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 Formulary Chapter 6: Endocrine system - Full Chapter
06.03.02  Expand sub section  Glucocorticoid therapy
Betamethasone systemic injection
(Endocrinology)
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Formulary
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Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • No restriction stated
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Inj 4 mg/1 ml ONLY
 
Betamethasone tablets
(Endocrinology)
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Formulary
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Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • No restriction stated
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • No restriction stated
 
Deflazacort
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Restricted Drug Restricted
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Restricted to Rheumatology and Endocrinology only.
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary
 
Dexamethasone oral and systemic injection
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Restricted Drug Restricted
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Provider notes

  • NMUH:
    • See MHRA Drugs Safety Updates
  • RFL:
    • No restriction stated
  • RNOH:
    • Oral solution available as 2 mg/5mL
  • UCLH:
  • WH:
    • Also available for COVID-19 treatment
    • The use of dexamethasone inj 24mg/ml is restricted to theatres only
 
Hydrocortisone sodium phosphate
(Efcortesol)
(Endocrinology)
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Formulary
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Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • No restriction stated
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary
 
Hydrocortisone sodium succinate
(Solu-Cortef)
(Endocrinology)
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Formulary
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Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • No restriction stated
  • RNOH:
    • No restriction stated
  • UCLH:
  • WH:
    • No restriction stated
 
Hydrocortisone tablets
(Endocrinology)
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Formulary
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Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • No restriction stated
  • RNOH:
    • No restriction stated
  • UCLH:
  • WH:
    • No restriction stated
 
Methylprednisolone acetate
(Depo-Medrone)
(Glucocorticoid therapy)
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Formulary
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Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • No restriction stated
  • RNOH:
    • No restriction stated
  • UCLH:
  • WH:
    • Non-formulary
 
Methylprednisolone sodium succinate injection
(Solu-Medrone)
(Glucocorticoid therapy)
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Formulary
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Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • No restriction stated
  • RNOH:
    • No restriction stated
  • UCLH:
  • WH:
    • No restriction stated
 
Methylprednisolone tablets
(Glucocorticoid therapy)
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Formulary
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Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • Only 2mg and 100mg tablets are formulary
    • 100mg tablets are restricted to neurology use only.
  • RNOH:
    • No restriction stated
  • UCLH:
  • WH:
    • 100mg tablets are restricted to neurology use/advice only. 
 
Prednisolone
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Formulary
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Provider notes

  • NMUH:
    • Enteric Coated preparations are Non-Formulary
  • RFL:
    • No restriction stated
  • RNOH:
    • Prednisolone enteric-coated and soluble tablets are non-formulary. Please contact Pharmacy if a patient requiring prednisolone tablets has a swallowing difficulty
  • UCLH:
  • WH:
    • Soluble tablets and liquid preparations restricted to Paediatrics
 
Triamcinolone (Kenalog)
(Endocrinology)
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Formulary
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Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • No restriction stated
  • RNOH:
    • No restriction stated
  • UCLH:
  • WH:
    • Non-formulary
 
06.03.02  Expand sub section  Disadvantages of corticosteroids
06.03.02  Expand sub section  Use of corticosteroids
06.03.02  Expand sub section  Pregnancy and breastfeeding
06.03.02  Expand sub section  Administration to top
06.03.02  Expand sub section  Withdrawal of corticosteroids
 ....
 Non Formulary Items
Cortisone Acetate
(Cortisone)

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Non Formulary
Hydrocortisone acetate
(Hydrocortisab)

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Non Formulary
Hydrocortisone modified release
(Plenadren)

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Non Formulary
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Not approved for adrenal insufficiency (September 2014)

Prednisone modified release
(Lodotra)

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Non Formulary
  
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 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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