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Musculoskeletal system
Musculoskeletal system / Pain and inflammation in musculoskeletal disorders
  aceclofenac NON-FORMULARY
  aspirin NON-FORMULARY
  Gastro-resistant tablet
Aspirin (Non-proprietary) NON-FORMULARY
Nu-Seals (Alliance Pharmaceuticals Ltd) NON-FORMULARY
  Suppository
Aspirin (Non-proprietary) NON-FORMULARY
  celecoxib SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
  dexketoprofen NON-FORMULARY
  diclofenac potassium NON-FORMULARY
  diclofenac sodium FORMULARY PRODUCT
  Modified-release tablet
Dicloflex 75mg SR (Dexcel-Pharma Ltd) NON-FORMULARY
Dicloflex Retard (Dexcel-Pharma Ltd) NON-FORMULARY
Enstar XL (Ennogen Pharma Ltd) NON-FORMULARY
  Solution for injection
Akis (Flynn Pharma Ltd) HOSPITAL ONLY PRESCRIBING
Voltarol (Novartis Pharmaceuticals UK Ltd) HOSPITAL ONLY PRESCRIBING
  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 SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
  flurbiprofen NON-FORMULARY
  ibuprofen FORMULARY PRODUCT
  Orodispersible tablet
Nurofen Meltlets (Reckitt Benckiser Healthcare (UK) Ltd) NON-FORMULARY
  Modified-release tablet
Brufen Retard (Viatris UK Healthcare Ltd) NON-FORMULARY
  Modified-release capsule
Ibuprofen (Non-proprietary) NON-FORMULARY
  Effervescent granules
Brufen (Viatris UK Healthcare Ltd) NON-FORMULARY
  Oral suspension
Ibuprofen (Non-proprietary) FORMULARY PRODUCT
Brufen (Viatris UK Healthcare Ltd) NON-FORMULARY
Nurofen (Reckitt Benckiser Healthcare (UK) Ltd) NON-FORMULARY
  indometacin NON-FORMULARY
  ketoprofen NON-FORMULARY
  Modified-release capsule
Oruvail (Sanofi) NON-FORMULARY
  mefenamic acid FORMULARY PRODUCT
  meloxicam FORMULARY PRODUCT
  nabumetone NON-FORMULARY
  naproxen FORMULARY PRODUCT
  Gastro-resistant tablet
Naproxen (Non-proprietary) NON-FORMULARY
Naprosyn EC (Atnahs Pharma UK Ltd) NON-FORMULARY
  Oral suspension
Naproxen (Non-proprietary) NON-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 SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines NICE TA229
NICE TA824
NICE TA460
  Oral solution
Dexamethasone (Non-proprietary) SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
  Solution for injection
Dexamethasone (Non-proprietary) HOSPITAL ONLY PRESCRIBING
Palliative Care Injectables

According to the East London Health and Care Partnership HOSPITAL ONLY PRESCRIBING LIST this is UNSUITABLE for prescribing in Primary Care unless for Palliative care indication.

  hydrocortisone
  Solution for injection
Hydrocortisone (Non-proprietary) HOSPITAL ONLY PRESCRIBING
  methylprednisolone NON-FORMULARY
  Powder and solvent for solution for injection
Solu-Medrone (Pfizer Ltd) HOSPITAL ONLY PRESCRIBING
  Suspension for injection
Depo-Medrone (Pfizer Ltd) HOSPITAL ONLY PRESCRIBING
  prednisolone SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
  Gastro-resistant tablet
Prednisolone (Non-proprietary) SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
Dilacort (Crescent Pharma Ltd) NON-FORMULARY
  Oral solution
Prednisolone (Non-proprietary) SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
  Suppository
Prednisolone (Non-proprietary) SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
  triamcinolone acetonide SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
  Suspension for injection
Adcortyl Intra-articular / Intradermal (Bristol-Myers Squibb Pharmaceuticals Ltd) SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
Kenalog (Bristol-Myers Squibb Pharmaceuticals Ltd) NON-FORMULARY
Musculoskeletal system / Soft tissue disorders
  hyaluronidase HOSPITAL ONLY PRESCRIBING
  Powder for solution for injection
Hyaluronidase (Non-proprietary) HOSPITAL ONLY PRESCRIBING
Musculoskeletal system / Hyperuricaemia and gout
  allopurinol FORMULARY PRODUCT
  canakinumab HOSPITAL ONLY PRESCRIBING
  Solution for injection
Ilaris (Novartis Pharmaceuticals UK Ltd) HOSPITAL ONLY PRESCRIBING
  colchicine FORMULARY PRODUCT
Cochicine for Pericarditis (unlicensed)

Colchicine holds the following formulary status for use in pericarditis: Amber- Specilaist Initiated with continiation in primary care with no shared care.

 

A clearly defined end date should be specified in the hospital letter as course is normally for 3 months.

 

 

  diclofenac potassium NON-FORMULARY
  diclofenac sodium
  Solution for injection
Akis (Flynn Pharma Ltd) HOSPITAL ONLY PRESCRIBING
Voltarol (Novartis Pharmaceuticals UK Ltd) HOSPITAL ONLY PRESCRIBING
  etoricoxib SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
  febuxostat SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines NICE TA164
  indometacin NON-FORMULARY
  ketoprofen NON-FORMULARY
  naproxen FORMULARY PRODUCT
  Gastro-resistant tablet
Naproxen (Non-proprietary) NON-FORMULARY
Naprosyn EC (Atnahs Pharma UK Ltd) NON-FORMULARY
  Oral suspension
Naproxen (Non-proprietary) NON-FORMULARY
  sulindac NON-FORMULARY
Musculoskeletal system / Arthritis
  abatacept HOSPITAL ONLY PRESCRIBING NICE TA195
NICE TA375
NICE TA715
  Solution for injection
Orencia (Bristol-Myers Squibb Pharmaceuticals Ltd, Imported (Germany)) HOSPITAL ONLY PRESCRIBING
Orencia ClickJect (Bristol-Myers Squibb Pharmaceuticals Ltd) HOSPITAL ONLY PRESCRIBING
  aceclofenac NON-FORMULARY
  adalimumab HOSPITAL ONLY PRESCRIBING 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 PRESCRIBING
  anakinra HOSPITAL ONLY PRESCRIBING NICE TA685
  Solution for injection
Kineret (Swedish Orphan Biovitrum Ltd) HOSPITAL ONLY PRESCRIBING
  apremilast HOSPITAL ONLY PRESCRIBING NICE TA433
NICE TA419
  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

  baricitinib HOSPITAL ONLY PRESCRIBING NICE TA466
NICE TA681
NICE TA926
  capsaicin NON-FORMULARY
NHS England Rubefacents

NHS England Guidance (Dec-17):

  • Do not initiate rubefacents (excluding NSAIDs) for any new patient - no clinical advantage
  • Please click here for further guidance on deprescribing or switching
  • Please note that topical NON-STEROIDAL ANTI-INFLAMMATORY DRUGS (NSAIDs) can continue to be prescribed where it is clinically appropriate.

Resource: Patient leaflet explaining NHS Changes to rubefacents prescribing

  celecoxib SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
  certolizumab pegol HOSPITAL ONLY PRESCRIBING NICE TA375
NICE TA383
NICE TA415
NICE TA445
NICE TA574
  Solution for injection
Cimzia (UCB Pharma Ltd) HOSPITAL ONLY PRESCRIBING
  chloroquine SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
  Oral solution
Malarivon (Wallace Manufacturing Chemists Ltd) SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
  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
  cyclophosphamide
  Powder for solution for injection
Cyclophosphamide (Non-proprietary) HOSPITAL ONLY PRESCRIBING
  diclofenac potassium NON-FORMULARY
  diclofenac sodium FORMULARY PRODUCT
  Modified-release tablet
Dicloflex 75mg SR (Dexcel-Pharma Ltd) NON-FORMULARY
Dicloflex Retard (Dexcel-Pharma Ltd) NON-FORMULARY
Enstar XL (Ennogen Pharma Ltd) NON-FORMULARY
  Solution for injection
Akis (Flynn Pharma Ltd) HOSPITAL ONLY PRESCRIBING
Voltarol (Novartis Pharmaceuticals UK Ltd) HOSPITAL ONLY PRESCRIBING
  etanercept HOSPITAL ONLY PRESCRIBING NICE TA103
NICE TA195
NICE TA375
NICE TA715
NICE TA199
NICE TA383
  Solution for injection
Benepali (Biogen Idec Ltd) HOSPITAL ONLY PRESCRIBING
Enbrel (Pfizer Ltd) HOSPITAL ONLY PRESCRIBING
Enbrel MyClic (Pfizer Ltd) HOSPITAL ONLY PRESCRIBING
Erelzi (Sandoz Ltd) HOSPITAL ONLY PRESCRIBING
  Powder and solvent for solution for injection
Enbrel (Pfizer Ltd) HOSPITAL ONLY PRESCRIBING
  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 SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
  flurbiprofen NON-FORMULARY
  glucosamine NON-FORMULARY
  golimumab HOSPITAL ONLY PRESCRIBING NICE TA220
NICE TA375
NICE TA225
NICE TA383
NICE TA497
NICE TA329
  Solution for injection
Simponi (Merck Sharp & Dohme (UK) Ltd) HOSPITAL ONLY PRESCRIBING
  guselkumab HOSPITAL ONLY PRESCRIBING NICE TA521
NICE TA815
  hydroxychloroquine sulfate SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
  ibuprofen FORMULARY PRODUCT
  Orodispersible tablet
Nurofen Meltlets (Reckitt Benckiser Healthcare (UK) Ltd) NON-FORMULARY
  Modified-release tablet
Brufen Retard (Viatris UK Healthcare Ltd) NON-FORMULARY
  Modified-release capsule
Ibuprofen (Non-proprietary) NON-FORMULARY
  Effervescent granules
Brufen (Viatris UK Healthcare Ltd) NON-FORMULARY
  Oral suspension
Ibuprofen (Non-proprietary) FORMULARY PRODUCT
Brufen (Viatris UK Healthcare Ltd) NON-FORMULARY
Nurofen (Reckitt Benckiser Healthcare (UK) Ltd) NON-FORMULARY
  indometacin NON-FORMULARY
  infliximab HOSPITAL ONLY PRESCRIBING 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 SPECIALIST INITIATED- Primary care to continue with Shared Care Guidelines
  mefenamic acid FORMULARY PRODUCT
  Oral suspension
Mefenamic acid (Non-proprietary) FORMULARY PRODUCT
  meloxicam FORMULARY PRODUCT
  methotrexate SPECIALIST INITIATED- Primary care to continue with Shared Care Guidelines
METHOTREXATE FOR ARTHRITIS IN CHILDREN

Methotrexate is HOSPITAL ONLY for arthritis in children.

Injection formulations are HOSPITAL ONLY.

Shared Care Guideline

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' .  

 

Shared Care Guideline

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
Methotrexate (Non-proprietary) SPECIALIST INITIATED- Primary care to continue with Shared Care Guidelines
  Solution for injection
Methotrexate (Non-proprietary) HOSPITAL ONLY PRESCRIBING
Methofill (Accord-UK Ltd) HOSPITAL ONLY PRESCRIBING
Metoject PEN (medac UK) HOSPITAL ONLY PRESCRIBING
Nordimet (Nordic Pharma Ltd) HOSPITAL ONLY PRESCRIBING
Zlatal (Nordic Pharma Ltd) HOSPITAL ONLY PRESCRIBING
  Solution for infusion
Methotrexate (Non-proprietary) HOSPITAL ONLY PRESCRIBING
  nabumetone NON-FORMULARY
  naproxen FORMULARY PRODUCT
  Gastro-resistant tablet
Naproxen (Non-proprietary) NON-FORMULARY
Naprosyn EC (Atnahs Pharma UK Ltd) NON-FORMULARY
  Oral suspension
Naproxen (Non-proprietary) NON-FORMULARY
  penicillamine SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
  piroxicam NON-FORMULARY
  Orodispersible tablet
Feldene Melt (Pfizer Ltd) NON-FORMULARY
  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
  sulfasalazine SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
  Gastro-resistant tablet
Sulfasalazine (Non-proprietary) SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
Salazopyrin EN (Pfizer Ltd) SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
  Oral suspension
Sulfasalazine (Non-proprietary) SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
  Suppository
Salazopyrin (Pfizer Ltd) SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
  sulindac NON-FORMULARY
  tenoxicam NON-FORMULARY
  tiaprofenic acid NON-FORMULARY
  tocilizumab HOSPITAL ONLY PRESCRIBING NICE TA375
NICE TA247
NICE TA518
NICE TA878
  Solution for injection
RoActemra (Roche Products Ltd) HOSPITAL ONLY PRESCRIBING
  Solution for infusion
RoActemra (Roche Products Ltd) HOSPITAL ONLY PRESCRIBING
  tofacitinib HOSPITAL ONLY PRESCRIBING NICE TA480
NICE TA543
NICE TA920
NICE TA547
  upadacitinib HOSPITAL ONLY PRESCRIBING NICE TA665
NICE TA744
NICE TA768
NICE TA829
NICE TA861
NICE TA814
NICE TA856
NICE TA905
Upadacitinib for Crohn's Disease

Last line targeted therapy for patients who experienced treatment failure and/or when other targeted therapies currently approved by NICE are not suitable

Upadacitinib for Active ankylosing spondylitis (TA829)

Active ankylosing spondylitis that is not controlled well enough with conventional therapy in adults, only if tumour necrosis factor (TNF)-alpha inhibitors are not suitable or do not control the condition well enough.

  ustekinumab HOSPITAL ONLY PRESCRIBING NICE TA180
NICE TA340
NICE TA456
NICE TA633
  Solution for injection
Stelara (Janssen-Cilag Ltd) HOSPITAL ONLY PRESCRIBING
  Solution for infusion
Stelara (Janssen-Cilag Ltd) HOSPITAL ONLY PRESCRIBING
Musculoskeletal system / Neuromuscular disorders
  riluzole SPECIALIST INITIATED- Primary care to continue with Shared Care Guidelines 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' .

 

  Oral suspension
Teglutik (Martindale Pharmaceuticals Ltd) SPECIALIST INITIATED- Primary care to continue with Shared Care Guidelines
Musculoskeletal system / Myasthenia gravis and Lambert-Eaton myasthenic syndrome
  amifampridine HOSPITAL ONLY PRESCRIBING
  neostigmine SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
NEOSTIGMINE

PARENTERAL FORMULATION IS FOR HOSPITAL PRESCRIBING ONLY

  pyridostigmine bromide SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
Musculoskeletal system / Nocturnal leg cramps
  quinine FORMULARY PRODUCT
Musculoskeletal system / Myotonic disorders
  mexiletine HOSPITAL ONLY PRESCRIBING NICE TA748
Musculoskeletal system / Spasticity
  baclofen SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
BACLOFEN

PARENTERAL FORMULATION IS FOR HOSPITAL PRESCRIBING ONLY

  Oral solution
Baclofen (Non-proprietary) SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
Lioresal (Novartis Pharmaceuticals UK Ltd) SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
Lyflex (Rosemont Pharmaceuticals Ltd) SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
  Solution for injection
Baclofen (Non-proprietary) HOSPITAL ONLY PRESCRIBING
Lioresal (Novartis Pharmaceuticals UK Ltd) HOSPITAL ONLY PRESCRIBING
  Solution for infusion
Baclofen (Non-proprietary) HOSPITAL ONLY PRESCRIBING
Lioresal (Novartis Pharmaceuticals UK Ltd) HOSPITAL ONLY PRESCRIBING
  cannabis extract HOSPITAL ONLY PRESCRIBING
  Spray
Sativex (GW Pharma Ltd) HOSPITAL ONLY PRESCRIBING
SHARED CARE GUIDELINES - National Hospital of Neurology and Neurosurgery

Please note, Sativex recommended by specialist from National Hospital of Neurology and Neuroscience for Multiple Sclerosis related Spasticity, can be prescribed in primary care under shared care agreement. The shared care guideline can be accessed by Click here

  dantrolene sodium SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
  Powder for solution for injection
Dantrium (Forum Health Products Ltd) SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
  diazepam SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
  Oral suspension
Diazepam (Non-proprietary) SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
  Oral solution
Diazepam (Non-proprietary) SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines
  Solution for injection
Diazepam (Non-proprietary) HOSPITAL ONLY PRESCRIBING
  methocarbamol NON-FORMULARY
  tizanidine SPECIALIST INITIATED- Primary care to continue with no Shared Care Guidelines