netFormulary NHS
Milton Keynes Formulary
Milton Keynes University Hospital NHS Foundation Trust
Bedfordshire, Luton and Milton Keynes Clinical Commissioning Group
Milton Keynes Community Health Services
 Formulary Chapter 3: Respiratory system - Full Chapter

Local Respiratory Guidelines & Resources for use in MK:


Patient Counselling Resource:

  • RightBreathe is a useful website and application about inhaler devices launched in February 2017. It has significant MI input and collaboration between multidisciplinary healthcare professionals.
  • RightBreathe covers each and every inhaler and spacer device licensed in the UK for treating asthma and COPD. It presents specific, tailored information on each option in a standardised format and with assured quality.
  • RightBreathe enables clinicians and patients to search and filter the options to suit individual circumstances and patients’ needs.
Chapter Links...
03.09.02  Expand sub section  Expectorant and demulcent cough preparations
Simple Linctus, BP
(Expectorant and demulcent cough preparations)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Citric Acid 

  • Simple Linctus BP, sugar free


  • Should not be prescribed in Primary Care or at Discharge
    Advise patient to purchase, unless prescription is for long-term regular use.
  • The BNF recommends that cough preparations should be avoided but recognises that Simple linctus has the advantage of being harmless and inexpensive.
 Non Formulary Items
Ammonia and Ipecacuanha Mixture BP

View adult BNF View SPC online View childrens BNF
Non Formulary
Simple Linctus, Paediatric BP

View adult BNF View SPC online View childrens BNF
Non Formulary
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
Track Changes
Display tracking information
click to search
Link to adult BNF
click to search
Link to children's BNF
click to search
Link to SPCs
Scottish Medicines Consortium
Cytotoxic Drug
Cytotoxic Drug
Controlled Drug
High Cost Medicine
High Cost Medicine
Cancer Drugs Fund
Cancer Drugs Fund
NHS England

Traffic Light Status Information

Status Description


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  


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.