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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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03.02  Expand sub section  Corticosteroids
Beclometasone (Clenil Modulite®)
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First Choice
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item inhaler
 
Beclometasone and formoterol (Fostair®)
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Restricted Drug Restricted
Green
This is the preferred first line choice for combination inhalers.

Royal Berkshire NHS Foundation Trust >> Formulary Item MDI inhaler / NEXThaler - Restricted Item  new initiation restricted to Respiratory Team ONLY; Continuation therapy NO restrictions

For COPD initiation - See algorithm below
 
Fluticasone and formoterol (Flutiform®)
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First Choice
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item inhaler
 
beclometasone dipropionate / formoterol fumarate dihydrate / glycopyrronium (Trimbow®)
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Restricted Drug Restricted
Amber without Prescribing Guidelines

Royal Berkshire NHS Foundation Trust >> Formulary Item inhaler - on Respiratory team advice ONLY 

 
Link  APC 174 Trimbow for COPD
   
Beclometasone
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item inhaler (generic)
 
   
Beclometasone (Qvar®)
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item inhaler not routinely stocked
 
   
Budesonide (Pulmicort® Respules)
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Restricted Drug Restricted
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item Respells Restricted Item  restricted to hospital inpatient treatment of acute crupe ONLY
 
   
Budesonide (Pulmicort® Turbohaler)
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item Turbohaler
 
   
Budesonide and Formoterol (DuoResp Spiromax®)
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item inhaler - on Respiratory team advice ONLY
 
   
Budesonide and formoterol (Symbicort® Turbohaler)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item inhaler - on Respiratory Team Advice ONLY
 
   
Fluticasone (Flixotide®)
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Restricted Drug Restricted
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item Evohaler / Accuhaler - Restricted Item  Restricted to use on the advice of Respiratory consultants for adult patients uncontrolled on over 1000micrograms daily of inhaled beclometasone or budesonide. Also for specialist Paediatric use
 
   
Fluticasone and salmeterol (Seretide®)
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item Accuhaler / Evohaler
 
   
Fluticasone Propionate and Salmeterol Xinafoate (AirFluSal Forspiro®)
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Formulary
Green

Royal Berkshire NHS Foundation Trust >> Formulary Item inhaler - on Respiratory team advice ONLY 

 
   
 ....
 Non Formulary Items
Beclometasone Dipropionate  (Beclazone Easi-Breathe®)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Budesonide  (Novolizer®)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - other budesonide brands/ devices available - contact pharmacy for advice
 
Ciclesonide  (Alvesco®)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Fluticasone furoate / umeclidinium / vilanterol  (Trelegy® Ellipta)

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Non Formulary
Amber without Prescribing Guidelines

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

Link  APC 183 Fluticasone furoate_umeclidinium_vilanterol (Trelegy® Ellipta)
 
Mometasone Furoate  (Asmanex® Twisthaler)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Zafirlukast  (Accolate®)

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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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