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 Formulary Chapter 3: Respiratory system - Full Chapter
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03.01.02  Expand sub section  Antimuscarinic bronchodilators
Tiotropium 10microgram inhalation powder (Braltus®)
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Restricted Drug Restricted
Green
Tiotropium may only be initiated by a Respiratory Consultant 
   
Tiotropium (Spiriva®)
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Restricted Drug Restricted
Green
Inhalation Powder 18mcg Capsules WITH inhaler
Inhalation Powder 18mcg Capsules WITHOUT inhaler
Respimat 2.5mcg inhaler

Tiotropium may only be initiated by a Respiratory Consultant 
   
Aclidinium Bromide 322 micrograms inhalation powder (Eklira Genuair®)
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Formulary
Green
May be used in accordance with Northamptonshire COPD guidelines
Each delivered dose (the dose leaving the mouthpiece) contains 375 µg aclidinium bromide equivalent to 322 µg of aclidinium. This corresponds to a metered dose of 400 µg aclidinium bromide equivalent to 343 µg aclidinium. 
   
Ipratropium Bromide
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Formulary Evohaler 20mcg
Nebuliser Solution 250mcgs and 500mcg. 
   
03.01.02  Expand sub section  Short Acting Anti-muscarinic Bronchodilators
03.01.02  Expand sub section  Long Acting Anti-muscarinic Bronchodilators
 ....
 Non Formulary Items
Glycopyrronium bromide 50 micrograms powder for inhalation  (Seebri Breezhaler® )

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Non Formulary
RedRed
 
Ipratropium Bromide  (Atrovent®)

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Non Formulary
 
Ipratropium Bromide  (Ipratropium Steri-Neb®)

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Non Formulary
 
Ipratropium Bromide  (Respontin®)

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Non Formulary
 
Umeclidinium 55 micrograms inhalation powder  (Incruse®)

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Non Formulary
RedRed
 
  
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
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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

Amber 1

"Amber 1" - These are medicines that require significant monitoring and the decision to treat with an AMBER medicine should be made by specialists only  

Amber 2

"Amber 2" - These are medicines that require little or no monitoring by the GP, but should only be prescribed in general practice after they have been recommended following specialist referral.  

Red

"Red" - Secondary care only  

RedRed

"Double Red" - NOT recommended for prescribing in either primary or secondary care  

Grey

Traffic light status to be confirmed  

Green

May be prescribed in primary and secondary care  

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