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 Formulary Chapter 3: Respiratory system - Full Chapter
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03.01.04  Expand sub section  Compound bronchodilator preparations
Budesonide & formoterol 320/9 inhalation powder (DuoResp Spiromax)
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Formulary
Green
 
   
Tiotropium 2.5microgram with oldaterol 2.5mg inhaler (Spiolto Respimat)
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Restricted Drug Restricted
Amber 2
For continuation or following initiation by a respiratory physician 
   
Budesonide & formoterol 160/4.5 inhalation powder (DuoResp Spiromax)
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Formulary
Green
 
   
Aclidinium 340microgram & formoterol 12 microgram inhalation powder (Duaklir Genuair)
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Restricted Drug Restricted
Amber 2
For continuation or following initiation by a respiratory physician 
   
Beclometasone with formoterol and glycopyrronium (Trimbow)
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Formulary
Green
For continuation or initiation by a respiratory physician.

Beclometasone dipropionate 87 microgram/formoterol fumarate dihydrate 5 microgram/glycopyrronium 9 microgram per 1 dose
 
   
Budesonide and formoterol Easyhaler (Fobumix)
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Restricted Drug Restricted

Strengths: 160/4.5 320/9

 
   
Budesonide and formoterol Turbohalers (Symbicort)
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Restricted Drug Restricted Strengths: 100/6, 200/6 and 400/12.


Note: The Symbicort Turbohalers may only be initiated by a Respiratory Consultant 
   
Fluticasone and salmeterol Inhaler (Seretide)
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Restricted Drug Restricted Accuhaler: 100mcg, 250mcg, 500mcg/inhalation. The Accuhaler 500 is the only Seretide inhaler to be licensed for use in COPD patients

Evohaler: 50mcg, 125mcg and 250mcg/inhalation


Note: The 500 Accuhaler and 250 Evohaler may only be initiated by a Respiratory Consultant



 
   
 ....
 Non Formulary Items
Combivent

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Non Formulary
 
Fluticasone furoate 92 micrograms & vilanterol (as trifenatate) 22 micrograms/inhalation dry powder for inhalation  (Relvar Ellipta®)

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Non Formulary
RedRed
 
Indacaterol 85microgram with glycopyrronium 54 microbram inhaler  (Ultibro Breezhaler®)

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Non Formulary
RedRed
 
Umeclidinium 55 micrograms & vilanterol (as trifenatate) 22 micrograms/inhalation dry powder for inhalation  (Anoro Ellipta)

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Non Formulary
RedRed
For use in accordance with Northamptonshire COPD guidelines
 
  
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

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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