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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 10: Musculoskeletal and joint diseases - Full Chapter
Notes:

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

 Details...
10.01.01  Expand sub section  Non-steroidal anti-inflammatory drugs
Ibuprofen
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First Choice
Green
First choice NSAID
200mg & 400mg Tablets
100mg/5mL Sugar-free Suspension

 
Naproxen
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Second Choice
Green
250mg & 500mg Tablets
250mg & 500mg Enteric Coated Tablets  
   
Diclofenac
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Third Choice
Amber

Following new safety data (see below) the use of diclofenac is restricted to use where the risks and benefits of continued treatment have been considered.
All decisions to initiate or continue use of diclofenac should be clearly documented and communicated across healthcare interfaces.

50mg Tablets
75mg Sustained Release Tablets (not routinely stocked)
12.5mg, 25mg, 50mg & 100mg Suppositories
75mg/3mL injection

 
Link  MHRA Drug Safety Update (January 2015) - Diclofenac tablets now only available as a prescription medicine
Link  MHRA Drug Safety Update (June 2013) - Diclofenac: new contraindications and warnings
   
Celecoxib
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Restricted Drug Restricted
Amber
100mg & 200mg Capsules

Restricted - must only be prescribed by Consultant Rheumatologists 
   
Indometacin
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Formulary
Amber

25mg Capsules
75mg Sustained Release Capsules
100mg Suppositories

1st choice treatment of acute attacks of gout. Also used in ankylosing spondylitis

 
   
Mefenamic Acid 250mg
(Capsules)
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Formulary
Green
 
   
10.01.01  Expand sub section  Aspirin
 ....
 Non Formulary Items
Aceclofenac

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Non Formulary
 
Acelofenac  (Preservex)

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Non Formulary
 
Acemetacin  (Emflex)

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Non Formulary
 
Azapropazone  (Rheumox)

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Non Formulary
 
Dexibuprofen  (Seractil)

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Non Formulary
 
Dexketoprofen  (Keral)

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Non Formulary
 
Diclofenac with Misoprostol  (Arthrotec 50 and 75)

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Non Formulary
 
Dicolfenac Sodium  (Diclomax Retard)

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Non Formulary
 
Dicolfenac Sodium  (Motifene 75mg)

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Non Formulary
 
Dicolfenac Sodium  (Voltarol 75 mg SR)

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Non Formulary
 
Dicolfenac Sodium  (Voltarol Radid)

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Non Formulary
 
Dicolfenac Sodium  (Voltarol Retard)

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Non Formulary
 
Etodolac

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Non Formulary
 
Etodolac  (Lodine SR)

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Non Formulary
 
Etoricoxib  (Arcoxia)

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Non Formulary
 
Fenbufen

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Non Formulary
 
Fenbufen  (Lederfen)

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Non Formulary
 
Fenoprofen  (Fenopron)

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Non Formulary
 
Flurbiprofen

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Non Formulary
 
Flurbiprofen  (Froben SR)

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Non Formulary
 
Flurbiprofen  (Froben)

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Non Formulary
 
Ibuprofen  (Brufen Retard)

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Non Formulary
 
Ibuprofen and famotidine  (Duexis)

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Non Formulary
 
Ketoprofen

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Non Formulary
 
Ketoprofen  (Axorid®)

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Non Formulary
 
Ketoprofen  (Orudis)

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Non Formulary
 
Ketoprofen  (Oruvail)

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Non Formulary
 
Ketoprofen  (Oruvail MR)

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Non Formulary
 
Lumiracoxib  (Prexige)

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Non Formulary
 
Meloxicam

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Non Formulary
 
Meloxicam  (Mobic)

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Non Formulary
 
Nabumetone

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Non Formulary
 
Nabumetone  (Relifex)

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Non Formulary
 
Naproxen & esomeprazole  (Vimovo)

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Non Formulary
 
Naproxen with Misoprostol  (Napratec)

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Non Formulary
 
Piroxicam

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Non Formulary
 
Piroxicam  (Brexidol)

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Non Formulary
 
Piroxicam  (Feldene)

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Non Formulary
 
Sulindac

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Non Formulary
 
Sulindac  (Clinoril)

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Non Formulary
 
Tenoxicam  (Mobiflex)

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Non Formulary
 
Tiaprofenic Acid

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Non Formulary
 
Tiaprofenic Acid  (Surgam)

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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
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

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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