nhs forth valley formulary 11 - Community Pharmacy

Forth Valley Formulary Eleventh Edition 2012/13Chapter/Section/Drug Primary Care AcuteCHPsMentalHealthSpecialtiesServices10 Musculoskeletal and joint diseases10.1 Drugs used in rheumatic diseases and gout10.1.1 Non-steroidal anti-inflammatory drugsIbuprofen Diclofenac sodium (not M/R product) Diclofenac 75mg/2ml Sol’n for intravenous injection (Dyloject®)(Restricted use for post operative pain)Naproxen Celecoxib (not 1st line) Etoricoxib (Alternative to Celecoxib) 10.1.2 CorticosteroidsTriamcinolone hexacetanide Methylprednisolone acetate Hydrocortisone acetate 10.1.3 Drugs which suppress the rheumatic disease processSodium aurothiomalate Auranofin Penicillamine Hydroxychloroquine sulphate Cyclophosphamide Methotrexate Azathioprine Sulphasalazine (EC formulation) AdalimumabCiclosporin (Prescribe by brand) Comment Due to differences in bioavailability ciclosporin brand should be specified.MycophenylateSpecialist recommendation by Rheumatologyexpert for SLE onlyLeflunomideRheumatology recommendation onlyAdalimumabRheumatology recommendation onlyEtanerceptRheumatology recommendation onlyInfliximabRheumatology recommendation onlyRituximabRheumatology recommendation onlyTocilizumab (RoActemra®) [Not 1 st Line]10.1.4 Drugs for treatment of goutColchicine (acute attack) CommentCaution with course length/total dose of colchicine - refer to BNF.Allopurinol (prophylaxis) Febuxostat (Adenuric®) (Restricted tospecialist recommendation only) Page 37