nhs forth valley formulary 11 - Community Pharmacy

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