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Notes for: Respiratory system
Last edited [10/10/2025 15:06:29]

Cornwall formulary inhaler choices (September 2025)

Cornwall asthma prescribing guidelines for people aged 12 years and over (April 2025)

COPD Prescribing Guidelines 2023

A guide to greener inhaler choices for adults - From puff to powder (March 2024)

Domiciliary Oxygen Service

Cornwall Joint Formulary Recommended Choices (...Top)

Displaying 147 Drugs

Key:

First Line Drugs

Second Line Drugs

Specialist advised

Specialist Initiated Drugs

Hospital Only Drugs

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	Name	Tariff	BNF Sub Paragraph
	Cetirizine 10 mg tab Pack of 30	£0.68	Antihistamines
	Loratadine Tablets 10 mg tab Pack of 30	£0.68	Antihistamines
	Salbutamol MDI (Salamol) 100 mcg inhaler (200 doses) Pack of 1	£1.46	Selective Beta(2)-Agonists
	Loratadine Syrup 5 mg / 5ml Pack of 100	£2.04	Antihistamines
	Chlorphenamine Tablet (Piriton) 4 mg tab Pack of 30	£2.06	Antihistamines
	Beclometasone MDI (Soprobec) 50 mcg/dose inhaler (200 doses) Pack of 1	£2.41	Corticosteroids (Respiratory)
	Carbocisteine 375 mg Cap Pack of 120	£2.54	Mucolytics
	Salbutamol DPI (Easyhaler Salbutamol) 100 mcg inhaler (200 doses) Pack of 1	£3.31	Selective Beta(2)-Agonists
	Salbutamol Powder (Ventolin Accuhaler) 200 mcg (60 dose unit) Pack of 1	£3.60	Selective Beta(2)-Agonists
	Fluticasone Accuhaler (Flixotide Accuhaler) 50 mcg (60 dose unit) Pack of 1	£4.00	Corticosteroids (Respiratory)
	Ipratropium Nebuliser Solution (Atrovent UDV) 250 mcg / 1ml Unit Pack of 20	£4.14	Antimuscarinic Bronchodilators
	Chlorphenamine Injection (Chlorpheniramine) 10 mg / ml (1ml amp) Pack of 1	£4.50	Antihistamines
	Beclometasone MDI (Soprobec) 100 mcg/dose inhaler (200 doses) Pack of 1	£4.82	Corticosteroids (Respiratory)
	Ipratropium Nebuliser Solution (Atrovent UDV) 500 mcg / 2ml Unit Pack of 20	£4.87	Antimuscarinic Bronchodilators
	Pseudoephedrine Tablet (Sudafed) 60 mg tab Pack of 20	£4.90	Systemic Nasal Decongestants
	Beclometasone MDI (Kelhale) 50 mcg/dose inhaler (200 dose) Pack of 1	£5.20	Corticosteroids (Respiratory)
	Beclometasone MDI (Kelhale) 100 mcg/dose inhaler (200 dose) Pack of 1	£5.20	Corticosteroids (Respiratory)
	Ipratropium Bromide MDI (Atrovent) 20 mcg / puff (200 dose Unit CFC free) Pack of 1	£5.56	Antimuscarinic Bronchodilators
	Chlorphenamine Solution (Chlorpheniramine) 2 mg/5ml Liquid S/F Pack of 150	£7.99	Antihistamines
	Fluticasone Accuhaler (Flixotide Accuhaler) 100 mcg (60 dose unit) Pack of 1	£8.00	Corticosteroids (Respiratory)
	Sodium Chloride Inhalation Solution 0.9 % unit dose vials (2.5ml) Pack of 20	£8.42	Topical Nasal Decongestants Peak Flow Meters, Inhaler Devices and Nebulisers
	Budesonide Inhaler (Easyhaler Budesonide) 100 mcg / puff (powder) 200 units Pack of 1	£8.86	Corticosteroids (Respiratory)
	Ipratropium Nebuliser Solution 500 mcg / 2ml Unit Pack of 20	£9.01	Antimuscarinic Bronchodilators
	Salmeterol / Fluticasone (Combisal) 25 mcg/dose/125micrograms/dose inhaler Pack of 1	£10.48	Corticosteroids (Respiratory)
	Beclometasone MDI (Soprobec) 200 mcg/dose inhaler (200 doses) Pack of 1	£10.51	Corticosteroids (Respiratory)
	Beclometasone MDI (Soprobec) 250 mcg/dose inhaler (200 doses) Pack of 1	£10.59	Corticosteroids (Respiratory)
	Cetirizine Solution SF 1 mg / ml Pack of 200	£12.11	Antihistamines
	Salmeterol / Fluticasone (Combisal) 25 mcg/dose/50micrograms/dose inhaler Pack of 1	£13.50	Corticosteroids (Respiratory)
Low dose Combisal more cost effective than Seretide
	Salmeterol / Fluticasone (Combisal) 25 mcg/dose/250micrograms/dose inhaler Pack of 1	£13.99	Corticosteroids (Respiratory)
	Pseudoephedrine Solution (Galpseud) 30 mg / 5ml (linctus s/f) Pack of 2000	£14.00	Systemic Nasal Decongestants
	Fluticasone / Salmeterol (Fixkoh Airmaster ) 50 mcgs / 100mcgs dry powder inhaler 60 dose Pack of 1	£14.47	Corticosteroids (Respiratory)
	Beclometasone DPI (Easyhaler Beclometasone) 200 mcg inhaler (200 doses) Pack of 1	£14.93	Corticosteroids (Respiratory)
	Fluticasone / Salmeterol (Fixkoh Airmaster ) 50 mcgs / 500mcgs dry powder inhaler 60 dose Pack of 1	£16.12	Corticosteroids (Respiratory)
	Budesonide Inhaler (Easyhaler Budesonide) 200 mcg / puff (powder) 200 units Pack of 1	£17.71	Corticosteroids (Respiratory)
	Budesonide Inhaler (Easyhaler Budesonide) 400 mcg / puff (powder) 100 units Pack of 1	£17.71	Corticosteroids (Respiratory)
	Fluticasone / Salmeterol (Fixkoh Airmaster ) 50 mcgs / 250mcgs dry powder inhaler 60 dose Pack of 1	£19.29	Corticosteroids (Respiratory)
	Budesonide / Formoterol (Fobumix Easyhaler) 80 mcg/dose / 4.5mcg/dose dry powder inhaler (120 D) Pack of 1	£21.50	Corticosteroids (Respiratory)
	Budesonide / Formoterol (Fobumix Easyhaler) 160 mcg/dose / 4.5mcg/dose dry powder inhaler (120 D) Pack of 1	£21.50	Corticosteroids (Respiratory)
	Budesonide / Formoterol (Fobumix Easyhaler) 320 mcg/dose / 9mcg/dose dry powder inhaler (60 D) Pack of 1	£21.50	Corticosteroids (Respiratory)
	Fluticasone / Vilanterol Inhaler (Relvar Ellipta) 92 mcg/22 mcg (30 doses) Pack of 1	£22.00	Corticosteroids (Respiratory)
	Tiotropium (Spiriva respimat) 2.5 mcg inhaler 60d Pack of 1	£23.00	Antimuscarinic Bronchodilators
	Formoterol Inhaler (Easyhaler Formoterol) 12 mcg / puff (powder) 120 dose Pack of 1	£23.75	Selective Beta(2)-Agonists
	Ipratropium - Salbutamol Nebs (Combivent UDV) 60 * 2.5ml vials Pack of 60	£24.10	Compound Bronchodilator Preparations
Combivent® nebuliser solution should be started only by a Respiratory Physician. It is less expensive to prescribe salbutamol and ipratropium bromide nebuliser solutions separately but this requires patients to nebulise 4.5 mL instead of 2.5 mL.
	Fluticasone Accuhaler (Flixotide Accuhaler) 250 mcg (60 dose unit) Pack of 1	£25.51	Corticosteroids (Respiratory)
	Umeclidinium bromide dry powder inhaler (Incruse Ellipta) 55 mcgs Pack of 30	£27.50	Antimuscarinic Bronchodilators
	Budesonide /Formoterol (Duoresp Spiromax) 160 mcgs/4.5mcgs dry powder inhaler 120 dose Pack of 1	£27.97	Corticosteroids (Respiratory)
	Budesonide /Formoterol (Duoresp Spiromax) 320 mcgs/9 mcgs dry powder inhaler 60 dose Pack of 1	£27.97	Corticosteroids (Respiratory)
	Budesonide/ Formoterol (Symbicort Turbohaler) 100 / 6mcg (120 dose unit) Pack of 1	£28.00	Corticosteroids (Respiratory)
	Budesonide/Formoterol (Symbicort) 200 mcgs/dose/6micrograms/dose pressurised inhaler 120 dose Pack of 1	£28.00	Corticosteroids (Respiratory)
	Beclometasone / Formoterol DPI (Fostair NEXThaler ) 100 mcg/6mcg inhaler (120 doses) Pack of 1	£29.32	Corticosteroids (Respiratory)
	Beclometasone / Formoterol DPI (Fostair NEXThaler ) 200 mcg/6mcg inhaler (120 doses) Pack of 1	£29.32	Corticosteroids (Respiratory)
High dose ICS for asthma only - please take advice from secondary care.
	Indacaterol inhaler (Onbrez Breezhaler) 150 mcg (3 x 10) Pack of 30	£32.19	Selective Beta(2)-Agonists
	Indacaterol inhaler (Onbrez Breezhaler) 300 mcg (3 x 10) Pack of 30	£32.19	Selective Beta(2)-Agonists
	Tiotropium bromide / Olodaterol inhaler (Spiolto Respimat) 2.5 micrograms/dose solution for inhalation cartridge with device (60 dose) Pack of 1	£32.50	Compound Bronchodilator Preparations
	Tiotropium bromide / Olodaterol inhaler (Spiolto Respimat) 2.5 micrograms/dose inhalation solution refill cartridge Pack of 1	£32.50	Compound Bronchodilator Preparations
	Umeclidinium bromide / Vilanterol (Anoro Ellipta ) 55 mcgs / 22micrograms dry powder inhaler Pack of 30	£32.50	Compound Bronchodilator Preparations
	Tiotropium (Spiriva) 18 mcg refill pack Pack of 30	£33.50	Antimuscarinic Bronchodilators
	Fluticasone Accuhaler (Flixotide Accuhaler) 500 mcg (60 dose unit) Pack of 1	£43.37	Corticosteroids (Respiratory)
	Trelegy Ellipta 92 mcgs/dose/55mcgs/dose/22mcgs/dose dry powder inhaler (30 D) Pack of 1	£44.50	Corticosteroids (Respiratory)
First line triple-therapy.
	Trimbow NEXThaler (Beclometasone / Formoterol / Glycopyrronium) 88 mcg/5mcg/9mcg dose inhaler (120 doses) Pack of 1	£44.50	Corticosteroids (Respiratory)
	Adrenaline Injection (Epipen) 0.15 mg junior auto-injector Pack of 1	£60.69	Allergic Emergencies
	Adrenaline Injection (Epipen) 0.3 mg auto-injector Pack of 1	£60.69	Allergic Emergencies
	Hydroxyzine Tablet (Atarax) 25 mg tab Pack of 28	£0.62	Antihistamines
Hydroxyzine is favoured by the dermatologists for its sedating effects.
	Montelukast 4 mg Paediatric Chewable Tab Pack of 28	£0.86	Leukotriene Receptor Antagonists
	Montelukast 5 mg Paediatric Chewable Tab Pack of 28	£0.93	Leukotriene Receptor Antagonists
	Montelukast 10 mg Tab Pack of 28	£0.93	Leukotriene Receptor Antagonists
	Fexofenadine 120 mg tab Pack of 30	£0.97	Antihistamines
	Salbutamol Solution 2 mg/5ml oral solution sugar free Pack of 150	£1.15	Selective Beta(2)-Agonists
	Hydroxyzine Tablet (Atarax) 10 mg tab Pack of 84	£1.20	Antihistamines
Hydroxyzine is favoured by the dermatologists for its sedating effects.
	Fexofenadine 180 mg tab Pack of 30	£1.48	Antihistamines
	Hydroxyzine (Ucerax) 200 ml 10mg/5ml oral solution Pack of 200	£1.78	Antihistamines
	Simple Linctus 200 mls Pack of 200	£2.24	Expectorant & Demulcent Cough Prep's
	Simple Linctus 200 mls SF Pack of 200	£2.81	Expectorant & Demulcent Cough Prep's
	Beclometasone MDI (Clenil Modulite) 50 mcg inhaler (200 doses) Pack of 1	£3.70	Corticosteroids (Respiratory)
	Carbocisteine 250 mg / 5ml Pack of 300	£4.15	Mucolytics
	Carbocisteine 125 mg / 5ml Pack of 300	£5.08	Mucolytics
	Montelukast 4 mg Paediatric granules Sachet Pack of 28	£5.52	Leukotriene Receptor Antagonists
	Theophylline MR (Nuelin SA) 175 mg MR tab Pack of 60	£6.38	Theophylline
	Fluticasone CFC free Inhaler (Flixotide Evohaler) 50 mcg (120 dose unit) Pack of 1	£6.53	Corticosteroids (Respiratory)
	Beclometasone MDI (Clenil Modulite) 100 mcg inhaler (200 doses) Pack of 1	£7.42	Corticosteroids (Respiratory)
	Beclometasone MDI (Qvar Press and Breath Inhaler) 50 mcg inhaler (200 doses) Pack of 1	£7.87	Corticosteroids (Respiratory)
	Terbutaline inhaler (Bricanyl Turbohaler ) 500 mcg / puff (100 dose unit) Pack of 1	£8.30	Selective Beta(2)-Agonists
	Theophylline MR (Nuelin SA) 250 mg MR tab Pack of 60	£8.92	Theophylline
	Beclometasone / Formoterol MDI (Luforbec ) 100 mcgs/6mcgs inhaler (120 doses) Pack of 1	£13.98	Corticosteroids (Respiratory)
	Beclometasone / Formoterol MDI (Luforbec ) 200 mcgs/6mcgs inhaler (120 doses) Pack of 1	£13.98	Corticosteroids (Respiratory)
High dose ICS for asthma only - please take advice from secondary care.
	Budesonide/Formoterol (Symbicort) 100 mcgs/dose/3micrograms/dose pressurised inhaler 120 dose Pack of 1	£14.00	Corticosteroids (Respiratory)
For use only as MART in patients 12 to 17 years of age where a dry powder inhaler is not suitable
	Budesonide DPI (Pulmicort Turbohaler) 100 mcg (200 doses) Pack of 1	£14.25	Corticosteroids (Respiratory)
	Budesonide DPI (Pulmicort Turbohaler) 200 mcg (100 doses) Pack of 1	£14.25	Corticosteroids (Respiratory)
	Budesonide DPI (Pulmicort Turbohaler) 400 mcg (50 doses) Pack of 1	£14.25	Corticosteroids (Respiratory)
	Fluticasone / Formoterol (Flutiform) 50 mcg / 5mcg Inhaler (120 dose unit) Pack of 1	£14.40	Corticosteroids (Respiratory)
	Salmeterol / Fluticasone (Sereflo Inhaler ) 25 mcg/125mcg 120 dose Pack of 120	£14.99	Corticosteroids (Respiratory)
	Beclometasone MDI (Clenil Modulite) 200 mcg inhaler (200 doses) Pack of 1	£16.17	Corticosteroids (Respiratory)
	Beclometasone MDI (Clenil Modulite) 250 mcg inhaler (200 doses) Pack of 1	£16.29	Corticosteroids (Respiratory)
	Beclometasone MDI (Qvar Press and Breath Inhaler) 100 mcg inhaler (200 doses) Pack of 1	£17.21	Corticosteroids (Respiratory)
	Fluticasone / Salmeterol Accuhaler (Seretide Accuhaler) 100 /50mcg /dose (60 dose unit) Pack of 1	£17.46	Corticosteroids (Respiratory)
	Fluticasone / Salmeterol MDI (Seretide Evohaler) 50 /25mcg (120dose unit) Pack of 1	£17.46	Corticosteroids (Respiratory)
	Salmeterol / Fluticasone (Sereflo Inhaler ) 25 mcg/250mcg 120 dose Pack of 120	£19.99	Corticosteroids (Respiratory)
	Fluticasone CFC free Inhaler (Flixotide Evohaler) 125 mcg (120 dose unit) Pack of 1	£21.26	Corticosteroids (Respiratory)
	Fluticasone / Salmeterol MDI (Seretide Evohaler) 125 /25mcg (120 dose unit) Pack of 1	£23.45	Corticosteroids (Respiratory)
	Formoterol Powder Inhaler (Oxis Turbohaler) 6 mcg / dose (60 dose Unit) Pack of 1	£24.80	Selective Beta(2)-Agonists
	Formoterol Powder Inhaler (Oxis Turbohaler) 12 mcg / dose (60 dose Unit) Pack of 1	£24.80	Selective Beta(2)-Agonists
	Tiotropium bromide (Braltus Zonda) 10 mcg inhalation powder capsules with Zonda inhaler Pack of 30	£25.80	Antimuscarinic Bronchodilators
	Glycopyrronium Bromide (Seebri Breezhaler) 44 mcg inhalation powder caps Pack of 30	£27.50	Antimuscarinic Bronchodilators
	Budesonide/ Formoterol (Symbicort Turbohaler) 200 / 6mcg (120 dose unit) Pack of 1	£28.00	Corticosteroids (Respiratory)
	Budesonide/ Formoterol (Symbicort Turbohaler) 400 / 12mcg (60 dose unit) Pack of 1	£28.00	Corticosteroids (Respiratory)
	Salmeterol MDI (Serevent Evohaler) 25 mcg (120 doses) Pack of 1	£29.26	Selective Beta(2)-Agonists
	Fluticasone / Salmeterol MDI (Seretide Evohaler) 250 /25mcg (120 dose unit) Pack of 1	£29.32	Corticosteroids (Respiratory)
	Theophylline MR (Uniphyllin Continus) 200 mg MR tab Pack of 56	£29.80	Theophylline
	Theophylline MR (Uniphyllin Continus) 300 mg MR tab Pack of 56	£29.80	Theophylline
	Theophylline MR (Uniphyllin Continus) 400 mg MR tab Pack of 56	£29.80	Theophylline
	Formoterol MDI (Atimos Modulite) 12 mcg/dose (cfc free - 100 doses) Pack of 1	£30.06	Selective Beta(2)-Agonists
	Aclidinium Bromide (Eklira) 322 mcg bronchdilator Pack of 60	£32.50	Antimuscarinic Bronchodilators
	Aclidinium bromide / Formoterol (Duaklir ) 340 mcg /12mcg Genuair Pack of 60	£32.50	Antimuscarinic Bronchodilators
	Glycopyrronium / Formoterol (Bevespi Aerosphere) 7.2 mcgs/ 5mcgs inhaler 120 dose Pack of 1	£32.50	Corticosteroids (Respiratory)
	Indacaterol/glycopyrronium inhalation powder capsules with device (Ultibro Breezhaler) 85 microgram/43microgram Pack of 30	£32.50	Compound Bronchodilator Preparations
	Fluticasone / Salmeterol Accuhaler (Seretide Accuhaler) 500 /50mcg /dose (60 dose unit) Pack of 1	£32.74	Corticosteroids (Respiratory)
	Fluticasone / Salmeterol Accuhaler (Seretide Accuhaler) 250 /50mcg /dose (60 dose unit) Pack of 1	£33.95	Corticosteroids (Respiratory)
	Tiotropium (Spiriva) 18 mcg combopak (with Handihaler) Pack of 30	£34.87	Antimuscarinic Bronchodilators
	Salmeterol DPI (Serevent Accuhaler) 50 mcg/dose (60 dose unit) Pack of 1	£35.11	Selective Beta(2)-Agonists
	Fluticasone CFC free Inhaler (Flixotide Evohaler) 250 mcg (120 dose unit) Pack of 1	£36.14	Corticosteroids (Respiratory)
	Beclometasone / Formoterol / Glycopyrronium MDI (Trimbow) 87 mcg/5mcg/9mcg dose inhaler (120 doses) Pack of 1	£44.50	Corticosteroids (Respiratory)
	Beclometasone / Formoterol / Glycopyrronium MDI (Trimbow) 172 mcg/5mcg/9mcg dose inhaler (120 doses) Pack of 1	£44.50	Selective Beta(2)-Agonists
High dose ICS for asthma only - please take advice from secondary care
	Alimemazine 10 mg tab Pack of 28	£48.77	Antihistamines
	Terbutaline Nebuliser Solution (Bricanyl Respules) 5 mg / 2ml Vial Pack of 20	£11.64	Selective Beta(2)-Agonists
	Terbutaline solution for injection ampoules (Bricanyl) 2.5 mg / 5ml Injection Pack of 10	£20.09	Selective Beta(2)-Agonists
	Fluticasone / Vilanterol Inhaler (Relvar Ellipta) 184 mcg/22 mcg (30 doses) Pack of 1	£29.50	Corticosteroids (Respiratory)
	Budesonide Nebules 0.5 mg/2mls Pack of 20	£29.67	Corticosteroids (Respiratory)
	Budesonide Nebules 1 mg/2mls Pack of 20	£34.64	Corticosteroids (Respiratory)
	Roflumilast (Daxas) 500 mcg tablet Pack of 30	£37.71	Phosphodiesterase type-4 inhibitors
	Dornase alpha (Pulmozyme) 2.5 mg / 2.5ml vial nebuliser soln Pack of 6	£111.17	Mucolytics
	Doxapram 20 mg/mL, 5mL Amp Pack of 1	-	Respiratory stimulants
	Poractant Alfa 80 mg/mL 1.5mL Vial Pack of 1	-	Pulmonary surfactants
	Poractant Alfa 80 mg/mL 3mL Vial Pack of 1	-	Pulmonary surfactants
	Mannitol (Bronchitol) 40 mg inhalation powder hard capsule inc 1 disposable inhaler devices Pack of 10	-	Mucolytics
	Adrenaline 1 mg/1ml (1 in 1000) (pre-filled syringe) Pack of 1	-	Allergic Emergencies
	Omalizumab (Xolair) 75 mg/mL 0.5ml prefilled syringe Pack of 1	-	Allergen Immunotherapy
	Mannitol (Bronchitol) 40 mg inhalation powder hard capsule inc 2 disposable inhaler devices Pack of 280	-	Mucolytics
	Omalizumab (Xolair) 150 mg/mL 1ml prefilled syringe Pack of 1	-	Allergen Immunotherapy
	Tezacaftor (Symkevi ) 50 mg/75mg tablets Pack of 28	-	Mucolytics
	Tezacaftor (Symkevi ) 100 mg/150mg tablets Pack of 28	-	Mucolytics
	Ivacaftor 150 mg Tablets Pack of 1	-	Mucolytics
	Lumacaftor / Ivacaftor (Orkambi) 200 mg/125mg tablets Pack of 112	-	Mucolytics
	Kaftrio 75 mg/50mg/100mg tablets Pack of 56	-	Mucolytics
	Fluticasone / Formoterol (Flutiform) 125 mcg / 5mcg Inhaler (120 dose unit) Pack of 1	£28.00	Corticosteroids (Respiratory)
	Beclometasone / Formoterol MDI (Fostair) 100 mcgs/6mcgs inhaler (120 doses) Pack of 1	£29.32	Corticosteroids (Respiratory)
	Beclometasone / Formoterol MDI (Fostair) 200 mcgs/6mcgs inhaler (120 doses) Pack of 1	£29.32	Corticosteroids (Respiratory)
High dose ICS for asthma only - please take advice from secondary care.
	Fluticasone / Formoterol (Flutiform) 250 mcg / 10mcg Inhaler (120 dose unit) Pack of 1	£45.56	Corticosteroids (Respiratory)