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Nottinghamshire Area Prescribing Committee
Joint Formulary
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 Formulary Chapter 1: Gastro-intestinal system - Full Chapter
01.01.02  Expand sub section  Compound alginates and proprietary indigestion preparations
01.01.02  Expand sub section  Compound alginate preparations
Alginate raft-forming oral suspension (Peptac)
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First Choice
Green

Suspension

  • OTC Patients should be advised to purchase over the counter

  • If self-care not appropriate then recommended brand in primary care is Peptac®. See Preferred Prescribing List.
  • May be prescribed if appropriate to in-patients; patients should be advised on discharge that further supply should be purchased
  • SPC can be accessed via the MHRA website here
 
Gaviscon Infant
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Formulary
Green
Oral powder
 
   
Gaviscon Advance
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Restricted Drug Restricted
Amber 2
Suspension and chewable tablets
  • Specialist recommendation for the treatment of laryngopharyngeal reflux (LPR) symptoms only.
     
  • Link  Link to reviews
       
    Sodium citrate 0.3M
    Restricted Drug Restricted
    Red
    Secondary Care use only. Unlicensed
  • Solution for acid aspiration 
  •    
     ....
     Non Formulary Items
    Acidex

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Algicon

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
    Suspension (low sodium)
     
    Gastrocote

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
    This product has been discontinued
     
    Renie Duo

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Topal  (Topal)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
    Discontinued Sept 14
     
      
    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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