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 12: Ear, nose and oropharynx - Full Chapter
Notes:

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

 Details...
12.02.01  Expand sub section  Drugs used in nasal allergy
Azelastine and fluticasone (Dymista)
(Nasal spray)
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Restricted Drug Restricted
Amber

Fluticasone propionate 50microgram / azelastine 137micrograms per dose nasal spray.

Restricted  for 2nd-line use after topical corticosteroids.

 
   
12.02.01  Expand sub section  Antihistamines
12.02.01  Expand sub section  Corticosteroids
Beclometasone Dipropionate 50micrograms per metered dose
(Nasal Spray )
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First Choice
Green
1st choice steroid spray
In primary care adults may purchase this over the counter

 
Betamethasone 0.1% nasal drops
(Eye / ear/ nose drops)
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Formulary
Green
 
   
Budesonide 64micrograms per metered dose
(Nasal Spray )
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Formulary
Green
 
   
Fluticasone Propionate 400mcg (Flixonase Nasule)
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Formulary
Amber

Prescribing by ENT consultants for nasal polyps.

 
   
Mometasone Furoate 50micrograms per metered dose
( Nasal Spray )
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Formulary
Green
 
   
12.02.01  Expand sub section  Cromoglicate
 ....
 Non Formulary Items
Azelastine Hydrochloride 140micrograms per spray
(Nasal Spray)

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Non Formulary
 
Flunisolide  (Syntaris)

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Non Formulary
 
Fluticasone furoate  (Avamys)

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Non Formulary
 
Fluticasone Propionate  (Nasofan®)

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Non Formulary
 
Triamcinolone Acetonide  (Nasacort)

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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
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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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