nhs forth valley formulary 11 - Community Pharmacy

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Unlicensed MedicinesThe New Drugs Sub Group is aware of several preparations being used out-with theirlicences, and some of these have been included within the formulary. Prescribers can stillobtain unlicensed preparations in the same manner as they did prior to the launch of theFormulary.In primary care, prescribers should note that if prescribing a preparation for an unlicensedindication, the liability for its use lies with the prescriber.Therapeutic drug monitoringGuidelines on therapeutic drug monitoring for antibiotics and other drugs can be found inAppendix 12.AdviceInformation and advice on medicine use is available from your local communitypharmacist, Medicine Information Centre, Prescribing Support Team, practice or clinicalpharmacist.FeedbackThe success of the formulary depends on feedback from the users and is most welcome.The formulary will be updated regularly.Page 10
Forth Valley Formulary Eleventh Edition 2012/13Chapter/Section/Drug Primary Care AcuteCHPsMentalHealthSpecialtiesServices1 Gastro-intestinal System1.1 Dyspepsia and Gastro-oesophageal Reflux DiseaseComment Forth Valley Dyspepsia Management Guidelines. (Appendix 3)1.1.1 Aluminium and Magnesium containing antacidsCo-magaldrox Comment Maalox® is the contract product for supply in Secondary Care. Mucogel® has the sameformulation and is more cost-effective in Primary care.1.1.2 Other drugs for dyspepsia and GORDAcidex® Gaviscon Advance® (2 nd Line) Peptac® (1 st Line) Infant Gaviscon® 1.2 Antispasmodics and other drugs altering gut motilityMebeverine (not MR preparation) (1 st Line) Hyoscine Butylbromide (2 nd Line) Peppermint Oil Metoclopramide Domperidone 1.3 Ulcer-healing Drugs1.3.1 H2-receptor antagonistsRanitidine 1.3.3 Chelates and complexesSucralfate 1.3.5 Proton pump inhibitorsOmeprazole Capsules (1 st Line) Lansoprazole Capsules (2 nd Line) Esomeprazole (Restricted to specialist recommendation only within FV guideline)Esomeprazole (I.V.) [Nexium I.V.®]Pantoprazole (I.V.)1.4 Antidiarrhoeal Drugs1.4.1 Methylcellulose Tablets (see section 1.6.1)1.4.2 Antimotility drugsCodeine Phosphate Loperamide (High doses used in short bowel patients)Comment Prevention of electrolyte depletion and replacement of electorlyte is 1st line treatment in acutediarrhoea. Oral rehydration therapy is listed in section 9.2. Codeine recommended only in shorttermuse due to CNS side effects and dependence.Page 11
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