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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 3: Respiratory system - 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.   
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 Details...
03.01.02  Expand sub section  Antimuscarinic bronchodilators
Aclidinium / Formoterol (Duaklir Genuair)
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item inhaler - in line with COPD Algorithm (link below) - on Respiratory team advice ONLY
 
Link  APC ClinDoc 007 - Algorithm for the use of inhaled therapies in COPD
   
Ipratropium Bromide
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item aerosol inhaler / nebuliser solution (brands vary)
 
   
Ipratropium Bromide (Atrovent)
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item see generic for details
 
   
Ipratropium Bromide (Ipratropium Steri-Neb)
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item see generic for details
 
   
Ipratropium Bromide (Respontin)
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item see generic for details
 
   
Tiotropium (Braltus Zonda)
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Formulary
Green
In COPD ONLY, the Handihaler should be used in preference to the Respimat which is 2nd line.

Royal Berkshire NHS Foundation Trust >> Formulary Item Zonder Inhaler - in line with COPD Algorithm (link below) - on Respiratory team advice ONLY
 
Link  APC 144 Braltus Zonda
Link  APC ClinDoc 007 - Algorithm for the use of inhaled therapies in COPD
   
Tiotropium (Spiriva)
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Formulary
Green
In COPD ONLY, the Handihaler should be used in preference to the Respimat which is 2nd line.

Royal Berkshire NHS Foundation Trust >> Formulary Item Handihaler / Respimat - initiation restricted to Respiratory Team ONLY
 
Link  APC ClinDoc 007 - Algorithm for the use of inhaled therapies in COPD
   
Umeclidinium (Incruse Ellipta)
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Formulary
Green

Royal Berkshire NHS Foundation Trust >> Formulary Item inhaler - in line with COPD Algorithm (link below) - on Respiratory team advice ONLY

 
Link  APC ClinDoc 007 - Algorithm for the use of inhaled therapies in COPD
   
 ....
 Non Formulary Items
Aclidinium  (Eklira Genuair)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Glycopyrrolate inhaler  (Seebri breezhaler)

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Non Formulary
Green
2nd line use only in patients unable to tolerate or failing to respond to tiotropium

Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice

 
Indacaterol/glycopyrronium  (Ultibro)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
  
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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