Sunderland Joint Formulary
NHS Sunderland Clinical Commissioning Group
South Tyneside and Sunderland NHS Foundation Trust

 
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10 Musculoskeletal and joint diseases
10-01-03 Drugs which suppress the rheumatic disease process

Methotrexate
First Choice
Tablets: 2.5 mg
Prefilled pen (Metoject): 7.5mg, 10mg, 12.5mg, 15mg, 17.5mg, 20mg, 22.5mg, 25mg, 27.5mg, 30mg

Note: ONLY 2.5mg strength tablets to be prescribed. No other strengths to be prescribed

Cytotoxic Drug  Amber View adult BNF  View SPC online
Sulfasalazine
First Choice
EC Tablets: 500 mg
Oral suspension (sugar-free): 250 mg/5 mL

Amber View adult BNF  View SPC online
Hydroxychloroquine sulfate
First Choice
Tablets: 200 mg

Amber View adult BNF  View SPC online
Leflunomide
Second Choice
Tablets: 10 mg, 20 mg

Amber View adult BNF  View SPC online
Filgotinib Jyseleca®
Formulary

Tablets: 100mg and 200mg

Link  NICE TA 676: Filgotinib for treating moderate to severe rheumatoid arthritis
 

Red View adult BNF  View SPC online
Azathioprine
Formulary
Tablets: 25 mg, 50 mg
Link  NICE TA 480: Tofacitinib for moderate to severe rheumatoid arthritis
 

Cytotoxic Drug  Amber View adult BNF  View SPC online
Ciclosporin Neoral
Formulary

Capsules: 10 mg, 50 mg, 100 mg
Oral solution (sugar-free): 100 mg/1 mL


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Penicillamine
Formulary

Tablets: 125 mg, 250 mg

Note: this is as an alternative after biologics

*FOR NEUROLOGY INDICATIONS (SUCH AS WILSON'S), PENICILLAMINE SHOULD BE CONSIDERED A RED DRUG*


Amber View adult BNF  View SPC online
Sodium Aurothiomalate
Formulary

Injection: 10 mg/0.5 mL, 50 mg/0.5 mL

Note: this is as an alternative after biologics


Amber View adult BNF  View SPC online
Tofacitinib
Formulary

Tablets: 5mg

Link  NICE TA 480: Tofacitinib for moderate to severe rheumatoid arthritis
Link  NICE TA 543: Tofacitinib for treating active psoriatic arthritis after inadequate response to DMARDs
Link  NICE TA 547: Tofacitinib for moderately to severely active ulcerative colitis
 

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Sarilumab
Formulary

Pre-filled pen: 150mg, 200mg
Syringe: 150mg, 200mg

Link  NICE TA 485: Sarilumab for moderate to severe rheumatoid arthritis
 

Red View adult BNF  View SPC online
Baricitinib Olumiant
Formulary

Film coated tablets: 2mg, 4mg

Link  NICE TA 466: Baricitinib for moderate to severe rheumatoid arthritis
Link  NICE TA 681: Baricitinib for treating moderate to severe atopic dermatitis
 

Red View adult BNF  View SPC online
Mycophenolate
Formulary
Capsules: 250mg
Tablets: 500mg

Amber View adult BNF  View SPC online