University Hospitals Birmingham NHS Foundation Trust

Reports

Status Drug name NICE TAs Comments
Status: Green Flucitasone inhaler (Flixotide) evohaler 50 / Fluticasone accuhaler 50, 100

For paediatric use only

Status: Green Flucitasone propionate and azelastine (Dymista®)

Third line option for adults and children over 12 with moderate to severe allergic rhinitis who have failed ot respond to a steroid nasal spray with the addition of an oral antihistamine. Follow APC treatment algorithm.

Status: Red Flunarazine tablets

Not licensed in the UK. Licensed in Europe and Ireland - preventative management in primary headache.

Status: Green Fluocinolone acetonide 0.025% (Synalar 1 in 10 dilution®)

Mild - for use in paediatrics

Status: Amber Fluorometholone 0.1% eye drops (5ml)

Specialist ophthalmologist recommendation

Status: Red Fluorouracil injection

For hospital use only

Status: Red Flupentixol decanoate injection

Hospital only. APC verdict - present status red. Future status amber with a framework in primary care before transfer (commissioning discussion).

Status: Red Fluphenazine decanoate injection

Hospital only. APC verdict - present status red. Future status amber with a framework in primary care before transfer (commissioning discussion).

Status: Green Fluticasone furoate & vilanterol (Relvar Ellipta®)

92mcg/22mcg - In line with COPD Guidance
92mcg/22mcg & 184mcg/22mcg - In line with asthma guidance

Status: Amber Fluticasone propionate nasal drops (Flixonase Nasule)

Specialist recommendation for nasal polyps.

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

Grey

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

Red

Red

Initiation and maintenance of prescribing by specialists only.

Amber

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

Green

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

Blue

Blue

Under review at University Hospitals Birmingham NHS Foundation Trust.

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