University Hospitals Birmingham NHS Foundation Trust

Chapters

Status Drug name NICE TAs Comments
Status: Green Alfuzosin M/R tablets
Status: Green Alfuzosin tablets
Status: Amber Alprostadil cream (Vitaros)

Specialist initiation. For patients who would otherwise use alprostradil injection.

Status: Amber Alprostadil injection
Status: Amber Aviptadil 25mcg / Phentolamine 2mg intracavernosal injection (Invicorp®)

Approved on formulary December 2017. Specialist initiation. Third line after oral PDE-5 inhibitors failed and patient not responding to or intolerant of alprostadil. To be reviewed within 12 months to assess alprostadil supply issues and patent expiry

Status: Red BCG (OncoTice®) bladder installation
Status: Red Bethanechol chloride
Status: Red Bladder cocktail urological solution
Status: Red Botulinum toxin type A
Status: Red Catheter patency solution - sodium chloride
Status: Red Chlorhexidine bladder wash
Status: Red Chondroitin sulfate urological solution (Uracyst®)
Status: Red Dimethyl sulphoxide bladder installation 50%
Status: Green Doxazosin
Status: Amber Duloxetine capsule
Status: Red Glycine
Status: Red Hyuralonic acid (Hyacyst®)
Status: Green Mirabegron
Status: Green Oxybutynin M/R tablets
Status: Amber Oxybutynin patch (Kentera)

If first line is not tolerated, following specialist advice

Status: Green Oxybutynin tablets
Status: Green Potassium citrate mixture BP
Status: Green Sildenafil tablets#7.4

Sildenafil tablets generic

Status: Green Sodium bicarbonate powder
Status: Red Sodium citrate
Status: Green Solifenacin tablets
Status: Green Tadalafil 10mg

High relative cost. In line with SLS criteria. Four tab per month - on demand. Non-formulary for LUTS in BPS.

Status: Green Tolterodine M/R capsules

High relative cost. Second line.

Status: Green Tolterodine tablets
Status: Green Trospium MR capsules

Over 65 year old

Status: Green Trospium tablets

Over 65 year old

Status: Green Vacuum pumps

Green - if in line with SLS criteria

Status: Red Vacuum pumps#red

Red - if not in line with the SLS criteria

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