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

 
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3 Respiratory system
03-02 Corticosteroids

Beclometasone Clenil Modulite®
Formulary
Beclometasone is the first line corticosteroid; Clenil is first choice for asthma

Clenil Modulite CFC-free MDI: 50mcg, 100mcg, 200mcg, 250mcg per puff

N.B. CFC-free beclometasone must be prescribed by brand name

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Beclometasone Qvar®
Formulary
Beclometasone is the first line corticosteroid

QVAR CFC-free MDI: 50mcg, 100mcg per puff
QVAR breath-actuated MDI: 50mcg, 100mcg per puff
Extra-fine particle inhaler

N.B. CFC-free beclometasone must be prescribed by brand name.

50mcg QVAR is equivalent to 100mcg for a conventional beclometasone inhaler and 100mcg is equivalent to 250mcg conventional beclometasone.

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Fluticasone propionate
Formulary
Alternative corticosteroid

CFC-free MDI: 50mcg, 125mcg, 250mcg per puff

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Budesonide
Formulary
Alternative corticosteroid

Breath actuated DPI (Turbohaler): 100mcg, 200mcg, 400mcg per puff
Respules: 250mcg/1ml, 500mcg/1ml, 500mcg/2ml

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Budesonide and formoterol DuoResp Spiromax®
Formulary

DuoResp Spiromax ® 

160/4.5: Budesonide with formoterol 160/4.5mcg per puff
320/9: Budesonide with formoterol 320/9mcg per puff

Not a first-line choice on the Sunderland COPD guideline for newly diagnosed COPD patients. May be continued in existing patients if guideline alternatives are unsuitable.


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Beclometasone and formoterol Fostair®
Formulary

Fostair ® CFC-free MDI: 100/6mcg per puff 
Fostair ® CFC-free MDI: 200/6mcg/puff

N.B. Extra fine-particle aerosol - 100mcg of beclomethasone in Fostair ® is equivalent to a 250mcg dose in a conventional beclomethasone metered dose inhaler

Fostair ® NEXThaler (breath actuated DPI): 100/6mcg, 200/6mcg per puff

The 100/6mcg inhalers are first choice ICS/LABA combination inhalers in the Sunderland COPD guideline.

The 200/6mcg inhalers are approved for use in the treatment of ASTHMA only.


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Budesonide and formoterol Symbicort®
Formulary

Symbicort Turbohaler® 
100/6: Budesonide with formoterol 100/6mcg per puff
200/6: Budesonide with formoterol 200/6mcg per puff
400/12: Budesonide with formoterol 400/12 mcg per puff

 

Not a first-line choice on the Sunderland COPD guideline for newly diagnosed COPD patients. May be continued in existing patients if guideline alternatives are unsuitable.


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Fluticasone furoate & vilanterol Relvar Ellipta®
Formulary

Revlar Ellipta Dry Powder Inhaler

92/22: Fluticasone 92mcg & Vilanterol 22mcg per dose inhaler

First choice for new patients

 

184/22: Fluticsone184 mcg & Vilanterol 22mcg per dose inhaler 

Approved for use in the treatment of ASTHMA only.


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Fluticasone propionate and salmeterol Seretide®
Formulary

Seretide Evohaler ®
50/25 mcg, 125/25mcg and 250/25mcg

Seretide Accuhaler ®
100/50mcg (for paediatric use only)
250/50mcg (for use in asthma only)
500/50mcg (for use in asthma only)

Approved for the treatment of ASTHMA only

Not a first line choice on the Sunderland COPD guideline for new patients. Can be continued in existing patients if guideline options are unsuitable.


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Fluticasone propionate and formoterol Flutiform®
Formulary

Flutiform® MDI


50/5mcg per puff
125/5mcg per puff
250/10mcg per puff


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Ciclesonide Alvesco®
Non Formulary

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Fluticasone propionate and salmeterol AirFluSal Forspiro®
Non Formulary

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Mometasone Furoate Asmanex®
Non Formulary

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