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Musculoskeletal system
Musculoskeletal system / Pain and inflammation in musculoskeletal disorders
  aceclofenac Non-Formulary
  aspirin Amber
  Gastro-resistant tablet
Aspirin (Non-proprietary) Amber
Nu-Seals (Alliance Pharmaceuticals Ltd) Non-Formulary
  Suppository
Aspirin (Non-proprietary) Amber
  celecoxib Amber
  dexketoprofen Non-Formulary
  diclofenac potassium Non-Formulary
  diclofenac sodium Formulary
Diclofenac sodium

Parenteral formulation is for Hospital Prescribing Only.

  Modified-release tablet
Dicloflex 75mg SR (Dexcel-Pharma Ltd) Non-Formulary
Dicloflex Retard (Dexcel-Pharma Ltd) Non-Formulary
  Gastro-resistant tablet
Diclofenac sodium (Non-proprietary) Formulary
  Modified-release capsule
Diclomax Retard (Galen Ltd) Non-Formulary
Diclomax SR (Galen Ltd) Non-Formulary
  Solution for injection
Akis (Flynn Pharma Ltd) Hospital Only
Voltarol (Novartis Pharmaceuticals UK Ltd) Hospital Only
  Suppository
Voltarol (Novartis Pharmaceuticals UK Ltd) Non-Formulary
  etodolac Non-Formulary
  Modified-release tablet
Etolyn (Viatris UK Healthcare Ltd) Non-Formulary
Etopan XL (Sun Pharmaceutical Industries Europe B.V.) Non-Formulary
Lodine SR (Almirall Ltd) Non-Formulary
  etoricoxib Amber
  flurbiprofen Non-Formulary
  ibuprofen Formulary
Ibuprofen

Parenteral formulation is for Hospital Prescribing Only.

  Modified-release tablet
Brufen Retard (Viatris UK Healthcare Ltd) Non-Formulary
  Effervescent granules
Brufen (Viatris UK Healthcare Ltd) Non-Formulary
  Oral suspension
Ibuprofen (Non-proprietary) Formulary
Brufen (Viatris UK Healthcare Ltd) Non-Formulary
Nurofen (Reckitt Benckiser Healthcare (UK) Ltd) Formulary
  indometacin Non-Formulary
  ketoprofen Non-Formulary
  Modified-release capsule
Oruvail (Sanofi) Non-Formulary
  mefenamic acid Formulary
  Oral suspension
Mefenamic acid (Non-proprietary) Formulary
  meloxicam Formulary
  nabumetone Non-Formulary
  naproxen Formulary
  Gastro-resistant tablet
Naproxen (Non-proprietary) Formulary
Naprosyn EC (Atnahs Pharma UK Ltd) Formulary
  piroxicam Non-Formulary
  Orodispersible tablet
Feldene Melt (Pfizer Ltd) Non-Formulary
  sulindac Non-Formulary
  tenoxicam Non-Formulary
  tiaprofenic acid Non-Formulary
Musculoskeletal system / Local inflammation of joints and soft tissue
  dexamethasone Non-Formulary NICE TA229
NICE TA824
NICE TA460
Dexamethasone

Parenteral formulation is for Hospital Prescribing only.

  Solution for injection
Dexamethasone (Non-proprietary) Non-Formulary
  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
  methylprednisolone Amber
Methylprednisolone

Parenteral formulation for the treatment of corticosteroid responsive conditions is for Hospital Prescribing Only.

  Suspension for injection
Depo-Medrone (Pfizer Ltd) Amber
  prednisolone Non-Formulary
  Gastro-resistant tablet
Prednisolone (Non-proprietary) Non-Formulary
  triamcinolone acetonide Amber
  Suspension for injection
Adcortyl Intra-articular / Intradermal (Bristol-Myers Squibb Pharmaceuticals Ltd) Amber
Kenalog (Bristol-Myers Squibb Pharmaceuticals Ltd) Amber
Musculoskeletal system / Soft tissue disorders
  hyaluronidase Hospital Only
  Powder for solution for injection
Hyaluronidase (Non-proprietary) Hospital Only
Musculoskeletal system / Hyperuricaemia and gout
  allopurinol Formulary
  canakinumab Hospital Only
  colchicine Formulary
Colchicine in pericarditis (unlicensed use)

Colchicine use in pericarditis holds the following status on the formulary: Amber - Specialist Initiated.

A clearly defined end date should be specified on the discharge letter from Hospital.

Use in pericarditis is unlicensed; please refer to the GMC ethical guidance on prescribing unlicensed medicines (http://www.gmc-uk.org/guidance/ethical_guidance/14327.asp).

  diclofenac potassium Non-Formulary
  diclofenac sodium Formulary
Diclofenac sodium

Parenteral formulation is for Hospital Prescribing Only.

  Modified-release tablet
Dicloflex 75mg SR (Dexcel-Pharma Ltd) Non-Formulary
Dicloflex Retard (Dexcel-Pharma Ltd) Non-Formulary
  Gastro-resistant tablet
Diclofenac sodium (Non-proprietary) Formulary
  Modified-release capsule
Diclomax Retard (Galen Ltd) Non-Formulary
Diclomax SR (Galen Ltd) Non-Formulary
  Solution for injection
Akis (Flynn Pharma Ltd) Hospital Only
Voltarol (Novartis Pharmaceuticals UK Ltd) Hospital Only
  Suppository
Voltarol (Novartis Pharmaceuticals UK Ltd) Non-Formulary
  etoricoxib Amber
  febuxostat Amber NICE TA164
  indometacin Non-Formulary
  ketoprofen Non-Formulary
  Modified-release capsule
Oruvail (Sanofi) Non-Formulary
  naproxen Formulary
  Gastro-resistant tablet
Naproxen (Non-proprietary) Formulary
Naprosyn EC (Atnahs Pharma UK Ltd) Formulary
  sulindac Non-Formulary
Musculoskeletal system / Arthritis
  abatacept Hospital Only NICE TA195
NICE TA375
NICE TA715
  Solution for injection
Orencia (Bristol-Myers Squibb Pharmaceuticals Ltd, Imported (Germany)) Hospital Only
Orencia ClickJect (Bristol-Myers Squibb Pharmaceuticals Ltd) Hospital Only
  aceclofenac Non-Formulary
  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
  anakinra Hospital Only NICE TA685
  Solution for injection
Kineret (Swedish Orphan Biovitrum Ltd) Hospital Only
  apremilast Hospital Only NICE TA433
NICE TA419
  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' .        

  baricitinib Hospital Only NICE TA466
NICE TA681
NICE TA926
  capsaicin Non-Formulary
Capsaicin

NOTE: Topical capsaicin may be considered as an adjunct to core treatments for knee or hand osteoarthritis in line with NICE CG177 

 

  celecoxib Amber
  certolizumab pegol Hospital Only NICE TA375
NICE TA383
NICE TA415
NICE TA445
NICE TA574
  Solution for injection
Cimzia (UCB Pharma Ltd) Hospital Only
  chloroquine Amber
  Oral solution
Malarivon (Wallace Manufacturing Chemists Ltd) Amber
  ciclosporin Amber 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) Amber
Sandimmun (Novartis Pharmaceuticals UK Ltd) Hospital Only
  Solution for infusion
Sandimmun (Novartis Pharmaceuticals UK Ltd) Hospital Only
  cyclophosphamide Hospital Only
  Powder for solution for injection
Cyclophosphamide (Non-proprietary) Hospital Only
  diclofenac potassium Non-Formulary
  diclofenac sodium Formulary
Diclofenac sodium

Parenteral formulation is for Hospital Prescribing Only.

  Modified-release tablet
Dicloflex 75mg SR (Dexcel-Pharma Ltd) Non-Formulary
Dicloflex Retard (Dexcel-Pharma Ltd) Non-Formulary
  Gastro-resistant tablet
Diclofenac sodium (Non-proprietary) Formulary
  Modified-release capsule
Diclomax Retard (Galen Ltd) Non-Formulary
Diclomax SR (Galen Ltd) Non-Formulary
  Solution for injection
Akis (Flynn Pharma Ltd) Hospital Only
Voltarol (Novartis Pharmaceuticals UK Ltd) Hospital Only
  Suppository
Voltarol (Novartis Pharmaceuticals UK Ltd) Non-Formulary
  etanercept Hospital Only NICE TA103
NICE TA195
NICE TA375
NICE TA715
NICE TA199
NICE TA383
  Solution for injection
Benepali (Biogen Idec Ltd) Hospital Only
Enbrel (Pfizer Ltd) Hospital Only
Enbrel MyClic (Pfizer Ltd) Hospital Only
Erelzi (Sandoz Ltd) Hospital Only
  Powder and solvent for solution for injection
Enbrel (Pfizer Ltd) Hospital Only
  etodolac Non-Formulary
  Modified-release tablet
Etolyn (Viatris UK Healthcare Ltd) Non-Formulary
Etopan XL (Sun Pharmaceutical Industries Europe B.V.) Non-Formulary
Lodine SR (Almirall Ltd) Non-Formulary
  etoricoxib Amber
  filgotinib Hospital Only NICE TA676
NICE TA792
  flurbiprofen Non-Formulary
  glucosamine Non-Formulary
  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
  hydroxychloroquine sulfate Amber
  ibuprofen Formulary
Ibuprofen

Parenteral formulation is for Hospital Prescribing Only.

  Modified-release tablet
Brufen Retard (Viatris UK Healthcare Ltd) Non-Formulary
  Effervescent granules
Brufen (Viatris UK Healthcare Ltd) Non-Formulary
  Oral suspension
Ibuprofen (Non-proprietary) Formulary
Brufen (Viatris UK Healthcare Ltd) Non-Formulary
Nurofen (Reckitt Benckiser Healthcare (UK) Ltd) Formulary
  indometacin Non-Formulary
  infliximab Hospital Only NICE TA134
NICE TA195
NICE TA375
NICE TA715
NICE TA199
NICE TA187
NICE TA163
NICE TA329
NICE TA383
  ketoprofen Non-Formulary
  Modified-release capsule
Oruvail (Sanofi) Non-Formulary
  leflunomide 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' .   

  mefenamic acid Formulary
  Oral suspension
Mefenamic acid (Non-proprietary) Formulary
  meloxicam Formulary
  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
  nabumetone Non-Formulary
  naproxen Formulary
  Gastro-resistant tablet
Naproxen (Non-proprietary) Formulary
Naprosyn EC (Atnahs Pharma UK Ltd) Formulary
  penicillamine Amber
  piroxicam Non-Formulary
  Orodispersible tablet
Feldene Melt (Pfizer Ltd) Non-Formulary
  rituximab Hospital Only 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
  Solution for infusion
MabThera (Roche Products Ltd) Hospital Only
Rixathon (Sandoz Ltd) Hospital Only
Truxima (Celltrion Healthcare UK Ltd) Hospital Only
  secukinumab Hospital Only NICE TA350
NICE TA407
NICE TA719
NICE TA445
NICE TA935
  Solution for injection
Cosentyx (Novartis Pharmaceuticals UK Ltd) Hospital Only
  sulfasalazine Shared Care
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) Shared Care
Salazopyrin EN (Pfizer Ltd) Shared Care
  Oral suspension
Sulfasalazine (Non-proprietary) Shared Care
  sulindac Non-Formulary
  tenoxicam Non-Formulary
  tiaprofenic acid Non-Formulary
  tocilizumab Hospital Only NICE TA375
NICE TA247
NICE TA518
NICE TA878
  Solution for injection
RoActemra (Roche Products Ltd) Hospital Only
  Solution for infusion
RoActemra (Roche Products Ltd) Hospital Only
  tofacitinib Hospital Only NICE TA480
NICE TA543
NICE TA920
NICE TA547
  upadacitinib Hospital Only NICE TA665
NICE TA744
NICE TA768
NICE TA829
NICE TA861
NICE TA814
NICE TA856
NICE TA905
  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
Musculoskeletal system / Neuromuscular disorders
  riluzole Shared Care NICE TA20
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' . 

Musculoskeletal system / Myasthenia gravis and Lambert-Eaton myasthenic syndrome
  amifampridine Hospital Only
  neostigmine Amber
Neostigmine

Parenteral formulation is for Hospital Prescribing Only.

  Solution for injection
Neostigmine (Non-proprietary) Hospital Only
  pyridostigmine bromide Amber
Musculoskeletal system / Nocturnal leg cramps
  quinine Formulary
Musculoskeletal system / Myotonic disorders
  mexiletine Hospital Only NICE TA748
Musculoskeletal system / Spasticity
  baclofen Amber
BACLOFEN

Parenteral formulation is for Hospital Prescribing Only.

  Oral solution
Baclofen (Non-proprietary) Amber
Lioresal (Novartis Pharmaceuticals UK Ltd) Non-Formulary
Lyflex (Rosemont Pharmaceuticals Ltd) Non-Formulary
  Solution for injection
Baclofen (Non-proprietary) Hospital Only
Lioresal (Novartis Pharmaceuticals UK Ltd) Hospital Only
  Solution for infusion
Baclofen (Non-proprietary) Hospital Only
Lioresal (Novartis Pharmaceuticals UK Ltd) Hospital Only
  cannabis extract Hospital Only
  Spray
Sativex (GW Pharma Ltd) Hospital Only
SHARED CARE GUIDELINES - National Hospital of Neurology and Neurosurgery

Please note: Sativex may be recommended by Specialists from the National Hospital of Neurology and Neurosurgery for Multiple Sclerosis related Spasticity.

A shared care guideline is available from the hospital to continue prescribing if clinically appropriate.

The shared care guideline may be accessed on Clarity here: https://teamnet.clarity.co.uk/Library/ViewItem/1a3a20a6-da4f-41cf-b189-adb100eecdd6

  dantrolene sodium Amber
  diazepam Formulary
Diazepam

Parenteral formulation is for Hospital Prescribing Only.

  Oral suspension
Diazepam (Non-proprietary) Formulary
  Oral solution
Diazepam (Non-proprietary) Formulary
  Solution for injection
Diazepam (Non-proprietary) Hospital Only
  methocarbamol Non-Formulary
  tizanidine Amber