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Milton Keynes Formulary
Milton Keynes University Hospital NHS Foundation Trust
Bedfordshire, Luton and Milton Keynes Clinical Commissioning Group
Milton Keynes Community Health Services
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 Formulary Chapter 16: Miscellaneous - Full Chapter
16.01  Expand sub section  Other items
Ferucarbotran  (Resovist)
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Formulary
Red

Pre-filled syringes 1.4 ml

 
   
Holoclar
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Formulary
Red

79,000 - 316,000 cells/cm2 living tissue equivalent  

 
   
Lanadelumab
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Formulary
Red
High Cost Medicine

Solution for injection, 300mg/2ml vial

 
Link  NICE TA606: Lanadelumab for preventing recurrent attacks of hereditary angioedema
   
Mannitol 2.5% & Carob bean gum 0.2%
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Formulary
Red

Oral solution 500ml

Note: For use by Radiology for outlining the small bowel for MRI scans

 
   
Methacholine Chloride
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Formulary
Red

60 micrograms/ml, 125 micrograms/ml, 250 micrograms/ml, 500 micrograms/ml, 1 mg/ml, 2 mg/ml, 4 mg/ml, 8 mg/ml, 16 mg/ml

 
   
MetreleptinBlack Triangle (Myalepta®)
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Formulary
Red
High Cost Medicine

Powder for solution for injection vials: 3mg, 5.8mg, 11.3mg

 
Link  NICE Highly specialised technologies guidance (HST14): Metreleptin for treating lipodystrophy
   
Osmohale inhalation powder
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Formulary
Red

Mannitol, diagnostic kit

 
   
Peristeen Plus transanal irrigation system
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Formulary
Amber 3

Note:

1. Before you consider recommending or prescribing a trans-anal irrigation device, refer to the flow chart (see link below).

2. The recommended Trans-anal Irrigation system products can be found in the link below.

3. Specialists must not initiate prescriptions or requests directly to suppliers.

4. GPs should NOT be asked to prescribe trans-anal irrigation systems unless and until a review has been undertaken as outlined in the flow chart linked to '1' above.

 
Link  NICE Peristeen transanal irrigation system
Link  Trans-anal Irrigation (TAI) Systems: Product Choice and Volume Matrix
Link  Trans-anal Irrigation System Pathway
   
Sodium citrate 0.3M
Formulary
Red

Oral Solution 0.3M, 30mL bottle

Notes:
For In-patient maternity use only for prophylaxis against acid aspiration syndrome in obstetric patients undergoing caesarean section. Used as a single dose.

 
   
Strimvelis
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Formulary
Red

 Dispersion for infusion

Notes:

Strimvelis is currently only administered in one specialist centre in the world; Ospedale San Raffaele in Milan, Italy. Patients travel to the hospital in Milan for treatment, and stay as an inpatient, and subsequently as an outpatient, for a number of months in Milan

 
Link  NICE HST7: Strimvelis for treating adenosine deaminase deficiency–severe combined immunodeficiency
   
Temporomandibular Jaw Motion Rehabilitation Devices (TheraBite)
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Formulary
Red

  Jaw Motion Rehabilitation System

Note: 

A specialist maxillo-facial device for hospital supply only.

 
   
Volanesorsen sodiumBlack Triangle (Waylivra®)
(injection)
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Formulary
Red
High Cost Medicine

285mg/1.5ml solution for injection pre-filled syringe

 
Link  NICE HST13 - Volanesorsen for treating familial chylomicronaemia syndrome
   
 ....
 Non Formulary Items
Acupuncture

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Non Formulary
 
Alternative medicines

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Non Formulary
 
Autodrop® eye drop device

Non Formulary
Link  Autodrop patient leaflet
 
Cranberry juice

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Non Formulary
 
Grapefruit Juice

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Non Formulary
 
Herbal medicines

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Non Formulary
Link  Cancer chemotherapy patients and Herbal medicines review (UKMi Q&A)
Link  General review of herbal products by Dr Ben Goldacre
Link  Herbal medicines in breastfeeding mothers- UKMI Q & A
Link  Herbal medicines in patients undergoing surgery- UKMI Q&A
Link  Is it safe to take herbal medicines during pregnancy?
Link  Menopause: DTB review of herbal items
Link  MHRA warnings on safety
Link  Osteoarthritis: DTB review of herbal items
Link  Safety concerns about black cohosh-UKMI Q&A
 
Homeopathy

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Non Formulary
Link  Audio summary of homeopathy (skeptoid.com)
Link  Basic information on homeopathic medicines
Link  Drug interactions with homeopathic remedies: UKMI Q&A
Link  Nottinghamshire Position Statement on Prescribing of Homeopathic Medicines
 
Letermovir

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Non Formulary
 
Opticare® eye drop delivery device

Non Formulary
Link  Opticare website
 
Pressure offloading boot device  (Kerraped®)

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Non Formulary
 
Urea Breath Test Kits

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.  

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