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Nottinghamshire Area Prescribing Committee
Joint Formulary
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 Formulary Chapter 3: Respiratory system - Full Chapter
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03.01.05  Expand sub section  Peak flow meters, inhaler devices and nebulisers
03.01.05  Expand sub section  Peak flow meters
03.01.05  Expand sub section  Drug delivery devices
 note  BTS/SIGN 2011 recommend spacers should be cleaned monthly rather than weekly as per manufacturers recommendations or performance is adversely affected.
AeroChamber Plus®
View adult BNF View SPC online View childrens BNF
Formulary
Green
  • For QVAR®, Flutiform®, Sirdupla® and Fostair® metered dose inhalers
  • Adult and children > 5 years = Blue (+/- mask)
  • Child 2-5 years = Yellow
  • Infant (6 months - 2 years) = Orange 
  • Link  How to use a small volume spacer
       
    Volumatic®
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green
  • For Clenil Modulite®, Flixotide®, Serevent® Seretide® and Ventolin® metered dose inhalers
  • Available as adult or paediatric spacer
  • In adults MDI+/- spacer is as effective as any other hand held inhaler, but patients may prefer some types of DPI [SIGN 2011] 
  • Link  How to use a large volume spacer
       
    AeroTrach Plus®
    Formulary
    Red
    • Anti-static Valved Holding Chamber for tracheostomy patients.
    • Not available on FP10.
     
       
    Haleraid®
    View adult BNF View SPC online View childrens BNF
    Formulary
    Grey
  • Not available on FP10, patients may be advised to purchase in primary care
  • May be supplied in secondary care to patients with dexterity problems 
  •    
    03.01.05  Expand sub section  Nebulisers
     ....
     Non Formulary Items
    AeroChamber Plus Flow-Vu Anti-Static®

    Non Formulary
    Grey

    Reviewed and decided not to add on formulary (see APC minutes Nov 18). 

     
    Drug Delivery Device  (Able Spacer®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Drug Delivery Device  (Babyhaler®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
    Preparation not available for NHS prescription
     
    Drug Delivery Device  (E-Z Spacer®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Drug Delivery Device  (E-Z Spacer®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Drug Delivery Device  (Nebuchamber®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
    Comes with Pulmicort® inhaler only
     
    Drug Delivery Device  (Nebuhaler®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
    For use with Bricanyl® and Pulmicort® MDIs
     
    Drug Delivery Device  (PARI Vortex® Spacer)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Drug Delivery Device  (Pocket Chamber®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Drug Delivery Device  (Spinhaler®)

    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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