Medicines Formulary

Reports

Status	Drug name	NICE TAs	Comments
	Capsaicin (Zacin, Axsain)		Very high relative cost, Tier 2
	Carbamazepine		Trigeminal neuralgia only
	Carbamazepine M/R tablets		Tegretol
	Carbamazepine SF liquid		Tegretol
	Carbamazepine suppositories		Tegretol
	Carbamazepine tablets		Tegretol
	Carbimazole tablets		Neutropenia and agranulocytosis. Doctors are reminded of the importance of recognising bone marrow suppression induced by carbimazole and the need to stop treatment promptly. Patient should be asked to report symptoms and signs suggestive of infection, especially sore throat. A white blood cell count should be performed if there is any clinical evidence of infection. Carbimazole should be stopped promptly if there is clinical or laboratory evidence of neutropenia.
	Carbocisteine
	Carmellose (Xailin fresh)
	Carmellose 1% multi (Moorfields)

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Drug status key

Formulary drugs are allocated a traffic light status. This provides guidance on where clinical and prescribing responsibilities lie in regard to the initiation and maintenance of prescribing.

Grey

Positive NICE TA and/or awaiting local clarification on place in therapy. Please contact your medicines optimisation team for more information.

Red

Initiation and maintenance of prescribing by specialists only.

Amber

Initiation and maintenance of prescribing by specialists and transfer to primary care prescribing when appropriate, or in primary care following a specialists recommendation. Prior to initiation some medicines may require committee agreement or a framework to support safe transfer and maintenance.

Green

Initiation and maintenance of prescribing by specialists, GPs and other qualified clinicians.

Blue

Under review at University Hospitals Birmingham NHS Foundation Trust.