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
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 Formulary Chapter 8: Malignant disease and immunosuppression - Full Chapter
Notes:

 

NHS Clinical Commissioning Policy: Haematopoietic Stem Cell Transplantation B04/P/a

Contacting Milton Keynes Hospital

      
For Haematology and Oncology:

  • During hours: Macmillan Unit on 01908 243671; Internal Ext 5111 or 5112
  • Out of hours: Advanced Nurse Practitioner on bleep 1090    

Paediatric patients:

  • During hours: Paediatric Day Community Unit on 01908 242703; Internal Ext 2703      

Pharmacy:

  • Cancer and Aseptic Services Manager on bleep 1721
  • Aseptic Unit 01908 243952
  • On-call pharmacist via switchboard 01908 660033
Chapter Links...
 Details...
08.02.01  Expand sub section  Antiproliferative immunosuppressants
Cytotoxic Drug Azathioprine
(Chemotherapy/ post- transplant)
View adult BNF View SPC online View childrens BNF
Formulary
Amber SCG
Homecare

Tablets 25mg, 50mg

tablets 10mg - available on named-patient basis only

Avoid concomitant use of azathioptine with allopurinol, unless supervised by an appropriate specialist.

Monitoring of azathioprine is essential.

 
Link  UKMI Q and A: Can mothers breast feed while taking azathioprine?
   
Mycophenolate Mofetil
(In renal patients)
View adult BNF View SPC online View childrens BNF
Formulary
High Cost Medicine
Homecare

Capsules 250mg (generic)

Tablets 500mg (generic)

Oral suspension 1g in 5ml

 Red for new renal patients

Amber for existing renal patients and any other indications

Note: New pregnancy-prevention advice for women and men. Check BNF / SPC

 
Link  EMA advice to avoid mycophenolate use in pregnancy
Link  MHRA: contraception advice for male patients
Link  MHRA: risk of hypogammaglobulinaemia & bronchiectasis with mycophenolate
Link  NICE Evidence summary: Mycophenolate for scleroderma
Link  NICE Evidence summary: Mycophenolate for SLE
   
 ....
 Non Formulary Items
Cytotoxic Drug  Azathioprine
(Neurology)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Mycophenolic acid (sodium)

View adult BNF View SPC online View childrens BNF
Non Formulary
Homecare
Link  MHRA: contraception advice for male patients
Link  NICE Evidence summary: Mycophenolate for scleroderma
 
  
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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