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Other - Cost: £627,266,699.48 Trimbow (Beclometasone / Formoterol / Glycopyrronium MDI) - Cost: £7,640,561.00 Empagliflozin (Jardiance) - Cost: £9,180,638.84 Dapagliflozin (Forxiga) - Cost: £10,106,471.61 Edoxaban (Lixiana) - Cost: £10,215,430.75 FreeStyle Libre 2 Sensor  - Cost: £10,470,110.00 Beclometasone / Formoterol MDI (Fostair) - Cost: £16,498,070.80 Rivaroxaban (Xarelto) - Cost: £20,000,452.50 Apixaban (Eliquis) - Cost: £35,469,046.10
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Notes for: Antiproliferative Immunosuppressants
Last edited [27/06/2012 09:14:06]

1. Avoid concomitant use of azathioprine with allopurinol, unless supervised by an appropriate specialist.

2. Monitoring of azathioprine is essential. Mycophenolate mofetil has been used (unlicensed indication) by the gastroenterologists for resistant Crohn’s disease in patients unable to tolerate alternative immunosuppressants. It is not recommended for GP prescribing for this indication

 

Last edited [27/06/2012 09:14:39]

Different formulations of the same immunosuppressant may vary in bioavailability - it is important not to change formulation except on the advice of a transplant specialist.

 

Cornwall Joint Formulary Recommended Choices     (...Top)
Displaying 5 Drugs

Key:
First Line Drugs First Line Drugs
Second Line Drugs Second Line Drugs
Specialist Initiated Drugs Specialist Initiated Drugs
Hospital Only Drugs Hospital Only Drugs
Discouraged Discouraged
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Antibiotics Antibiotics

NameTariffBNF Sub Paragraph
Azathioprine
25 mg tab Pack of 28
£1.48PCT FORMULARY STATUS: Specialist Initiated Drugs Antiproliferative ImmunosuppressantsView BNF Article on 'Azathioprine'View SPC on 'Azathioprine'View PIL on 'Azathioprine'
Azathioprine
50 mg tab Pack of 56
£1.87PCT FORMULARY STATUS: Specialist Initiated Drugs Antiproliferative ImmunosuppressantsView BNF Article on 'Azathioprine'View SPC on 'Azathioprine'View PIL on 'Azathioprine'
Mycophenolate
500 mg tab Pack of 50
£5.75PCT FORMULARY STATUS: Specialist Initiated Drugs Antiproliferative ImmunosuppressantsView BNF Article on 'Mycophenolate'View SPC on 'Mycophenolate'View PIL on 'Mycophenolate'
Azathioprine (Imuran)
50 mg vial for injection Pack of 1
£15.38PCT FORMULARY STATUS: Specialist Initiated Drugs Antiproliferative ImmunosuppressantsView BNF Article on 'Azathioprine'View SPC on 'Azathioprine'View PIL on 'Azathioprine'
Mycophenolate
250 mg cap Pack of 100
£19.30PCT FORMULARY STATUS: Specialist Initiated Drugs Antiproliferative ImmunosuppressantsView BNF Article on 'Mycophenolate'View SPC on 'Mycophenolate'View PIL on 'Mycophenolate'

 
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