nhs forth valley formulary 11 - Community Pharmacy

Forth Valley Formulary Eleventh Edition 2012/13Chapter/Section/Drug Primary Care AcuteCHPsMentalHealthSpecialties3 Respiratory SystemComment Local guidance is available from the Forth Valley Asthma Online Resource with links tonational guidance at http://www.qifv.scot.nhs.uk/3.1 BronchodilatorsServices3.1.1 Adrenoceptor stimulantsSalbutamol (1 st Line) Terbutaline (2 nd Line) Salmeterol 3.1.2 Antimuscarinic bronchodilatorsTiotropium (1 st Line) Ipratropium Bromide (2 nd Line) 3.1.3 TheophyllineAminophylline InjectionUniphyllin® Comment Different brands of theophylline modified release preparations have different bioavailabilities.As the products are NOT INTERCHANGEABLE, prescribers should specify the brand on which apatient is stabilised.3.1.4 Combination bronchodilator preparationsCombivent® 3.1.5 Peak flow meters, inhaler devices and nebulisersPeak Flow Meter (Mini-Wright® Adult & Paediatric)Inhaler spacer device CommentCommentSpacer devices are recommended in preference to dry powder or breath actuated inhalersparticularly in young children.Emergency DrugsAdrenaline [Epinephrine] Specialist ProductsCaffeine CitrateCaffeine Citrate is the oral xanthine of choice in neonates.3.2 CorticosteroidsBeclometasone Dipropionate (Clenil Modulite®1st line)Budesonide (2 nd Line) Fluticasone Fluticasone propionate and formoterol fumarate (Flutiform®)Hydrocortisone IV (See section 6.3.2)Prednisolone Oral (See section 6.3.2)Other Compound PreparationsSeretide® (Seretide 500 accuhalerlicensed for COPD and cheaper thanMDI which is unlicensed for COPD)Symbicort® Fostair® Comment Refer to Guidance on Issuing Steroid Cards (Appendix 6).Page 17