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Gastro-intestinal system
Gastro-intestinal system / Inflammatory bowel disease
  adalimumab Hospital Only NICE TA187
NICE TA329
NICE TA199
NICE TA195
NICE TA375
NICE TA715
NICE TA383
NICE TA392
NICE TA146
NICE TA460
  Solution for injection
Humira (AbbVie Ltd) Hospital Only
  azathioprine Shared Care
Azathioprine

Azathioprine is Hospital Only in the following situations:

  • Severe Resistant Childhood Atopic Eczema
  • Renal Transplantation
  • ALL Parenteral formulations

A formal Shared Care Guideline (SCG) may be available.

If it is for the specific condition you are asked to continue treatment for and you are happy to prescribe in accordance with the guideline, then take over the agreed responsibilities including prescribing. Please ensure the document is scanned into the patient's electronic records.

Click here for the Shared Care Guideline Repository

If sufficient information has not been provided and if you do not feel happy to continue to prescribe, it is advisable to refer the patient back to the specialist clinic and complete and send as soon as possible an 'inappropriate prescribing request communication form' .        

  balsalazide sodium Amber
  beclometasone dipropionate Non-Formulary
  Modified-release tablet
Clipper (Chiesi Ltd) Non-Formulary
  budesonide Amber NICE TA708
  Gastro-resistant capsule
Budenofalk (Dr. Falk Pharma UK Ltd) Amber
  Gastro-resistant granules
Budenofalk (Dr. Falk Pharma UK Ltd) Amber
  ciclosporin Hospital Only NICE TA369
Ciclosporin

Parenteral formulation is for Hospital Prescribing Only

 

Ciclosporin eye drops (ikervis) are Amber - Specialist Initiated (please see Clarity TeamNet for the Ikervis Information Sheet for Primary Care Prescribers). 

A formal Shared Care Guideline (SCG) may be available.

If it is for the specific condition you are asked to continue treatment for and you are happy to prescribe in accordance with the guideline, then take over the agreed responsibilities including prescribing. Please ensure the document is scanned into the patient's electronic records.

Click here for the Shared Care Guideline Repository

If sufficient information has not been provided and if you do not feel happy to continue to prescribe, it is advisable to refer the patient back to the specialist clinic and complete and send as soon as possible an 'inappropriate prescribing request communication form' . 

  Oral solution
Neoral (Novartis Pharmaceuticals UK Ltd) Hospital Only
Sandimmun (Novartis Pharmaceuticals UK Ltd) Hospital Only
  Solution for infusion
Sandimmun (Novartis Pharmaceuticals UK Ltd) Hospital Only
  golimumab Hospital Only NICE TA220
NICE TA375
NICE TA225
NICE TA383
NICE TA497
NICE TA329
  Solution for injection
Simponi (Merck Sharp & Dohme (UK) Ltd) Hospital Only
  hydrocortisone Amber
Hydrocortisone

Parenteral formulation is for Hospital Prescribing Only.

  Solution for injection
Hydrocortisone (Non-proprietary) Hospital Only
  Powder for solution for injection
Solu-Cortef (Pfizer Ltd) Hospital Only
  Powder and solvent for solution for injection
Solu-Cortef (Pfizer Ltd) Hospital Only
  infliximab Hospital Only NICE TA134
NICE TA195
NICE TA375
NICE TA715
NICE TA199
NICE TA187
NICE TA163
NICE TA329
NICE TA383
  mercaptopurine Shared Care
A formal Shared Care Guideline (SCG) may be available.

Mercaptopurine is AMBER SHARED CARE for Inflammatory Bowel Disease ONLY.

If it is for the specific condition you are asked to continue treatment for and you are happy to prescribe in accordance with the guideline, then take over the agreed responsibilities including prescribing. Please ensure the document is scanned into the patient's electronic records.

Click here for the Shared Care Guideline Repository

If sufficient information has not been provided and if you do not feel happy to continue to prescribe, it is advisable to refer the patient back to the specialist clinic and complete and send as soon as possible an 'inappropriate prescribing request communication form' . 

   

  mesalazine Amber
  Modified-release tablet
Mezavant XL (Takeda UK Ltd) Amber
Pentasa (Ferring Pharmaceuticals Ltd) Amber
  Gastro-resistant tablet
Octasa MR (Tillotts Pharma UK Ltd) Amber
Salofalk (Dr. Falk Pharma UK Ltd) Amber
  Modified-release granules
Pentasa (Ferring Pharmaceuticals Ltd) Amber
Salofalk (Dr. Falk Pharma UK Ltd) Amber
  Suppository
Pentasa (Ferring Pharmaceuticals Ltd) Amber
Salofalk (Dr. Falk Pharma UK Ltd) Amber
  methotrexate Shared Care
Methotrexate

Parenteral formulation is for Hospital Prescribing Only.  

A formal Shared Care Guideline (SCG) may be available.

If it is for the specific condition you are asked to continue treatment for and you are happy to prescribe in accordance with the guideline, then take over the agreed responsibilities including prescribing. Please ensure the document is scanned into the patient's electronic records.

Click here for the Shared Care Guideline Repository

If sufficient information has not been provided and if you do not feel happy to continue to prescribe, it is advisable to refer the patient back to the specialist clinic and complete and send as soon as possible an 'inappropriate prescribing request communication form' .   

  Solution for injection
Methotrexate (Non-proprietary) Hospital Only
Methofill (Accord-UK Ltd) Hospital Only
Metoject PEN (medac UK) Hospital Only
Nordimet (Nordic Pharma Ltd) Hospital Only
Zlatal (Nordic Pharma Ltd) Hospital Only
  Solution for infusion
Methotrexate (Non-proprietary) Hospital Only
  olsalazine sodium Non-Formulary
  prednisolone Formulary
  Gastro-resistant tablet
Prednisolone (Non-proprietary) Formulary
  Oral solution
Prednisolone (Non-proprietary) Non-Formulary
  Suppository
Prednisolone (Non-proprietary) Formulary
  sulfasalazine Amber
Arthritis - A formal Shared Care Guideline (SCG) may be available.

If it is for the specific condition you are asked to continue treatment for and you are happy to prescribe in accordance with the guideline, then take over the agreed responsibilities including prescribing. Please ensure the document is scanned into the patient's electronic records.

Click here for the Shared Care Guideline Repository

If sufficient information has not been provided and if you do not feel happy to continue to prescribe, it is advisable to refer the patient back to the specialist clinic and complete and send as soon as possible an 'inappropriate prescribing request communication form' .   

  Gastro-resistant tablet
Sulfasalazine (Non-proprietary) Amber
Salazopyrin EN (Pfizer Ltd) Amber
  Oral suspension
Sulfasalazine (Non-proprietary) Amber
  Suppository
Salazopyrin (Pfizer Ltd) Amber
  tofacitinib Hospital Only NICE TA480
NICE TA543
NICE TA920
NICE TA547
  ustekinumab Hospital Only NICE TA180
NICE TA340
NICE TA456
NICE TA633
  Solution for injection
Stelara (Janssen-Cilag Ltd) Hospital Only
  Solution for infusion
Stelara (Janssen-Cilag Ltd) Hospital Only
  vedolizumab Hospital Only NICE TA352
NICE TA342
Gastro-intestinal system / Irritable bowel syndrome
  alverine citrate Non-Formulary
  linaclotide Non-Formulary
  mebeverine hydrochloride Formulary
  Modified-release capsule
Mebeverine hydrochloride (Non-proprietary) Formulary
Colofac MR (Viatris UK Healthcare Ltd) Formulary
  Oral suspension
Mebeverine hydrochloride (Non-proprietary) Formulary
  peppermint oil Formulary
  Modified-release capsule
Colpermin (Johnson & Johnson Ltd) Formulary
  Gastro-resistant capsule
Peppermint oil (Non-proprietary) Formulary
Mintec (Almirall Ltd) Formulary
Gastro-intestinal system / Short bowel syndrome
  cimetidine Non-Formulary
  Oral solution
Cimetidine (Non-proprietary) Non-Formulary
Tagamet (Rosemont Pharmaceuticals Ltd) Non-Formulary
Gastro-intestinal system / Food allergy
  chlorphenamine maleate Formulary
Chlorphenamine

Parenteral formulation is for Hospital Prescribing Only.

  Oral solution
Piriton (Haleon UK Ltd) Non-Formulary
  Solution for injection
Chlorphenamine maleate (Non-proprietary) Hospital Only
  sodium cromoglicate Amber
Gastro-intestinal system / Anal fissures
  glyceryl trinitrate Formulary
  Rectal ointment
Rectogesic (Kyowa Kirin International UK NewCo Ltd) Formulary
  lidocaine hydrochloride Formulary
Lidocaine Medicated Plasters

As per the national recommendations from the 2017 NHSE consultation on Medicines of Limited Value, Lidocaine Medicated-Plasters are HOSPITAL ONLY, EXCEPT for post herpetic neuralgia (PHN) only for which they are AMBER.

Local anaesthesia

All medicinal formulations are formulary EXCEPT plasters which are not licensed.  

 

 
 

  Ointment
Lidocaine hydrochloride (Non-proprietary) Formulary
Gastro-intestinal system / Haemorrhoids
  benzyl benzoate with bismuth oxide, bismuth subgallate, hydrocortisone acetate, peru balsam and zinc oxide Formulary
  Suppository
Benzyl benzoate with bismuth oxide, bismuth subgallate, hydrocortisone acetate, peru balsam and zinc oxide (Non-proprietary) Formulary
  cinchocaine with hydrocortisone Non-Formulary
  Suppository
Proctosedyl (Phoenix Labs Ltd) Non-Formulary
Uniroid HC (Chemidex Pharma Ltd) Non-Formulary
  cinchocaine with prednisolone Non-Formulary
  phenol Non-Formulary
  Solution for injection
Phenol (Non-proprietary) Non-Formulary
Gastro-intestinal system / Bowel cleansing
  bisacodyl Formulary
  Gastro-resistant tablet
Bisacodyl (Non-proprietary) Formulary
  citric acid with magnesium carbonate Non-Formulary
  docusate sodium Formulary
  macrogol 3350 with anhydrous sodium sulfate, ascorbic acid, potassium chloride, sodium ascorbate and sodium chloride Non-Formulary
  Form unstated
Moviprep (Forum Health Products Ltd) Non-Formulary
  magnesium citrate with sodium picosulfate Non-Formulary
  magnesium sulfate Non-Formulary
Gastro-intestinal system / Constipation
  arachis oil Formulary
  bisacodyl Formulary
  Gastro-resistant tablet
Bisacodyl (Non-proprietary) Formulary
  co-danthramer Non-Formulary
  Oral suspension
Co-danthramer (Non-proprietary) Non-Formulary
  co-danthrusate Non-Formulary
  Oral suspension
Co-danthrusate (Non-proprietary) Non-Formulary
  docusate sodium Formulary
  Oral solution
Docusate sodium (Non-proprietary) Formulary
Docusol (Typharm Ltd) Formulary
  glycerol Formulary
  Suppository
Glycerol (Non-proprietary) Formulary
  ispaghula husk Formulary
  Effervescent granules
Ispagel (Bristol Laboratories Ltd) Formulary
  lactulose Formulary
  Oral solution
Lactulose (Non-proprietary) Formulary
  liquid paraffin Non-Formulary
  Liquid
Liquid paraffin (Non-proprietary) Non-Formulary
  macrogol 3350 Formulary
  macrogol 3350 with potassium chloride, sodium bicarbonate and sodium chloride Formulary
  Oral solution
Movicol (Forum Health Products Ltd) Non-Formulary
  magnesium hydroxide Non-Formulary
  Oral suspension
Magnesium hydroxide (Non-proprietary) Non-Formulary
Phillips' Milk of Magnesia (Omega Pharma Ltd) Non-Formulary
  methylnaltrexone bromide Hospital Only
  Solution for injection
Relistor (Bausch & Lomb UK Ltd) Hospital Only
  prucalopride Formulary NICE TA211
  senna Formulary
  Oral solution
Senokot (Reckitt Benckiser Healthcare (UK) Ltd) Non-Formulary
  sodium citrate Non-Formulary
  sodium picosulfate Non-Formulary
  Oral solution
Sodium picosulfate (Non-proprietary) Non-Formulary
  sterculia Non-Formulary
  sterculia with frangula Non-Formulary
Gastro-intestinal system / Biliary disorders
  borneol with camphene, cineole, menthol, menthone and pinene Non-Formulary
  Gastro-resistant capsule
Rowachol (Meadow Laboratories Ltd) Non-Formulary
  colestyramine Amber
  ursodeoxycholic acid Formulary
  Oral suspension
Ursofalk (Dr. Falk Pharma UK Ltd) Formulary
Gastro-intestinal system / Hepatic encephalopathy
  lactulose Formulary
  Oral solution
Lactulose (Non-proprietary) Formulary
  rifaximin Amber NICE TA337
  Oral suspension
Rifaximin (Non-proprietary) Amber
Gastro-intestinal system / Oesophageal varices
  terlipressin acetate Hospital Only
  Solution for injection
Terlipressin acetate (Non-proprietary) Hospital Only
Glypressin (Ferring Pharmaceuticals Ltd) Hospital Only
  vasopressin Hospital Only
  Solution for injection
Vasopressin (Non-proprietary) Hospital Only
Gastro-intestinal system / Obesity
  liraglutide Hospital Only NICE TA664
Liraglutide (Saxenda) for managing overweight and obesity

Liraglutide (Saxenda) is for hospital only prescribing when used in the management of overweight and obesity, alongside a reduced-calorie diet and increased physical activity in adults. 

For further information please refer to the recommendations from NICE TA664 (liraglutide for managing overweight and obesity).

 

  Solution for injection
Saxenda (Novo Nordisk Ltd) Hospital Only
  orlistat Formulary
Gastro-intestinal system / Diarrhoea
  co-phenotrope Non-Formulary
  codeine phosphate Formulary
Codeine Phosphate

Parenteral formulation is for Hospital Prescribing Only.

  Oral solution
Codeine phosphate (Non-proprietary) Formulary
Galcodine (Thornton & Ross Ltd) Non-Formulary
  colestyramine Amber
  loperamide hydrochloride Formulary
  Orodispersible tablet
Imodium (McNeil Products Ltd) Non-Formulary
Gastro-intestinal system / Gastro-intestinal smooth muscle spasm
  alverine citrate Non-Formulary
  atropine sulfate Hospital Only
Atropine

Parenteral formulation is for Hospital Prescribing Only.

  dicycloverine hydrochloride Formulary
  Oral solution
Dicycloverine hydrochloride (Non-proprietary) Formulary
  hyoscine butylbromide Formulary
  Solution for injection
Buscopan (Sanofi Consumer Healthcare) Amber
  mebeverine hydrochloride Formulary
  Oral suspension
Mebeverine hydrochloride (Non-proprietary) Formulary
  propantheline bromide Non-Formulary
Gastro-intestinal system / Exocrine pancreatic insufficiency
  pancreatin Shared Care
A formal Shared Care Guideline (SCG) may be available.

If it is for the specific condition you are asked to continue treatment for and you are happy to prescribe in accordance with the guideline, then take over the agreed responsibilities including prescribing. Please ensure the document is scanned into the patient's electronic records.

Click here for the Shared Care Guideline Repository

If sufficient information has not been provided and if you do not feel happy to continue to prescribe, it is advisable to refer the patient back to the specialist clinic and complete and send as soon as possible an 'inappropriate prescribing request communication form' . 
 

  Gastro-resistant capsule
Creon (Viatris UK Healthcare Ltd) Shared Care
A formal Shared Care Guideline (SCG) may be available.

If it is for the specific condition you are asked to continue treatment for and you are happy to prescribe in accordance with the guideline, then take over the agreed responsibilities including prescribing. Please ensure the document is scanned into the patient's electronic records.

Click here for the Shared Care Guideline Repository

If sufficient information has not been provided and if you do not feel happy to continue to prescribe, it is advisable to refer the patient back to the specialist clinic and complete and send as soon as possible an 'inappropriate prescribing request communication form' . 
 

Nutrizym (Zentiva Pharma UK Ltd) Shared Care
A formal Shared Care Guideline (SCG) may be available.

If it is for the specific condition you are asked to continue treatment for and you are happy to prescribe in accordance with the guideline, then take over the agreed responsibilities including prescribing. Please ensure the document is scanned into the patient's electronic records.

Click here for the Shared Care Guideline Repository

If sufficient information has not been provided and if you do not feel happy to continue to prescribe, it is advisable to refer the patient back to the specialist clinic and complete and send as soon as possible an 'inappropriate prescribing request communication form' . 
 

  Gastro-resistant granules
Creon (Viatris UK Healthcare Ltd) Shared Care
A formal Shared Care Guideline (SCG) may be available.

If it is for the specific condition you are asked to continue treatment for and you are happy to prescribe in accordance with the guideline, then take over the agreed responsibilities including prescribing. Please ensure the document is scanned into the patient's electronic records.

Click here for the Shared Care Guideline Repository

If sufficient information has not been provided and if you do not feel happy to continue to prescribe, it is advisable to refer the patient back to the specialist clinic and complete and send as soon as possible an 'inappropriate prescribing request communication form' . 
 

Gastro-intestinal system / Dyspepsia
  alginic acid Formulary
  co-magaldrox Formulary
  Oral suspension
Mucogel (Rosemont Pharmaceuticals Ltd) Formulary
  co-simalcite Non-Formulary
  magnesium carbonate Non-Formulary
  magnesium trisilicate Formulary
  simeticone Non-Formulary
  Oral suspension
Infacol (Teva UK Ltd) Non-Formulary
  Oral drops
Dentinox Infant (Dendron Brands Ltd) Non-Formulary
  simeticone with aluminium hydroxide and magnesium hydroxide
  Oral suspension
Maalox Plus (Sanofi Consumer Healthcare) Non-Formulary
  sodium alginate with potassium bicarbonate Formulary
  Chewable tablet
Gaviscon Advance (Reckitt Benckiser Healthcare (UK) Ltd) Formulary
  Oral suspension
Acidex Advance (Wockhardt UK Ltd) Formulary
Gaviscon Advance (Reckitt Benckiser Healthcare (UK) Ltd) Formulary
Gastro-intestinal system / Gastric and duodenal ulceration
  cimetidine Non-Formulary
  Oral solution
Cimetidine (Non-proprietary) Non-Formulary
Tagamet (Rosemont Pharmaceuticals Ltd) Non-Formulary
  esomeprazole Formulary
Esomeprazole

Parenteral formulation is for Hospital Prescribing Only.

  Gastro-resistant tablet
Esomeprazole (Non-proprietary) Formulary
Nexium (Grunenthal Ltd, Haleon UK Ltd) Non-Formulary
  Gastro-resistant capsule
Esomeprazole (Non-proprietary) Formulary
Emozul (Krka UK Ltd) Formulary
  Gastro-resistant granules
Nexium (Grunenthal Ltd) Non-Formulary
  Powder for solution for injection
Esomeprazole (Non-proprietary) Hospital Only
Nexium (Grunenthal Ltd) Hospital Only
  famotidine Non-Formulary
  lansoprazole Formulary
  Orodispersible tablet
Lansoprazole (Non-proprietary) Formulary
Zoton FasTab (Pfizer Ltd) Non-Formulary
  Gastro-resistant capsule
Lansoprazole (Non-proprietary) Formulary
  misoprostol Non-Formulary
  nizatidine Non-Formulary
  omeprazole Formulary
Omeprazole

Parenteral formulation is for Hospital Prescribing Only.

 

  Gastro-resistant tablet
Omeprazole (Non-proprietary) Formulary
Losec MUPS (Neon Healthcare Ltd) Non-Formulary
  Gastro-resistant capsule
Omeprazole (Non-proprietary) Formulary
Losec (Neon Healthcare Ltd) Non-Formulary
  pantoprazole Formulary
Pantoprazole

Parenteral formulation is for Hospital Prescribing Only.

  Gastro-resistant tablet
Pantoprazole (Non-proprietary) Formulary
  Powder for solution for injection
Pantoprazole (Non-proprietary) Hospital Only
Protium (Takeda UK Ltd) Hospital Only
  rabeprazole sodium Non-Formulary
  Gastro-resistant tablet
Rabeprazole sodium (Non-proprietary) Non-Formulary
Pariet (Eisai Ltd) Non-Formulary
  ranitidine Formulary
Ranitidine

Parenteral formulation is for Hospital Prescribing Only.

  sucralfate Non-Formulary
Gastro-intestinal system / Gastro-oesophageal reflux disease
  cimetidine Non-Formulary
  Oral solution
Cimetidine (Non-proprietary) Non-Formulary
Tagamet (Rosemont Pharmaceuticals Ltd) Non-Formulary
  esomeprazole Formulary
Esomeprazole

Parenteral formulation is for Hospital Prescribing Only.

  Gastro-resistant tablet
Esomeprazole (Non-proprietary) Formulary
Nexium (Grunenthal Ltd, Haleon UK Ltd) Non-Formulary
  Gastro-resistant capsule
Esomeprazole (Non-proprietary) Formulary
Emozul (Krka UK Ltd) Formulary
  Gastro-resistant granules
Nexium (Grunenthal Ltd) Non-Formulary
  Powder for solution for injection
Esomeprazole (Non-proprietary) Hospital Only
Nexium (Grunenthal Ltd) Hospital Only
  famotidine Non-Formulary
  lansoprazole Formulary
  Orodispersible tablet
Lansoprazole (Non-proprietary) Formulary
Zoton FasTab (Pfizer Ltd) Non-Formulary
  Gastro-resistant capsule
Lansoprazole (Non-proprietary) Formulary
  nizatidine Non-Formulary
  omeprazole Formulary
Omeprazole

Parenteral formulation is for Hospital Prescribing Only.

 

  Gastro-resistant tablet
Omeprazole (Non-proprietary) Formulary
Losec MUPS (Neon Healthcare Ltd) Non-Formulary
  Gastro-resistant capsule
Omeprazole (Non-proprietary) Formulary
Losec (Neon Healthcare Ltd) Non-Formulary
  pantoprazole Formulary
Pantoprazole

Parenteral formulation is for Hospital Prescribing Only.

  Gastro-resistant tablet
Pantoprazole (Non-proprietary) Formulary
  Powder for solution for injection
Pantoprazole (Non-proprietary) Hospital Only
Protium (Takeda UK Ltd) Hospital Only
  rabeprazole sodium Non-Formulary
  Gastro-resistant tablet
Rabeprazole sodium (Non-proprietary) Non-Formulary
Pariet (Eisai Ltd) Non-Formulary
  sodium alginate with calcium carbonate and sodium bicarbonate Formulary
  Oral suspension
Sodium alginate with calcium carbonate and sodium bicarbonate (Non-proprietary) Formulary
Acidex (Pinewood Healthcare) Formulary
Gaviscon (Reckitt Benckiser Healthcare (UK) Ltd) Formulary
Peptac (Teva UK Ltd) Formulary