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Birmingham, Sandwell, Solihull and environs APC Formulary
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 Formulary Chapter 3: Respiratory system - Full Chapter
Notes:

Prescribing inhalers

• Prescribe by brand or branded-generic name to ensure patients receive the device they are used to.
• Check licensed indication (differences among brands).
• Be aware of differences in excipients among the different brands.

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03.09.01  Expand sub section  Cough suppressants
Pholcodine Linctus, BP
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Formulary
Green

Over the counter preparation suitable for self-care/purchase if appropriate

 
Link  BSOL: Conditions for which over the counter items (OTC) should not routinely be prescribed in primary care
Link  Conditions for which over the counter items should not routinely be prescribed in primary care: Guidance for CCGs
   
03.09.01  Expand sub section  Palliative care
Controlled Drug Methadone Hydrochloride (Methadone® Linctus)
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Formulary
Amber
Palliative care only 
   
 ....
 Non Formulary Items
Codeine Linctus BP

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Non Formulary
Black
 
Codeine Linctus, Paediatric BP

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Non Formulary
 
Controlled Drug  Codeine Phosphate

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Non Formulary
 
Dextromethorphan / quinidine  (Nuedexta®)

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Non Formulary
 
Controlled Drug  Morphine Hydrochloride

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Non Formulary
Black
 
Pholcodine  (Galenphol®)

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Non Formulary
 
Pholcodine Linctus, Strong, BP

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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 which are suitable for initiation and maintenance prescribing by primary and secondary care clinicians. These medicines should be initiated and prescribed within their licensed indications.  

Amber

Initiation and maintenance of prescribing by Specialists and transfer to Primary Care prescribing when appropriate, or initiation and maintenance of prescribing in Primary Care following recommendation from a Specialist.

Some amber medicines require agreement with the local (internal) medicines committee prior to initiation; others may require a framework to support safe transfer and maintenance of care such as a RICaD or ESCA. The Formulary will be annotated to reflect these requirements.   

Red

Medicines for initiation and maintenance prescribing by Specialists only  

Black

Non-formulary medicines- medicines not recommended for routine primary care prescribing.  

Grey

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

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