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 Formulary Chapter 10: Musculoskeletal and joint diseases - Full Chapter
10.01.01  Expand sub section  Non-steroidal anti-inflammatory drugs
Ibuprofen
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First Choice
Green
  • Tablet 200mg and 400mg, suspension (100mg/5ml)
     
 
Naproxen
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Second Choice
Green
  • Tablets 250mg, 500mg.
 
   
Diclofenac
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Restricted Drug Restricted
Green

Following Drug Safety Updates the use of diclofenac is restricted to use where the risks and benefits of continued treatment have been considered (see MHRA Drug Safety Updates below)

  • Suppositories available: 12.5mg, 25mg, 50mg, 100mg
     
 
Link  MHRA Drug Safety Update (January 2015): Oral diclofenac no longer available without prescription
Link  MHRA Drug Safety Update (November 2014): Diclofenac: new contraindications and warnings (December 2014)
Link  MHRA Drug Safety Update (November 2014): Non-steroidal anti-inflammatory drugs (NSAIDs): cardiovascular risks
   
Etoricoxib (Arcoxia)
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Restricted Drug Restricted
Green
 
   
Indometacin
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Restricted Drug Restricted
Green
Tablets 25mg, 50mg 
   
Mefenamic Acid
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Formulary
Green
Capsules 250mg, Tablets 500mg 
   
Piroxicam
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Formulary  
   
10.01.01  Expand sub section  Aspirin
 ....
 Non Formulary Items
Acelofenac  (Preservex)

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Non Formulary
 
Acemetacin  (Emflex)

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Non Formulary
 
Azapropazone  (Rheumox)

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Non Formulary
 
Celecoxib  (Celebrex)

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Non Formulary
 
Celecoxib  (Onsenal)

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Non Formulary
 
Dexibuprofen  (Seractil)

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Non Formulary
 
Dexketoprofen  (Keral)

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Non Formulary
 
Diclofenac with Misoprostol  (Arthrotec 50 and 75)

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Non Formulary
 
Dicolfenac Sodium  (Diclomax Retard)

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Non Formulary
 
Dicolfenac Sodium  (Diclomax SR)

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Non Formulary
 
Dicolfenac Sodium  (Motifene 75mg)

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Non Formulary
 
Dicolfenac Sodium  (Voltarol 75 mg SR)

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Non Formulary
 
Dicolfenac Sodium  (Voltarol Radid)

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Non Formulary
 
Dicolfenac Sodium  (Voltarol Retard)

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Non Formulary
 
Etodolac

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Non Formulary
 
Etodolac  (Lodine SR)

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Non Formulary
 
Fenbufen

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Non Formulary
 
Fenbufen  (Lederfen)

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Non Formulary
 
Fenoprofen  (Fenopron)

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Non Formulary
 
Flurbiprofen

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Non Formulary
 
Flurbiprofen  (Froben SR)

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Non Formulary
Amber
Tablet 50mg
Restricted to ophthalmology for ophthalmic scleritis if usual NSAIDs fail.

 
Flurbiprofen  (Froben)

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Non Formulary
 
Ibuprofen  (Brufen Retard)

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Non Formulary
 
Ibuprofen  (Brufen)

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Non Formulary
 
Ibuprofen  (Fenbid)

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Non Formulary
 
Ibuprofen and famotidine  (Duexis)

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Non Formulary
 
Indometacin

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Non Formulary
 
Ketoprofen

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Non Formulary
 
Ketoprofen  (Axorid®)

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Non Formulary
 
Ketoprofen  (Orudis)

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Non Formulary
 
Ketoprofen  (Oruvail)

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Non Formulary
 
Ketoprofen  (Oruvail MR)

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Non Formulary
 
Lumiracoxib  (Prexige)

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Non Formulary
 
Mefenamic Acid  (Ponstan)

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Non Formulary
 
Meloxicam

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Non Formulary
Green
Tablet 7.5mg and 15mg
 
Meloxicam  (Mobic)

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Non Formulary
 
Nabumetone

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Non Formulary
 
Nabumetone  (Relifex)

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Non Formulary
 
Naproxen  (Naprosyn)

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Non Formulary
 
Naproxen  (Synflex)

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Non Formulary
 
Naproxen & esomeprazole  (Vimovo)

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Non Formulary
 
Naproxen with Misoprostol  (Napratec)

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Non Formulary
 
Piroxicam  (Brexidol)

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Non Formulary
 
Piroxicam  (Feldene)

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Non Formulary
 
Sulindac

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Non Formulary
 
Sulindac  (Clinoril)

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Non Formulary
 
Tenoxicam  (Mobiflex)

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Non Formulary
 
Tiaprofenic Acid

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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

Amber

Medicines suitable to be prescribed in primary care after Specialist* recommendation or initiation. A supporting prescribing guideline may be requested which must have been agreed by the relevant secondary care trust D&TC(s). *Specialist is defined as a clinician who has undertaken an appropriate formal qualification or recognised training programme within the described area of practice.   

Amber 1

Medicines that should be initiated by a specialist and prescribed by primary care prescribers only under a shared care protocol, once the patient has been stabilised. Prior agreement must be obtained by the specialist from the primary care provider before prescribing responsibility is transferred. The shared care protocol must have been agreed by the relevant secondary care trust Drugs and Therapeutics Committee(s) (D&TC) * All drugs awaiting the production or approval of a shared care guideline default to RED   

Cancer Drug Fund

Cancer Drug Fund   

Green

Medicines suitable for routine use and can be prescribed within primary care within their licensed indication, in accordance with nationally recognised formularies, for example the BNF, BNF for Children, Medicines for Children or Palliative Care Formulary. Primary care prescribers take full responsibility for prescribing.  

Green Specialist Initiation

These drugs should be initiated only by a hospital or specialist clinician (GPSi) but there is no requirement for additional monitoring over the general requirements for all medicines. Some may require short or medium specialist monitoring of efficacy or dose titration before transferring in Primary care. The GP should have all the information they require to support continued prescribing.   

Green Specialist Recomendation

  

Grey

Grey - Medicines, which the Drug & therapeutics Committee has actively reviewed and does not recommend for use at present following a review of clinical and/or cost effective data. Grey (assessment in progress) - will be reviewed at a future D&T meeting. Grey (awaiting submission) - The D&T are awaiting a submission from an appropriate practitioner. If you wish to make a submission for this medicine to be added to the formulary please email drug.information@bthft.nhs.uk .   

Non Formulary

Not recommended for prescribing as initial therapy, but can be continued if patient already stable on treatment   

Red

Medicines which should normally be prescribed by specialists only. ** For patients already receiving prescriptions in primary care - continue. No new patients to receive prescriptions in primary care   

RED ULM

Unlicensed Medication  

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