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  • Home
  • Pharmacy Services Information
 
  • News & Notices
  • What is the IF?
    • What is the Interface Formulary?
  • Formulary user guide
    • Formulary searching guide
  • Therapeutic Sections
    • 1. Gastro-Intestinal System
      • 1.1 Antacids and alginates
      • 1.2 Antispasmodics and drugs altering gut motility
      • 1.2 Motility stimulants
      • 1.3 Helicobacter pylori eradication
      • 1.3.1 H2 receptor antagonists
      • 1.3.3 Chelates and complexes
      • 1.3.5 Proton pump inhibitors
      • 1.4 Acute diarrhoea
      • 1.5.1 Aminosaylicylates
      • 1.5.2 Corticosteroids
      • 1.5.3 Drugs affecting the immune response
      • 1.6 Laxatives
      • 1.6.6 Peripheral opioid receptor antagonist
      • 1.6.7 Other drugs used in constipation
      • 1.7 Preparations for anal and rectal disorders
      • 1.9 Drugs affecting intestinal secretions
    • 2. Cardiovascular System
      • 2.1 Cardiac glycosides
      • 2.2.1 Thiazide diuretics
      • 2.2.2 Loop diuretics
      • 2.2.3 Potassium sparing diuretics and aldosterone antagonists
      • 2.3 Anti-arrhythmics
      • 2.4 Beta-blocking drugs
      • 2.5 Hypertension and heart failure
      • 2.5.1 Vasodilator antihypertensive drugs
      • 2.5.2 Centrally acting antihypertensive drugs
      • 2.5.4 Alpha blocking drugs
      • 2.5.5 Drugs affecting the renin-angiotensin system
      • 2.5.5.3 Renin inhibitors
      • 2.6.1 Nitrates
      • 2.6.2 Calcium channel blockers
      • 2.6.3 Other antianginal drugs
      • 2.6.4 Peripheral vasodilators
      • 2.7 Sympathomimetics
      • 2.8.1 Parenteral anticoagulants
      • 2.8.2 Oral anticoagulants
      • 2.9 Antiplatelet drugs
      • 2.10.1 Stable angina and acute coronary syndromes
      • 2.10.2 Fibrinolytics
      • 2.11 Antifibrinolytics
      • 2.12 Lipid regulating drugs
    • 3. Respiratory System
      • 3.0 Respiratory system prescribing principles
      • 3.1.1.1 Short-acting adrenoreceptor agonist bronchodilators
      • 3.1.1.1 Long-acting adrenoreceptor agonist bronchodilators
      • 3.1.2 Antimuscarinic bronchodilators
      • 3.1.3 Theophylline
      • 3.1.4 Compound bronchodilator preparations
      • 3.1.5 Peak flow meters and inhaler devices
      • 3.2 Corticosteroids
      • 3.3.2 Leukotriene receptor agonists
      • 3.4.2 Antihistamines
      • 3.4.2 Allergen immunotherapy
      • 3.4.3 Allergic emergencies
      • 3.5 Respiratory stimulants
      • 3.6 Oxygen
      • 3.7 Mucolytics
      • 3.8 Aromatic inhalations
      • 3.9 Cough preparations
      • 3.10 Systemic nasal decongestants
      • 3.11 Antifibrotics
    • 4. Central Nervous System
      • 4.1 Hypnotics and anxiolytics
      • 4.2.1 First generation antipsychotic drugs
      • 4.2.1 Second generation antipsychotic drugs
      • 4.2.2 Antipsychotic depot injections
      • 4.2.3 Antimanic drugs
      • 4.3.1 Tricyclic antidepressants
      • 4.3.3 Selective serotonin reputake inhibitors (SSRIs)
      • 4.3.4 Other antidepressants
      • 4.4 CNS stimulants and drugs used for attention deficit hyperactivity disorder
      • 4.5 Drugs used in the treatment of obesity
      • 4.6 Drugs used in nausea and vertigo
      • 4.7.1 Non-opioid analgesics and compound analgesic preparations
      • 4.7.2 Opioid analgesics
      • 4.7.3 Neuropathic pain
      • 4.7.4 Antimigraine drugs
      • 4.8.1 Antiepileptics
      • 4.8.2 Status epilepticus
      • 4.9.1 Drugs used in parkinsonism and related disorders
      • 4.9.3 Drugs used in essential tremor, chorea, tics and related disorders
      • 4.10.1 Alcohol dependence
      • 4.10.2 Drugs used in nicotine dependence
      • 4.11 Drugs for dementia
    • 5. Infections
      • 5.1.1 Penicillins
      • 5.1.2 Cephalosporins and other beta-lactam antibiotics
      • 5.1.3 Tetracyclines
      • 5.1.4 Aminoglycosides
      • 5.1.5 Macrolides
      • 5.1.6 Clindamycin
      • 5.1.7 Other antibiotics
      • 5.1.8 Sulphonamides and trimethoprim
      • 5.1.9 Antituberculosis drugs
      • 5.1.10 Antileproic drugs
      • 5.1.11 Metronidazole
      • 5.1.12 Quinolones
      • 5.1.13 Nitrofurantoin
      • 5.2 Antifungal drugs
      • 5.3.1 HIV infection
      • 5.3.2 Herpesvirus infections
      • 5.3.2.2 Cytomegalovirus infection
      • 5.3.3 Viral hepatitis
      • 5.3.4 Influenza
      • 5.4.1 Antimalarials
      • 5.4.2 Amobeicides
      • 5.4.8 Drugs for pneumocystis pneumonia
      • 5.5 Anthelmintics
    • 6. Endocrine System
      • 6.1.1 Drugs used in diabetes (Insulins)
      • 6.1.2.1 Antidiabetic drugs - sulfonylureas
      • 6.1.2.2 Biguanides
      • 6.1.2.3 SGLT2 inhibitors
      • 6.1.2.3 DPP-4 inhibitors
      • 6.1.2.3 Incretin mimetics
      • 6.1.2.3 Other diabetic drugs
      • 6.1.4 Treatment of hypoglycaemia
      • 6.1.6 Diagnostic and monitoring devices for diabetes mellitus
      • 6.2 Thyroid and antithyroid drugs
      • 6.3.1 Replacement therapy
      • 6.3.2 Glucocorticoid therapy
      • 6.4.1 Female sex hormones
      • 6.4.1.2 Progestogens and progesterone receptor modulators
      • 6.4.2 Male sex hormones
      • 6.5 Hypothalamic & pituitary hormones and anti-oestrogens
      • 6.6 Drugs affecting bone metabolism
      • 6.7.1 Bromocriptine and other dopaminergic drugs
      • 6.7.2 Drugs affecting gonadotrophins
    • 7. Obstetrics, Gynaecology and Urinary-Tract Disorders
      • 7.1.1 Prostaglandins and oxytocics
      • 7.2.1 Preparations for vaginal atrophy
      • 7.2.2 Vaginal and vulval infections
      • 7.3.1 Combined hormonal contraceptives (Community only)
      • 7.3.2 Progestogen only contraceptives
      • 7.3.3 Spermicidal contraceptives (community only)
      • 7.3.4 Contraceptive devices
      • 7.3.5 Emergency contraception
      • 7.4.1 Drugs for urinary retention
      • 7.4.2 Drugs for urinary frequency, enuresis and incontinence
      • 7.4.3 Drugs used in urological pain
      • 7.4.5 Drugs for erectile dysfunction
    • 8. Malignant Disease and Immunosuppression
      • 8.1 Cytotoxic drugs
      • 8.2.1 Antiproliferative immunosupressants
      • 8.2.2 Corticosteroids and other immunosuppressants
      • 8.2.3 Anti-lymphocyte monoclonal antibodies
      • 8.2.4 Other immunomodulating drugs
      • 8.3.1 Sex hormones in malignant disease - oestrogens
      • 8.3.2 Sex hormones in malignant disease -progestogens
      • 8.3.4.1 Hormone antagonists - breast cancer
      • 8.3.4.2 Gonadorelin analogues and GnRH antagonists
      • 8.3.4.3 Somatostatin analogues
    • 9. Nutrition and Blood
      • 9.1.1 Iron deficiency anaemias
      • 9.1.2 Drugs used in megaloblastic anaemias
      • 9.1.3 Drugs used in hypoplastic, haemolytic and renal anaemias
      • 9.1.4 Drugs used in platelet disorders
      • 9.1.6 Drugs used in neutropenia
      • 9.2.1 Oral preparations for fluid and electrolyte imbalance
      • 9.2.2 Parenteral preparations for fluid and electrolyte imbalance
      • 9.3 Intravenous nutrition
      • 9.4 Oral Nutrition
      • 9.5.1.1 Calcium
      • 9.5.1.2 Hypercalcaemia
      • 9.5.1.3 Magnesium
      • 9.5.2 Phosphorus
      • 9.5.4 Zinc
      • 9.6 Vitamins
      • 9.6.7 Multivitamin preparations
    • 10. Musculoskeletal and Joint Diseases
      • 10.1.1 Non-steroidal anti-inflammatory drugs (NSAIDs)
      • 10.1.2 Corticosteroids
      • 10.1.3 Disease modifying anti-rheumatic drugs (DMARDs)
      • 10.1.4 Drugs used in the treatment of gout
      • 10.2 Drugs used in neuromuscular disorders
      • 10.3 Drugs for the treatment of soft tissue disorders
    • 11. Drugs acting on the eye
      • 11.1 Administration of drugs to the eye
      • 11.2 Control of microbial contamination
      • 11.3 Anti-infective eye preparations
      • 11.4 Corticosteroids and other anti-inflammatory preparations
      • 11.5 Mydriatics and cycloplegics
      • 11.6 Treatment of glaucoma
      • 11.8.1 Tear deficiency and ocular lubricants
      • 11.8.2 Ocular diagnostic & perioperative preparations
    • 12. Ear, Nose, and Oropharynx
      • 12.1.1 Otitis externa
      • 12.1.3 Removal of ear wax
      • 12.2.1 Drugs used in nasal allergy
      • 12.2.2 Topical nasal decongestants
      • 12.2.3 Anti-infective nasal preparations
      • 12.3.1 Drugs for oral ulceration and inflammation
      • 12.3.2 Oropharyngeal anti-infective drugs
      • 12.3.4 Mouthwashes and gargles
      • 12.3.5 Treatment of dry mouth
    • 13. Drugs acting on skin
      • 13.1 Management of skin conditions
      • 13.2 Emollient and barrier preparations
      • 13.3 Topical antipruritics
      • 13.4 Topical corticosteroids
      • 13.5.1 Preparations for eczema
      • 13.5.2 Preparations for psoriasis
      • 13.6 Acne and rosacea
      • 13.7 Preparations for warts and calluses
      • 13.8 Sunscreen preparations
      • 13.10 Anti-infective preparations
      • 13.11 Skin Cleansers
      • 13.12 Antiperspirants
    • 14. Immunological products and vaccines
      • 14.4 Vaccines and antisera
      • 14.5 Immunoglobulins
    • 15. Anaesthetics
      • 15.1.1 Intravenous anaesthetics
      • 15.1.2 Inhalation anaesthetics
      • 15.1.3 Antimuscarinic drugs
      • 15.1.4 Sedative and analgesic peri-operative drugs
      • 15.1.4.4 Other drugs for sedation
      • 15.1.5 Neuromuscular blocking drugs
      • 15.1.6 Drugs for reversal of neuromuscular blockade
      • 15.1.7 Antagonists for central and respiratory depression
      • 15.1.8 Drugs for malignant hyperthermia
      • 15.2 Local anaesthetics
    • Wound management
      • Dressings
      • Wound Management Supplies
  • Prescribing Guidelines
    • Gastro-intestinal guidelines
    • Cardiovascular guidelines
      • Treatment of stable angina/myocardial ischaemia
      • Treatment of acute coronary syndromes
      • Guidelines for prescribing rivaroxaban and dabigatran in AF
      • Heparin and warfarin administration guidance
      • Guidelines for effective management of TIA and Stroke
      • Guidance on the prescribing of aspirin and clopidogrel for cardiology patients
      • Guidance on the prescribing of aspirin, dipyridamole and clopidogrel for occlusive vascular events
      • Optimising the prescribing of lipid lowering agents
      • Guide to achieving target cholesterol reduction
    • Respiratory system guidelines
      • West Kent CCG Management of Chronic Asthma in Adults Costing Guide
      • MTW/West Kent CCG joint COPD guidelines
    • Central nervous system Guidelines
      • Initial treatment of neuropathic pain
      • Opoid analgesics in the management of acute pain
      • Prescribing strong opioids for the management of adult non-cancer chronic pain
    • Miscellaneous guidelines
      • Trust guide to therapeutic drug monitoring
      • Local smoking cessation advice
      • Management of strong potassium chloride injection and potassium containing solutions
      • Rivaroxaban for the treatment of Deep Vein Thrombosis and Pulmonary Embolism
      • Management of patients having surgery whilst on rivaroxaban
      • Management of bleeding for patients on rivaroxaban
      • Diagnosis & treatment of suspected DVT in Primary Care
      • Nil by mouth patients and long term medication
      • Representatives from pharmaceutical companies - information and guidance
      • Unlicensed medicines - policy for the purchase and use of
      • Drugs & Therapeutics Committee - constitution and terms of reference
      • Nicotine replacement therapy
      • Once daily gentamicin
      • Protocol for the use of intravenous paracetamol
      • Therapeutic drug monitoring - a general guide
      • Guidance for the management of complementary & herbal medicines for patients who are nil by mouth
      • Prescribing strong opioids for the management of adult non-cancer chronic pain
      • Alfentanil injection in palliative care
      • CCG Preferred list of Blood Glucose Monitoring Equipment and Needles
      • Dalteparin dosage chart and administration guidance
      • MTW Hospital Ophthalmologist & West Kent Community Opthalmology Team Guideline for Dry Eye Treatment
  • MTW Antimicrobial Guide
    • Introduction & general antimicrobial prescribing guidelines
    • Adult IV to oral antibiotic switch guidelines
    • Antimicrobial stop/review date and indication guidelines
    • Authorisation for pharmacists to make changes to antibiotic prescriptions
    • Restricted antibiotics
    • Respiratory infections
      • Community acquired pneumonia
      • Hospital acquired pneumonia
      • Ventilator associated pneumonia
      • Aspiration pneumonia
      • Post influenza pneumonia
      • Other chest and respiratory infections
    • Urinary tract infections
    • Genital tract infections
    • Skin and soft tissue infections
    • Severe sepsis
    • Enteric infections
    • Central nervous system
    • Bacterial endocarditis
    • Helicobacter pylori eradication
    • Intravenous vancomycin - dosing and monitoring in adults
    • Continuous infusion of vancomycin in seriously ill adults
    • Once daily gentamicin dosing in adults
    • Teicoplanin dosing and monitoring in Adults
    • MRSA eradication
    • Splenectomy guidelines
    • Introduction to surgical antibiotic prophylaxis
    • Surgical prophylaxis - Obstetrics and Gynaecology
    • Surgical prophylaxis - Breast
    • Surgical prophylaxis - General and Gastro-intestinal
    • Surgical prophylaxis - Orthopaedic surgery
    • Surgical prophylaxis - Urogenital
    • Surgical prophylaxis - Head and Neck
    • Protocol for the use of Actimel
    • MRSA prophylaxis for invasive radiological procedures
    • Prophylaxis for patients undergoing cardiac procedures
    • MTW Infection Control contacts
    • Neonatal Antibiotic Guidelines
      • Babies on the Neonatal unit
      • Babies admitted to the Children's unit
    • Paediatric Antibiotic Guidelines
    • Malaria Treatment Guidance
    • Antifungal guidelines
      • Adult Antifungal Guidelines
      • Haemato-Oncology Antifungal guidelines
    • Line Lock Therapy for Intra-vascular Line Infection
  • Paediatric guidelines
    • Treatment of allergic rhinitis in children
    • Guideline for the management of allergic rhinitis in children in West Kent (Feb 2009)
    • Oral budesonide for eosinophilic oesophagitis
  • FAQs
    • Adverse drug reaction reporting
    • Alcohol withdrawal
    • Anticoagulants - which are used in the Trust and how are they prescribed?
    • Armour Thyroid
    • Controlled drugs - how do I prescribe?
    • Drug interactions with grapefruit juice
    • Eye drops - how many should be prescribed?
    • Hepatorenal syndrome - recommended treatments
    • Hyperkalaemia - how to manage
    • Hypocalcaemia - how to treat
    • Hypocalcaemia management flow chart
    • Hypomagnesamia - how to treat
    • Hypophosphataemia - how to treat
    • Intravenous Iron - Important Safety Information
    • Isosorbide preparations - guidance for switching
    • Medicine name changes
    • Medicine stability during a heatwave
    • Methylthioninium chloride (Methylene Blue) injection administration
    • Metronidazole and alcohol
    • Modified release preparations - a guide
    • New drugs on the formulary
    • Non-formulary drugs - how to prescribe
    • Prednisolone - enteric coated vs uncoated
    • Privigen (Normal Human Immunoglobulin) administration
    • Rivaroxaban for VTE prophylaxis post elective orthopaedic surgery
    • Splenectomy - vaccines and prophylactic antibiotics
    • Thromboprophylaxis at extremes of body weight
    • Timing of bisphosphonates
    • Tramadol - not first choice?
  • WKCCG Infection Guide
    • Aims & Principles
    • Upper respiratory tract infections
    • Lower respiratory tract infections
    • Meningitis
    • Urinary tract infections
    • Management of recurrent UTI in adults
    • Gastro-intestinal tract infections
    • Genital tract infections
    • Skin infections
    • Eye infections
    • Dental infections
  • WKCCG Dressings List
    • WKCCG & KCHT First Choice Dressings List
  • High Cost Drugs
    • High cost drugs
  • Unlicensed medicines
    • Medicines not classified in the BNF (unlicensed)
  • Shared Care Guidance
    • Treatment of attention deficit hyperactivity disorder (ADHD) in children and young people
    • Dalteparin (Fragmin) for extended treatment and prophylaxis of VTE in patients with solid tumours
    • Melatonin for the treatment of sleep disorders in children and young people
    • Prescribing Denosumab (Prolia)
    • Lithium
    • Dronedarone (Multaq)
    • Riluzole (Rilutek)
    • Mercaptopurine (Puri-Nethol) for Inflammtory Bowel Disease
    • Donepezil, galantamine, rivastigmine and memantine in the treatment of Alzheimer's-type dementia
    • Disease modifying antirheumatic drugs (DMARDs)
    • Sacubitril/valsartan in patients with symptomatic Chronic Heart Failure with reduced ejection fraction
    • Rifaximin for the treatment of hepatic encephalopathy



Introduction

All material in this formulary is aimed at health professionals, but is information currently held within the public domain. Members of the public seeking advice on medicine-related matters are encouraged to speak with their GP, pharmacist or nurse, or contact NHS 111 service.

Welcome to the West Kent Interface formulary (IF), which contains the list of medicines approved for prescribing within the NHS West Kent Health Economy. The IF also links to approved prescribing recommendations and guidelines.

The IF is produced as a joint venture between primary and secondary care. This means that both primary and secondary care prescribers and PharmacyTeams have all had input into the production of each chapter of the IF, either by contributing in the wide consultation or being directly involved in the West Kent Prescribing Interface Group. The aim is that the IF will cover 80-90% of prescribing. We recognise that there will be instances where prescribing outside of the IF will be both necessary and appropriate.

NICE technology appraisal guidance

Medicines recommended by NICE technology appraisal guidelines, (TAG), will be incorporated into the IF within 90 days of the TAG's publication.

When a TAG recommends use of a medicine that is not already in the IF, the medicine will appear in the next published iteration of the IF. Updated iterations will be published following formal agreement of NICE recommendations at the Prescribing Interface Group and the MTW Drugs and Therapeutics Committee, as well as ratification by the appropriate governing body of the CCG and Acute Trust.

Specialist initiation

A number of medicines in the IF are colour coded as amber. Amber medicines MUST be initiated or recommended by a specialist (GP or hospital clinician). Monitoring of either medicine or disease does not necessarily require specialist skills or equipment. However, shared care arrangements will exist where intense monitoring may be required. Appropriate action in response to 'specialist use' may lie anywhere in a spectrum between:

  1. The medicine should be prescribed by a relevant specialist as per the shared care protocal (if one exists), with monitoring of effectiveness and toxicity, until treatment is stable at which point the patient can be transferred to their own GP, and
  2. It is reasonable for a GP to write the first prescription after discussion a relevant specialist clinican.

It will be reasonable for some of these medicines to be initiated by prescribers from more than one speciality.

Non-formulary prescribing

The IF includes a broad range of medicines but occasionally a prescriber may conclude that a non-IF medicine is needed for a patient. Prescribers should be prepared to justify the choice of a non-IF medicine if called upon to do so. Initiation of a non-IF medicine within the Trust requires completion of a non-IF request form available from the Pharmacy Department. Hospital doctors or other specialists should communicate the reason for the non-IF choice to the patient's GP and ideally seek the GP's agreement before prescribing or recommending if treatment is to continue in the community.

Initiation or recommendation of non-IF medicines may be challenged.

Unlicensed medicines

Prescribing of unlicensed medicines should usually remain the responsibility of the clinican initiating treatment. The Trust will accept responsibility for the continued supply. GP's are not obliged to continue prescribing of unlicensed medicines, as this carries greater clinical responsibility. Prescribing of licensed drugs being used for unlicensed indications may possibly be continued in primary care but this should be discussed and agreed with the GP.



Hospital Choice Community Choice Specialist Initiation Shared Care Guidance
1st Line 2nd Line Specialist Use Hospital Only Nice Guidance
+ -
Hospital Choice    Community Choice    Specialist Initiation   Shared Care Guidance  
1st Line 2nd Line Specialist Use Hospital Only Nice Guidance




This page was created on 17/03/2008 17:19:35 by Wes (Man or Mouse Studio) and last modified on 18/03/2014 11:11:58 by Kim Fenner




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