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Southampton 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
Botulinum neurotoxin type A  (Xeomin)
(injection)
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Formulary
Red
 
Link  NICE TA605: Xeomin (botulinum neurotoxin type A) for treating chronic sialorrhoea.
   
Glycopyrronium Bromide 1mg/5ml
(oral solution)
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Formulary
Amber Recommended

Restricted Item For severe sialorrhoea in children and adolescents with chronic neurological disorders.

Note: not licensed in adults.

 

 
   
Hyoscine Butylbromide
(tablet/injection)
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Formulary
Green
 
   
Propantheline bromide
(tablet)
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Formulary
Green

Also off-label for diabetic neuropathy

 
   
01.02  Expand sub section  Other antispasmodics
 ....
 Non Formulary Items
Atropine
(tablets)

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Non Formulary
 
Dicycloverine
(tablets/oral soution)

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Non Formulary
 
Glycopyrronium
(tablets)

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Non Formulary

unlicensed unlicensed

 
Glycopyrronium 320micrograms/ml  (Sialanar)
(oral solution)

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Non Formulary

May be continued in existing patients.

1mg/5ml oral solution preferred for new patients.

 

 
  
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
Cytotoxic Drug
Cytotoxic Drug
CD
Controlled Drug
High Cost Medicine
High Cost Medicine

Traffic Light Status Information

Status Description

Green

Suitable for prescribing by all in both primary and secondary care.  

Amber Recommended

Specialist recommended but suitable for continuation in primary care.  

Amber Initiation

Specialist initiated but suitable for continuation in primary care.  

Amber SCG

Specialist initiated and for continuation in primary care under a locally approved shared care guideline.  

Red

Suitable for prescribing in specialist settings (secondary care) only.   

Red Specialist Centre

Secondary care medicines to be used under specialised commissioning arrangements only.  

Blue

For primary care, either via FP10 or supplied through specialist services. These products may be stocked by hospital pharmacies only for supply to primary care units/wards or for continuing supplies for patients admitted on therapy.  

Black

Not recommended for use.  

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