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Royal Berkshire NHS Foundation Trust
Berkshire Healthcare NHS Foundation Trust
Berkshire West Clinical Commissioning Group
 
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 Formulary Chapter 14: Immunological products and vaccines - Full Chapter
Notes:

This formulary is used by multiple organisations. There may be some instances where an item is on the formulary for one organisation but not the others. To help distinguish between each organisation, text will be colour coded, i.e. information relating to the Royal Berkshire NHS Foundation Trust will be in blue and Berkshire Healthcare NHS Foundation Trust will be in purple. Please ensure you read all information detailed under a drug.  


Vaccines

Vaccines achieve active immunisation by stimulating an immune response. Vaccination should be postponed if patient is suffering from any infection except the common cold.

Vaccine types:

Live attenuated - live micro-organisms which have had their virulence reduced - e.g. rubella, measles, polio (oral polio vaccine), BCG.
If giving two separate live vaccines, either give simultaneously at different sites or with an interval of at least 3 weeks. Do not give live virus vaccine to a pregnant woman or immunosuppressed patient. A single dose of live vaccine usually confers immunity. 3 doses of polio are required.
Inactivated - inactive antigen - e.g. 'flu, typhoid, hepatitis B. A course of injections is required to produce an adequate antibody response. Booster injections are required. Extracts or detoxified exotoxins - from a micro-organism eg tetanus, diphtheria.

Immunoglobulins

For passive immunisation. Immunoglobulins confer immediate protection against certain infections, which lasts for a few weeks.

See BNF for information on childhood immunisation schedules and contra-indications.

Storage

Most vaccines must be refrigerated between 2 - 8(Oral polio 0 - 4oC)

 Details...
14.04  Expand sub section  Vaccines and antisera
14.04  Expand sub section  Anthrax vaccine
14.04  Expand sub section  BCG vaccines
14.04  Expand sub section  Botulism antitoxin
14.04  Expand sub section  Cholera vaccine to top
14.04  Expand sub section  Diphtheria vaccines
Pediacel (5-in-1 Vaccine (DTaP/IPV/Hib))
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Royal Berkshire NHS Foundation Trust >> Formulary Item injection

Diphtheria/tetanus/pertussis/poliomyelitis/Haemophilus type B

 
   
Repevax (4-in-1 DtaP/IPV)
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Formulary Royal Berkshire NHS Foundation Trust >> Formulary Item injection

Diphtheria/tetanus/pertussis/poliomyelitis


 
   
Revaxis (Td/IPV)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary Royal Berkshire NHS Foundation Trust >> Formulary Item injection

Diphtheria/tetanus/poliomyelititis

 
   
14.04  Expand sub section  Haemophilus influenzae type B vaccine
14.04  Expand sub section  Hepatitis A vaccine
14.04  Expand sub section  Hepatitis B vaccine
14.04  Expand sub section  Human papilloma virus vaccine to top
14.04  Expand sub section  Influenza vaccine
14.04  Expand sub section  Measles vaccine
14.04  Expand sub section  Measles, Mumps and Rubella (MMR) vaccine
14.04  Expand sub section  Meningococcal vaccines
14.04  Expand sub section  Mumps vaccine to top
14.04  Expand sub section  Pertussis vaccine
14.04  Expand sub section  Pneumococcal vaccines
14.04  Expand sub section  Poliomyelitis vaccines
14.04  Expand sub section  Rabies vaccine
14.04  Expand sub section  Rotavirus vaccine to top
14.04  Expand sub section  Rubella vaccine
14.04  Expand sub section  Smallpox vaccine
14.04  Expand sub section  Tetanus vaccines
14.04  Expand sub section  Tick-borne encephalitis vaccine
14.04  Expand sub section  Typhoid vaccines to top
14.04  Expand sub section  Varicella-zoster vaccine
14.04  Expand sub section  Yellow fever vaccine
 ....
 Non Formulary Items
Diphtheria antitoxin

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Non Formulary Royal Berkshire NHS Foundation Trust >> Item NOT listed on the formulary - please see generic where available - contact pharmacy for advice if you need this product
 
Diphtheria vaccines for Children Under 10 years

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary Royal Berkshire NHS Foundation Trust >> Item NOT listed on the formulary - please see generic where available - contact pharmacy for advice if you need this product
 
  
Key
note Notes
Section Title Section Title (top level)
Section Title Section Title (sub level)
First Choice Item First Choice item
Non Formulary Item Non Formulary section
Restricted Drug
Restricted Drug
Unlicensed Drug
Unlicensed
Track Changes
Display tracking information
click to search medicines.org.uk
Link to adult BNF
click to search medicines.org.uk
Link to children's BNF
click to search medicines.org.uk
Link to SPCs
SMC
Scottish Medicines Consortium
Cytotoxic Drug
Cytotoxic Drug
CD
Controlled Drug
High Cost Medicine
High Cost Medicine
Cancer Drugs Fund
Cancer Drugs Fund
NHSE
NHS England
Homecare
Homecare
CCG
CCG

Traffic Light Status Information

Status Description

Red

Medicines which should be prescribed by specialists only  

Brown

Drugs that have been reviewed and not recommended for prescribing. These drugs are not considered a cost-effective use of scarce NHS resources. There may be individual patient-specific or clinical reasons why a drug deemed low priority may be suitable for a particular patient. This is for the GP to consider, weighing up the reasons against his/her allocated CCG budget. Where the decision is made to prescribe a low priority drug, detailed documentation must be included in the patients' notes for audit purposes. *Please note that low priority drug requests are unsuitable for the Case Review Committee and therefore should not be sent to this committee. Where new drugs come to market, under APC policy 085, they will be classified Brown until a review is deemed necessary.  

Amber Prescribing Guidelines

Medicines that should be initiated or recommended by a specialist for continuation in primary care. The specialist must notify the primary care provider that the prescribing responsibility has been transferred. Prescribing Guidelines are in place and must be adhered to.  

Amber without Prescribing Guidelines

Medicines that should be initiated or recommended by a specialist for continuation in primary care. The specialist must notify the primary care provider that the prescribing responsibility has been transferred. Prescribing Guidelines are not required for these items.  

Green

Medicines suitable for routine use and can be prescribed within primary care within their licensed indication in accordance with the BNF or other recognised national formulary. Primary care prescribers take full responsibility for prescribing  

Amber

Not Used   

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