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- 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
Prescribe on advice from specialist e.g. paediatric dietitian
- Liquid
Prescribe on advice from specialist e.g. paediatric 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
Prescribe on advice from specialist e.g. paediatric dietitian
- Liquid
Prescribe on advice from specialist e.g. paediatric 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
Prescribe on advice from specialist e.g. paediatric dietitian
- Liquid
Prescribe on advice from specialist e.g. paediatric 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
- Powder
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
- Depot injection
Shared-care arrangements are in place between SABP and Primary Care. Administration under the shared-care LCS when prescribed in Primary Care.
See shared-care document below
Principles for shared care found here: https://surrey.res.services/PAD/Profile/NonClinicalProfile/9136
- Depot injection
Paliperidone palmitate - where there is no LCS in place, the prescribing responsibility remains with SABP.
Secondary Care may prescribe for in-patients (on the instruction of a SABP specialist) and prescribing continued by SABP after discharge.
- Modified release tablets
- Injection
restricted antimicrobial for paediatric use, to be used on the advice of microbiologist
- Not Specified
- Intravenous infusion
- Intravenous infusion
Used in
- hypercalcaemia of malignancy
- bone metastases
- prevention of skeletal events
- Intravenous infusion
- Capsules
- Tablets
Prescribe by brand - product with multiple ingredients. GP initiation following specialist recommendation.
- Powder
Prescribe by brand - product with multiple ingredients. GP initiation following specialist recommendation.
- Tablets
- Intravenous infusion
- Intravenous injection (IV)
- Intravenous infusion
- Intravenous injection (IV)
- Granules
- Tablets
- Effervescent tablets
- Soluble tablets
- Suppositories
- Oral suspension
- Intravenous infusion
- Tablets
- Effervescent tablets
- Soluble tablets
- Suppositories
- Oral suspension
- Injection
- Eye ointment
- Eye ointment
- Rectal solution
- Subcutaneous infusion
- Subcutaneous injection (sc)
To be used in intractable cancer pain only.
Off-label use.
- Not Specified
requires approval from HCV national team for use
- Tablets
Off-label use.
- Tablets
- Tablets
- Tablets
- Tablets
- Tablets
- Not Specified
For acromegaly: Commissied by NHSE from specialist centres only. Not provided by Surrey Heartlands Trusts
- Injection
RSFT only - commissioned as a Specialised Endocrinology Centre
- Injection
Visualisation of sentinel lymph node biopsy in breast surgery
- Sachets (powder)
- Not Specified
- Subcutaneous injection (sc)
Refer to St Luke's Protocols for current indications and further detail.
- Subcutaneous injection (sc)
- Subcutaneous injection (sc)
- Subcutaneous injection (sc)
- Not Specified
- Not Specified
For acromegaly: Commissied by NHSE from specialist centres only. Not provided by Surrey Heartlands Trusts
- Tablets
Severe disease only
- Tablets
Hepatology only - under local shared care arrangements with specialist input.
- Injection
- Nebules
- Capsules
- Modified release tablets
Restricted to Oral Surgeons only - with Vitamin E to start 1 week before extraction and for 3 months after (until good healing is observed)
- Not Specified
- Modified release tablets
For specialist ENT prescribing only
- Capsules
- Liquid
- Suspension
- 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
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
Prescribe on advice from specialist e.g. paediatric 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
- Powder
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
Prescribe on advice from specialist e.g. dietitian
- Tablets
- 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
- Not Specified
- Tablets
- Not Specified
- Tablets
- Tablets
- Cream
- Lotion
First line for scabies (NICE CKS)
- Injection
- Tablets
- Not Specified
- Tablets
Initiation and stabilisation by mental health specialist team for a minimum of 6 months before transfer of prescribing responsibility may be requested.
- Tablets
- Intramuscular injection (IM)
- Subcutaneous infusion
Off-label. Specialist use only.
- Elixir
- Tablets
- Liquid
- Injection
- Injection
- Capsules
- Oral suspension
- Tablets
- Intravenous injection (IV)
- Injection
- Intravenous injection (IV)
- Injection
- Eye drops (unit dose)
- Ophthalmic insert
- Intraocular irrigation
This drug has not yet been assessed for inclusion on the formulary. Contact your pharmacy team for advice on making an application to the APC.
- Capsules
- Oral suspension
- Tablets
- Injection
- Linctus
- Mixture
- Enema
- Effervescent 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
- Oral solution
- Intravenous injection (IV)
- Solution for injection
- Not Specified
- Tablets
- Eye drops
4% eye drops used orally - off-label use.
Prescribing by primary care on recommendation from specialist team.
- Eye drops
- Eye drops (preservative free)
- Cream
Specialist iniation and first supply only by physicians (including general practitioners) with a special interest and experience in dermatology, and only after careful discussion with the patient about the potential risks and benefits of all appropriate second-line treatment options.
- Tablets
- Infusion
- Tablets
- Gel
- Tablets
- Tablets
- Tablets
- Cream
- Topical solution
Specialist diagnosis / initiation is usually required. See PAD for the limited circumstances in which initiation may ocurr in Primary Care.
Podophyllum resin (paint) not recommended for anogenital warts in CKS.
- Powder
Prescribe on advice from specialist e.g. dietitian
This drug has not yet been assessed for inclusion on the formulary. Contact your pharmacy team for advice on making an application to the APC.
- Eye drops
- Tablets
- Endotracheopulmonary suspension
- Injection
For use in patients who are unable to have oral spironolactone.
- Injection
For use in patients who are unable to have oral spironolactone.
- Injection
For use in patients who are unable to have oral spironolactone.
ASPH use in NEONATES only.
- Injection
For use in patients who are unable to have oral spironolactone.
ASPH use in NEONATES only.
- Modified release tablets
Potassium overdose can be fatal.
- Effervescent tablets
Potassium overdose can be fatal.
- Effervescent tablets
- Oral solution
Can be purchased from a pharmacy
- Tablets
65mg tablets. Tablets can be quartered.
- Tablets for cutaneous solution
For EXTERNAL USE only.
DO NOT add to repeat prescription and ensure patient/carer is aware of need to dilute before use and harmful if swallowed.
Use in Primary Care - only on recommendation from dermatology or tissue viability nurse.
- Pessaries
- Vaginal gel
- Eye drops (preservative free)
- Eye drops (preservative free
- unit dose)
- Intravitreal injection
- Intravenous infusion
https://www.toxbase.org. Stock not held by Surrey Trusts. Available from regional centres. Refer to TOXBASE / NPIS for advice
- Tablets
- Modified release tablets
- Not Specified
- Immediate release tablets
- Pessaries
- Tablets
- Tablets
- Not Specified
- Tablets
- Tablets
- Tablets
- Soluble tablets
- Oral solution
- Enteric coated tablets
- Tablets
- Soluble tablets
- Oral solution
- Enteric coated tablets
- Tablets
Recommended in NICE NG191 if dexamethasone is unsuitable
- Eye drops
- Eye drops (preservative free
- unit dose)
- Tablets
- Soluble tablets
- Oral solution
- Gastro-resistant tablets
Enteric coated tablets - non-formulary
- Foam enema
- Tablets
- Soluble tablets
Not a preferred formulation. Ordinary tablets can be dispersed in water. Only use a dispersible tablet where a patient is unable to disperse an ordinary tablet.
- Oral solution
Reserved for patients with fine bore NG tube or patients who require doses of less than 5mg which could otherwise be obtained from a dispersing an ordinary 5mg tablet.
An option in paeds who cannot tolerate the taste of dispersible tablets.
- Enteric coated tablets
- Ear drops
- Capsules
- Oral solution
- Capsules
Off-label use.
Off-label use
- Not Specified
- Not Specified
- Capsules
- Oral solution
- Modified release tablets
- Capsules
- Powder
- Not Specified
- Cartridges
- Injection
- Solution for injection
3% prilocaine with felypressin 0.54micrograms/mL in 2.2mL cartridge
Injection prior to LLETZ procedure or cervical biopsy
- Tablets
- Tablets
- Tablets
Named-patient supply only
- Sachets (powder)
- Oral drops
For use with neonates only
- Not Specified
- Injection
- Powder
Prescribe on advice from specialist e.g. dietitian
- Liquid
- Buccal tablets
- Intramuscular injection (IM)
- Tablets
- Oral solution
- Tablets
- Injection
- Tablets
- Injection
- Tablets
- Tablets
- Buccal/sublingual
- Buccal tablets
- Oral solution
- Tablets
- Ointment
- Suppositories
- Intramuscular injection (IM)
- Intravenous injection (IV)
- Tablets
PALLIATIVE CARE - Primary Care prescribing on advice from palliative care specialist team.
- Tablets
SABP specialist initiation and stabilisation for at least one month before any request for transfer of prescribing responsibility.
Tablets are the preferred treatment option.
See PAD for additional safety advice.
- Oral solution
SABP specialist initiation and stabilisation for at least one month before any request for transfer of prescribing responsibility.
Tablets are the preferred treatment option. Reserve oral solution for patients unable to swallow the tablets.
See PAD for additional safety information.
- Injection
- Oral solution
- Tablets
- Not Specified
- Capsules
- Pessaries
Progesterone pessaries have not been agreed for use as endometrial protection.
- Pessaries
Initiation by specialist team before any request is made for primary care prescribing.
- Pessaries
Initiation by specialist team before any request is made for primary care prescribing.
- Vaginal capsules
- Pessaries
SASH use Cyclogest pessaries. Off-label use.
- Pessaries
Off-label use. In women who experience bleeding in early pregnancy and those who have miscarried previously. Specialist only
- Oral solution
- Oral suspension
- Tablets
- Injection
- Oral solution
- Tablets
- Injection
- Tablets
- Oral solution
- Oral solution
- Tablets
- Tablets
1st line treatment option.
- Oral solution
- Tablets
- Tablets
- Eye drops
- Not Specified
- Tablets
Hyoscine butylbromide is the preferred treatment option for smooth muscle spasm.
- Not Specified
- Intravenous infusion
Palliative Care Team only
- Intravenous infusion
Palliative Care Team only
- Modified release capsules
- Oral solution
- Tablets
See PAD page (click on drug name) for information and advice relating ot the risks of prescribing propranolol for patients with anxiety.
- Modified release capsules
- Oral solution
- Tablets
- Modified release capsules
- Oral solution
- Tablets
- Modified release capsules
- Oral solution
- Tablets
- Tablets
- Tablets
- Liquid
Prescribe on advice from specialist e.g. dietitian
- Liquid
Prescribe on advice from specialist e.g. dietitian
- Semi-Solid
Prescribe on advice from specialist e.g. dietitian
- 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
- 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
- Intravenous infusion
- Intravenous injection (IV)
- Not Specified
NHSE commissioned services only. No Surrey Heartlands Trusts are commissioned to provide this.
- Intravenous infusion
Warfarin reversal - restricted to Haematology & ICU Consultants
- Powder
Prescribe on advice from specialist e.g. dietitian
- Injection
- Eye drops (preservative free
- unit dose)
- Tablets
Endoscopy use only
- Tablets
https://www.toxbase.org/ . Stock not held by Surrey Trusts. Available from regional centres. Refer to TOXBASE / NPIS for advice
- Linctus
- Liquid
- Oral solution
- Oral suspension
- Tablets
- Not Specified
- Tablets
- Tablets
- Injection
- Capsules
- 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
- Capsules
- 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