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Other - Cost: £652,109,405.62 Empagliflozin (Jardiance) - Cost: £7,788,101.39 Edoxaban (Lixiana) - Cost: £8,056,980.75 Influenza vaccine (Fluad) - Cost: £13,930,057.90 Beclometasone / Formoterol MDI (Fostair) - Cost: £17,160,087.08 Rivaroxaban (Xarelto) - Cost: £20,491,468.20 Apixaban (Eliquis) - Cost: £33,811,997.20
Formulary Notes (BNF Sub Paragraph)
NICE Guidance (1)
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Important Local Documents (2)
Notes for: Bladder Instillations/Urological Surgery
Last edited [04/07/2012 09:54:14]

1. Catheter care starts with assessment of the patient. All catheter events should be clearly documented on a locally approved clinical record from the outset of treatment.

2. The Continence Promotion Service recommends that manufacturers' guidelines are referred to regarding the length of time a catheter remains in situ. Repeated blockage usually indicates that the catheter needs to be changed (Ref: BNF no 57 March 2009). Because there are occasional difficulties with removal, all-silicone catheters are not used for suprapubic use in Cornwall.

3. Catheter maintenance solutions are undertaken after individual assessment for treatment of encrustation.

4. If catheter maintenance solutions are required, always commence with the lowest strength citric acid (3.23%). Two sequential solutions are suggested to be more effective than one alone.

5. Prescriptions should be for no more than a month’s supply, as determined by the treatment plan.

6. Chlorhexidine bladder washout is NOT recommended because it may be irritant to the bladder.

7. Repeated blockages may respond to oxybutynin or another antimuscarinic if bladder spasm is thought to be contributing to the blockage.

8. Further advice is available from the Continence Promotion Service (01726 291042).

 

Cornwall Joint Formulary Recommended Choices     (...Top)
Displaying 3 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
IAluril Bladder Instillation
800 mg sodium hyaluronate / 1g sodium chronondroitin sulphate Pack of 1
- PCT FORMULARY STATUS: Hospital Only Drugs Bladder Instillations/Urological SurgeryView BNF Article on 'IAluril Bladder Instillation'View SPC on 'IAluril Bladder Instillation'View PIL on 'IAluril Bladder Instillation'
Sodium Hyaluronate
40 mg bladder instillation Pack of 1
- PCT FORMULARY STATUS: Hospital Only Drugs Bladder Instillations/Urological SurgeryView BNF Article on 'Sodium Hyaluronate'View SPC on 'Sodium Hyaluronate'View PIL on 'Sodium Hyaluronate'
Sodium Hyaluronate
120 mg bladder instillation Pack of 1
- PCT FORMULARY STATUS: Hospital Only Drugs Bladder Instillations/Urological SurgeryView BNF Article on 'Sodium Hyaluronate'View SPC on 'Sodium Hyaluronate'View PIL on 'Sodium Hyaluronate'

 
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