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Nottinghamshire Area Prescribing Committee
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 Formulary Chapter 14: Immunological products and vaccines - Full Chapter
Notes:

For further information about vaccinations and immunisation please refer to the Department of Health ‘Green Book

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 Details...
14.04  Expand sub section  Vaccines and antisera
14.04  Expand sub section  BCG vaccines
14.04  Expand sub section  Botulism antitoxin
14.04  Expand sub section  Cholera vaccine
14.04  Expand sub section  Diphtheria vaccines to top
Boostrix-IPV
View adult BNF View SPC online View childrens BNF
Formulary
Green
Injection
  • Diphtheria, tetanus, pertussis (acellular, component) and poliomyelitis (inactivated) vaccine (adsorbed, reduced antigen(s) content)
  • Boostrix- IPV or Repevax are used as the vaccine offered to pregnant women to protect their new born from pertussis. See Green book for details 
  • Link  The DoH ’Green Book’ Immunisation against infectious disease
       
    Diphtheria antitoxin
    View adult BNF View SPC online View childrens BNF
    Restricted Drug Restricted
    Red
    Named patient use only
  • Not routinely stocked at SFHT
  • At NUH requires microbiology or infectious diseases approval 
  • Link  Diphtheria chapter of the Green Book
    Link  NUH Pharmacy: rare antitoxins and immunoglobulins
       
    Infanrix hexa
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green
    Injection
  • Diphtheria, tetanus, pertussis (acellular component), poliomyelitis (inactivated), and Haemophilus influenzae type b and hepatitis B vaccine
  • Replaces Pedicael and Infanrix IPV+ Hib in routine childhood immunisation programme for babies born after 1st August 2017 
  • Link  The DoH ’Green Book’ Immunisation against infectious disease
       
    Infanrix IPV®
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green
    Injection
  • Adsorbed Diphtheria, Tetanus, Pertussis (Acellular, Component) and Inactivated Poliomyelitis Vaccine (DTaP/IPV)
  • Diphtheria containing vaccine for children under 10 years
     
  • Link  The DoH ’Green Book’ Immunisation against infectious disease
       
    Pediacel®
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green
    Injection
  • Diphtheria, Tetanus, Pertussis (Acellular, Component), Poliomyelitis (Inactivated) and Haemophilus Type b Conjugate Vaccine (Adsorbed)(DTaP/IPV/Hib)
  • Diphtheria vaccine for children under 10 years
  • Similar to Infanrix-IPV+Hib which can be substituted when Pediacel not available.
  • For routine childhood immunisations for babies born before 1st August 2017. Will be replaced by Infanrix Hexa for babies born after this date.
     
  • Link  The DoH ’Green Book’ Immunisation against infectious disease
       
    Repevax®
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green
    Injection
  • Adsorbed Diphtheria [low dose], Tetanus, Pertussis (Acellular, Component) and Inactivated Poliomyelitis Vaccine (dTaP/IPV)
  • Diphtheria containing vaccine for children under 10 years
  • Boostrix- IPV or Repevax are used as the vaccine offered to pregnant women to protect their new born from pertussis. See Green book for details
     
  • Link  The DoH ’Green Book’ Immunisation against infectious disease
       
    Revaxis®
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green
    Injection
  • Adsorbed Diphtheria [low dose], Tetanus and Inactivated Poliomyelitis (Td/IPV) vaccine
  • Diphtheria containing vaccine for children over 10 years and adults 
  • Link  The DoH ’Green Book’ Immunisation against infectious disease
       
    14.04  Expand sub section  Haemophilus influenzae type B vaccine
    14.04  Expand sub section  Hepatitis A vaccine
    14.04  Expand sub section  Hepatitis B vaccine
    14.04  Expand sub section  Human papilloma virus vaccine
    14.04  Expand sub section  Influenza vaccine to top
    14.04  Expand sub section  Measles, Mumps and Rubella (MMR) vaccine
    14.04  Expand sub section  Meningococcal vaccines
    14.04  Expand sub section  Pneumococcal vaccines
    14.04  Expand sub section  Poliomyelitis vaccines
    14.04  Expand sub section  Rabies vaccine to top
    14.04  Expand sub section  Rotavirus vaccine
    14.04  Expand sub section  Tick-borne encephalitis vaccine
    14.04  Expand sub section  Typhoid vaccines
    14.04  Expand sub section  Varicella-zoster vaccine
    14.04  Expand sub section  Yellow fever vaccine to top
     ....
     Non Formulary Items
    Infanrix-IPV+Hib

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Green

    Injection

    • For routine childhood immunisations for babies born before 1st August 2017. Will be replaced by Infanrix Hexa for babies born after this date.
    • Diphtheria, tetanus, pertussis (acellular component), poliomyelitis (inactivated), and Haemophilus influenzae type b vaccine
    • Similar to Pediacel which can be substituted when Infanrix-IPV+Hib not available.
     
      
    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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