nhs forth valley formulary 11 - Community Pharmacy

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Forth Valley Formulary Eleventh Edition 2012/13Chapter/Section/Drug Primary Care AcuteCHPsMentalHealthSpecialties7 Obstetrics, gynaecology and urinary tract disorders7.1 Drugs used in obstetrics7.1.1 Prostaglandins and oxytocicsCarboprostDinoprostoneErgometrine MaleateSyntometrine®Oxytocin7.1.1.1 Ductus arteriosusAlprostadil (restricted to paediatrics)7.1.2 MifepristoneMifepristoneMisoprostol (NB. Unlicensed indication)7.1.3 Myometrial RelaxantsAtosibanTerbutaline7.2 Treatment of vaginal and vulval conditionsServicesComment See also Forth Valley GUM List (Appendix 13)7.2.1 Preparations for vaginal and vulval changesConjugated oestrogens (Premarin® cream)Estradiol [Oestradiol] (Vagifem®, Estring®)Estriol [Oestriol] (Ovestin®) Relactagel 7.2.2 Vaginal and vulval infectionsClotrimazole Miconazole ClindamycinPovidone Iodine (Betadine®) 7.3 Contraceptives7.3.1 Combined hormonal contraceptivesLoestrin20® Logynon® Tri-Regol® Microgynon30® Rigevidon® Marvelon® Gedarel® 30/150 Mercilon® Gedarel® 20/150 Femodene® Millinette® 30/75 Femodette® Millinette® 20/75 Cilest® Evra® Patch Page 30
Forth Valley Formulary Eleventh Edition 2012/13Chapter/Section/Drug Primary Care AcuteCHPsMentalHealthSpecialtiesServices7.3.2.1 Oral Progestogen-only contraceptivesCerazette® (use 2 nd line-follow SMC advice)Femulen® Norethisterone 7.3.2.2 Parenteral Progestogen-only contraceptivesMedroxyprogesterone acetate (Depo-provera®) Nexplanon® 7.3.2.3 Intra-uterine progestogen-only contaceptiveMirena® (not 1st line) 7.3.4 Contraceptive devicesNova-T ® 380 Multiload ® Cu375 T-Safe® CU 380A 7.3.5 Emergency contraceptionLevonelle®1500 CommentCommentLevonelle® 1500 only effective if taken within 72 hours. Taking the dose as soon aspossible increases efficacy.EllaOne® EllaOne® not to be used 1 st line unless patient presents after 72 hours.7.4 Drugs for genito-urinary disorders7.4.1 Drugs for urinary retentionTamsulosin Alfuzosin Comment Alfuzosin is available as both standard release and M/R formulations. If prescribing M/R preparation,please prescribe by brand.7.4.2 Drugs for urinary frequency, enuresis and incontinenceDarifenacin Duloxetine (restricted use refer to SMC Guidance) Fesoterodine fumarate Oxybutynin – m/r or patch only Propiverine Solifenacin Succinate (Vesicare®) Tolterodine Trospium chloride Comment See FV Guideline for the Initial Management of Urinary Incontinence - http://www.qifv.scot.<strong>nhs</strong>.uk/Tolterodine IR (immediate-release tablets) should be tried first. If this is effective, but thepatient experiences side-effects, try Tolterodine MR.If Tolterodine is ineffective a trial of Solifenacin would be advocated.Desmopressin (see section 6.5.2) Comment Desmopressin Spray is no longer indicated for nocturnal enuresis unlesstreatment is associated with multiple sclerosis7.4.3 Drugs used in urological painPotassium citrate (Effercitrate®) 7.4.4 Bladder instillations and urological surgerySodium chloride Dimethyl sulphoxideMitomycin-CEpirubicinPage 31
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nhs forth valley formulary 11 - Community Pharmacy

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