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- Capsules
- Nasal spray
- Nasal spray
- Nasal spray
- Nasal spray
EXISTING patients only. Do not initiate in new patients.
- Capsules
- Tablets
- Tablets
- Tablets
- Intravenous injection (IV)
Please check TOXBASE for further information. https://www.toxbase.org/ . Intramuscular and intranasal preparations are available for use in non-medical settings
- Nasal spray
May be given intranasally in non-medical settings. See Healthy Surrey website for details on accessing naloxone nasal spray in the community https://www.healthysurrey.org.uk/drugs-and-alcohol/naloxone
- Intramuscular injection (IM)
https://www.toxbase.org/ . May be given by intramuscular injection in non-medical settings.
- Tablets
To prevent relapse in former alcohol-dependant patients.
Restricted to Drugs & Alcohol Service only.
- Tablets
To prevent relapse in former opioid-dependant patients.
Restricted to Drugs & Alcohol Service only.
- Not Specified
- Not Specified
- Tablets
- Tablets
- Effervescent tablets
- Oral suspension
- Gastro-resistant tablets
More expensive than standard tablets and offer no additional gastro-protection.
- Not Specified
- Tablets
- Intravenous infusion
- Tablets
- Tablets
- Tablets
- Pre-filled pen
Note that the service that would provide nemolizumab for atopic dermatitis in adolescents (12 to 17 years) would be commissioned by NHS England
- Powder
In primary care prescribe for infants over 1 year of age only on advice from specialist dietitian
- Powder
In primary care prescribe for infants over 1 year of age only on advice from specialist dietitian
- Powder
- Powder
- Powder
In primary care prescribe for infants over 1 year of age only on advice from specialist dietitian
- Powder
- Powder
- Solution
- Injection
- Intravenous injection (IV)
- Injection
- Eye drops
- Liquid
Prescribe on advice from specialist e.g. dietitian
- Liquid
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
- Device
This device has not been assessed or agreed for inclusion on the formulary. Primary Care must not be asked to prescribe until a place in therapy has been agreed by the APC. Contact your pharmacy / medicines optimisation team for advice.
- Oral solution
- Injection
- Tablets
- Lozenge
Prescribe by brand.
Nicotinell plain, or NiQuitin Mint 2mg, 4mg are preferred NRT lozenges, 96 pack size is not cost-effective.
Expensive choices are Nicorettte Cools or Fruit, or NiQuitin Minis Mint or Citrus (reserved for One You Surrey).
- Patches
Nicotinell TTS is the preferred 24 hour patch.
Nicorette Invisi patch is reserved for pregnant and breast-feeding patients only.
- Gum (chewing)
Prescribe by brand.
Nicorette gum 2mg & 4mg (any flavour) is preferred gum (except for 30 piece packsize)
- Sublingual tablets
Nicorette Microtabs 2mg SF - these are less cost-effective than the lozenges
- Oromucosal spray
2nd line
Nicorette QuickMist 1mg (any flavour) - pack of 2 is less expensive. Dose is 1 to 2 sprays (contains 150 sprays per bottle).
Please note; QuickMist SmartTrack is NON-FORMULARY
- Inhalator (device)
Nicorette 15mg Inhalation cartidge - to be used for patients unsuitable for other short-acting NRT
- Oromucosal spray
Nicorette QuickMist SmartTrack (note other oromucosal spray is available)
- Nasal spray
Nicorette 500 microgram/dose nasal spray
- Not Specified
- Modified release tablets
Prescribe by BRAND.
Nifedipine once-daily tablets : there are limited options available on the market following the discontinuation of Adalat LA, Adipine XL and Fortipine LA. Prescribers should consider a twice-daily nifedipine tablet or a once-daily capsule. Additional information is available here: Discontinuation of Nifedipine (Adipine XL) 30mg and 60mg modified-release tablets – NHS SPS - Specialist Pharmacy Service – The first stop for professional medicines advice
- Modified release capsules
Prescribe by BRAND.
- Capsules
- Modified release tablets
- Capsules
Use by palliative care teams.
- Modified release tablets
Prescribe by BRAND
Nifedipine once-daily tablets : there are limited options available on the market following the discontinuation of Adalat LA, Adipine XL and Fortipine LA. Prescribers should consider a twice-daily nifedipine tablet or a once-daily capsule. Additional information is available here: Discontinuation of Nifedipine (Adipine XL) 30mg and 60mg modified-release tablets – NHS SPS - Specialist Pharmacy Service – The first stop for professional medicines advice
- Modified release capsules
Prescribe by BRAND
- Capsules
Prescribe by BRAND
- Capsules
- Modified release capsules
- Modified release tablets
Twice-daily preparations only. Off-label.
For use when immediate release nifedipine is not tolerated.
- Capsules
Use by palliative care teams.
- Intravenous infusion
- Tablets
- Capsules
- Capsules
- Tablets
Primary care and outpatient prescribing of antivirals for COVID 19 treatment is through the CMDU service.
Hospital inpatients - as per local hospital guidelines.
- Pre-filled syringe
For use in line with 'The Green Book'
- Not Specified
- Tablets
Short term treatment of sleep disturbances (max of 2 to 4 weeks), considered severe or disabling or where insomnia is subjecting the individual to extreme distress.
- Oral suspension
Short term treatment of sleep disturbances (max of 2 to 4 weeks), considered severe or disabling or where insomnia is subjecting the individual to extreme distress.
Liquid formulations are expensive and should only be used where significant swallowing difficulties or feeding tube
- Not Specified
NHSE commissioned services only. No Surrey Heartlands Trusts are commissioned to provide this.
- Not Specified
- Inhalation
Use in labour only.
- Inhalation
Palliative care teams. In-patient use only.
Nitrous oxide 50% and oxygen 50%
- Capsules
- Device
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.
- Not Specified
- Not Specified
- Not Specified
- Injection
- Tablets
NOTE - Trusts are unlikely to initiate oral contraceptives but will obtain supplies for the continuation of treatment during in-patient episodes.
3 hour missed pill window
- Injection
NOTE - Trusts are unlikely to initiate oral contraceptives but will obtain supplies for the continuation of treatment during in-patient episodes.
Noristerat 200mg/1ml solution for injection
- Tablets
- Tablets
- Tablets
Not recommended for new initiations. Exisitng patients may remain on this brand.
- Tablets
Not recommended for new initiations. Exisitng patients may remain on this brand.
Combined hormonal contraceptives - used for a variety of disorders including uterine fibroids, menopausal symptoms, endometriosis, dysmenorrhoea, menorrhagia. Off-label use
- Tablets
- Not Specified
- Powder
- Semi-Solid
Prescribe on advice from specialist e.g. dietitian
- Semi-Solid
- Powder
- Powder
- Powder
In primary care prescribe for infants over 1 year of age only on advice from specialist dietitian
- Powder
- Powder
- Cream
Use only if 1st and 2nd line have failed.
Consider if self-care appropriate.
- Powder
- Semi-Solid
Prescribe on advice from specialist e.g. dietitian
- Liquid
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
- Liquid
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
- Liquid
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
- Liquid
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
- Liquid
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
- Liquid
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
- Liquid
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
- Liquid
- Liquid
- Liquid
- Powder
- Powder
Prescribe on advice from specialist e.g. dietitian up to 6 months corrected age
- Powder
- Powder
Prescribe on advice from specialist e.g. dietitian
- Liquid
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
- Liquid
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
- Liquid
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
- Liquid
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
- Liquid
- Liquid
For Acute use only
- Liquid
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
- Liquid
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
- Liquid
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
- Liquid
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
- Liquid
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
- Liquid
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
- Liquid
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
- Liquid
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
- Liquid
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
- Liquid
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
- Liquid
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
- Liquid
For Acute use only
- Liquid
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
- Liquid
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
- Liquid
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
- Liquid
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
- Pessaries
- Vaginal cream
- Oral suspension