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Immune system
Immune system / Immune system disorders and transplantation
  antithymocyte immunoglobulin (rabbit) HOSPITAL ONLY PRESCRIBING NICE TA481
  Solution for infusion
Antithymocyte immunoglobulin (rabbit) (Non-proprietary) HOSPITAL ONLY PRESCRIBING
  Powder and solvent for solution for infusion
Thymoglobulin (Sanofi) HOSPITAL ONLY PRESCRIBING
  avacopan HOSPITAL ONLY PRESCRIBING NICE TA825
Avacopan for Severe active granulomatosis with polyangiitis or microscopic polyangiitis (TA825)

Adults. Avacopan with a cyclophosphamide or rituximab regimen is recommended, within its marketing authorisation
  azathioprine SPECIALIST INITIATED- Primary care to continue with Shared Care Guidelines
AZATHIOPRINE - HOSPITAL ONLY INDICATIONS

Azathioprine is HOSPITAL ONLY for SEVERE ATOPIC DERMATITIS and RENAL TRANSPLANTATION
  basiliximab HOSPITAL ONLY PRESCRIBING NICE TA481
  Powder and solvent for solution for injection
Simulect (Novartis Pharmaceuticals UK Ltd) HOSPITAL ONLY PRESCRIBING
  belatacept HOSPITAL ONLY PRESCRIBING NICE TA481
  belimumab HOSPITAL ONLY PRESCRIBING NICE TA752
  Powder for solution for infusion
Benlysta (GlaxoSmithKline UK Ltd) HOSPITAL ONLY PRESCRIBING
  canakinumab HOSPITAL ONLY PRESCRIBING
  Solution for injection
Ilaris (Novartis Pharmaceuticals UK Ltd) HOSPITAL ONLY PRESCRIBING
  ciclosporin SPECIALIST INITIATED- Primary care to continue with Shared Care Guidelines NICE TA369
CICLOSPORIN (NEORAL)

Ciclosporin (Neoral) is HOSPITAL ONLY for renal transplant patients and severe resistant childhood psoriasis and atopic eczema
  Oral solution
Neoral (Novartis Pharmaceuticals UK Ltd) SPECIALIST INITIATED- Primary care to continue with Shared Care Guidelines
Sandimmun (Novartis Pharmaceuticals UK Ltd) SPECIALIST INITIATED- Primary care to continue with Shared Care Guidelines
  Solution for infusion
Sandimmun (Novartis Pharmaceuticals UK Ltd) HOSPITAL ONLY PRESCRIBING
  everolimus HOSPITAL ONLY PRESCRIBING NICE TA421
NICE TA432
NICE TA449
Afinitor® NICE TA498
Certican® NICE TA348
Certican® NICE TA481
  hydroxychloroquine sulfate SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
  mycophenolate mofetil HOSPITAL ONLY PRESCRIBING NICE TA481
NICE TA481
Formulary Status

Mycophenolate Mofetil is HOSPITAL ONLY for organ transplantation

 Mycophenolate is AMBER (specialist recommended and initiated – primary care to continue with no Shared Care Guidelines) for immune system disorders
  Gastro-resistant tablet
Mycophenolate mofetil (Non-proprietary) HOSPITAL ONLY PRESCRIBING
Ceptava (Sandoz Ltd) HOSPITAL ONLY PRESCRIBING
Myfortic (Novartis Pharmaceuticals UK Ltd) HOSPITAL ONLY PRESCRIBING
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 suspension
CellCept (Roche Products Ltd) HOSPITAL ONLY PRESCRIBING
  rituximab HOSPITAL ONLY PRESCRIBING NICE TA308
NICE TA195
NICE TA243
NICE TA137
NICE TA193
NICE TA226
NICE TA174
NICE TA359
NICE TA561
  Solution for injection
MabThera (Roche Products Ltd) HOSPITAL ONLY PRESCRIBING
  Solution for infusion
MabThera (Roche Products Ltd) HOSPITAL ONLY PRESCRIBING
Rixathon (Sandoz Ltd) HOSPITAL ONLY PRESCRIBING
Truxima (Celltrion Healthcare UK Ltd) HOSPITAL ONLY PRESCRIBING
  sirolimus SPECIALIST INITIATED- Primary care to continue with Shared Care Guidelines NICE TA481
  Oral solution
Rapamune (Pfizer Ltd) SPECIALIST INITIATED- Primary care to continue with Shared Care Guidelines
  tacrolimus SPECIALIST INITIATED- Primary care to continue with Shared Care Guidelines NICE TA82
NICE TA481
NICE TA481
TACROLIMUS IN RENAL TRANSPLANTATION

Tacrolimus is HOSPITAL ONLY for use inr enal transplantation
TACROLIMUS

Tacrolimus is HOSPITAL ONLY for renal transplantation
  Modified-release tablet
Envarsus (Chiesi Ltd) SPECIALIST INITIATED- Primary care to continue with Shared Care Guidelines
  Modified-release capsule
Advagraf (Astellas Pharma Ltd) SPECIALIST INITIATED- Primary care to continue with Shared Care Guidelines
  Solution for infusion
Prograf (Astellas Pharma Ltd) HOSPITAL ONLY PRESCRIBING
Immune system / Multiple sclerosis
  alemtuzumab HOSPITAL ONLY PRESCRIBING NICE TA312
  Solution for infusion
Lemtrada (Sanofi) HOSPITAL ONLY PRESCRIBING
  cladribine HOSPITAL ONLY PRESCRIBING NICE TA616
  Solution for injection
Litak (Lipomed GmbH) HOSPITAL ONLY PRESCRIBING
  Solution for infusion
Leustat (Atnahs Pharma UK Ltd) HOSPITAL ONLY PRESCRIBING
  dimethyl fumarate HOSPITAL ONLY PRESCRIBING
Skilarence® NICE TA475
Tecfidera® NICE TA320
  Gastro-resistant tablet
Skilarence (Almirall Ltd) HOSPITAL ONLY PRESCRIBING
  Gastro-resistant capsule
Tecfidera (Biogen Idec Ltd) HOSPITAL ONLY PRESCRIBING
  fampridine HOSPITAL ONLY PRESCRIBING
  Modified-release tablet
Fampyra (Biogen Idec Ltd) HOSPITAL ONLY PRESCRIBING
  fingolimod HOSPITAL ONLY PRESCRIBING NICE TA254
  glatiramer acetate HOSPITAL ONLY PRESCRIBING NICE TA527
  Solution for injection
Brabio (Viatris UK Healthcare Ltd) HOSPITAL ONLY PRESCRIBING
Copaxone (Teva UK Ltd) HOSPITAL ONLY PRESCRIBING
  interferon beta HOSPITAL ONLY PRESCRIBING NICE TA527
NICE TA527
  Solution for injection
Avonex (Biogen Idec Ltd) HOSPITAL ONLY PRESCRIBING
Rebif (Merck Serono Ltd) HOSPITAL ONLY PRESCRIBING
  Powder and solvent for solution for injection
Betaferon (Bayer Plc) HOSPITAL ONLY PRESCRIBING
Extavia (Novartis Pharmaceuticals UK Ltd) HOSPITAL ONLY PRESCRIBING
  natalizumab HOSPITAL ONLY PRESCRIBING NICE TA127
  Solution for infusion
Tysabri (Biogen Idec Ltd) HOSPITAL ONLY PRESCRIBING
  ocrelizumab HOSPITAL ONLY PRESCRIBING NICE TA533
NICE TA585
  peginterferon beta-1a HOSPITAL ONLY PRESCRIBING NICE TA624
  Solution for injection
Plegridy (Biogen Idec Ltd) HOSPITAL ONLY PRESCRIBING
  ponesimod HOSPITAL ONLY PRESCRIBING NICE TA767
  teriflunomide HOSPITAL ONLY PRESCRIBING NICE TA303
Immune system / Autoimmune hepatitis
  budesonide HOSPITAL ONLY PRESCRIBING NICE TA708
NHS England OTC nasal sprays

NHS England guidance for CCGs on prescribing of OTC products (Mar-18):

  • Prescriptions for treatment of mild to moderate hay fever should not be routinely offered - appropriate for self-care using OTC treatments

General exceptions listed in guidance include long-term conditions; complex illness; patient group not licensed for OTC product; exceptional circumstances based on clinician’s judgement. See guidance for full list.