nhs forth valley formulary 11 - Community Pharmacy

Forth Valley Formulary Eleventh Edition 2012/13Chapter/Section/Drug Primary Care AcuteCHPsMentalHealthSpecialtiesServices1.5 Chronic Bowel Disorders1.5.1 AminosalicylatesBalsalazide Sodium Mesalazine Comment Mesalazine MR product - prescribe by brand and do not interchangeSulfasalazine [Sulphasalazine] Comment Biologic therapies can only be prescribed by consultant gastroenterologist1.5.2 CorticosteroidsPrednisolone (Predfoam®/Predenema®/Predsol®)1.5.3 Drugs affecting the immune responseAzathioprine Ciclosporin Mercaptopurine MethotrexateAdalimumab Infliximab Comment1.6 LaxativesConsultant Gastroenterologist initiation onlyComment Please refer to the relevant Constipation Management GuidelinesAppendix 4 – Acute Services guidelines for Management and Prevention of Constipation in Adults.1.6.1 Bulk-forming laxativesIspaghula Husk (2 nd Line) Methylcellulose Tablets (use in diarrhoea)1.6.2 Stimulant laxativesBisacodyl Docusate (Norgalax Micro-enema®) - For midwife initiation onlyGlycerol Senna Co-danthramer (terminal care only) 1.6.4 Osmotic LaxativesLaxido® Comment Prolonged use is not recommended.Lactulose (1 st Line) Comment Lactulose may take up to 48 hours to act and is therefore unsuitable for relief of acute symptoms andfor "prn" prescribing.Phosphate enema Sodium Citrate Enema (Micralax®) 1.6.5 Bowel cleansing solutionsMoviprep®Picolax®1.7 Preparation for HaemorrhoidsAnusol® Cream Anusol® Suppositories Anusol HC® Ointment Anusol HC® Suppositories For midwife initiation onlyUniroid – HC® Ointment Uniroid – HC® Suppositories Comment Uniroid - HC ® 1 st line if steroid containing preparation with anaethetic required, but steroidpreparations are not 1 st line and should only be used for a few days.Page 12