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Birmingham, Sandwell, Solihull and environs APC Formulary
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 Formulary Chapter 1: Gastro-intestinal system - Full Chapter
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01.02  Expand sub section  Antispasmodics and other drugs altering gut motility
Botulinium Toxin A
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Formulary
Red

Achalasia

  • Use for SWB only in endoscopy
  • 100 units
 
   
01.02  Expand sub section  Antimuscarinics
Atropine
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Formulary
Green
Injection 
   
Hyoscine Butylbromide (Buscopan®)
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Formulary
Green
Tablet 10mg, Injection 20mg/ml  
   
01.02  Expand sub section  Other antispasmodics
Mebeverine Hydrochloride
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Formulary
Green
Tablet 135mg
Prescribe standard release tablets only; modified release (MR) preparations are non-formulary
 
   
Peppermint Oil
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Formulary
Green
Capsule E/C 0.2ml
 
   
Peppermint water
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Restricted Drug Restricted
Red
unlicensedunlicensed

For specialist use only 
   
01.02  Expand sub section  Motility stimulants
Metoclopramide
(Tablets/Oral solution/Injection)
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Formulary
Green
Not recommended for patients aged 20 years and below due to risk of dystonic reactions
See MHRA guidance below for restrictions on use in younger patients
 
Link  MHRA update on dose and duration of use restrictions (April 2014)
   
Domperidone
(Tablets/Suspension/Suppositories)
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Formulary
Green
Second line

Domperidone is no longer recommended for the management of heartburn, bloating and stomach discomfort. See the link below for more information 
Link  MHRA advice on domperidone
   
 ....
 Non Formulary Items
Alverine Citrate  (Spasmonal®)

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Non Formulary
Black
 
Dicycloverine

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Non Formulary
Black
 
Gastrocote

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Non Formulary
Black
Suspension
 
Gaviscon Advance

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Non Formulary
Black
 
Mebeverine Hydrochloride  (Colofac® MR)

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Non Formulary
 
Peppermint Oil MR Capsules  (Colpermin®)

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Non Formulary
 
Propantheline

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Non Formulary
Black
 
Renie Duo

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Non Formulary
 
Sodium citrate 0.3M

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Non Formulary
 
Topal  (Topal®)

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Non Formulary
 
  
Key
note Notes
Section Title Section Title (top level)
Section Title Section Title (sub level)
First Choice Item First Choice item
Non Formulary Item Non Formulary section
Restricted Drug
Restricted Drug
Unlicensed Drug
Unlicensed
Track Changes
Display tracking information
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Link to adult BNF
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Link to children's BNF
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Link to SPCs
Cytotoxic Drug
Cytotoxic Drug
CD
Controlled Drug
High Cost Medicine
High Cost Medicine
Cancer Drugs Fund
Cancer Drugs Fund
NHSE
NHS England
Homecare
Homecare
CCG
CCG

Traffic Light Status Information

Status Description

Prescribing in children

The APC notes that the informed use of unlicensed medicines or of licensed medicines for unlicensed applications (‘off-label’ use) is often necessary in paediatric practice.

The APC advises GPs to consider specialist prescribing recommendations for Green and Amber medicines that are not subject to ESCAs or RICaDs in combination with the information provided in the BNFC which goes beyond that of marketing authorisations. The BNFC has been designed for rapid reference and the information presented has been carefully selected to aid decisions on prescribing.
  

Green

Medicines suitable for routine use within primary care. Initiation and maintenance of prescribing by Specialists, GPs and other qualified clinicians.   

Amber Initiation

Amber Specialist Initiation: Initiation and maintenance of prescribing by Specialists and transfer to Primary Care prescribing when appropriate. This may be supported by a RICaD, annotated within the formulary entry.  

Amber Recommended

Amber Specialist Recommendation: Initiation and maintenance of prescribing in Primary Care following recommendation from a Specialist.  

Amber SC

Amber Shared Care: Initiation and maintenance of prescribing by Specialists and transfer to Primary Care prescribing, in accordance with an ESCA, annotated within the formulary entry.  

Red

Medicines for initiation and maintenance prescribing by Specialists only.  

Black

Non-formulary Medicines which APC/Trust DTC has actively reviewed and do not recommend for use.  

Grey

Positive NICE TA and/or awaiting local clarification on place in therapy; Please contact your Medicines Optimisation team for more information.  

The term 'Specialist' refers to Consultants, General Practitioners and Independant Prescribers with a Specialist Interest.  

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