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 Formulary Chapter 10: Musculoskeletal and joint diseases - Full Chapter
10.01.01  Expand sub section  Non-steroidal anti-inflammatory drugs
Ibuprofen
(Oral)
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First Choice
Green

Tablet, Suspension

 
Naproxen
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Second Choice
Green

Tablet

 
 
Celecoxib (Celebrex)
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Formulary
Amber

Capsule
Cox-2 Inhibitor - osteoarthritis, rheumatoid arthritis Second line in patients unable to tolerate standard NSAID's.

 

 
 
Diclofenac
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Formulary
Green

Suppositories
Injection

Not recommended as a first line NSAID of choice due to small cardiac risks with diclofenac

 
Link  MHRA Alert: Diclofenac: new contraindications and warnings
 
Diclofenac
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Formulary
Red

Tablets

 
 
Indometacin
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Formulary
Green

Capsules, MR Capsules

 
 
Mefenamic Acid
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Formulary
Green
 
 
Meloxicam
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Formulary
Green

Tablets

 
 
Piroxicam (Feldene)
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Formulary
Green

piroxicam gel

 
 
10.01.01  Expand sub section  Aspirin
 ....
 Non Formulary Items
Aceclofenac

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Non Formulary
Grey

non formulary

Etodolac

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Non Formulary
Lumiracoxib  (Prexige)

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Non Formulary
Piroxicam

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Non Formulary
Grey

Non formulary as ratified by APC

  
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
SMC
Scottish Medicines Consortium
Cytotoxic Drug
Cytotoxic Drug
CD
Controlled Drug
High Cost Medicine
High Cost Medicine
Cancer Drugs Fund
Cancer Drugs Fund
NHSE
NHS England
Homecare
Homecare
CCG
CCG

Traffic Light Status Information

Status Description

Green

Green -Medicines suitable for routine use within primary care and Secondary care Can be initiated within primary care within their licensed indication, in accordance with nationally recognised formularies  

Amber

Amber- Medicines suitable to be prescribed in primary care after specialist /Consultant recommendation or initiation. A supporting prescribing guideline may be requested which must have been agreed by the relevant secondary care trust Medicines and Therapeutic Committee and approved by the Area Prescribing Committee.   

Red

Red-Hospital initiation and continuation only  

Amber Shared Care Protocol

AMBER SHARE CARE PROTOCOL- Medicines that should be initiated by a specialist and prescribed by primary care prescribers only under a shared care protocol, once the patient has been stabilised  

Blue

To be supplied from the appropriate commissioned provider.   

Green 2

GREEN 2- to be prescribed by primary care only   

Grey

GREY- NON FORMULARY (As agreed by Area Prescribing Committee)  

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