nhs forth valley formulary 11 - Community Pharmacy

Forth Valley Formulary Eleventh Edition 2012/13Chapter/Section/Drug Primary Care AcuteCHPsMentalHealthSpecialtiesServices6 Endocrine SystemComment Please Refer to Forth Valley Management Programme for Diabetes Mellitus,Recommendations for Blood Glucose Monitoring (Appendix 14)Blood Glucose Meters- Formulary Choices (Appendix 15)6.1 Drugs used in Diabetes6.1.1 Insulins (Recommendation by Practitioner experienced in management ofdiabetes)6.1.2 Oral Antidiabetic Drugs6.1.2.1 SulphonylureasGliclazide (1 st Line) Glimepiride (only if problems with compliance or polypharmacy) (2 nd Line)6.1.2.2 BiguanidesMetformin 6.1.2.3 Other AntidiabeticsExenatide Liraglutide Comment Liraglutide restricted to secondary care initiation only.Recommended maintenance dose of 1.2mgPioglitazone Saxagliptin Sitagliptin (1 st Line) Comment Sitagliptin, Saxagliptin and Exenatide restricted to prescribers experienced in themanagement of diabetes.6.1.4 Treatment of HypoglycaemiaGlucagon Glucogel Glucose 50% 6.2 Thyroid and Antithyroid Drugs6.2.1 Thyroid HormonesLevothyroxine [Thyroxine] Sodium (1 st Line) Liothyronine Sodium 6.2.2 Antithyroid DrugsCarbimazole (1 st Line) Propylthiouracil Potassium iodidePropranolol 6.3 Corticosteroids6.3.1 Replacement TherapyFludrocortisone Acetate 6.3.2 Glucocorticoid TherapyHydrocortisone Tablets Hydrocortisone Injection Dexamethasone Methylprednisolone Prednisolone Comment Consider osteoporosis prevention treatment if corticosteroids used long term.Please refer to Forth Valley Osteoporosis GuidelinesPage 27