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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
Where positive NICE Technology Appraisal(s) apply to this medicine

This medicine is recommended for use at Homerton Healthcare NHS Foundation Trust provided it is used specifically in accordance with the relevant current NICE Technology Appraisal(s).

  Solution for injection
Adalimumab (Non-proprietary)
Amgevita (Amgen Ltd)
Humira (AbbVie Ltd) Hospital only
ADALIMUMAB

Dose escalation of Adalimumab is approved for Crohn's disease and ulcerative colitis

Hyrimoz (Sandoz Ltd)
Idacio (Fresenius Kabi Ltd)
Imraldi (Biogen Idec Ltd)
Yuflyma (Celltrion Healthcare UK Ltd)
  azathioprine Shared care guideline
A formal Shared Care Guideline (SCG) may be available

Happy to prescribe

If you are asked to continue treatment for a specific condition for which a shared care guideline is available and you are happy to prescribe in accordance with the guidance then take over the agreed responsibilities, including prescribing. Please obtain a copy of the SCG from secondary care or via the link below. 

Unhappy to prescribe

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

  Oral suspension
Jayempi (Nova Laboratories Ltd)
  Oral tablet
Azathioprine (Non-proprietary)
Imuran (Aspen Pharma Trading Ltd)
  balsalazide sodium Specialist knowledge/initiation
  Oral capsule
Colazide (Almirall Ltd)
  beclometasone dipropionate Hospital only
Us of beclometasone modified release tablets

Oral beclometasone modified release tablets should only be used as second-line option (after prednisolone tablets) for the treatment of mild or moderate ulcerative colitis in active phase of left-sided or extensive UC. This would be used as add-on therapy to 5-ASA containing drugs in patients who are non-responders to 5-ASA therapy. The full 4 week therapy cycle must be prescribed by secondary care.

  Modified-release tablet
Clipper (Chiesi Ltd) Hospital only
Us of beclometasone modified release tablets

Oral beclometasone modified release tablets should only be used as second-line option (after prednisolone tablets) for the treatment of mild or moderate ulcerative colitis in active phase of left-sided or extensive UC. This would be used as add-on therapy to 5-ASA containing drugs in patients who are non-responders to 5-ASA therapy. The full 4 week therapy cycle must be prescribed by secondary care.

  Pressurised inhalation
Beclu (Lupin Healthcare (UK) Ltd)
Clenil Modulite (Chiesi Ltd)
Kelhale (Cipla EU Ltd)
Qvar (Teva UK Ltd)
Qvar Autohaler (Teva UK Ltd)
Qvar Easi-Breathe (Teva UK Ltd)
Soprobec (Glenmark Pharmaceuticals Europe Ltd)
  Inhalation powder
Easyhaler (Orion Pharma (UK) Ltd)
  Spray
Beclometasone dipropionate (Non-proprietary)
Beconase (GlaxoSmithKline UK Ltd, Omega Pharma Ltd)
Nasobec (Teva UK Ltd)
  Cutaneous ointment
Beclometasone dipropionate (Non-proprietary)
  Cutaneous cream
Beclometasone dipropionate (Non-proprietary)
  budesonide Specialist knowledge/initiation NICE TA708
NICE TA937
JPG decision

October 2019 - The Joint Prescribing Group approved the use of Jorveza (orodispersible budesonide) for the treatment of eosinophilic oesophagitis. 

  • Formulary status: Hospital only 
  • Jorveza® should only be prescribed in patients who have failed to respond to (or unable to have) a proton pump inhibitor, swallowed fluticasone and food elimination diet.
  • The full 12-week course is to be supplied by secondary care via an outpatient prescription.

NICE also published a TA in June 2021 and recommended the use of budesonide orodispersible tablet for inducing remission of eosinophilic oesophagitis.

  Orodispersible tablet
Jorveza (Dr. Falk Pharma UK Ltd)
JPG decision

October 2019 - The Joint Prescribing Group approved the use of Jorveza (orodispersible budesonide) for the treatment of eosinophilic oesophagitis. 

  • Formulary status: Hospital only 
  • Jorveza® should only be prescribed in patients who have failed to respond to (or unable to have) a proton pump inhibitor, swallowed fluticasone and food elimination diet.
  • The full 12-week course is to be supplied by secondary care via an outpatient prescription.

NICE also published a TA in June 2021 and recommended the use of budesonide orodispersible tablet for inducing remission of eosinophilic oesophagitis.

  Modified-release tablet
Cortiment (Ferring Pharmaceuticals Ltd) Specialist knowledge/initiation
  Modified-release capsule
Budesonide (Non-proprietary)
Kinpeygo (Genus Pharmaceuticals Holdings Ltd)
  Gastro-resistant capsule
Budenofalk (Dr. Falk Pharma UK Ltd) Specialist knowledge/initiation
  Gastro-resistant granules
Budenofalk (Dr. Falk Pharma UK Ltd) Specialist knowledge/initiation
  Inhalation powder
Budelin Novolizer (Viatris UK Healthcare Ltd)
Easyhaler (Orion Pharma (UK) Ltd)
Pulmicort Turbohaler (AstraZeneca UK Ltd)
  Nebuliser liquid
Budesonide (Non-proprietary)
Pulmicort Respules (AstraZeneca UK Ltd)
  Enema
Entocort (Tillotts Pharma UK Ltd)
  Spray
Budesonide (Non-proprietary)
  Rectal foam
Budenofalk (Dr. Falk Pharma UK Ltd)
  ciclosporin Shared care guideline NICE TA369
A formal Shared Care Guideline (SCG) may be available

Happy to prescribe

If you are asked to continue treatment for a specific condition for which a shared care guideline is available and you are happy to prescribe in accordance with the guidance then take over the agreed responsibilities, including prescribing. Please obtain a copy of the SCG from secondary care or via the link below. 

Unhappy to prescribe

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

  Oral solution
Neoral (Novartis Pharmaceuticals UK Ltd) Shared care guideline
A formal Shared Care Guideline (SCG) may be available

Happy to prescribe

If you are asked to continue treatment for a specific condition for which a shared care guideline is available and you are happy to prescribe in accordance with the guidance then take over the agreed responsibilities, including prescribing. Please obtain a copy of the SCG from secondary care or via the link below. 

Unhappy to prescribe

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

Sandimmun (Novartis Pharmaceuticals UK Ltd) Shared care guideline
A formal Shared Care Guideline (SCG) may be available

Happy to prescribe

If you are asked to continue treatment for a specific condition for which a shared care guideline is available and you are happy to prescribe in accordance with the guidance then take over the agreed responsibilities, including prescribing. Please obtain a copy of the SCG from secondary care or via the link below. 

Unhappy to prescribe

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

  Solution for infusion
Sandimmun (Novartis Pharmaceuticals UK Ltd) Hospital only
  Eye drops
Ikervis (Santen UK Ltd)
Verkazia (Santen UK Ltd)
  Oral capsule
Ciclosporin (Non-proprietary)
Capimune (Viatris UK Healthcare Ltd)
Capsorin (Morningside Healthcare Ltd)
Deximune (Dexcel-Pharma Ltd)
Neoral (Novartis Pharmaceuticals UK Ltd)
Sandimmun (Novartis Pharmaceuticals UK Ltd)
Vanquoral (Teva UK Ltd)
  etrasimod NICE TA956
  Oral tablet
Etrasimod (Non-proprietary)
  filgotinib Hospital only NICE TA676
NICE TA792
  Oral tablet
Jyseleca (Galapagos Biotech Ltd) Hospital only
  golimumab Hospital only NICE TA220
NICE TA375
NICE TA225
NICE TA383
NICE TA497
NICE TA329
Where positive NICE Technology Appraisal(s) apply to this medicine

This medicine is recommended for use at Homerton Healthcare NHS Foundation Trust provided it is used specifically in accordance with the relevant current NICE Technology Appraisal(s).

  Solution for injection
Simponi (Merck Sharp & Dohme (UK) Ltd) Hospital only
GOLIMUMAB

The JPG agreed to approve this medicine for use at Homerton University Hospital, Foundation Trust provided it is used in accordance with the relevant NICE TA(s).

  hydrocortisone Specialist knowledge/initiation
  Soluble tablet
Hydrocortisone (Non-proprietary)
  Muco-adhesive buccal tablet
Hydrocortisone (Non-proprietary)
  Modified-release tablet
Plenadren (Takeda UK Ltd)
  Modified-release capsule
Efmody (Diurnal Ltd)
  Oral solution
Hydrocortisone (Non-proprietary)
  Solution for injection
Hydrocortisone (Non-proprietary)
  Powder for solution for injection
Hydrocortisone (Non-proprietary)
Solu-Cortef (Pfizer Ltd)
  Powder and solvent for solution for injection
Hydrocortisone (Non-proprietary)
Solu-Cortef (Pfizer Ltd)
  Eye drops
Softacort (Thea Pharmaceuticals Ltd)
  Oral tablet
Hydrocortisone (Non-proprietary)
Hydventia (OcXia)
  Cutaneous ointment
Hydrocortisone (Non-proprietary)
  Oral granules
Alkindi (Diurnal Ltd)
  Cutaneous cream
Hydrocortisone (Non-proprietary)
Dermacort (Marlborough Pharmaceuticals Ltd)
Hc45 (Karo Healthcare UK Ltd)
  infliximab Hospital only NICE TA134
NICE TA195
NICE TA375
NICE TA715
NICE TA199
NICE TA187
NICE TA163
NICE TA329
NICE TA383
Biosimilar

Remsima® (biosimilar infliximab) is the formulary choice brand for infliximab.

Where positive NICE Technology Appraisal(s) apply to this medicine

This medicine is recommended for use at Homerton Healthcare NHS Foundation Trust provided it is used specifically in accordance with the relevant current NICE Technology Appraisal(s).

  Solution for injection
Remsima (Celltrion Healthcare UK Ltd) Hospital only
  Powder for solution for infusion
Flixabi (Biogen Idec Ltd)
Inflectra (Pfizer Ltd)
Remicade (Merck Sharp & Dohme (UK) Ltd)
Remsima (Celltrion Healthcare UK Ltd)
Zessly (Sandoz Ltd)
  mercaptopurine Shared care guideline
A formal Shared Care Guideline (SCG) may be available

Happy to prescribe

If you are asked to continue treatment for a specific condition for which a shared care guideline is available and you are happy to prescribe in accordance with the guidance then take over the agreed responsibilities, including prescribing. Please obtain a copy of the SCG from secondary care or via the link below. 

Unhappy to prescribe

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

  Oral suspension
Xaluprine (Nova Laboratories Ltd)
  Oral tablet
Mercaptopurine (Non-proprietary)
Hanixol (Fontus Health Ltd)
  mesalazine Specialist knowledge/initiation
Preferred brand of 400mg and 800mg mesalazine gastro-resistant tablets

Jan 2023 - The North East London Formulary & Pathways Group (FPG) approved Octasa® as the preferred cost-effective 400mg and 800mg mesalazine gastro-resistant tablets for use in North East London.

  • Patients needing 400mg and 800mg mesalazine gastro-resistant tablets should be prescribed Octasa® 400mg and 800mg tablets instead of Asacol® or generic prescription.
  • Patients needing 500mg and 1g gastro-resistant tablets should remain on their current brand as Octasa® is not suitable. 

  Modified-release tablet
Mezavant XL (Takeda UK Ltd) Specialist knowledge/initiation
Brand prescribing recommended

Although generic prescribing is encouraged, there are some circumstances in which it is preferable to prescribe by brand name, these include where:

  • there are differences in bioavailability between brands of the same medicine
  • modified-release (MR) preparations that are not interchangeable
  • administration devices have different instructions for use and patient familiarity with one product is important
  • there are important differences in formulation between brands of the same medicine
  • branded and generic preparations have different licensed indications
  • products contain more than one ingredient and brand-name prescribing aids identification.

Please prescribe this product by brand.

Pentasa (Ferring Pharmaceuticals Ltd) Specialist knowledge/initiation
Brand prescribing recommended

Although generic prescribing is encouraged, there are some circumstances in which it is preferable to prescribe by brand name, these include where:

  • there are differences in bioavailability between brands of the same medicine
  • modified-release (MR) preparations that are not interchangeable
  • administration devices have different instructions for use and patient familiarity with one product is important
  • there are important differences in formulation between brands of the same medicine
  • branded and generic preparations have different licensed indications
  • products contain more than one ingredient and brand-name prescribing aids identification.

Please prescribe this product by brand.

  Gastro-resistant tablet
Mesalazine (Non-proprietary)
Asacol (AbbVie Ltd)
Octasa MR (Tillotts Pharma UK Ltd) Specialist knowledge/initiation
Brand prescribing recommended

Although generic prescribing is encouraged, there are some circumstances in which it is preferable to prescribe by brand name, these include where:

  • there are differences in bioavailability between brands of the same medicine
  • modified-release (MR) preparations that are not interchangeable
  • administration devices have different instructions for use and patient familiarity with one product is important
  • there are important differences in formulation between brands of the same medicine
  • branded and generic preparations have different licensed indications
  • products contain more than one ingredient and brand-name prescribing aids identification.

Please prescribe this product by brand.

Salcrozine (Galen Ltd)
Salofalk (Dr. Falk Pharma UK Ltd) Specialist knowledge/initiation
Brand prescribing recommended

Although generic prescribing is encouraged, there are some circumstances in which it is preferable to prescribe by brand name, these include where:

  • there are differences in bioavailability between brands of the same medicine
  • modified-release (MR) preparations that are not interchangeable
  • administration devices have different instructions for use and patient familiarity with one product is important
  • there are important differences in formulation between brands of the same medicine
  • branded and generic preparations have different licensed indications
  • products contain more than one ingredient and brand-name prescribing aids identification.

Please prescribe this product by brand.

Zintasa (Morningside Healthcare Ltd)
  Modified-release granules
Pentasa (Ferring Pharmaceuticals Ltd) Specialist knowledge/initiation
Brand prescribing recommended

Although generic prescribing is encouraged, there are some circumstances in which it is preferable to prescribe by brand name, these include where:

  • there are differences in bioavailability between brands of the same medicine
  • modified-release (MR) preparations that are not interchangeable
  • administration devices have different instructions for use and patient familiarity with one product is important
  • there are important differences in formulation between brands of the same medicine
  • branded and generic preparations have different licensed indications
  • products contain more than one ingredient and brand-name prescribing aids identification.

Please prescribe this product by brand.

Salofalk (Dr. Falk Pharma UK Ltd) Specialist knowledge/initiation
Brand prescribing recommended

Although generic prescribing is encouraged, there are some circumstances in which it is preferable to prescribe by brand name, these include where:

  • there are differences in bioavailability between brands of the same medicine
  • modified-release (MR) preparations that are not interchangeable
  • administration devices have different instructions for use and patient familiarity with one product is important
  • there are important differences in formulation between brands of the same medicine
  • branded and generic preparations have different licensed indications
  • products contain more than one ingredient and brand-name prescribing aids identification.

Please prescribe this product by brand.

  Suppository
Octasa (Tillotts Pharma UK Ltd)
Pentasa (Ferring Pharmaceuticals Ltd) Specialist knowledge/initiation
Salofalk (Dr. Falk Pharma UK Ltd) Specialist knowledge/initiation
  Enema
Pentasa (Ferring Pharmaceuticals Ltd)
Salofalk (Dr. Falk Pharma UK Ltd)
  Rectal foam
Salofalk (Dr. Falk Pharma UK Ltd)
  methotrexate Shared care guideline
A formal Shared Care Guideline (SCG) may be available

Happy to prescribe

If you are asked to continue treatment for a specific condition for which a shared care guideline is available and you are happy to prescribe in accordance with the guidance then take over the agreed responsibilities, including prescribing. Please obtain a copy of the SCG from secondary care or via the link below. 

Unhappy to prescribe

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

  Oral solution
Methotrexate (Non-proprietary) Shared care guideline
A formal Shared Care Guideline (SCG) may be available

Happy to prescribe

If you are asked to continue treatment for a specific condition for which a shared care guideline is available and you are happy to prescribe in accordance with the guidance then take over the agreed responsibilities, including prescribing. Please obtain a copy of the SCG from secondary care or via the link below. 

Unhappy to prescribe

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

Jylamvo (Esteve Pharmaceuticals Ltd)
  Solution for injection
Methotrexate (Non-proprietary) Hospital only
Methofill (Accord-UK Ltd)
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
  Oral tablet
Methotrexate (Non-proprietary)
Maxtrex (Pfizer Ltd)
  methylprednisolone
  Powder and solvent for solution for injection
Methylprednisolone (Non-proprietary)
Solu-Medrone (Pfizer Ltd)
  Suspension for injection
Depo-Medrone (Pfizer Ltd)
  Oral tablet
Medrone (Pfizer Ltd)
  mirikizumab Hospital only NICE TA925
Where positive NICE Technology Appraisal(s) apply to this medicine

This medicine is recommended for use at Homerton Healthcare NHS Foundation Trust provided it is used specifically in accordance with the relevant current NICE Technology Appraisal(s).

  Solution for injection
Omvoh (Eli Lilly and Company Ltd) Hospital only
  Solution for infusion
Omvoh (Eli Lilly and Company Ltd) Hospital only
  olsalazine sodium Hospital only
  Oral tablet
Olsalazine sodium (Non-proprietary)
  Oral capsule
Olsalazine sodium (Non-proprietary)
  ozanimod Hospital only NICE TA706
NICE TA828
Where positive NICE Technology Appraisal(s) apply to this medicine

This medicine is recommended for use at Homerton Healthcare NHS Foundation Trust provided it is used specifically in accordance with the relevant current NICE Technology Appraisal(s).

  Oral capsule
Zeposia (Bristol-Myers Squibb Pharmaceuticals Ltd) Hospital only
  prednisolone Joint formulary choice
  Soluble tablet
Prednisolone (Non-proprietary)
  Gastro-resistant tablet
Prednisolone (Non-proprietary) Not approved for prescribing
Dilacort (Crescent Pharma Ltd) Not approved for prescribing
  Oral solution
Prednisolone (Non-proprietary) Joint formulary choice
  Ear/eye drops solution
Prednisolone (Non-proprietary)
  Eye drops
Prednisolone (Non-proprietary)
Pred Forte (AbbVie Ltd)
  Suppository
Prednisolone (Non-proprietary) Joint formulary choice
  Enema
Prednisolone (Non-proprietary)
  Oral tablet
Prednisolone (Non-proprietary)
  Rectal foam
Prednisolone (Non-proprietary)
  risankizumab Hospital only NICE TA596
NICE TA803
NICE TA888
  Solution for injection
Skyrizi (AbbVie Ltd)
  Solution for infusion
Skyrizi (AbbVie Ltd) Hospital only
  sulfasalazine Shared care guideline
A formal Shared Care Guideline (SCG) may be available

Happy to prescribe

If you are asked to continue treatment for a specific condition for which a shared care guideline is available and you are happy to prescribe in accordance with the guidance then take over the agreed responsibilities, including prescribing. Please obtain a copy of the SCG from secondary care or via the link below. 

Unhappy to prescribe

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

  Gastro-resistant tablet
Sulfasalazine (Non-proprietary) Shared care guideline
A formal Shared Care Guideline (SCG) may be available

Happy to prescribe

If you are asked to continue treatment for a specific condition for which a shared care guideline is available and you are happy to prescribe in accordance with the guidance then take over the agreed responsibilities, including prescribing. Please obtain a copy of the SCG from secondary care or via the link below. 

Unhappy to prescribe

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

Salazopyrin EN (Pfizer Ltd) Shared care guideline
A formal Shared Care Guideline (SCG) may be available

Happy to prescribe

If you are asked to continue treatment for a specific condition for which a shared care guideline is available and you are happy to prescribe in accordance with the guidance then take over the agreed responsibilities, including prescribing. Please obtain a copy of the SCG from secondary care or via the link below. 

Unhappy to prescribe

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

  Oral suspension
Sulfasalazine (Non-proprietary) Shared care guideline
A formal Shared Care Guideline (SCG) may be available

Happy to prescribe

If you are asked to continue treatment for a specific condition for which a shared care guideline is available and you are happy to prescribe in accordance with the guidance then take over the agreed responsibilities, including prescribing. Please obtain a copy of the SCG from secondary care or via the link below. 

Unhappy to prescribe

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

  Suppository
Salazopyrin (Pfizer Ltd) Shared care guideline
A formal Shared Care Guideline (SCG) may be available

Happy to prescribe

If you are asked to continue treatment for a specific condition for which a shared care guideline is available and you are happy to prescribe in accordance with the guidance then take over the agreed responsibilities, including prescribing. Please obtain a copy of the SCG from secondary care or via the link below. 

Unhappy to prescribe

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

  Oral tablet
Sulfasalazine (Non-proprietary)
Salazopyrin (Pfizer Ltd)
  tofacitinib Hospital only NICE TA480
NICE TA543
NICE TA920
NICE TA547
  Modified-release tablet
Xeljanz (Pfizer Ltd) Hospital only
  Oral tablet
Xeljanz (Pfizer Ltd) Hospital only
  upadacitinib Hospital only NICE TA665
NICE TA744
NICE TA768
NICE TA829
NICE TA861
NICE TA814
NICE TA856
NICE TA905
North East London Formulary & Pathways Group’s Decision - Upadacitinib for Crohn's disease

April 2023 - The North East London Formulary & Pathways Group (FPG) approved the use of Upadicitinib for the treatment of Crohn's disease under a Free of Charge Scheme. This indication is currently under review by NICE - FPG decision will be reviewed upon publication of the NICE Technology Appraisal. 

  Modified-release tablet
Rinvoq (AbbVie Ltd) Hospital only
  ustekinumab Hospital only NICE TA180
NICE TA340
NICE TA456
NICE TA633
Where positive NICE Technology Appraisal(s) apply to this medicine

This medicine is recommended for use at Homerton Healthcare NHS Foundation Trust provided it is used specifically in accordance with the relevant current NICE Technology Appraisal(s).

  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
Where positive NICE Technology Appraisal(s) apply to this medicine

This medicine is recommended for use at Homerton Healthcare NHS Foundation Trust provided it is used specifically in accordance with the relevant current NICE Technology Appraisal(s).

Where negative or terminated NICE Technology Appraisal(s) apply to this medicine

This medicine is not recommended for use for the indication(s) specified in the relevant NICE Technology Appraisal(s) as currently NICE cannot recommend its use.

  Solution for injection
Entyvio (Takeda UK Ltd) Hospital only
  Powder for solution for infusion
Entyvio (Takeda UK Ltd) Hospital only
Gastro-intestinal system / Irritable bowel syndrome
  alverine citrate Joint formulary choice
  Oral capsule
Alverine citrate (Non-proprietary)
Audmonal (Teva UK Ltd)
Spasmonal (Viatris UK Healthcare Ltd)
  alverine with simeticone
  Oral capsule
SimAlvia (Mayoly UK Ltd)
  linaclotide Joint formulary choice
  Oral capsule
Constella (AbbVie Ltd)
  mebeverine hydrochloride Joint formulary choice
Mebeverine Hydrochloride

Mebeverine oral suspension has NOT been approved for prescribing.

If a liquid preparation of an antispasmodic is required, use dicycloverine liquid

  Modified-release capsule
Mebeverine hydrochloride (Non-proprietary) Joint formulary choice
Aurobeverine MR (Milpharm Ltd) Joint formulary choice
Colofac MR (Viatris UK Healthcare Ltd) Joint formulary choice
  Oral suspension
Mebeverine hydrochloride (Non-proprietary) Not approved for prescribing
  Oral tablet
Mebeverine hydrochloride (Non-proprietary)
Colofac (Viatris UK Healthcare Ltd)
  mebeverine with ispaghula husk Not approved for prescribing
  Effervescent granules
Fybogel Mebeverine (Reckitt Benckiser Healthcare (UK) Ltd) Not approved for prescribing
  peppermint oil Joint formulary choice
  Modified-release capsule
Colpermin (Johnson & Johnson Ltd) Joint formulary choice
  Gastro-resistant capsule
Peppermint oil (Non-proprietary) Joint formulary choice
Buscomint (Sanofi Consumer Healthcare)
ColoPep (TriOn Pharma Ltd)
Colomint (Ambe Ltd) Joint formulary choice
Mintec (Teofarma S.r.l.) Joint formulary choice
PepperMinn (Essential-Healthcare Ltd) Joint formulary choice
Gastro-intestinal system / Short bowel syndrome
  cimetidine Not approved for prescribing
  Oral solution
Cimetidine (Non-proprietary) Not approved for prescribing
Tagamet (Rosemont Pharmaceuticals Ltd) Not approved for prescribing
  Oral tablet
Cimetidine (Non-proprietary)
  teduglutide Non-formulary at HHFT and not suitable for primary care prescribing NICE TA804
Where negative or terminated NICE Technology Appraisal(s) apply to this medicine

This medicine is not recommended for use for the indication(s) specified in the relevant NICE Technology Appraisal(s) as currently NICE cannot recommend its use.

  Powder and solvent for solution for injection
Revestive (Takeda UK Ltd) Non-formulary at HHFT and not suitable for primary care prescribing
Gastro-intestinal system / Food allergy
  chlorphenamine maleate Joint formulary choice
  Oral solution
Chlorphenamine maleate (Non-proprietary) Joint formulary choice
Allerief (Crescent Pharma Ltd) Joint formulary choice
Piriton (Haleon UK Ltd) Joint formulary choice
  Solution for injection
Chlorphenamine maleate (Non-proprietary) Hospital only
  Oral tablet
Chlorphenamine maleate (Non-proprietary) Joint formulary choice
Allerief (Crescent Pharma Ltd)
Hayleve (Genesis Pharmaceuticals Ltd)
Piriton (Haleon UK Ltd)
  sodium cromoglicate Not approved for prescribing
  Oral solution
Sodium cromoglicate (Non-proprietary)
  Eye drops
Sodium cromoglicate (Non-proprietary)
Catacrom (Rayner Pharmaceuticals Ltd)
Eycrom (Aspire Pharma Ltd)
Opticrom (Thornton & Ross Ltd)
  Oral capsule
Sodium cromoglicate (Non-proprietary)
Gastro-intestinal system / Rectal and anal disorders
  diltiazem hydrochloride
Brand prescribing recommended

Although generic prescribing is encouraged, there are some circumstances in which it is preferable to prescribe by brand name, these include where:

  • there are differences in bioavailability between brands of the same medicine
  • modified-release (MR) preparations that are not interchangeable
  • administration devices have different instructions for use and patient familiarity with one product is important
  • there are important differences in formulation between brands of the same medicine
  • branded and generic preparations have different licensed indications
  • products contain more than one ingredient and brand-name prescribing aids identification.

Please prescribe this product by brand.

  Modified-release tablet
Diltiazem hydrochloride (Non-proprietary)
Retalzem (Kent Pharma (UK) Ltd)
Tildiem (Sanofi)
Tildiem Retard (Sanofi)
Zeyam (Ennogen Pharma Ltd)
  Modified-release capsule
Adizem-SR (Napp Pharmaceuticals Ltd)
Adizem-XL (Napp Pharmaceuticals Ltd)
Angitil SR (Ethypharm UK Ltd)
Angitil XL (Ethypharm UK Ltd)
Slozem (Zentiva Pharma UK Ltd)
Tildiem LA (Sanofi)
Viazem XL (Thornton & Ross Ltd)
Zemtard XL (Galen Ltd)
Gastro-intestinal system / Anal fissures
  glyceryl trinitrate Joint formulary choice
  Sublingual tablet
Glyceryl trinitrate (Non-proprietary)
  Sublingual spray
Glyceryl trinitrate (Non-proprietary)
Nitrolingual (Beaumont Pharma Ltd)
  Solution for infusion
Glyceryl trinitrate (Non-proprietary)
Nitronal (Beaumont Pharma Ltd)
  Transdermal patch
Deponit (Forum Health Products Ltd)
Minitran (Viatris UK Healthcare Ltd)
  Rectal ointment
Rectogesic (Kyowa Kirin International UK NewCo Ltd) Joint formulary choice
  lidocaine hydrochloride Not approved for prescribing
  Solution for injection
Lidocaine hydrochloride (Non-proprietary)
  Ointment
Lidocaine hydrochloride (Non-proprietary)
  Spray
Stud 100 (Pound International Ltd)
Xylocaine (Aspen Pharma Trading Ltd)
  Medicated plaster
Ralvo (Grunenthal Ltd)
Versatis (Grunenthal Ltd)
  Cutaneous cream
LMX 4 (Ferndale Pharmaceuticals Ltd)
Vagisil medicated (Combe International Ltd)
Gastro-intestinal system / Haemorrhoids
  benzyl benzoate with bismuth oxide, bismuth subgallate, hydrocortisone acetate, peru balsam and zinc oxide Joint formulary choice
  Suppository
Benzyl benzoate with bismuth oxide, bismuth subgallate, hydrocortisone acetate, peru balsam and zinc oxide (Non-proprietary) Joint formulary choice
  Rectal ointment
Benzyl benzoate with bismuth oxide, bismuth subgallate, hydrocortisone acetate, peru balsam and zinc oxide (Non-proprietary)
  cinchocaine with hydrocortisone Joint formulary choice
  Suppository
Proctosedyl (Phoenix Labs Ltd) Joint formulary choice
Uniroid HC (Essential Generics Ltd) Joint formulary choice
  Rectal ointment
Proctosedyl (Phoenix Labs Ltd)
Uniroid HC (Essential Generics Ltd)
  cinchocaine with prednisolone Not approved for prescribing
  Suppository
Scheriproct (Karo Healthcare UK Ltd) Not approved for prescribing
  Rectal ointment
Scheriproct (Karo Healthcare UK Ltd)
  hydrocortisone with lidocaine Joint formulary choice
  Cutaneous ointment
Xyloproct (Aspen Pharma Trading Ltd)
  phenol Not approved for prescribing
  Solution for injection
Phenol (Non-proprietary) Not approved for prescribing
Gastro-intestinal system / Bowel cleansing
  bisacodyl Joint formulary choice
  Gastro-resistant tablet
Bisacodyl (Non-proprietary) Joint formulary choice
Dulco-Lax (Sanofi Consumer Healthcare) Not approved for prescribing
  Suppository
Dulco-Lax (Sanofi Consumer Healthcare) Not approved for prescribing
  citric acid with magnesium carbonate
  Effervescent powder
Citramag (Cambridge Healthcare Supplies Ltd)
  docusate sodium Joint formulary choice
  Oral solution
Docusate sodium (Non-proprietary) Joint formulary choice
Docusol (Typharm Ltd) Joint formulary choice
  Ear drops
Molcer (Wallace Manufacturing Chemists Ltd)
Waxsol (Viatris UK Healthcare Ltd)
  Enema
Norgalax (Essential Pharma Ltd)
  Oral capsule
Dioctyl (Teofarma S.r.l.)
  macrogol 3350 with anhydrous sodium sulfate, ascorbic acid, potassium chloride, sodium ascorbate and sodium chloride Hospital only
  Form unstated
Moviprep (Forum Health Products Ltd) Hospital only
Plenvu (Forum Health Products Ltd) Hospital only
  macrogol 3350 with anhydrous sodium sulfate, potassium chloride, sodium bicarbonate and sodium chloride Hospital only
  magnesium citrate with sodium picosulfate Hospital only
  Powder for oral solution
CitraFleet (Recordati Pharmaceuticals Ltd)
Picolax (Ferring Pharmaceuticals Ltd)
  magnesium sulfate Not approved for prescribing
  Solution for injection
Magnesium sulfate (Non-proprietary)
  Solution for infusion
Magnesium sulfate (Non-proprietary)
  Powder
Magnesium sulfate (Non-proprietary)
Gastro-intestinal system / Constipation
  arachis oil Hospital only
  Enema
Arachis oil (Non-proprietary)
  bisacodyl Joint formulary choice
  Gastro-resistant tablet
Bisacodyl (Non-proprietary) Joint formulary choice
Dulco-Lax (Sanofi Consumer Healthcare) Not approved for prescribing
  Suppository
Dulco-Lax (Sanofi Consumer Healthcare) Not approved for prescribing
  co-danthramer Specialist knowledge/initiation
  Oral suspension
Co-danthramer (Non-proprietary) Specialist knowledge/initiation
  co-danthrusate Not approved for prescribing
  Oral suspension
Co-danthrusate (Non-proprietary) Not approved for prescribing
  docusate sodium Joint formulary choice
  Oral solution
Docusate sodium (Non-proprietary) Joint formulary choice
Docusol (Typharm Ltd) Joint formulary choice
  Ear drops
Molcer (Wallace Manufacturing Chemists Ltd)
Waxsol (Viatris UK Healthcare Ltd)
  Enema
Norgalax (Essential Pharma Ltd)
  Oral capsule
Dioctyl (Teofarma S.r.l.)
  glycerol Joint formulary choice
  Suppository
Glycerol (Non-proprietary) Joint formulary choice
  ispaghula husk Joint formulary choice
  Effervescent granules
Ispaghula husk (Non-proprietary)
Fybogel (Reckitt Benckiser Healthcare (UK) Ltd)
Fybogel Hi-Fibre (Reckitt Benckiser Healthcare (UK) Ltd)
Ispagel (Bristol Laboratories Ltd) Joint formulary choice
  Granules for oral suspension
Ispaghula husk (Non-proprietary)
  lactulose Joint formulary choice
  Oral solution
Lactulose (Non-proprietary) Joint formulary choice
  liquid paraffin Not approved for prescribing
  Oral liquid
Liquid paraffin (Non-proprietary)
  macrogol 3350 Joint formulary choice
  Powder for oral solution
TransiSoft (Mayoly UK Ltd)
  macrogol 3350 with potassium chloride, sodium bicarbonate and sodium chloride Joint formulary choice
  Oral solution
Movicol (Forum Health Products Ltd) Joint formulary choice
  Powder for oral solution
Macrogol 3350 with potassium chloride, sodium bicarbonate and sodium chloride (Non-proprietary)
CosmoCol (Stirling Anglian Pharmaceuticals Ltd)
Laxido (Galen Ltd)
Molaxole (Viatris UK Healthcare Ltd)
Movicol (Forum Health Products Ltd, Norgine Pharmaceuticals Ltd)
Strigol (Strides Pharma UK Ltd)
  magnesium hydroxide Not approved for prescribing
  Oral suspension
Magnesium hydroxide (Non-proprietary) Not approved for prescribing
Phillips' Milk of Magnesia (Omega Pharma Ltd) Not approved for prescribing
  methylnaltrexone bromide Non-formulary at HHFT and not suitable for primary care prescribing
  Solution for injection
Relistor (Bausch & Lomb UK Ltd) Not approved for prescribing
  naldemedine Not approved for prescribing NICE TA651
Where positive NICE Technology Appraisal(s) apply to this medicine but Homerton University Hospital Foundation Trust does not provide the service

The Joint Prescribing Group (JPG) agreed not to approve this medicine for use at Homerton University Hospital Foundation Trust as the trust does not provide this service. The JPG recommends the funding of this medicine to enable it to be prescribed or initiated by other providers, provided it is used in accordance with the relevant NICE Technology Appraisal(s). 

  Oral tablet
Rizmoic (Sandoz Ltd)
  naloxegol Hospital only NICE TA345
  Oral tablet
Moventig (Kyowa Kirin International UK NewCo Ltd)
  prucalopride Specialist knowledge/initiation NICE TA211
  Oral tablet
Prucalopride (Non-proprietary)
Resolor (Takeda UK Ltd)
  senna Joint formulary choice
  Oral solution
Senokot (Reckitt Benckiser Healthcare (UK) Ltd) Joint formulary choice
  Oral tablet
Senna (Non-proprietary)
Cenlax (Manx Healthcare Ltd)
Senease Twelve Years Plus (RX Farma)
Senokot (Reckitt Benckiser Healthcare (UK) Ltd) Joint formulary choice
  senna with ispaghula husk Not approved for prescribing
  Oral granules
Manevac (Viatris UK Healthcare Ltd)
  sodium acid phosphate with sodium bicarbonate
  Suppository
Lecicarbon A (Aspire Pharma Ltd)
Lecicarbon C (Aspire Pharma Ltd)
  sodium acid phosphate with sodium phosphate Specialist knowledge/initiation
Joint Prescribing Group's decision

The Joint Prescribing Group (JPG) agreed to approve the addition of Fleet Phospho-Soda® 24.4g/10.8g oral solution to the joint formulary as a booster bowel cleansing solution in patients undergoing Crohn's capsule endoscopy (July 2019) and colon capsule endoscopy for cancer screening (April 2021). 

Formulary status - Blue (hospital only)

  Oral solution
Fleet Phospho-soda (Recordati Pharmaceuticals Ltd) Not approved for prescribing
Joint Prescribing Group's decision

The Joint Prescribing Group (JPG) agreed to approve the addition of Fleet Phospho-Soda® 24.4g/10.8g oral solution to the joint formulary as a booster bowel cleansing solution in patients undergoing Crohn's capsule endoscopy (July 2019) and colon capsule endoscopy for cancer screening (April 2021). 

Formulary status - Blue (hospital only)

  Enema
Sodium acid phosphate with sodium phosphate (Non-proprietary) Specialist knowledge/initiation
Fleet Ready-to-use (Recordati Pharmaceuticals Ltd) Specialist knowledge/initiation
  sodium citrate Joint formulary choice
  Oral solution
Sodium citrate (Non-proprietary)
  Enema
Micralax Micro-enema (RPH Pharmaceuticals AB)
Relaxit (Supra Enterprises Ltd)
  Irrigation solution
Sodium citrate (Non-proprietary)
  Granules for oral solution
Sodium citrate (Non-proprietary)
CanesOasis (Bayer Plc)
Cystocalm (Galpharm International Ltd)
  Powder for oral solution
Sodium citrate (Non-proprietary)
  sodium picosulfate Hospital only
  Oral solution
Sodium picosulfate (Non-proprietary) Not approved for prescribing
Dulco-Lax (Sanofi Consumer Healthcare)
  sterculia Not approved for prescribing
  sterculia with frangula Not approved for prescribing
Gastro-intestinal system / Biliary disorders
  borneol with camphene, cineole, menthol, menthone and pinene Not approved for prescribing
  Gastro-resistant capsule
Rowachol (Meadow Laboratories Ltd) Not approved for prescribing
  chenodeoxycholic acid Non-formulary at HHFT and not suitable for primary care prescribing
  Oral capsule
Chenodeoxycholic acid (Non-proprietary)
  cholic acid Non-formulary at HHFT and not suitable for primary care prescribing
  Oral capsule
Orphacol (Abacus Medicine Pharma Services Ltd)
  colestyramine Joint formulary choice
  Powder for oral suspension
Colestyramine (Non-proprietary)
Questran (Neon Healthcare Ltd)
Questran Light (Neon Healthcare Ltd)
  maralixibat
  Oral solution
Livmarli (Mirum Pharmaceuticals International BV)
  obeticholic acid Non-formulary at HHFT and not suitable for primary care prescribing NICE TA443
Where positive NICE Technology Appraisal(s) apply to this medicine but Homerton Healthcare NHS Foundation Trust does not provide the service

This medicine is not recommended for use at Homerton Healthcare NHS Foundation Trust as the trust does not provide this specialist service. Note that this medicine may be prescribed by other provider trusts that are accredited to provide this specialist service.

  Oral tablet
Ocaliva (Advanz Pharma)
  odevixibat NICE HST17
  Oral capsule
Bylvay (Ipsen Ltd)
  ursodeoxycholic acid Specialist knowledge/initiation
  Oral suspension
Ursofalk (Dr. Falk Pharma UK Ltd) Specialist knowledge/initiation
  Oral tablet
Ursodeoxycholic acid (Non-proprietary)
Cholurso (Mayoly UK Ltd)
Ursofalk (Dr. Falk Pharma UK Ltd)
Ursonorm (PRO.MED.CS Praha a.s.)
  Oral capsule
Ursodeoxycholic acid (Non-proprietary)
Ursofalk (Dr. Falk Pharma UK Ltd)
Ursonorm (PRO.MED.CS Praha a.s.)
Gastro-intestinal system / Hepatic encephalopathy
  lactulose Specialist knowledge/initiation
  Oral solution
Lactulose (Non-proprietary) Specialist knowledge/initiation
  rifaximin Specialist knowledge/initiation NICE TA337
Rifaximin not approved for 'small intestinal bacterial overgrowth'

September 2020 - the Joint Prescribing Group (JPG) declined the application for rifaximin to be used for small intestinal bacterial overgrowth.

Formulary status - Red (not approved for prescribing)

  Oral suspension
Rifaximin (Non-proprietary) Not approved for prescribing
  Oral tablet
Targaxan (Norgine Pharmaceuticals Ltd)
Xifaxanta (Norgine Pharmaceuticals Ltd)
Gastro-intestinal system / Hepatorenal syndrome
  terlipressin acetate
  Solution for injection
Terlipressin acetate (Non-proprietary)
Gastro-intestinal system / Oesophageal varices
  carvedilol
  Oral tablet
Carvedilol (Non-proprietary)
  propranolol hydrochloride
  Modified-release capsule
Bedranol SR (Almus Pharmaceuticals Ltd, Sandoz Ltd)
Beta-Prograne (Accord-UK Ltd, Tillomed Laboratories Ltd)
Half Beta-Prograne (Accord-UK Ltd, Tillomed Laboratories Ltd)
  Oral solution
Propranolol hydrochloride (Non-proprietary)
  Oral tablet
Propranolol hydrochloride (Non-proprietary)
  terlipressin acetate Hospital only
  Solution for injection
Terlipressin acetate (Non-proprietary) Hospital only
  vasopressin Hospital only
  Solution for injection
Vasopressin (Non-proprietary) Hospital only
Gastro-intestinal system / Obesity
  liraglutide Hospital only NICE TA664
Where positive NICE Technology Appraisal(s) apply to this medicine

This medicine is recommended for use at Homerton Healthcare NHS Foundation Trust provided it is used specifically in accordance with the relevant current NICE Technology Appraisal(s).

Where negative or terminated NICE Technology Appraisal(s) apply to this medicine

This medicine is not recommended for use for the indication(s) specified in the relevant NICE Technology Appraisal(s) as currently NICE cannot recommend its use.

  Solution for injection
Saxenda (Novo Nordisk Ltd) Hospital only
Victoza (Novo Nordisk Ltd) Not approved for prescribing
  naltrexone with bupropion Not approved for prescribing NICE TA494
Where negative or terminated NICE Technology Appraisal(s) apply to this medicine

This medicine is not recommended for use for the indication(s) specified in the relevant NICE Technology Appraisal(s) as currently NICE cannot recommend its use.

  Modified-release tablet
Mysimba (Orexigen Therapeutics Ireland Ltd) Not approved for prescribing
  orlistat Joint formulary choice
  Oral capsule
Orlistat (Non-proprietary)
Alli (Haleon UK Ltd)
Orlos (Crescent Pharma Ltd)
Xenical (Neon Healthcare Ltd)
  semaglutide Hospital only NICE TA875
  Solution for injection
Ozempic (Novo Nordisk Ltd) Not approved for prescribing
Wegovy FlexTouch (Novo Nordisk Ltd) Hospital only
  Oral tablet
Rybelsus (Novo Nordisk Ltd)
  setmelanotide NICE HST21
NICE HST31
  Solution for injection
Imcivree (Rhythm Pharmaceuticals UK Ltd)
  tirzepatide NICE TA924
  Solution for injection
Mounjaro KwikPen (Eli Lilly and Company Ltd)
Gastro-intestinal system / Diarrhoea
  co-phenotrope Not approved for prescribing
  Oral tablet
Co-phenotrope (Non-proprietary)
  codeine phosphate Not approved for prescribing
  Oral solution
Codeine phosphate (Non-proprietary) Not approved for prescribing
Galcodine (Thornton & Ross Ltd) Not approved for prescribing
  Oral tablet
Codeine phosphate (Non-proprietary)
  colesevelam hydrochloride Specialist knowledge/initiation
Joint Prescribing Group's decision

September 2020 - the Joint Prescribing Group (JPG) agreed to approve the addition of colesevelam to the joint formulary for the management of diarrhoea associated with bile acid malabsorption.

Product selection

Colestyramine light should be selected first line during the shortages of colestyramine.

Colesevalam has been added as a formulary option for use in patients who are already taking colestyramine, but are unable to access colestyramine or colestyramine light. The switching between these products is not equivalent and thus GPs needing to make this switch should seek specialist advice from HUHFT gastroenterology service. This can be via the GP email Advice & Guidance service.

Newly diagnosed patients with bile acid malabsorption requiring colesevalam should have treatment initiated by a gastroenterologist. Prescribing should be titrated in secondary care until symptom response, following which prescribing can be continued in the community.

  Oral tablet
Colesevelam hydrochloride (Non-proprietary)
Cholestagel (Neon Healthcare Ltd)
  colestyramine Joint formulary choice
  Powder for oral suspension
Colestyramine (Non-proprietary)
Questran (Neon Healthcare Ltd)
Questran Light (Neon Healthcare Ltd)
  kaolin with morphine Not approved for prescribing
  loperamide hydrochloride Joint formulary choice
  Orodispersible tablet
Imodium (McNeil Products Ltd) Not approved for prescribing
  Oral lyophilisate
Loperamide hydrochloride (Non-proprietary)
  Oral tablet
Loperamide hydrochloride (Non-proprietary)
Norimode (Tillomed Laboratories Ltd)
  Oral capsule
Loperamide hydrochloride (Non-proprietary) Joint formulary choice
  loperamide with simeticone Not approved for prescribing
  Oral tablet
Imodium Plus (McNeil Products Ltd)
  opium
  Oral drops
Dropizol (Atnahs Pharma UK Ltd)
Gastro-intestinal system / Gastro-intestinal smooth muscle spasm
  alverine citrate Joint formulary choice
  Oral capsule
Alverine citrate (Non-proprietary)
Audmonal (Teva UK Ltd)
Spasmonal (Viatris UK Healthcare Ltd)
  atropine sulfate Not approved for prescribing
  Solution for injection
Atropine sulfate (Non-proprietary)
  Eye drops
Atropine sulfate (Non-proprietary)
  dicycloverine hydrochloride Joint formulary choice
  Oral solution
Dicycloverine hydrochloride (Non-proprietary) Joint formulary choice
  Oral tablet
Dicycloverine hydrochloride (Non-proprietary)
  dicycloverine hydrochloride with aluminium hydroxide, magnesium oxide and simeticone Not approved for prescribing
  hyoscine butylbromide Joint formulary choice
  Solution for injection
Hyoscine butylbromide (Non-proprietary)
Buscopan (Sanofi Consumer Healthcare) Non-formulary at HHFT and not suitable for primary care prescribing
  Oral tablet
Hyoscine butylbromide (Non-proprietary)
Buscopan (Sanofi Consumer Healthcare)
  mebeverine hydrochloride Joint formulary choice
Mebeverine Hydrochloride

Mebeverine oral suspension has NOT been approved for prescribing.

If a liquid preparation of an antispasmodic is required, use dicycloverine liquid

  Modified-release capsule
Mebeverine hydrochloride (Non-proprietary) Joint formulary choice
Aurobeverine MR (Milpharm Ltd) Joint formulary choice
Colofac MR (Viatris UK Healthcare Ltd) Joint formulary choice
  Oral suspension
Mebeverine hydrochloride (Non-proprietary) Not approved for prescribing
  Oral tablet
Mebeverine hydrochloride (Non-proprietary)
Colofac (Viatris UK Healthcare Ltd)
  propantheline bromide Hospital only
  Oral tablet
Propantheline bromide (Non-proprietary)
Pro-Banthine (Kyowa Kirin International UK NewCo Ltd)
Gastro-intestinal system / Exocrine pancreatic insufficiency
  pancreatin Specialist knowledge/initiation
  Gastro-resistant capsule
Creon (Viatris UK Healthcare Ltd) Specialist knowledge/initiation
Nutrizym (Zentiva Pharma UK Ltd) Specialist knowledge/initiation
  Gastro-resistant granules
Creon (Viatris UK Healthcare Ltd) Specialist knowledge/initiation
  Oral capsule
Pancrex (Essential Pharma Ltd)
  Powder for gastroenteral or oral liquid
Pancrex (Essential Pharma Ltd)
Gastro-intestinal system / Dyspepsia
  alginic acid Joint formulary choice
  Oral powder
Gaviscon Infant (Forum Health Products Ltd)
  co-magaldrox Joint formulary choice
  Oral suspension
Mucogel (Rosemont Pharmaceuticals Ltd) Joint formulary choice
  co-simalcite Not approved for prescribing
  magnesium carbonate Not approved for prescribing
  magnesium trisilicate Not approved for prescribing
  magnesium trisilicate with magnesium carbonate and sodium bicarbonate Not approved for prescribing
  Oral suspension
Magnesium trisilicate with magnesium carbonate and sodium bicarbonate (Non-proprietary) Not approved for prescribing
  simeticone Hospital only
  Oral suspension
Infacol (Teva UK Ltd) Hospital only
  Oral drops
Dentinox Infant (Dendron Brands Ltd) Not approved for prescribing
  simeticone with aluminium hydroxide and magnesium hydroxide Not approved for prescribing
  Oral suspension
Maalox Plus (Sanofi Consumer Healthcare) Not approved for prescribing
  sodium alginate with potassium bicarbonate Joint formulary choice
  Chewable tablet
Gaviscon Advance (Reckitt Benckiser Healthcare (UK) Ltd)
  Oral suspension
Acidex Advance (Wockhardt UK Ltd) Not approved for prescribing
Gaviscon Advance (Reckitt Benckiser Healthcare (UK) Ltd) Joint formulary choice
Gastro-intestinal system / Gastric and duodenal ulceration
  bismuth subsalicylate
  Chewable tablet
Pepto-Bismol (Procter & Gamble (Health & Beauty Care) Ltd)
  Oral suspension
Pepto-Bismol (Procter & Gamble (Health & Beauty Care) Ltd)
  cimetidine Not approved for prescribing
  Oral solution
Cimetidine (Non-proprietary) Not approved for prescribing
Tagamet (Rosemont Pharmaceuticals Ltd) Not approved for prescribing
  Oral tablet
Cimetidine (Non-proprietary)
  esomeprazole Joint formulary choice
Injection/infusion formulations

The injection/infusion formulation of this medicine is not recommended for prescribing in primary care (i.e. hospital only prescribing).

  Gastro-resistant tablet
Esomeprazole (Non-proprietary) Joint formulary choice
Nexium (Grunenthal Ltd, Haleon UK Ltd) Joint formulary choice
  Gastro-resistant capsule
Esomeprazole (Non-proprietary) Joint formulary choice
Emozul (Krka UK Ltd) Joint formulary choice
  Gastro-resistant granules
Esomeprazole (Non-proprietary)
Nexium (Grunenthal Ltd) Joint formulary choice
  Powder for solution for injection
Esomeprazole (Non-proprietary) Hospital only
Nexium (Grunenthal Ltd) Hospital only
  famotidine Not approved for prescribing
  Oral tablet
Famotidine (Non-proprietary)
  lansoprazole Joint formulary choice
  Orodispersible tablet
Lansoprazole (Non-proprietary) Joint formulary choice
Zoton FasTab (Pfizer Ltd) Joint formulary choice
  Gastro-resistant capsule
Lansoprazole (Non-proprietary) Joint formulary choice
  misoprostol Not approved for prescribing
  Oral tablet
Angusta (Norgine Pharmaceuticals Ltd)
Cytotec (Pfizer Ltd)
Topogyne (Nordic Pharma Ltd)
  Vaginal tablet
Misoprostol (Non-proprietary)
  nizatidine Not approved for prescribing
  Oral capsule
Nizatidine (Non-proprietary)
  omeprazole Joint formulary choice
Injection/infusion formulations

The injection/infusion formulation of this medicine is not recommended for prescribing in primary care (i.e. hospital only prescribing).

  Gastro-resistant tablet
Omeprazole (Non-proprietary) Joint formulary choice
Losec MUPS (Neon Healthcare Ltd) Joint formulary choice
Mezzopram (Sandoz Ltd) Joint formulary choice
  Gastro-resistant capsule
Omeprazole (Non-proprietary) Joint formulary choice
Losec (Neon Healthcare Ltd) Joint formulary choice
  Oral suspension
Omeprazole (Non-proprietary)
  Oral solution
Omeprazole (Non-proprietary)
  Powder for solution for infusion
Omeprazole (Non-proprietary)
  pantoprazole Joint formulary choice
Injection/infusion formulations

The injection/infusion formulation of this medicine is not recommended for prescribing in primary care (i.e. hospital only prescribing).

  Gastro-resistant tablet
Pantoprazole (Non-proprietary) Joint formulary choice
  Powder for solution for injection
Pantoprazole (Non-proprietary) Hospital only
Protium (Takeda UK Ltd) Hospital only
  rabeprazole sodium Joint formulary choice
  Gastro-resistant tablet
Rabeprazole sodium (Non-proprietary) Joint formulary choice
Pariet (Eisai Ltd) Not approved for prescribing
  ranitidine Joint formulary choice
Injection/infusion formulations

The injection/infusion formulation of this medicine is not recommended for prescribing in primary care (i.e. hospital only prescribing).

  sucralfate Specialist knowledge/initiation
  Oral suspension
Sucralfate (Non-proprietary)
  Oral tablet
Sucralfate (Non-proprietary)
Gastro-intestinal system / Gastro-oesophageal reflux disease
  cimetidine Not approved for prescribing
  Oral solution
Cimetidine (Non-proprietary) Not approved for prescribing
Tagamet (Rosemont Pharmaceuticals Ltd) Not approved for prescribing
  Oral tablet
Cimetidine (Non-proprietary)
  esomeprazole Joint formulary choice
  Gastro-resistant tablet
Esomeprazole (Non-proprietary) Joint formulary choice
Nexium (Grunenthal Ltd, Haleon UK Ltd) Joint formulary choice
  Gastro-resistant capsule
Esomeprazole (Non-proprietary) Joint formulary choice
Emozul (Krka UK Ltd) Joint formulary choice
  Gastro-resistant granules
Esomeprazole (Non-proprietary)
Nexium (Grunenthal Ltd) Joint formulary choice
  Powder for solution for injection
Esomeprazole (Non-proprietary) Hospital only
Nexium (Grunenthal Ltd) Hospital only
  famotidine Not approved for prescribing
  Oral tablet
Famotidine (Non-proprietary)
  lansoprazole Joint formulary choice
  Orodispersible tablet
Lansoprazole (Non-proprietary) Joint formulary choice
Zoton FasTab (Pfizer Ltd) Joint formulary choice
  Gastro-resistant capsule
Lansoprazole (Non-proprietary) Joint formulary choice
  nizatidine Not approved for prescribing
  Oral capsule
Nizatidine (Non-proprietary)
  omeprazole Joint formulary choice
  Gastro-resistant tablet
Omeprazole (Non-proprietary) Joint formulary choice
Losec MUPS (Neon Healthcare Ltd) Joint formulary choice
Mezzopram (Sandoz Ltd) Joint formulary choice
  Gastro-resistant capsule
Omeprazole (Non-proprietary) Joint formulary choice
Losec (Neon Healthcare Ltd) Joint formulary choice
  Oral suspension
Omeprazole (Non-proprietary)
  Oral solution
Omeprazole (Non-proprietary)
  Powder for solution for infusion
Omeprazole (Non-proprietary)
  pantoprazole Joint formulary choice
  Gastro-resistant tablet
Pantoprazole (Non-proprietary) Joint formulary choice
  Powder for solution for injection
Pantoprazole (Non-proprietary) Hospital only
Protium (Takeda UK Ltd) Hospital only
  rabeprazole sodium Joint formulary choice
  Gastro-resistant tablet
Rabeprazole sodium (Non-proprietary) Joint formulary choice
Pariet (Eisai Ltd) Not approved for prescribing
  sodium alginate with calcium carbonate and sodium bicarbonate Joint formulary choice
  Oral suspension
Sodium alginate with calcium carbonate and sodium bicarbonate (Non-proprietary) Joint formulary choice
Acidex (Pinewood Healthcare) Not approved for prescribing
Gaviscon (Reckitt Benckiser Healthcare (UK) Ltd) Joint formulary choice
Gaviscon Liquid Relief (Reckitt Benckiser Healthcare (UK) Ltd) Joint formulary choice
Peptac (Teva UK Ltd) Joint formulary choice
Rennie (Bayer Plc)
Gastro-intestinal system / Helicobacter pylori infection
  urea (13C)
  Oral tablet
diabact UBT (Mayoly UK Ltd)
  Powder for oral solution
Urea (13C) (Non-proprietary)