University Hospitals Birmingham NHS Foundation Trust

Chapters

Status Drug name NICE TAs Comments
Status: Green Aclidinium inhaler (Eklira Genuair)

For COPD only

Status: Red Aerobika® oscillating positive expiratory pressure (OPEP) device

Review use after 6 months.

Status: Green Aminophylline (Phyllocontin Continus®)
Status: Red Aminophylline injection (Phyllocontin Continus®)

Hospital use only

Status: Green Anoro® Ellipta® 55/22mcg (multi dose dry powder inhaler device)

To be used in line with COPD guidance

Status: Amber Bambuterol tablets

Specialist initiation for severe brittle asthma / CF 

Status: Red Benralizumab
Status: Green Duaklir Genuair

Aclidinium bromide + formoterol fumarate (Fixed Dose Combination). To be used in in-line with COPD Guidance.

Status: Green Formoterol
Status: Green Glycopyrronium inhaler

For COPD only

Status: Green Haleraid®
Status: Green Ipratropium inhaler
Status: Green Ipratropium nebulised
Status: Red Kaftrio®

NHSE commissioned

Status: Red Lumacaftor-ivacaftor (Orkambi®)

NHSE commissioning statement

Status: Red Mepolizumab (Nucala®)#3.1
Status: Green Peak flow meter
Status: Green Salbutamol inhaler
Status: Green Salbutamol injection
Status: Green Salbutamol nebulised
Status: Green Salbutamol oral
Status: Green Salmeterol inhaler

Prescribe by brand to ensure patients receive the device they are used to. Check licensed indication (differences among brands). Be aware of differences in excipients among the different brands- APC listing of current formulary brands

Status: Green Sodium chloride (Bebuliser diluent)
Status: Green Spacer device

Able Spacer® - For use with all pressurised (aerosol) inhalers
AeroChamber® Plus - For use with all pressurised (aerosol) inhalers
Volumatic® - For use with Clenil Modulite®, Flixotide®, Seretide®, Serevent®, and Ventolin® inhalers 

Status: Green Terbutaline inhaler
Status: Green Terbutaline nebulised

As an alternative to salbutamol nebules if salbutamol is in short supply

Status: Red Tezacaftor and ivacaftor (Symkevi®)

NHSE commissioning statement

Status: Red Tezepelumab
Status: Green Theophylline (Uniphyllin continus)

Please refer to the current British National Formulary for advice on monitoring plasma-theophylline level. Theophylline levels may rise when patient stops smoking.

Status: Green Tiotropium

Prescribe by brand to ensure patients receive the device they are used to. Check licensed indication (differences among brands). Be aware of differences in excipients among the different brands - APC listing of current formulary brands

Status: Green Tiotropium and Olodaterol (Spiolto® Respimat®)

For COPD

Status: Green Ultibro breezhaler

Indacaterol maleate and glycopyrronium bromidfe. To be used in line with COPD guidance

Status: Green Umeclidinium bromide (Incruse Ellipta®)

To be used in line with COPD guidance

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