Generic rivaroxaban (once daily) and generic apixaban (twice daily) are joint best-value DOACS for patients commencing treatment for atrial fibrillation

Generic rivaroxaban (once daily) and generic apixaban (twice daily) are joint best-value DOACS for patients commencing treatment for atrial fibrillation

Papulopustular rosacea - discontinue if no improvement after 1 month

Be aware of variations of indications between brands

Hydroxyzine is favoured by the dermatologists for its sedating effects.

Hydroxyzine is favoured by the dermatologists for its sedating effects.

Adex gel is accepted onto the formulary as an option for patients only following poor response from other first / second line formulary choices

The British Society for Allergy and Clinical Immunology (BSACI) does not recommend EURneffy as the sole rescue therapy for people who have previously required more than one dose of adrenaline to treat anaphylaxis, or who have experienced severe anaphylaxis with hypotension (which is more common in individuals with an allergy to insect venom). BSACI advises that these patients should continue to have access to adrenaline autoinjectors. Further information is available in the BSACI EURneffy Statement.

May be prescribed on the recommendation of a specialist:

Vitamin D
For established cases of renal mineral bone disease in renal failure, may be initiated following specialist advice. All other indications remain specialist initiated.

May be considered for use in the management of fatigue in patients with multiple sclerosis, as per NG220

May be initiated on the advice of palliative care specialist

Previously Caverject 10 microgram powder and solvent for solution for injection vials.

Previously Caverject 20 microgram powder and solvent for solution for injection vials.

Vitamin D
For established cases of renal mineral bone disease in renal failure, may be initiated following specialist advice. All other indications remain specialist initiated.

RCHT Renal Team prefers Adoport brand of Tacrolimus

RCHT Renal Team prefers Adoport brand of Tacrolimus

Apraclonidine 1% and 0.5% can be prescribed in primary care after Ophthalmic Consultant initiation. The 1% strength is sometimes used as complex glaucoma management in patients sensitive to preserved eye drops .

RCHT Renal Team prefers Adoport brand of Tacrolimus

Aripiprazole prolonged release suspension for injection (previously Abilify Maintena) is accepted onto the formulary. Patients have to be stabilised on this depot injection for up to 3 months prior to CPFT requesting GPs to take over prescribing responsibility.

Aripiprazole prolonged release suspension for injection (previously Abilify Maintena) is accepted onto the formulary. Patients have to be stabilised on this depot injection for up to 3 months prior to CPFT requesting GPs to take over prescribing responsibility.

Antacid and oxetacaine suspension contains a local anaesthetic and is useful post radiotherapy and for topical analgesia in very severe painful oesophagitis.