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Nottinghamshire Area Prescribing Committee
Joint Formulary
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 Formulary Chapter 1: Gastro-intestinal system - Full Chapter
01.06.05  Expand sub section  Bowel cleansing preparations
Citrafleet®
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Formulary
Green

For NUH use only

Oral powder

  • Traffic light classification= green when used pre-procedure.
 
   
Fleet Phospho-soda®
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Formulary
Green
NUH use only
Oral solution
  • Traffic light classification= green when used pre-procedure. 
  •    
    Macrogols (Klean-Prep®)
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    Formulary
    Green
    Oral powder
  • Traffic light classification = green when used pre-procedure. 
  •    
    Macrogols (Moviprep®)
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    Formulary
    Green

    Restricted to use as bowel prep prior to colonoscopy. Oral powder sachets.

    • Currently unavailable. SFH use Plenvu (see below)
    • Traffic light classification = green when used pre-procedure.
    • Patient guides for procedures at different times of the day: [Morning] [Afternoon] [Evening]
     
    Link  Link to reviews
       
    Picolax®
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    Formulary
    Green
    SFH use only
  • Traffic light classification = green when used pre-procedure.
  • Patient guide for procedure 
  • Link  SFH: Bowel prep prescription & assessment form
       
    Plenvu®
    View adult BNF View SPC online View childrens BNF
    Restricted Drug Restricted
    Red

    Oral Powder for oral solution

    • SFH - Sept 2019 Moviprep supply problems. Use Plenvu first line
    • Usually second line to Moviprep for use as a bowel prep prior to colonoscopy.
    • NB: The ingredients of Plenvu® are contained in three separate sachets. The first dose is supplied in one sachet and the second dose is supplied in two sachets, A and B.
    • Patient guides for procedures at different times of the day: [Morning] [Afternoon] [Evening]
     
       
     ....
     Non Formulary Items
    BLI-800  (Eziclen®)

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    Non Formulary
    Grey
    No formal submission (APC March 2016)
     
    Bowel Cleansing Solutions  (Citramag®)

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    Non Formulary
    Grey
     
    Izinova®

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    Non Formulary
    Grey
  • Bowel Preparation kit.
  • Containing sodium sulphate anhydrous, magnesium sulphate heptahydrate and potassium sulphate
  •  
    Phosphates (Oral)  (Diafalk®)

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    Non Formulary
    Grey
     
    Phosphates (Oral)  (OsmoPrep®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
      
    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
    click to search medicines.org.uk
    Link to adult BNF
    click to search medicines.org.uk
    Link to children's BNF
    click to search medicines.org.uk
    Link to SPCs
    SMC
    Scottish Medicines Consortium
    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

    Grey

    Grey / Non-Formulary: Medicines, which the Nottinghamshire APC has actively reviewed and does not recommend for use at present due to limited clinical and/or cost effective data.
    Grey / Non-Formulary (undergoing assessment): Work is ongoing and will be reviewed at a future APC meeting.
    Grey / Non-Formulary (no formal assessment): APC has not formally reviewed this medicine or indication because it had never been requested for formulary inclusion. Often used for drugs new to market.
      

    Red

    Medicines which should normally be prescribed by specialists only. eg hospital only.
    For patients already receiving prescriptions in primary care - continue. No new patients to receive prescriptions in primary care.
      

    Amber 1

    Medicines that should be initiated by a specialist and prescribed by primary care prescribers only under a shared care protocol, once the patient has been stabilised.
    Prior agreement must be obtained by the specialist from the primary care provider before prescribing responsibility is transferred. The shared care protocol must have been agreed by the relevant secondary care trust Drugs and Therapeutics Committee(s) (DTC) and approved by the Nottinghamshire APC.
      

    Amber 2

    Medicines suitable to be prescribed in primary care / general practice after specialist* recommendation or initiation.
    A supporting prescribing guideline may be requested which must have been agreed by the relevant secondary care trust DTCs and approved by the Nottinghamshire APC.
    *Specialist is defined by the APC as a clinician who has undertaken an appropriate formal qualification or recognised training programme within the described area of practice
      

    Amber 3

    Primary care/ non specialist may initiate as per APC guideline.
    The supporting prescribing guideline must have been agreed by the relevant secondary care trust D&TC(s) and approved by the Nottinghamshire APC.
      

    Green

    Medicines suitable for routine use within primary care.
    Can be initiated within primary care within their licensed indication, in accordance with nationally recognised formularies, for example the BNF, BNF for Children, Medicines for Children or Palliative Care Formulary. Primary care prescribers take full responsibility for prescribing.   

    OTC

      

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