SPC
Indication :
Status :
Red
Formulations :
  • Intravenous infusion
  • Intravenous injection (IV)
Restrictions / Comments:

Important

Methylprednisolone sodium succinate (Solu-Medrone)

 
Links :
SPC
Status :
Red
Formulations :
  • Intravenous infusion
  • Tablets
Restrictions / Comments:

 
Links :
SPC
Status :
Green
Formulations :
  • Intra-articular injection
Restrictions / Comments:

 
Links :
SPC
Status :
Red
Formulations :
  • Intratympanic injection
Restrictions / Comments:

 
Links :
Off Label
SPC
Indication :
Status :
Red
Formulations :
  • Intra-ocular injection
Restrictions / Comments:

 
Links :
Off Label
SPC
Status :
Green
Formulations :
  • Intra-articular injection
Restrictions / Comments:

 
Links :
SPC
Indication :
Status :
Red
Formulations :
  • Injection
Restrictions / Comments:

Important

Methylene Blue - Off-label. Septic shock, refractory shock.

 
Links :
Off Label
SPC
Indication :
Status :
Red
Formulations :
  • Intravenous injection (IV)
Restrictions / Comments:

Important
Preferred

Methylene Blue

https://www.toxbase.org/

 
Links :
SPC
Indication :
Status :
Green
Formulations :
  • Oral solution
  • Tablets
Restrictions / Comments:

 
Links :
SPC
Indication :
Status :
Red
Formulations :
  • Injection
Restrictions / Comments:

 
Links :
SPC
Status :
Blue
Formulations :
  • Oral solution
  • Tablets
Restrictions / Comments:

Important
On request from the specialist / Cancer Centre
 
Links :
SPC
Status :
Green
Formulations :
  • Subcutaneous infusion
Restrictions / Comments:

 
Links :
SPC
Status :
Red
Formulations :
  • Injection
  • Tablets
Restrictions / Comments:

 
Links :
SPC
Status :
Green (see narrative)
Formulations :
  • Tablets
Restrictions / Comments:

Important
2nd line treatment option. Should not be prescribed for longer than 5 days.
 
Links :
Guidelines
Off Label
R
SPC
Status :
Green (see narrative)
Formulations :
  • Oral solution
Restrictions / Comments:

Important
2nd line treatment option. Should not be prescribed for longer than 5 days.
An option in patients with swallowing difficulties.
 
Links :
Guidelines
Off Label
R
SPC
Indication :
Status :
Blue
Formulations :
  • Tablets
Restrictions / Comments:

Important
Initiation by specialist. The licensed (Xaqua) and unlicensed (Zaroxolyn) tablets have different bioavailabilities. These products are not interchangable=Prescribe by Brand
 
Links :
Indication :
Status :
Non Formulary
Formulations :
  • Tablets
Restrictions / Comments:

Important
The licensed (Xaqua) and unlicensed (Zaroxolyn) tablets have different bioavailabilities. These products are not interchangable=Prescribe by Brand
 
Links :
Indication :
Status :
Blue
Formulations :
  • Tablets
Restrictions / Comments:

Important
The licensed (Xaqua) and unlicensed (Zaroxolyn) tablets have different bioavailabilities. These products are not interchangable=Prescribe by Brand
Prescribing in primary care on recommendation of specialist team only. The licensed (Xaqua) and unlicensed (Zaroxolyn) tablets have different bioavailabilities. These products are not interchangable=Prescribe by Brand
 
Links :
SPC
Indication :
Status :
Green
Formulations :
  • Tablets
Restrictions / Comments:

 
Links :
SPC
Indication :
Status :
Green
Formulations :
  • Tablets
Restrictions / Comments:

 
Links :
SPC
Indication :
Status :
Red
Formulations :
  • Injection
Restrictions / Comments:

 
Links :
SPC
Indication :
Status :
Green (see narrative)
Formulations :
  • Tablets
Restrictions / Comments:

Important
Step 4 of the hypertension pathway. Bisoprolol / atenolol are the preferred, cardio-selective beta blockers for hypertension.
 
Links :
Indication :
Status :
Green
Formulations :
  • Oral solution
  • Tablets
Restrictions / Comments:

Important
Follow local guidelines on the use of antimicrobials.
 
Links :
SPC
Indication :
Status :
Red
Formulations :
  • Infusion
Restrictions / Comments:

Important
Follow local guidelines on the use of antimicrobials
 
Links :
SPC
Indication :
Status :
Red
Formulations :
  • Suppositories
Restrictions / Comments:

Important
Follow local guidelines on the use of antimicrobials
 
Links :
SPC
Indication :
Status :
Green
Formulations :
  • Vaginal gel
Restrictions / Comments:

Important
Refer to local antimicrobial guidelines. Oral metronidazole is as effective as topical treatment and is more cost-effective.
 
Links :
SPC
Indication :
Status :
Green
Formulations :
  • Tablets
Restrictions / Comments:

Important
Refer to local antimicrobial guidelines. Oral metronidazole is as effective as topical treatment and is more cost-effective.
 
Links :
SPC
Indication :
Status :
Red
Formulations :
  • Capsules
Restrictions / Comments:

Important

Under specialist supervision in hospital.

 
Links :
SPC
Indication :
Status :
Red
Formulations :
  • Capsules
Restrictions / Comments:

 
Links :
SPC
Indication :
Status :
Red
Formulations :
  • Capsules
Restrictions / Comments:

Important

Cardiology specialists only.

Namuscla brand is non-preferred for this indication

 
Links :
SPC
Indication :
Status :
Red
Formulations :
  • Capsules
Restrictions / Comments:

 
Links :
NHSE
NICE
SPC
Indication :
Status :
Green
Formulations :
  • Oromucosal gel
Restrictions / Comments:

 
Links :
SPC
Status :
Green
Formulations :
  • Oromucosal solution
  • Subcutaneous infusion
  • Subcutaneous injection (sc)
Restrictions / Comments:

 
Links :
SPC
Indication :
Status :
Red
Formulations :
  • Oral solution
Restrictions / Comments:

Important
Midazolam oral solution (special-order)
 
Links :
SPC
Indication :
Status :
Red
Formulations :
  • Oral solution
Restrictions / Comments:

Important
Midazolam oral solution (special-order)
 
Links :
SPC
Indication :
Status :
Blue
Formulations :
  • Pre-filled oral syringe
Restrictions / Comments:

Important
Preferred
Prescribe by BRAND. Buccolam is currently the preferred, lower-cost in patients over 3 months of age
 
Links :
CD
NICE
SPC
Indication :
Status :
Red
Restrictions / Comments:

Important
Unlicensed preparations / specials have a Red traffic light status - not for prescribing in primary care.
 
Links :
CD
Off Label
SPC
Indication :
Status :
Red
Formulations :
  • Liquid
Restrictions / Comments:

Important
ASPH Paediatrics only - (high-cost) unlicensed midazolam liquid 12.5mg/5ml sugar free.
 
Links :
CD
R
SPC
Indication :
Status :
Blue
Formulations :
  • Pre-filled oral syringe
Restrictions / Comments:

Important
Prescribe by BRAND (Epistatus). However, Buccolam is currently the preferred, lower-cost in patients over 3 months of age
 
Links :
CD
NICE
SPC
Indication :
Status :
Red
Restrictions / Comments:

Important
Unlicensed preparations / specials have a Red traffic light status - not for prescribing in primary care.
 
Links :
CD
Off Label
SPC
Indication :
Status :
Red
Formulations :
  • Liquid
Restrictions / Comments:

Important
ASPH Paediatrics only - (high-cost) unlicensed midazolam liquid 12.5mg/5ml sugar free.
 
Links :
CD
R
SPC
Status :
Blue
Formulations :
  • Tablets
Restrictions / Comments:

Important
Postural hypotension in Parkinson's disease. Specialist team initiation and supply for at least 1 month before transfer of prescribing to primary care.
 
Links :
SPC
Indication :
Status :
Red
Formulations :
  • Not Specified
Restrictions / Comments:

 
Links :
SPC
Status :
Red
Formulations :
  • Tablets
Restrictions / Comments:

Important
Restricted to use by Gynaecology and Obstetrics departments only
 
Links :
CD
R
SPC
Indication :
Status :
Non Formulary
Restrictions / Comments:

 
Links :
NFD1
SPC
Indication :
Status :
Red
Formulations :
  • Injection
Restrictions / Comments:

Important
Restricted use: ITU only at SASH Consultants only at RSCH
 
Links :
Guidelines
Off Label
SPC
Status :
Red
Formulations :
  • Injection
Restrictions / Comments:

Important
ASPH restricted to paediatrics. Off-label
 
Links :
Off Label
SPC
Status :
Red
Formulations :
  • Injection
Restrictions / Comments:

Important

Off-label use. For ITU administration via nebuliser system.

 
Links :
Off Label
R
SPC
Indication :
Status :
Non Formulary
Formulations :
  • Not Specified
Restrictions / Comments:

 
Links :
NFD1
SPC
Status :
Red
Formulations :
  • Modified release tablets
  • Tablets
Restrictions / Comments:

Important
Restricted Use - for use when indicated by local trust antimicrobial guidelines or specialist microbiology recommendation.
 
Links :
R
SPC
Status :
Green (see narrative)
Formulations :
  • Not Specified
Restrictions / Comments:

Important
Solifenacin is 1st line. Mirabegron for use when antimuscarinics are contraindicated, patients with CNS adverse effects or patients requiring a more potent treatment.
 
Links :
Status :
Red
Formulations :
  • Intravenous infusion
  • Subcutaneous injection (sc)
Restrictions / Comments:

Important
Ulcerative Colitis - adults only.
 
Links :
Status :
Non Formulary
Formulations :
  • Tablets
Restrictions / Comments:

 
Links :
SPC
Status :
Non Formulary
Formulations :
  • Tablets
Restrictions / Comments:

 
Links :
SPC
Status :
Red
Formulations :
  • Vaginal tablets
Restrictions / Comments:

Important
Restricted to use by Gynaecology and Obstetrics departments only
 
Links :
CD
R
SPC
Indication :
Status :
Formulations :
  • Not Specified
Restrictions / Comments:

 
Links :
SPC
Indication :
Status :
See narrative
Formulations :
  • Not Specified
Restrictions / Comments:

 
Links :
SPC
Indication :
Status :
Formulations :
  • Not Specified
Restrictions / Comments:

 
Links :
Indication :
Status :
See narrative
Formulations :
  • Not Specified
Restrictions / Comments:

 
Links :
Indication :
Status :
Red
Formulations :
  • Eye drops (preservative free)
Restrictions / Comments:

Important
Unlicensed cytotoxic. Ophthalmology only
0.02% eye drops.
 
Links :
SPC
Indication :
Status :
Red
Formulations :
  • Subconjunctival injection
Restrictions / Comments:

Important
Unlicensed cytotoxic. Ophthalmology only
 
Links :
SPC
Indication :
Status :
Non Formulary
Formulations :
  • Not Specified
Restrictions / Comments:

Important
Discontinued April 2024. Refer to guidelines for alternatives.
 
Links :
Indication :
Status :
Blue
Formulations :
  • Tablets
Restrictions / Comments:

Important
Initiation and stabilisation by specialist for a minimum of 6 months before transfer of prescribing to primary care.
 
Links :
Indication :
Status :
Red
Formulations :
  • Tablets
Restrictions / Comments:

Important
Safety in pregnancy warnings.
 
Links :
Off Label
SPC
Indication :
Status :
Amber
Formulations :
  • Tablets
Restrictions / Comments:

Important
Pregnancy safety warnings.
 
Links :
SPC
Status :
Red
Formulations :
  • Tablets
Restrictions / Comments:

Important
Pregnancy safety warnings.
 
Links :
Off Label
SPC
Indication :
Status :
Red
Formulations :
  • Tablets
Restrictions / Comments:

Important
Pregnancy safety warnings.
 
Links :
Off Label
SPC
178. Modulen IBD
Drug:
Modulen IBD
(Condition specific ONS )
Indication :
Status :
Blue
Formulations :
  • Powder
Restrictions / Comments:

Important

Prescribe on advice from specialist e.g. dietitian 

 
Links :
Indication :
Status :
Red
Formulations :
  • Capsules
Restrictions / Comments:

Important

Primary care and outpatient prescribing of antivirals for COVID 19 treatment is through the CMDU service.

Hospital inpatients - as per local hospital guidelines

 
Links :
Indication :
Status :
Green
Formulations :
  • Nasal spray
Restrictions / Comments:

Important
Preferred

Recommended 1st line treatment option

 
Links :
Indication :
Status :
Green
Formulations :
  • Nasal spray
Restrictions / Comments:

 
Links :
SPC
Indication :
Status :
Blue
Formulations :
  • Inhaler (dry powder)
Restrictions / Comments:

Important

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

 
Links :
Indication :
Status :
Green (see narrative)
Formulations :
  • Nasal spray
Restrictions / Comments:

Important
Reserved for use where monotherapy is inadequate. Not 1st line.
 
Links :
Indication :
Status :
Green
Formulations :
  • Chewable tablets
  • Sachets (granules)
  • Tablets
Restrictions / Comments:

Important
https://www.gov.uk/drug-safety-update/montelukast-singulair-reminder-of-the-risk-of-neuropsychiatric-reactions
 
Links :
Indication :
Status :
Non Formulary
Formulations :
  • Oral drops
Restrictions / Comments:

 
Links :
CD
SPC
Status :
Green
Formulations :
  • Immediate release tablets
  • Oral solution
  • Oro-dispersible tablets
Restrictions / Comments:

 
Links :
CD
SPC
Status :
Green (see narrative)
Formulations :
  • Modified release capsules
  • Modified release tablets
Restrictions / Comments:

Important

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.

 
Links :
CD
SPC
Indication :
Status :
Green (see narrative)
Formulations :
  • Immediate release tablets
  • Oral solution
  • Oro-dispersible tablets
Restrictions / Comments:

Important
Orodispersible tablets are a cost-effective alternative to oral solution. Reserve oral solution and orodispersible tablets for patients in whom a solid dose form is not suitable.
 
Links :
Indication :
Status :
Green (see narrative)
Formulations :
  • Capsules (slow release)
  • Granules (slow release)
  • Tablets (slow release)
Restrictions / Comments:

Important
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.
 
Links :
Indication :
Status :
Red
Formulations :
  • Injection
  • Solution for infusion
Restrictions / Comments:

Important
See separate listing for palliative care
 
Links :
Indication :
Status :
Non Formulary
Formulations :
  • Suppositories
Restrictions / Comments:

 
Links :
Guidelines
CD
NFD1
SPC
Indication :
Status :
Green
Formulations :
  • Immediate release tablets
  • Oral solution
  • Oro-dispersible tablets
  • Subcutaneous infusion
  • Subcutaneous injection (sc)
Restrictions / Comments:

 
Links :
CD
SPC
Indication :
Status :
Green (see narrative)
Formulations :
  • Modified release capsules
  • Modified release tablets
Restrictions / Comments:

Important

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.

 
Links :
CD
SPC
Indication :
Status :
Red
Formulations :
  • Mouthwash
Restrictions / Comments:

Important
Available to purchase for self care
 
Links :
SPC
Status :
Red
Formulations :
  • Eye drops
Restrictions / Comments:

Important
SASH: Bacterial conjunctivitis (2nd line or 1st line if severe), Bacterial keratitis (OFF LABEL), Post-op Endophthalmitis (OFF LABEL)
 
Links :
SPC
Indication :
Status :
Red
Formulations :
  • Tablets
Restrictions / Comments:

Important
Restricted Use - for use when indicated by local trust antimicrobial guidelines or specialist microbiology recommendation.
 
Links :
R
SPC
Indication :
Status :
Green
Formulations :
  • Tablets
Restrictions / Comments:

Important
ASPH restrict use to cardiology only.
 
Links :
Status :
Green (see narrative)
Formulations :
  • Tablets
Restrictions / Comments:

Important

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  

 
Links :
SPC
Indication :
Status :
Green (see narrative)
Formulations :
  • Nasal ointment
Restrictions / Comments:

Important
2% nasal ointment. Off-label use - 2nd line as per CKS epistaxis guidance. Consider Naseptin unless unsuitable.
 
Links :
Off Label
SPC
Status :
Green (see narrative)
Formulations :
  • Nasal ointment
Restrictions / Comments:

Important
2% nasal ointment. Not for routine use in primary care. Follow advice in CKS
 
Links :
SPC
Status :
Amber
Formulations :
  • Capsules
  • Oral suspension
  • Tablets
Restrictions / Comments:

Important
Prescribe generically (except in transplant indications)
 
Links :
Off Label
SPC
Status :
Amber
Formulations :
  • Capsules
  • Oral suspension
  • Tablets
Restrictions / Comments:

Important
Prescribe generically (except in transplant indications)
 
Links :
Off Label
SPC
Status :
Amber
Formulations :
  • Capsules
  • Oral suspension
  • Tablets
Restrictions / Comments:

Important
Prescribe generically (except in transplant indications)
 
Links :
Off Label
SPC
Indication :
Status :
Amber
Formulations :
  • Capsules
  • Oral suspension
  • Tablets
Restrictions / Comments:

Important
Prescribe generically (except in transplant indications)
 
Links :
Off Label
SPC
Indication :
Status :
Amber
Formulations :
  • Capsules
  • Oral suspension
  • Tablets
Restrictions / Comments:

Important
Prescribe generically (except in transplant indications)
 
Links :
Off Label
SPC
Status :
Amber
Formulations :
  • Capsules
  • Oral suspension
  • Tablets
Restrictions / Comments:

Important
Prescribe generically (except in transplant indications)
 
Links :
Off Label
SPC
Indication :
Status :
Amber
Formulations :
  • Capsules
  • Oral suspension
  • Tablets
Restrictions / Comments:

Important
Prescribe generically (except in transplant indications)
 
Links :
Off Label
SPC
Status :
Amber
Formulations :
  • Capsules
  • Oral suspension
  • Tablets
Restrictions / Comments:

Important
Prescribe generically (except in transplant indications)
 
Links :
Off Label
SPC
Status :
Amber
Formulations :
  • Capsules
  • Oral suspension
  • Tablets
Restrictions / Comments:

Important
Prescribe generically (except in transplant indications)
 
Links :
Off Label
SPC
Indication :
Status :
Amber
Formulations :
  • Capsules
  • Gastro-resistant tablets
  • Oral suspension
  • Tablets
Restrictions / Comments:

 
Links :
Off Label
SPC
Status :
Blue
Formulations :
  • Capsules
  • Oral suspension
  • Tablets
Restrictions / Comments:

Important

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.

 
Links :
SPC
Status :
Red
Formulations :
  • Capsules
  • Oral suspension
  • Tablets
Restrictions / Comments:

Important
For NEW patients: RED drug for post-transplant. Funded by NHS England. GPs should not accept any requests to prescribe post-transplant.
 
Links :
NHSE
SPC
Indication :
Status :
Amber
Formulations :
  • Capsules
  • Gastro-resistant tablets
  • Oral suspension
  • Tablets
Restrictions / Comments:

 
Links :
Off Label
SPC
Status :
Blue
Formulations :
  • Tablets
Restrictions / Comments:

Important

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.

 
Links :
NHSE
SPC
Status :
Red
Formulations :
  • Not Specified
Restrictions / Comments:

Important

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.
 

 
Links :
NHSE
SPC