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North Central London
Joint Formulary
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 Formulary Chapter 1: Gastro-intestinal system - Full Chapter
01.02  Expand sub section  Antispasmodics and other drugs altering gut motility
01.02  Expand sub section  Antimuscarinics
01.02  Expand sub section  Other antispasmodics
01.02  Expand sub section  Motility stimulants
Domperidone
(Prokinetic)
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Formulary
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NOTE: There is more than one monograph for this medicine, click here to search for formulary status and its use for other indications. 

Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • See MHRA safety alert
  • RNOH:
    • Tablets availabe. Oral suspension available as 1 mg/mL.
  • UCLH:
    • Non-formulary
  • WH:
    • See MHRA safety alert
 
Erythromycin
(Prokinetic)
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Formulary
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NOTE: There is more than one monograph for this medicine, click here to search for formulary status and its use for other indications. 

Provider notes

  • NMUH:
    • Non-formulary
  • RFL: 
    • Off-label use
  • RNOH: 
    • Off-label use
  • UCLH:
  • WH:
    • Off-label use
 
Metoclopramide
(Prokinetic)
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Formulary

Provider notes

  • NMUH:
    • Check MHRA Safety Drug Updates
  • RFL:
    • Check MHRA Safety Drug Updates
    • Modified release capsules are not stocked at RFH
  • RNOH:
    • Check MHRA Safety Drug Updates
  • UCLH:
  • WH:
    • May induce acute dystonic reactions, especially in children, young adults and the elderly
 
 ....
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
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Link to adult BNF
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Link to children's BNF
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Link to SPCs
Homecare
Homecare

Traffic Light Status Information

Status Description

GP - Amber

Medicines that should be initiated by a specialist. Prescribing can be transferred to primary care once the patient has been stabilised.  

Shared care: For drugs with regular, ongoing need for monitoring and/or assessment of efficacy or toxicity. 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 North Central London JFC.

Fact sheet: For drugs with some concerns surrounding safety or efficacy but do not require regular monitoring and/or monitoring of effectiveness/toxicity.

  

GP - Red

Medicines which should normally be prescribed by specialists only (hospital only).

For patients already receiving prescriptions in primary care - continue. No new patients to receive prescriptions in primary care.

See link for the complete NCL Red List https://www.ncl-mon.nhs.uk/wp-content/uploads/2017/08/ncl_red_list.pdf

  

Black

Medicines not recommended for routine use in primary or secondary care.

Medicines, which the North Central London JFC has actively reviewed and does not recommend for use at present due to limited clinical and/or cost effective data.

  

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