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Southampton Joint Formulary
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 Formulary Chapter 10: Musculoskeletal and joint diseases - Full Chapter
10.01.03  Expand sub section  Drugs which suppress the rheumatic disease process
 link Link    NICE CG177: Osteroarthritis: care and management
 link Link    NICE CG79: Rheumatoid arthritis in adults: management
10.01.03  Expand sub section  Gold
10.01.03  Expand sub section  Penicillamine
10.01.03  Expand sub section  Antimalarials
10.01.03  Expand sub section  Drugs affecting the immune response to top
Anakinra (Kineret®)
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Red
High Cost Medicine

Restricted Item Restricted as per commissioning policies. 

 
   
Cytotoxic Drug Azathioprine
(tablet/capsules/liquid)
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Amber SCG

unlicensed Liquid and capsules (10mg) are unlicensed

 
Link  Shared care guideline available here
   
BaricitinibBlack Triangle (Olumiant®)
(tablet)
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Red
High Cost Medicine

Black  Moderate - severe atopic dermatitis which has not responded to dupilumab, or in those who qualify for, but are unsuitable for, dupilumab. MEC/DPC: not supported other than in exceptional circumstances (use IFR process for eligible patients)

 
Link  NICE TA466: Baricitinib for moderate to severe rheumatoid arthritis
   
Ciclosporin
(capsule/liquid)
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Amber SCG

Specify brand

 
Link  Shared care guideline available here
   
Leflunomide
(tablet)
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Amber SCG 		 
Link  Shared care guideline available here
   
Cytotoxic Drug Methotrexate (Rheumatology)
(tablet/subcutaneous injection)
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Amber SCG

ONCE WEEKLY

Restricted Item Specialist initiation (unless GP indicates preference to initiate therapy)

 
Link  Shared care guideline available here
   
Ustekinumab (Stelara®) (rheumatology)
(injection)
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Red 		 
Link  NICE TA340: Ustekinumab for treating active psoriatic arthritis
   
10.01.03  Expand sub section  Cytokine modulators
10.01.03  Expand sub section  Sulfasalazine
 ....
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
click to search medicines.org.uk
 Link to adult BNF
click to search medicines.org.uk
 Link to children's BNF
click to search medicines.org.uk
 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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