| 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:
|
|||||
|
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. |
|||||
| 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. |
|||||
| 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. |
|||||
| 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. |
|||||
| 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. |
|||||
| 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. |
|||||
| 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 | ||||