North West London Integrated Formulary Updates and changes included in version 34.0 effective from 07.10.19 Added BNF section Product Initiate by specialist only? Comments 5.1.13 Methenamine hippurate tablets 1g Yes Not to be used for longer than 6 months or in patients with structural urinary abnormalities or a long-term catheter 3.1.4 Trelegy Ellipta ® Inhalation powder, pre-dispensed 92 micrograms/55 micrograms/22 micrograms Yes Seek specialist advice before initiating triple therapy for COPD 3.1.4 Trimbow ® Pressurised inhalation, solution 87 micrograms/5 micrograms/9 micrograms Yes Seek specialist advice before initiating triple therapy for COPD 1.5.2 Budenofalk ® 2mg/dose rectal foam enema Yes 4.9.1 Stanek ® (entacapone, levodopa and carbidopa) tablets (all strengths) Yes 9.6.4 Calci-D ® 1000mg/1,000unit chewable tablets (calcium carbonate 2.5 gram and colecalciferol 1000 iu) No Products removed based on price Stalevo ® (entacapone, levodopa and carbidopa) tablets (all strengths) Products removed based on safety concerns Methotrexate 10mg tablets removed to avoid error with low-dose methotrexate as per the BNF - only one strength of methotrexate tablet (usually 2.5mg) is prescribed and dispensed Changes to 'comments section' Fosfomycin granules 3g "Specialist INITIATION" and "after consultation with a microbiologist" removed. For use in line with NICE/Public Health England guidance North West London Integrated Formulary Updates and changes included in version 33.0 effective from 03.07.19 Added BNF section Product Initiate by specialist only? Comments 6.1.2.2 Metformin MR tablets 750mg and 1g No Try conventional tablets before MR tablets 7.3.1 Cilique ® tablets No 7.3.2 Lizinna ® tablets No 6.1.2.3 Ertugliflozin tablets 5mg, 15mg No For use in line with NICE's guidance 6.1.2.3 Semaglutide 0.25mg/0.19ml solution for injection 1.5ml pre- filled pen, 0.5mg/0.37ml solution for injection 1.5ml pre- filled pen, 1mg/0.74ml solution for injection 3ml pre-filled pen No For use in line with NICE's guidance. Shared care documents have been agreed in some parts of NWL and in these areas GPs should only be asked to prescribe the drug in line with the agreement 4.2.1 Risperidone oral solution 1mg/ml sugar free No Orodispersible tablets cost much more than standard tablets or liquid. An NWL shared care document exists; see the shared care documents folder on this site 10.1.3 Methotrexate pre-filled disposable injection for subcutaneous use 7.5mg, 10mg, 12.5mg, 15mg, 17.5mg, 20mg, 22.5mg, 25mg, 27.5mg, 30mg Yes Ensure NPSA guidance is followed. GPs should only prescribe if they have agreed shared care arrangements. GPs should not be asked to prescribe methotrexate for treatment of cancers 13.2.1 Epimax® cream, ointment, paraffin-free ointment No 13.2.1 Epimax® Oatmeal cream No 13.2.1 Isomol® gel No 13.2.1 ExCetra® cream No 13.2.1 Aquamax® cream No
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North West London Integrated FormularyUpdates and changes included in version 34.0 effective from 07.10.19
Added
BNF section Product
Initiate by
specialist
only? Comments
5.1.13 Methenamine hippurate tablets 1g Yes Not to be used for longer than 6 months or in patients
with structural urinary abnormalities or a long-term
Stalevo ® (entacapone, levodopa and carbidopa) tablets (all strengths)
Products removed based on safety concerns
Methotrexate 10mg tablets removed to avoid error with low-dose methotrexate as per the BNF - only one strength of methotrexate tablet (usually 2.5mg) is prescribed and dispensed
Changes to 'comments section'
Fosfomycin granules 3g "Specialist INITIATION" and "after consultation with a microbiologist" removed. For use in line with NICE/Public Health England guidance
North West London Integrated FormularyUpdates and changes included in version 33.0 effective from 03.07.19
Added
BNF section Product
Initiate by
specialist
only? Comments
6.1.2.2 Metformin MR tablets 750mg and 1g No Try conventional tablets before MR tablets
7.3.1 Cilique ® tablets No
7.3.2 Lizinna ® tablets No
6.1.2.3 Ertugliflozin tablets 5mg, 15mg No For use in line with NICE's guidance
6.1.2.3 Semaglutide 0.25mg/0.19ml solution for injection 1.5ml pre-
filled pen, 0.5mg/0.37ml solution for injection 1.5ml pre-
filled pen, 1mg/0.74ml solution for injection 3ml pre-filled
pen
No For use in line with NICE's guidance. Shared care
documents have been agreed in some parts of NWL and
in these areas GPs should only be asked to prescribe the
drug in line with the agreement
4.2.1 Risperidone oral solution 1mg/ml sugar free No Orodispersible tablets cost much more than standard
tablets or liquid. An NWL shared care document exists;
see the shared care documents folder on this site
10.1.3 Methotrexate pre-filled disposable injection for
subcutaneous use 7.5mg, 10mg, 12.5mg, 15mg, 17.5mg,
20mg, 22.5mg, 25mg, 27.5mg, 30mg
Yes Ensure NPSA guidance is followed. GPs should only
prescribe if they have agreed shared care arrangements.
GPs should not be asked to prescribe methotrexate for
treatment of cancers
13.2.1 Epimax® cream, ointment, paraffin-free ointment No
13.2.1 Epimax® Oatmeal cream No
13.2.1 Isomol® gel No
13.2.1 ExCetra® cream No
13.2.1 Aquamax® cream No
13.2.1 AproDerm® emollient cream, gel, ointment No
13.2.1 Fifty:50 ointment No
13.2.1 Zeroderm® ointment No
13.2.1 ImuDERM® No
Discontinued products removed
Angeliq ® 1mg/2mg tablets
Fluocinolone acetonide cream 0.0025% (Synalar 1 in 10 Dilution®)
Hypromellose eye drops 1% (Isopto Alkaline ®)
Lubiprostone capsules 24 microgram
Timolol 0.2ml unit dose eye drops 0.5% - preservative free
Cilest ® tablets
Isotretinoin gel 0.05%
Products removed based on price
Sucralfate tablets 1g
Changes to 'comments section'
Sucralfate liquid annotated with 'unlicensed product'
All emollients (BNF section 13.2.1) 'for use as a soap substitute only' annotation removed
First, second and third line annotations removed
All emollients (BNF section 13.2.1)
North West London Integrated FormularyUpdates and changes included in version 32.0 effective from 25.01.19
Added
BNF section Product
Initiate by
specialist
only? Comments
7.4.5 Aviptadil with phentolamine mesilate solution for injection
25micrograms/2mg/0.35ml ampoules (Invicorp)
Yes See BNF for circumstances under which this can be
prescribed on the NHS
6.1.1.2 Insulin glargine (Semglee) No Prescribe by brand name
Discontinued products removed
Alphaderm 1%/10% cream
Cuplex Verruca gel
Changes to 'comments section'
Rifampicin, pyrazinamide, isoniazid, ethambutol and rifabutin - comment added 'Red Listed for the treatment of TB: the norm is for TB treatment to be prescribed by the team supervising the treatment'
Liothyronine sodium - comment added 'should only be used in line with guidance from the Regional Medicines Optimisation Committee https://www.sps.nhs.uk/wp-content/uploads/2018/11/RMOC-Liothyronine-Guidance-v2.0-final-1.pdf'
Products removed based on price
Chlortalidone tablets 50mg (various companies)
North West London Integrated FormularyUpdates and changes included in version 31.0 effective from 18.10.18
Added
BNF section Product
Initiate by
specialist
only? Comments
9.1.1 Ferrous fumarate capsules 305mg (100mg iron) No
13.4 Clobetasol propionate shampoo 0.05% (Etrivex ®) No Very potent
Yes For use in line with NICE's guidance. Shared care
documents are in use in some parts of NWL.
Discontinued products removed
Zaleplon capsules 5mg, 10mg
Changes to 'comments section'
Dornase alfa - comment added 'GPs should not agree to take on any new prescribing of dornase alfa as it is now covered by NHS England specialised commissioning'
North West London Integrated FormularyUpdates and changes included in version 30.0 effective from 24.07.18
Added
BNF section Product
Initiate by
specialist
only? Comments
4.4 Dexamfetamine sulphate tablets 10mg Yes For use in line with NICE's guidance. Shared care
documents are in use in some parts of NWL.
6.1.1.1 Insulin lispro Sanofi - all formulations 100 units/ml- pre-
filled pen (3ml), cartridge (3ml), vial (10ml)
No Insulin analogues cost significantly more than
conventional human insulins. Expenditure can be
avoided by ensuring that insulin analogues are only
used precisely in line with NICE's current guidelines on
type 2 and type 1 diabetes. Prescribers are asked to
challenge clinicians who prescribe or recommend
insulin analogues when, according to NICE's current
guidance, a less expensive human insulin could have
been used. Refer to NICE guidance where appropriate
North West London Integrated FormularyUpdates and changes included in version 29.0 effective from 22.06.18
Changes to 'comments section'
Lidocaine plasters - comment added to reflect NHS England guidance on items which should not routinely be prescribed in primary care
Liothyronine - comment added to reflect NHS England guidance on items which should not routinely be prescribed in primary care
North West London Integrated FormularyUpdates and changes included in version 28.0 effective from 23.04.18
Added
BNF section Product
Initiate by
specialist
only? Comments
3.2 Sereflo ® No
6.4.2 Testosterone gel in pump 16.2mg/g Yes
Discontinued products removed
Dithranol cream 3%
Morphine suppositories 15mg, 30mg
Strontium ranelate 2g granules for oral suspension
Products removed based on safety concerns (MHRA alert)
Ulipristal acetate 5mg tablets
Products removed based on price
Ascorbic acid tablets 50mg, 200mg, 500mg
North West London Integrated FormularyUpdates and changes included in version 27.0 effective from 08.01.18
Added
BNF section Product
Initiate by
specialist
only? Comments
1.2 Eluxadoline tablets 75mg, 100mg No For use in line with NICE's guidance
2.9 Ticagrelor tablets 60mg Yes For use in line with NICE's guidance
1.7.4 Diltiazem rectal ointment 2% (unlicensed) No For treatment of anal fissure. Generally not suitable for
repeat prescribing
Discontinued products removed
Benzoyl peroxide aqueous gel 2.5%, gel in aqueous alcoholic base 5%, cream 4%
Products removed in line with NHS Enlgand guidance - Items which should not routinely be prescribed in primary care: Guidance for CCGs
Vaccines: Hepatitis B vaccine, Meningococcal polysaccharide A, C, W135 and Y vaccine, BCG intradermal vaccine - Annotated with NHS England recommendations - Items which should not routinely be prescribed in primary care: Guidance for CCGs
Tadalafil tablets 10mg, 20mg - Annotated with NHS England recommendations - Items which should not routinely be prescribed in primary care: Guidance for CCGs
North West London Integrated FormularyUpdates and changes included in version 26.0 effective from 09.08.17
Added
BNF section Product
Initiate by
specialist
only? Comments
1.9.1 Ursodeoxycholic acid 250mg tablets Yes
3.1 Roflumilast 500micrograms tablets Yes For use in line with NICE's guidance
4.11 Rivastigmine 13.3mg/24 hours Yes For use in line with NICE's guidance
5.1.13 Fosfomycin 3g granules Yes For use in line with Public Health England guidance
'Summary tables: infections in primary care', and after