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Nose
Nose / Nasal congestion
  ephedrine hydrochloride On Formulary
Inhaled Ephedrine (Primatene Mist)- Non-formulary

Inhaled Ephedrine is not recommended for the treatment of asthma.

Please contact the Pharmacy respiratory team for advice if ever prescribed for asthma.

Please contact Emergency Medicine Lead Pharmacist for advice if prescribed for patient in ED.

  Solution for injection
Ephedrine hydrochloride (Non-proprietary)
  Oral tablet
Ephedrine hydrochloride (Non-proprietary)
  pseudoephedrine hydrochloride On Formulary
  Oral solution
Galpseud (Thornton & Ross Ltd)
Sudafed Non-Drowsy Decongestant (McNeil Products Ltd)
  Oral tablet
Galpseud (Thornton & Ross Ltd)
  xylometazoline hydrochloride On Formulary
RLH Adult ENT A&E guidelines 2015

  Spray
Otrivine (Haleon UK Trading Ltd) On Formulary
RLH Adult ENT A&E guidelines 2015

Sudafed Non-Drowsy Decongestant (McNeil Products Ltd)
Sudafed Sinus-Ease (McNeil Products Ltd)
  Nasal drops
Otrivine (Haleon UK Trading Ltd)
Nose / Nasal infection
  betamethasone with neomycin On Formulary
  Ear/eye/nose drops solution
Betnesol-N (RPH Pharmaceuticals AB)
  Cutaneous ointment
Betamethasone with neomycin (Non-proprietary)
  Cutaneous cream
Betamethasone with neomycin (Non-proprietary)
  chlorhexidine with neomycin On Formulary
  Nasal cream
Naseptin (Alliance Pharmaceuticals Ltd)
  mupirocin On Formulary
MRSA Eradication Policy

see attached

  Nasal ointment
Bactroban (GlaxoSmithKline UK Ltd) On Formulary
  Cutaneous ointment
Mupirocin (Non-proprietary)
Bactroban (GlaxoSmithKline UK Ltd)
  Cutaneous cream
Bactroban (GlaxoSmithKline UK Ltd)
Nose / Nasal inflammation, nasal polyps and rhinitis
  azelastine hydrochloride On Formulary
Allergic Rhinitis Pathway

see attached

AZELASTINE HYDROCHLORIDE

Combined with oral antihistamine and intranasal corticosteroid for management of severe allergic rhinitis-refer to treatment algorithm for further details

  Eye drops
Azelastine hydrochloride (Non-proprietary)
Optilast (Viatris UK Healthcare Ltd)
  Spray
Azelair (Viatris UK Healthcare Ltd)
Rhinolast (Viatris UK Healthcare Ltd)
  beclometasone dipropionate On Formulary
Clenil Modulite MDI 100micrograms per actuation

Metered Dose Inhaler. Requires Slow and Steady Breath. Suitable for patients with low Inspiratory effort.

All Inhalers should be prescribed by Brand and Device Names.

  Modified-release tablet
Clipper (Chiesi Ltd)
  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) On Formulary
Beconase (GlaxoSmithKline UK Ltd, Omega Pharma Ltd) On Formulary
Allergic Rhinitis Pathway

see attached

Nasobec (Teva UK Ltd) On Formulary
  Cutaneous ointment
Beclometasone dipropionate (Non-proprietary)
  Cutaneous cream
Beclometasone dipropionate (Non-proprietary)
  betamethasone On Formulary
Betesil Medicated Plaster - Inflammatory Skin Disorders (November 2022)

Approved at NEL FPG (Nov 2022)

Betesil® 2.250mg medicated plaster is the only potent corticosteroid indicated in adults for the treatment of inflammatory skin disorders.

The plaster is licensed to use for a maximum of 30 days at a time, with a maximum of 6 plasters being used at any one time. Plasters may be changed once every 24 hours.

Amber-may be prescribed by or on the advice of a specialist 

  Soluble tablet
Betamethasone (Non-proprietary)
  Solution for injection
Betamethasone (Non-proprietary)
  Ear/eye/nose drops solution
Betnesol (RPH Pharmaceuticals AB)
Vistamethasone (Martindale Pharmaceuticals Ltd)
  Medicated plaster
Betesil (Derma UK Ltd)
  Cutaneous ointment
Betamethasone (Non-proprietary)
Audavate (Accord-UK Ltd)
Betnovate (GlaxoSmithKline UK Ltd)
Diprosone (Organon Pharma (UK) Ltd)
  Cutaneous foam
Bettamousse (RPH Pharmaceuticals AB)
  Cutaneous cream
Betamethasone (Non-proprietary)
Audavate (Accord-UK Ltd)
Betnovate (GlaxoSmithKline UK Ltd)
Diprosone (Organon Pharma (UK) Ltd)
  Cutaneous liquid
Betacap (Dermal Laboratories Ltd)
Betnovate (GlaxoSmithKline UK Ltd)
Diprosone (Organon Pharma (UK) Ltd)
  budesonide On Formulary NICE TA708
NICE TA937
NICE TA 937 -March 2024- Budesonide treating for primary IgA nephropathy (HCD)

Budesonide approved at NEL FPG treating for primary IgA nephropathy (HCD) 

 

Formulary Status: Hospital Only

Budesonide 64micrograms/ acuation nasal spray

Budesonide Nasal spray is not our 1st line intranasal corticosteroid.

Budesonide orodispersible tablets

Budesonide orodispersible tablet for inducing remission of eosinophilic oesophagitis as per NICE TA708

Approved as Hospital Only. September 2021 DTC.

Pulmicort 200mcg Turbohaler

Dry Powder Inhaler. Requires Quick and Deep Breath/ Inspiratory effort.

All Inhalers should be prescribed by Brand and Device Names.

  Orodispersible tablet
Jorveza (Dr. Falk Pharma UK Ltd)
  Modified-release tablet
Cortiment (Ferring Pharmaceuticals Ltd)
  Modified-release capsule
Budesonide (Non-proprietary)
Kinpeygo (Genus Pharmaceuticals Holdings Ltd)
  Gastro-resistant capsule
Budenofalk (Dr. Falk Pharma UK Ltd)
  Gastro-resistant granules
Budenofalk (Dr. Falk Pharma UK Ltd)
  Inhalation powder
Budelin Novolizer (Viatris UK Healthcare Ltd)
Easyhaler (Orion Pharma (UK) Ltd)
Pulmicort Turbohaler (AstraZeneca UK Ltd)
Barts Health & Local GPs Asthma Prescribing Guidelines

see attached

  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)
  desloratadine Off Formulary
  Oral solution
Desloratadine (Non-proprietary)
Neoclarityn (Organon Pharma (UK) Ltd)
  Oral tablet
Desloratadine (Non-proprietary)
Neoclarityn (Organon Pharma (UK) Ltd)
  dupilumab NICE TA534
NICE TA751
NICE TA955
  Solution for injection
Dupixent (Sanofi)
  fexofenadine hydrochloride On Formulary
FEXOFENADINE HYDROCHLORIDE

Mild symptoms of allergic rhinitis-refer to treatment algorithm for further details

  Oral tablet
Fexofenadine hydrochloride (Non-proprietary)
Telfast (Sanofi Consumer Healthcare)
  fluticasone On Formulary
Fluticasone Nasal Sprays- Please specify brand and Salt

NOTE: Available as

Fluticasone PROPIONATE available as Flixonase Brand 50mcg/spray

Dose: 100mcg (2sprays) into both nostrils OD up to 100mcg (2sp) into both nostrils BD

 

Avamys® (Fluticasone FUROATE) 27.5mcg/ spray

Dose: 55mcg (2sprays) into both nostrils OD.

  Pressurised inhalation
Flixotide Evohaler (GlaxoSmithKline UK Ltd)
  Inhalation powder
Flixotide Accuhaler (GlaxoSmithKline UK Ltd)
  Spray
Fluticasone (Non-proprietary) On Formulary
Allergic Rhinitis Pathway

Allergic Rhinitis Pathway

FLUTICASONE PROPIONATE

Moderate to severe symptoms of allergic rhinitis-refer to treatment algorithm for further details

Avamys (GlaxoSmithKline UK Ltd)
Allergic Rhinitis Pathway

Allergic Rhinitis Pathway

Coryen (Alissa Healthcare Research Ltd)
Flixonase (GlaxoSmithKline UK Ltd, Haleon UK Trading Ltd)
Nasofan (Teva UK Ltd)
  Nasal drops
Fluticasone (Non-proprietary)
  Cutaneous ointment
Cutivate (GlaxoSmithKline UK Ltd)
  Cutaneous cream
Fluticasone (Non-proprietary)
  fluticasone with azelastine On Formulary
  Spray
Dymista (Viatris UK Healthcare Ltd)
  ipratropium bromide On Formulary
  Pressurised inhalation
Atrovent (Boehringer Ingelheim Ltd)
Inhalvent (Alissa Healthcare Research Ltd)
  Nebuliser liquid
Ipratropium bromide (Non-proprietary)
Atrovent UDV (Boehringer Ingelheim Ltd)
  Spray
Ipratropium bromide (Non-proprietary)
  ketotifen Off Formulary
  Oral solution
Zaditen (CD Pharma Srl)
  Eye drops
Ketofall (Scope Ophthalmics Ltd)
Zaditen (Thea Pharmaceuticals Ltd)
  Oral tablet
Zaditen (CD Pharma Srl)
  mometasone furoate On Formulary
  Inhalation powder
Asmanex Twisthaler (Organon Pharma (UK) Ltd)
  Spray
Mometasone furoate (Non-proprietary)
Nasonex (Organon Pharma (UK) Ltd)
Allergic Rhinitis Pathway

see attached

  Cutaneous ointment
Mometasone furoate (Non-proprietary)
Elocon (Organon Pharma (UK) Ltd)
  Cutaneous cream
Mometasone furoate (Non-proprietary)
Elocon (Organon Pharma (UK) Ltd)
  Cutaneous liquid
Elocon (Organon Pharma (UK) Ltd)
  mometasone furoate with olopatadine
  Spray
Ryaltris (Glenmark Pharmaceuticals Europe Ltd)
  rupatadine Off Formulary
  Oral tablet
Rupatadine (Non-proprietary)
  triamcinolone acetonide On Formulary
  Suspension for injection
Adcortyl Intra-articular / Intradermal (Bristol-Myers Squibb Pharmaceuticals Ltd)
Kenalog (Bristol-Myers Squibb Pharmaceuticals Ltd)
  Spray
Nasacort (Sanofi Consumer Healthcare)