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Southampton Joint Formulary
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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
(tablet/liquid)
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First Choice
Green

A first line NSAID, except for gout

 
Naproxen
(tablet)
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First Choice
Green

A first line NSAID

 
Celecoxib
(capsules)
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Formulary
Green
 
   
Diclofenac
(tablet/MR tablet/dispersible tablet/suppositories)
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Formulary
Green

Not a first line NSAID

 
Link  Diclofenac MHRA safety update 2013
   
Diclofenac 50mg in 5ml
(oral suspension)
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Formulary
Red

Restricted Item unlicensed Unlicensed special. Restricted use - short term use for postoperative analgesia in children. Second line to ibuprofen and only when licensed options are not suitable. 

 
   
Diclofenac with misoprostol (Arthrotec)
(tablet)
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Formulary
Green

Diclofenac not a first line NSAID.

Consider using a preferred NSAID (e.g. ibuprofen or naproxen) or celecoxib ± gastroprotection (e.g. PPI) as alternative

 
   
Etoricoxib (Arcoxia)
(tablet)
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Formulary
Amber Recommended
 
   
Ibuprofen
(soluble (Melt) tablet)
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Formulary
Red
 
   
Indometacin
(capsule/MR capsule/suppositories/liquid)
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Formulary
Green

Not a first line NSAID

unlicensed Liquid is unlicensed

 
   
Meloxicam
(tablet)
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Formulary
Blue

Restricted Item Existing patients only.

 
   
Nabumetone
(tablet)
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Formulary
Green

Not a first line NSAID

 
   
Phenylbutazone
(tablet)
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Formulary
Amber Initiation

Restricted Item Specialist use only

 
   
Mefenamic Acid
(tablet)
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Restricted Drug Restricted
Green

Not a first line NSAID.

For dysmenorrhoea and menorrhagia only, but no evidence to support superiority vs other NSAIDs, and safety concerns in overdose. Use only if preferred NSAIDs (naproxen or ibuprofen) not suitable.

 
   
 ....
 Non Formulary Items
Etodolac
(caps/MR tabs)

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Non Formulary
 
Ketoprofen
(caps/MR caps)

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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 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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