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 Formulary Chapter 20: Unlicensed Medicines / Significant off-label use - Full Chapter
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20  Expand sub section  Unlicensed Medicines
ALUMINIUM ACETATE 8% ear drops
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Formulary
Green
  • Ear drops 8%
  • For ear drops 8% - dilute 8 parts aluminium acetate ear drops (13%) with 5 parts purified water. Must be freshly prepared
 
   
Controlled Drug Cannabidiol (CBD)
Formulary
Red

Note:  Specialist use only, strictly in line with NICE Guidance.

Use as per NICE TAs (see links below).

 
Link  NICE TA614: Cannabidiol with clobazam for treating seizures associated with Dravet syndrome
Link  NICE TA615: Cannabidiol with clobazam for treating seizures associated with Lennox–Gastaut syndrome
   
Methacholine solutions various strengths (Methylcholine, Acetyl-β-methylcholine)
Formulary
Red
  • (Methylene blue)
  • Injection 1%, 10mL
  • Sterile solution 1%, 10mL
 
   
Methylthioninium chloride (Aguettant®)
(visualisation / staining)
Formulary
Red
  • njection 1%, 10mL
  • Sterile solution 1%, 10mL
 
Link  MHRA safety update April 2009
   
Octenisan®
(Wash, Nasal Gel, Mitts, Shower Caps)
Formulary
Amber 1
  • Antimicrobial wash 500mL

Note:

 
   
PENICILLIN SKIN TEST KIT
Formulary
Red

    Penicillin allergenic determinants (Dap Kit)

 
   
Prism0cal® B22
Formulary
Red

      B22 Dialysate solution

Notes:

  • Prism0cal and Prismocitrate are calcium-free dialysate solutions for haemofiltration   
  • Restricted - to prescribing by Consultant Anaesthetists only, for critically ill patients who require continuous renal replacement therapy (CRRT) and
  • are not contraindicated for RCA and
  • in accordance with Continuous Renal Replacement Therapy (CRRT) using Citrate - Secondary Care guideline
 
   
Prismocitrate
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Formulary
Red

  18/0 sterile solution

Notes:

  • Prism0cal and Prismocitrate are calcium-free dialysate solutions for haemofiltration   
  • Restricted - to prescribing by Consultant Anaesthetists only, for critically ill patients who require continuous renal replacement therapy (CRRT) and
  • are not contraindicated for RCA and
  • in accordance with Continuous Renal Replacement Therapy (CRRT) using Citrate - Secondary Care guideline
 
   
Secretin (Secrelux®)
Formulary
Red
  • 100 unit vials
 
Link  UKMI Q & A: Evidence for the use of secretin for autism
   
Sodium hyaluronate injection (SportVis®)
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Formulary
Red
  • Intraocular Injection 5mg/0.5mL 
 
   
TheraBite®
(Jaw Rehabilitation Device)
Formulary
Red
  • Jaw Motion Rehabilitation System™

Note: A specialist maxillo-facial device for hospital supply only.

 
   
Benzoin Tincture, Compound, BP (Friars balsam)
(Resins)
Restricted Drug Restricted

Benzoin tincture (Friars' Balsam)

  • Tincture, Compound, BP

Notes:

  • Should not be prescribed in Primary Care or at Discharge
    Advise patient to purchase
 
   
Ajmaline
(Unlicensed)
Unlicensed Drug Unlicensed
Red

Injection 50mg/10mL

Recommended dose: 1 mg/kg (actual body weight) up to a maximum dose of 100 mg

Note: Ajmaline approved strictly for use in the diagnosis of Brugada syndrome by Consultant Cardiologists only.

 
   
Artesunate
Unlicensed Drug Unlicensed
Red

Injection 60mg

Alternative reserved for 2nd line treatment ONLY in the following cases , following the advice of consultant in Infectious diseases -

  • Contraindications to Quinine
  • Very severe disease (parasite count > 20% )
  • Deterioration on optimal doses of Quinine
  • Cardiovascular disease that increases the risks from Qunine - Patients with Falciparum malaria from SE Asia where relative Quinine resistance is most likely
 
   
Mexiletine
(Unlicensed)
Unlicensed Drug Unlicensed
Red

Capsules 50mg and 200mg

Recommended dosage: initiate at 1.5 mg/kg and increase to 10 mg/kg (maximum daily dose of 600 mg)

Note: Approved for unlicensed use by hospital Consultant Neurologist only in congenital myotonia.

 
   
Mydricaine
Unlicensed Drug Unlicensed
Red
  • Formula 1
  • Formula 2  
 
   
TALC BP purified sterile  (Steritalc®)
Unlicensed Drug Unlicensed
Red
  • Powder 2g (Restricted for pleurodesis)
  • Spray Powder 3g in an aerosol can (restricted for Thoracoscopic Pleurodesis)
 
Link  UKMI Q&A: Admin of talc for pleurodesis
   
 ....
 Non Formulary Items
5-Aminolevulinic acid hydrochloride  (Gliolan®)

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Non Formulary
 
Acapella®

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Non Formulary
 
Acetarsol Suppositories

Non Formulary
Link  UKMI Q and A: Can acetarsol be used to treat proctitis
 
Acetic acid 5% solution

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Non Formulary
 
Acetic Acid Solution 3%
(Endoscopy)

Non Formulary
 
Acetylcarnitine

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Non Formulary
Link  UKMI Q&A: Oral treatments for treating Peyronie’s disease
 
ACETYLCYSTEINE
(Cystic fibrosis)

Non Formulary
 
ACETYLCYSTEINE
(Pulmonary fibrosis)

Non Formulary
 
ACETYLCYSTEINE
(Renal protection)

Non Formulary
 
ACID CITRATE DEXTROSE
(ACD)

Non Formulary
 
Actipatch

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Non Formulary
 
Adcon gel

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Non Formulary
 
ADEK vitamins

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Non Formulary
 
Adrenaline (epinephrine) inhaler  (Primatene Mist®)

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Non Formulary
 
ADRENALINE 1:200,000 inj

Non Formulary
 
ADRENALINE TOPICAL SOLUTION
(1 in 1000)

Non Formulary
 
Afamelanotide  (Scenesse®)

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Non Formulary
 
Cytotoxic Drug  ALTRETAMINE (HEXAMETHYLMELAMINE) Capsules 50 mg

Non Formulary
 
ALUM Bladder Irrigation

Non Formulary
 
AMANTADINE Injection 200 mg in 500mL

Non Formulary
 
Amidotrizoates  (Gastrografin®)

Non Formulary
 
Aminolevulinic acid (PDT)

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Non Formulary
 
Amoxicillin
(Nebulised)

Non Formulary
 
Amphotericin 500mg in 5ml oral soln

Non Formulary
 
Anastrozole
(Gynaecomastia)

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Non Formulary
 
ANTI-HUMAN THYMOCYTE GLOBULIN (HORSE) Inj 100 mg in 5mL

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Non Formulary
 
Antox tablets

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Non Formulary
 
Aprotinin

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Non Formulary
 
Arthroplex®

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Non Formulary
 
ASCORBIC ACID Injection 500 mg in 1mL

Non Formulary
 
ASPARAGINASE (MEDAC) Injection 10000 units

Non Formulary
 
Aspirin IV  (ASPEGIC®)
(Lysine Acetylsalicylate)

Non Formulary
 
Atopiclair

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Non Formulary
 
Autologous cartilage cells  (ChrondoCelect®)

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Non Formulary
 
Cytotoxic Drug  AZATHIOPRINE Capsules 10 mg

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Non Formulary
 
Cytotoxic Drug  AZATHIOPRINE Suspension 50 mg in 5mL

Non Formulary
 
Benzbromarone

Non Formulary
 
BENZOCAINE 150mg/5ml susp

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Non Formulary
 
Betamethasone
(injection - intraocular use)

Non Formulary
 
BEVACIZUMAB 2.5mg/0.1ml syringe

Non Formulary
 
Bicaflac®

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Non Formulary
 
Biclinocillin

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Non Formulary
 
Biloptin

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Non Formulary
 
BISOCODYL 0.274% rectal soln

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Non Formulary
 
Blephaclean®

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Non Formulary
 
Blephagel®

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Non Formulary
 
Blephasol®

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Non Formulary
 
Boric acid ear solution

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Non Formulary
 
BRILLIANT GREEN 1:500 soln

Non Formulary
 
Brincidofovir

Non Formulary
 
Controlled Drug  Bupivacaine 0.1% ,fentanyl 2mcg/ml 50ml

Non Formulary
 
CAFFEINE BASE 10mg/ml

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Non Formulary
 
Calcium carbonate  (Phosphate binder)

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Non Formulary
 
CALCIUM CHLORIDE 14.7% 50ml,100ml

Non Formulary
 
CALCIUM GLUCONATE 10% 50ml,100ml

Non Formulary
 
Calcium sulfate  (Stimulan® Rapid Cure)

Non Formulary
 
Camphor/menthol/cajuput oil/clove oil  (Tiger Balm)

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Non Formulary
 
Cannabis products for medicinal use

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Non Formulary
Link  NHS England info on cannabis for medicinal use
Link  RCGP: GP guidance on cannabis-based products (Dec 2018)
Link  UKMI Q & A- interactions with cannabis based medicinal products
Link  UKMI Q & A-adverse effects & interactions with cannabidiol oil
 
CAPTOPRIL Tablets 2 mg

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Non Formulary
 
Carbex granules

Non Formulary
 
CARNOY'S soln 100ml

Non Formulary
 
CELESTINS ENDO-OESOPHAGEAL TUBE powder

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Non Formulary
 
CHLOROTHIAZIDE Tablets 500 mg

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Non Formulary
 
Chondroitin

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Non Formulary
Link  UKMI Q&A: Chondroitin - drug interactions?
Link  UKMI Q&A: Chondroitin - what are the adverse effects?
 
Cidofovir ointment

Non Formulary
 
Cisapride

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Non Formulary
 
Clevidipine

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Non Formulary
 
CoaguChek XS PT Test strips
(for INR testing)

Non Formulary
 
COAL TAR BP 20% in YSP

Non Formulary
 
CODEINE PHOSPHATE Suppositories 15 mg,2mg,3mg,6mg

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Non Formulary
 
Constrictor rings for erectile dysfunction

Non Formulary
Link  Drug Tariff (see Part IXa - Appliances, Vacuum pumps)
 
Copper Histidine

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Crystal Violet

Non Formulary
 
Cytotoxic Drug  CYCLOPHOSPHAMIDE
(Respiratory)

Non Formulary
 
Cytotoxic Drug  DAUNORUBICIN saline pre-filled syringe

Non Formulary
High Cost Medicine
 
DEFIBROTIDE Capsules 400 mg

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Non Formulary
High Cost Medicine
 
DEPIGMENTING CREAM  (Pigmanorm®)

Non Formulary
 
Dexamethasone eye injection

Non Formulary
 
Dexmedetomidine Paediatric

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Non Formulary
 
DHEA
(Dehydroepiandrosterone)

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Non Formulary
Link  UKMI Q&A: Is there any evidence that DHEA supplementation improves female fertility?
 
Dialyvit®

Non Formulary
 
DIAZEPAM Suspension 2.5 mg in 5mL

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Dibotermin Alfa, rhBMP-2  (Inductos®)

Non Formulary
Link  NHS England Commissioning Policy 16063/P
 
DIDANOSINE Liquid 10mg in 1ml (after double dilution)

Non Formulary
 
DIHYDROERGOTAMINE Injection 1 mg in 1mL

Non Formulary
 
DILUENT A (XANTHAN GUM 1%) Suspension 1%

Non Formulary
 
DILUENT C susp CAROB BEAN GUM 1% 500ml

Non Formulary
 
DIMETHYL SULFOXIDE
(Extravasation)

Non Formulary
 
Diphenylcyclopropenone in acetone

View adult BNF View SPC online View childrens BNF
Non Formulary
 
DITHRANOL 0.1% /0.25%,0.5%,1%,2%,4%in lassars paste

Non Formulary
 
Domperidone
(Lactation stimulation)

Non Formulary
Link  MHRA: Domperisone no longer available without prescription (Sept 14)
Link  The Breastfeeding Network domperidone information
Link  UKMI Q&A: Domperidone / metoclopramide for lactation stimulation
 
DOXYCYCLINE Injection 100 mg in 5mL

Non Formulary
 
Echinacea

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Non Formulary
 
Elastolabo®

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Non Formulary
 
Eprodisate disodium

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Non Formulary
 
Eptotermin Alfa  (Osigraft®)

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Non Formulary
High Cost Medicine
 
ETHIONAMIDE Tablets 250 mg

Non Formulary
 
EVEROLIMUS Tablets 250 micrograms,750 micrograms

Non Formulary
 
Factor Eight Inhibitor Bypassing Activity  (FEIBA)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Controlled Drug  Fentanyl  (Ionsys®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Controlled Drug  Fentanyl and Suxamethonium pre drawn up kits

View adult BNF View SPC online View childrens BNF
Non Formulary
 
FERRIC SUBSULPHATE (monsel's soln)

Non Formulary
 
Fibrin Sealant  (Evicel®)

Non Formulary
Link  MHRA Feb 2013: updated guidance on minimising risk of life-threatening and fatal air embolism
Link  Urgent Product Information - Risk of life-threatening air or gas embolism (Dec12 letter)
 
Fibrin Sealant  (Tisseel®)

Non Formulary
 
FLUNARIZINE 5mg capsules

Non Formulary
Link  NICE Unlicensed Evidence summary: Flunarizine for migraine prophylaxis
 
Formaldehyde rectal solution
(Rectal solution)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
GABAPENTIN 6% topical

Non Formulary
 
Gamolenic Acid and Evening Primrose Oil

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Non Formulary
 
Gamolenic Acid and Evening Primrose Oil

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Non Formulary
 
Gamolenic Acid and Evening Primrose Oil

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Non Formulary
 
Gas Gangrene Antitoxin

Non Formulary
 
Giving sets (IV)

Non Formulary
 
Giving sets (NG)

Non Formulary
 
GLIADEL wafer Carmustine 7.6mg

Non Formulary
Link  NICE TA121: Glioma - carmustine implants and temozolomide
 
Glycerin
(Lubricant)

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Non Formulary
 
Glycerin and Ichthammol paste

View adult BNF View SPC online View childrens BNF
Non Formulary
 
GLYCEROL STERILE 30ml

Non Formulary
 
GLYCERYL TRINITRATE Ointment 0.05%

View adult BNF View SPC online View childrens BNF
Non Formulary
 
GLYCERYL TRINITRATE Ointment 0.2%

View adult BNF View SPC online View childrens BNF
Non Formulary
Link  NICE Evidence summary: 0.2% glyceryl trinitrate ointment for chronic anal fissures
 
Glycopyrrolate 0.5% topical solution

Non Formulary
 
Glycopyrronium tablets  (Hyperhidrosis)

View adult BNF View SPC online View childrens BNF
Non Formulary
Link  NICE Evidence Summary: glycopyrronium for hyperhidrosis
 
Haemostatic Agent  (Floseal®)

Non Formulary
 
Haemostatic Agent  (PuraStat®)

Non Formulary
 
Haemostatic Agent  (Surgiflo® with thrombin)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Haemostatic Agent  (Tachosil®)

Non Formulary
 
Haemostatic Agent  (Willospon®)

Non Formulary
 
Haemostatic Patch  (VerisetTM)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
HYDROCHLOROTHIAZIDE

Non Formulary
Link  MHRA: risk of non-melanoma skin cancer with hydrochlorothiazide
 
Hydroxyamphetamine 1% eye drops

View adult BNF View SPC online View childrens BNF
Non Formulary
 
HYDROXYPROGESTERONE 260mg/ml inj

Non Formulary
 
Hylo-Care eye drops

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Ibritumomab tiuxetan

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Non Formulary
 
Icodextrin solution
(Adept®)

Non Formulary
 
i-FACTORTM

Non Formulary
 
Indigo carmine

Non Formulary
 
Injex needle free administration device

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Insujet needle free administration device

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Insulin devices - Needle free

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Iohexol  (Omnipaque®)

Non Formulary
Link  Link to manufacturer SPC (datasheet)
 
Iopamidol  (Gastromiro®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Iopamidol  (Niopam®)

Non Formulary
 
IOPANOIC ACID Tablets 500 mg

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Non Formulary
 
Ixabepilone

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Joulies Oral Solution
(phosphate supplementation)

Non Formulary
 
KETANSERIN Injection 10 mg in 2mL

Non Formulary
 
Lactose powder

Non Formulary
 
LAT gel

Non Formulary
 
Leicarbon A

View adult BNF View SPC online View childrens BNF
Non Formulary
 
LEVAMISOLE Tablets 50 mg

Non Formulary
Link  Medicines for children leaflet: Levamisole for nephrotic syndrome
 
Levosimendan  (Simdax®)

Non Formulary
 
Lidocaine/adrenaline/tetracaine  (LATGEL®)

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Non Formulary
 
Lipiodol

Non Formulary
 
LIQUID PARAFFIN sterile light (20mL or 25ml)

Non Formulary
 
LITHIUM CHLORIDE
(For LIDCO calibration)

Non Formulary
 
LITMUS PAPER

Non Formulary
 
Lorcaserin

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Lubricating gel

Non Formulary
 
MAGNESIUM GLYCEROPHOSPHATE powder 350g

Non Formulary
 
MAGNESIUM SULPHATE 10% INFUSION

Non Formulary
 
Mannitol  (Osmohale®)

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Non Formulary
 
Melagatran

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Non Formulary
 
METHOCEL 2% eye drops

Non Formulary
 
Cytotoxic Drug  METHOTREXATE
(Ectopic pregnancy)

Non Formulary
 
Mibefradil

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Non Formulary
 
Miglustat

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Non Formulary
 
Miltefosine

Non Formulary
 
MONOCHLOROACETIC ACID SATURATED soln (5ml)

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Non Formulary
 
Controlled Drug  MORPHINE 40mg/ml inj pfs

Non Formulary
 
Controlled Drug  MORPHINE 50mg/50ml syringe

Non Formulary
 
Controlled Drug  Morphine epidural 2mg in 10ml

Non Formulary
 
Mucaine

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Non Formulary
 
Naltrexone
(MS)

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Non Formulary
Link  UKMI Q & A: Low dose naltrexone for MS
 
NeilMed Sinus Rinse

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Nifedipine
(tocolytic)

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Non Formulary
Link  APOSTEL III Trial (2016): Nifedipine vs atosiban for threatened preterm birth
 
Nifedipine  (Immediate release capsules)
(for Reynauld's)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Nitazoxanide

Non Formulary
High Cost Medicine
 
Optison

View adult BNF View SPC online View childrens BNF
Non Formulary
 
ORA-PLUS ORAL SUSPENDING VEHICLE

Non Formulary
 
Orascreen

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Otovent®
(Autoinflation device)

View adult BNF View SPC online View childrens BNF
Non Formulary
Link  UKMI review: Otovent for otitis media with effusion
 
OXANDROLONE

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Oxepa

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Oxitriptan
(5-hydroxytryptophan)

Non Formulary
 
PAPAVERINE HYDROCHLORIDE (2ML AMPOULE) Inj 40 mg in 1mL

Non Formulary
 
PAROMOMYCIN Tablets 250 mg

Non Formulary
 
PATENT BLUE Injection 2.5%

Non Formulary
 
Pegloticase  (Krystexxa)

View adult BNF View SPC online View childrens BNF
Non Formulary
Link  NICE: TA291 - Pegloticase not recommended for severe chronic gout
 
pH indicator paper

Non Formulary
 
PHENOL (AQUEOUS) 5ML Injection 6%

Non Formulary
 
Phenol 5% in glycerin injection

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Non Formulary
 
Phenol liquified BP 80%

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Non Formulary
 
Phoxilium

View adult BNF View SPC online View childrens BNF
Non Formulary
 
PICIBANIL 100mcg inj

Non Formulary
 
Piperaquine with artenimol  (Eurartesim®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
PIRENZEPINE 50mg tabs

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Placebo

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Polatuzumab Vedotin

Non Formulary
 
Pollinex Quattro®

Non Formulary
 
Polydimethylsiloxane
(Bioplastique)

Non Formulary
 
POTASSIUM ACETATE inj

Non Formulary
 
POTASSIUM CANRENOATE Injection 200 mg in 10mL

Non Formulary
 
Potassium Chloride, Magnesium Sulfate, Calcium Chloride, Sodium Chloride and Glucose Intravenous Infusion

Non Formulary
 
Potassium hydroxide

View adult BNF View SPC online View childrens BNF
Non Formulary
 
POTASSIUM IODIDE eye drops 5%

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Potassium Iodide solution

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Povidone-iodine 10 `/. in Boric acid insufflation

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Powerbreathe

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Pregnancy tests

Non Formulary
 
PreOp ®

View adult BNF View SPC online View childrens BNF
Non Formulary
 
PRILOCAINE (50ML) Injection 0.5%

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Prismocitrate® 18/0

Non Formulary
 
Probiotic  (Actimel®)

Non Formulary
 
PROCAINAMIDE Capsules 250 mg

Non Formulary
 
PROCHLORPERAZINE PR 25mg,5mg

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Prontoderm Nasal gel

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Propranolol
(Haemangioma)

Non Formulary
 
PYRIDOXAL 5 PHOSPHATE Tablets 50 mg

Non Formulary
 
Pyridoxine
(PMS)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Quizartinib

Non Formulary
 
RC cornet ®

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Regadenoson

Non Formulary
 
RESPeRATE®

View adult BNF View SPC online View childrens BNF
Non Formulary
Link  British Hypertension Society statement on RESPeRATE
Link  UKMi Update on New Devices - RESPeRATE May 2013
 
Resuscitation trollies

Non Formulary
 
Retapamulin ointment

View adult BNF View SPC online View childrens BNF
Non Formulary
 
RIBOFLAVIN 50mg tabs

Non Formulary
 
RIFAMPICIN 300mg inj

Non Formulary
 
ROBINUL-NEOSTIGMINE inj (1ml)

Non Formulary
 
SACCHAROMYCES BOULARDII 250mg caps

View adult BNF View SPC online View childrens BNF
Non Formulary
 
SCHILLERS IODINE SOLN 200ml

Non Formulary
 
Shaker
(Device)

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Non Formulary
 
Sinurinse®

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Non Formulary
 
Sipuleucel- T

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Non Formulary
High Cost Medicine
Link  NICE TA322: Sipuleucel-T for prostate cancer
 
SODIUM ACETATE 30% INJ 50ml

Non Formulary
 
SODIUM ACETATE 40mmol/10ml inj

Non Formulary
 
SODIUM CHLORIDE 600mg caps

Non Formulary
 
SODIUM GLYCEROPHOSPHATE (10ML) Injection 21.6%

Non Formulary
 
Sodium hyaluronate  (Cystistat®)
(bladder instillation)

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Non Formulary
 
Sodium Hyaluronate  (Hyacyst®)

Non Formulary
 
Sodium Hyaluronate  (SigmaviscTM )
(Endoscopy)

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Non Formulary
 
Sodium Hyaluronate 800mg/50mL (1.6%), Sodium Chondroitin Sulfate 1g/50mL (2%)  (iAluRil®)

Non Formulary
 
SODIUM PROPYL HYDROXYBENZOATE

Non Formulary
 
SODIUM THIOSULFATE Injection

Non Formulary
 
SPECTINOMYCIN Injection 2 g

Non Formulary
 
St Johns Wort

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Non Formulary
 
St Mark's solution

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Non Formulary
Link  UKMI Q&A: What is St Mark’s Electrolyte Mix (solution)?
 
STANOZOLOL 2mg tabs

Non Formulary
 
Sterimar nasal douche

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Non Formulary
 
SUCRALFATE 2g/50ml enema

Non Formulary
 
Sucrose 24%  (Sweat-Ease®)

Non Formulary
 
Sulfapyridine

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Non Formulary
 
SULPHAMETHOXYPYRIDAZINE tabs 500mg

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Non Formulary
 
Sultiame 50mg tabs

Non Formulary
 
Tacrolimus
(Topical for crohns)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Tamoxifen
(Gynaecomastia)

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Non Formulary
 
Taribavirin

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Non Formulary
High Cost Medicine
 
TAUROLIDINE Solution 2 % (nebulised)

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Non Formulary
 
Taurolodine and Citrate 4%  (TauroLock®)

Non Formulary
 
TETRAHYDROBIOPTERIN Tablets 10 mg

Non Formulary
High Cost Medicine
 
THALIDOMIDE Tablets 50 mg

Non Formulary
 
THEOPHYLLINE liq 50mg/5ml

Non Formulary
 
THIAMINE Injection 100 mg in 1mL

Non Formulary
 
TICLOPIDINE 250mg tabs

Non Formulary
 
Timolol topical
(haemangioma)

Non Formulary
 
TISOPURINE Tablets 100 mg

Non Formulary
 
Tissue adhesive for epidural catheters

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Non Formulary
 
Tolevamer

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Non Formulary
 
Tranexamic acid 8% in glycerin 20% nasal spray

View adult BNF
Non Formulary
 
TRANEXAMIC ACID Oral Solution 500 mg in 5mL

Non Formulary
 
Treprostinil

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Non Formulary
High Cost Medicine
 
TRIAMCINOLONE ACETONIDE 0.1% in a protective emollient vehicle  (Oracort® )

Non Formulary
 
Triamcinolone Acetonide intravitreal injection.  (Triesence)

Non Formulary
 
Triamcinolone mouthwash

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Trisodium Citrate 46.7%

Non Formulary
 
TROMETAMOL (THAM) 125ML Injection 3.6% (0.3M)

Non Formulary
 
TROMETAMOL 0.3Molar (10.5ml) inj

Non Formulary
 
Trypan blue
(Oftalblu)

Non Formulary
 
UBIQUENONE 50mg VIT E 15iu/5ml Liq 10

Non Formulary
 
Ultravist

Non Formulary
 
UroLift system

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Non Formulary
Link  NICE MTG26: UroLift for treating symptoms of BPH
 
Vacuum Pumps for Erectile Dysfunction

Non Formulary
  • Vacuum pumps are designated as low priority and should not normally be prescribed.

 

  • If in exceptional circumstances, a specialist wishes to prescribe one for a patient who meets the NHS erectile dysfunction SLS criteria then the supply must be made by the specialist service / hospital.

 

  • GPs should not be asked to prescribe vacuum pumps.
Link  Drug Tariff (see Part IXa - Appliances, Vacuum pumps)
 
Vernakalant

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Non Formulary
 
VertebroplasticTM Cement

Non Formulary
 
Vibro-Pulse®

Non Formulary
 
VITAMIN A Drops 150000 international units in 1mL

Non Formulary
 
Vitrimix®

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Warfarin Suspension 5 mg in 5mL
(unlicensed special)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Water for humidification

Non Formulary
 
Whitehead’s Varnish

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Whiteheads varnish
(Iodoform compound paint)

Non Formulary
 
Ximelagatran

View adult BNF View SPC online View childrens BNF
Non Formulary
 
XLS-medical fat binder  (Litramine)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
YOHIMBINE Tablets 5.4 mg

Non Formulary
 
ZINC COMPUND PASTE 500g

Non Formulary
 
ZINC SULPHATE 1mmol in 10ml inj

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
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
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

Routine prescribing within licensed indication  

Amber 1

Specialist recommendation followed by GP initiation and continuation  

Amber 2

Specialist or GP initiation in line with local guideline after 1st line failure followed by GP continuation   

Amber 3

Specialist initiation and stabilisation followed by GP continuation  

Amber SCG

Specialist initiation and stabilisation followed by GP continuation in line with an agreed shared care guideline  

Red

Hospital or specialist prescribing only  

Red Red

These medicines have been evaluated and rejected by MKPAG and are NOT approved for use within MK. They are not recommended for use because of lack of clinical effectiveness, cost effectiveness or safety.  

netFormulary