netFormulary NHS
Bedfordshire and Luton Joint Formulary
Bedford Hospital NHS Trust
Bedfordshire CCG
Luton & Dunstable University Hospital NHS Foundation Trust
Luton CCG
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 Formulary Chapter 1: Gastro-intestinal system - Full Chapter
Notes:

Any drug not listed on the Formulary should be considered Non-Formulary - Not recommended for prescribing

 Details...
01.02  Expand sub section  Antispasmodics and other drugs altering gut motility
01.02  Expand sub section  Antimuscarinics
Glycopyrronium 320microgram/ mL (Sialanar)
(Oral Solution)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber

Licensed in paediatric patients only. 

For the treatment of severe sialorrhoea (chronic pathological drooling) in children and adolescents aged 3 years and older with chronic neurological disorders.

Each mL contains 400micrograms glycopyrronium bromide equivalent to 320micrograms glycopyrronium (5mL contains 2mg glycopyrronium bromide).

Note dosing is based on glycopyrronium not glycopyrronium bromide (as BNFC). For dosing instructions - refer to the table in the SPC.

 
Link  UKMi Q&A: Hypersalivation can glycopyrronium be used to treat it?
Link  UKMi Q&A: Hypersalivation what are the treatment alternatives to glycopyrronium and hyoscine?
   
Glycopyrronium bromide 1mg/ 5mL
(Oral Solution)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber

Licensed for use in adults only.  Used off-label for the management of hypersalivation.

 
Link  UKMi Q&A: Hypersalivation can glycopyrronium be used to treat it?
Link  UKMi Q&A: Hypersalivation what are the treatment alternatives to glycopyrronium and hyoscine?
   
Hyoscine Butylbromide 10mg
(Tablets)
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
   
Hyoscine Butylbromide 20mg/mL
(Injection)
View adult BNF View SPC online View childrens BNF
Formulary
Red
 
Link  MHRA Drug Safety Update (Feb 2017): Hyoscine butylbromide (Buscopan) injection: risk of serious adverse effects in patients with underlying cardiac disease
   
01.02  Expand sub section  Other antispasmodics
01.02  Expand sub section  Motility stimulants
 ....
 Non Formulary Items
Atropine

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Non Formulary
 
Dicycloverine 10mg
(Tablets )

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Non Formulary
Black

No longer cost-effective (£150+ per box (100))

Review patients historically taking this and consider alternative such as mebeverine or hyoscine butylbromide or whether this medicine is of benefit.

 
Propantheline 15mg
(Tablets )

View adult BNF View SPC online View childrens BNF
Non Formulary
 
  
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
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Link to adult BNF
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Link to children's BNF
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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

RED - Hospital only to be prescribed by a specialist and supplied from secondary care ONLY throughout treatment  

Amber

Amber medicines are considered suitable for GP prescribing following specialist initiation.  

Green

These medicines are appropriate for initiation in both primary and secondary care. Prescribing is appropriate within licensed or local recommendations   

Amber SCG

Shared Care - these medicines require specialist initiation and stabilisation. Ongoing division of responsibility for drug and disease monitoring between specialist and GP by a Shared Care Guideline (SCG). If no SCG in place status reverts to red.   

Black

A decision has been made by either or both the local or national NHS not to routinely commission this preparation for its licensed indications. Do not prescribe.   

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