Formulary updates

August 2018

  • AntiStatic Space Chamber Plus (medium-volume spacer device) standard and compact devices have been added into the formulary here to provide an antistatic spacer option at a lower acquisition cost than current formulary products
  • Octenisan wash mitts have been added into the formulary here for antiseptic bedside washing of lower limbs of patients with chronic ulceration
  • Pizotifen tablets 500microgram and 1.5mg have been removed from the formulary; the use of pizotifen as a prophylactic option for migraine in adults has been superseded. Patients that are already established on pizotifen and find it effective can continue to use it.
  • Darbepoetin alfa has been reclassified as red; prescribing and monitoring is by secondary care only. Previous shared care documents have been archived, and are available for reference only (here). See formulary entry here.
  • Anal irrigation systems: Brief guidance has been added to support GPs who may be asked to prescribe these appliances following recommendation from the NHS Bladder and Bowel Care team. Click here for more information.
  • Acute sinusitis: Following publication of NICE NG79: Sinusitis (acute): antimicrobial prescribing (October 2017), formulary guidance has been revised and updated. The guidance can be found here
  • Acute sore throat: Following publication of NICE NG84: Sore throat (acute): antimicrobial prescribing (January 2018), formulary guidance has been revised and updated. The guidance can be found here
  • Management of migraine: The formulary guidance has been reviewed and updated in line with NICE CG150: headaches in over 12s: diagnosis and management (updated November 2015). The guidance can be found here
  • Oral nutritional supplements: Following consultation with local dietitian specialists in North and East Devon, the choices of formulary oral nutritional supplements have been reviewed. Formulary recommended products can be found here
  • Parkinson's disease management: The formulary guidance has been reviewed and updated in line with NICE NG71: Parkinson's disease in adults (July 2017). Dopaminergic drugs used in Parkinson's disease have been reclassified as amber (specialist input). Click here for more information.
  • Vitamin and mineral supplementation following bariatric surgery: New formulary guidance has been added to the formulary to offer support to prescribers on the nutritional supplementation for patients who have undergone bariatric surgery. The guidance can be found here.
  • Following public consultation; NHS England and NHS Clinical Commissioners published guidance for CCGs on items which should not be routinely prescribed in primary care. Click here for more information. The following items have new guidance attached in the formulary:

July 2018

  • Commissioning Policy: The routine commissioning of Relvar Ellipta is accepted in Devon for the treatment of asthma in adults and adolescents aged 12 years and older (see Commissioning Policy for more details).

June 2018

  • Desmopressin nasal spray 10micrograms/spray and 100micrograms/ml have been reclassified from a red drug (hospital only) to an amber drug (specialist input), for use in the treatment of diabetes insipidus
    • Desmopressin tablets 100microgram and desmopressin sublingual tablets 60microgram have been added into the formulary for consistency with the BNF recommended dose (see here).
  • Pentasa® prolonged-release granules 4g have been added into the formulary here, to offer another strength options of the current preparation.
  • Salofalk® gastro-resistant prolonged-released granules 500mg, 1g, 1.5g, and 3g have been added to the formulary here, to provide another option for the maintenance of remission in those patients who have a high risk of relapses/ adherence difficulties.
  • Nausea and vomiting in pregnancy and hyperemesis gravidarum: The formulary guidance has been amended to offer clarity on the use of ondansetron as a 3 rd line treatment option. A link to the UK teratology information website, Best Use of Medicines in Pregnancy (BUMPS) has been added as a helpful resource. The guidance can be found here.
  • Asthma – paediatric treatment: NICE NG80: Asthma: diagnosis, monitoring and chronic asthma management (November 2017), prompted a review of the current guidance, which is based on recommendations made by the British Throacic Society (BTS) and the Scottish Intercollegiate Guideline Network (SIGN). Formulary guidance continues to follow the recommendations made by BTS/SIGN, with minor changes to offer clarity to existing guidance. The guidance can be found here.
  • Commissioning Policy: The routine commissioning of lurasidone is not accepted in Devon for patients with schizophrenia (see Commissioning Policy for more details)

April 2018

  • Eclypse® Border dressings have been added to the formulary here. They have a higher acquisition cost in comparison to the non-border dressing and should be reserved for use in patients with heavily exuding wounds and following specialist Tissue Viability Nurse assessment of the wound.
  • Prontosan® irrigation fluid and gel products have been removed from the formulary and replaced by Octenilin® irrigation solution and gel which can be found here. Octenilin® is indicated for wound cleansing, moisturising and decontamination, and has a quicker acting time than Prontosan®. Octenilin® products are indicated for short term use only and are unsuitable for repeat prescription.
  • Zeroveen® emollient cream has been added to the formulary here. It is an emollient 2-in-1 moisturising cream and wash containing oatmeal, similar in formulation to Aveeno® cream but available at a lower acquisition cost.
  • BD Microfine+ 0.20mm/33G lancets have been discontinued. AgaMatrix Ultra-Thin 0.20mm/33G lancets have been added to the formulary here for use with the Wavesense Jazz blood glucose monitoring meter.
  • Salofalk® 500mg and 1g suppositories, Salofalk® 2g liquid enema and Salofalk® 1g foam enema have been added to the formulary here. They have been added to the formulary for the management of ulcerative colitis; these products are classified as 'Specialist' drugs to reflect the need for specialist input but continuation supplies may be prescribed in primary care.
  • Linezolid tablets and granules for oral suspension have been added to the formulary here. Linezolid has been added as a red drug with supportive prescribing notes.
  • Following public consultation; NHS England (NHSE) and NHS Clinical Commissioners (NHSCC) published guidance for CCGs on items which should not be routinely prescribed in primary care. Click here for more information. The following items have new guidance attached in the formulary:
  • Management of Hypertension: The formulary guidance has been reviewed and minor amendments made in line with NICE clinical guideline 127 (CG127), November 2016. The guidance can be found here.

 

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