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

 
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6 Endocrine system


06-01-01-02 Intermediate- and long-acting insulins

Isophane Insulin - Insulatard 100 units/ml
First Choice

Cartridge: 3ml for NovoPen® Novopen penmate

Prefilled pen: 3ml Innolet®

Vial 10ml

Hospital notes - Humulin I® will remain on EP to allow patients to use own supplies. Message states : This is not available – use alternative.
Give patients who do not have own supply Human Insulatard® using vials and syringes as a temporary measure. 3ml pen not stocked but available on request.


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Insulin degludec - Tresiba 100 units/ml
Second Choice

ONLY THE 100 UNITS/ML STRENGTH IS ON THE FORMULARY.

THE 200 UNITS/ML STRENGTH MUST NOT BE PRESCRIBED IN PRIMARY CARE.


Cartridge: 3ml

Prefilled pen: 3ml FlexTouch

Evaluation of response after 3 months is required. If there has been no significant improvement in the key parameter after 3 months then insulin degludec should be stopped.


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Insulin Detemir - Levemir 100units/ml
Second Choice

Cartridge: 3ml for NovoPen® Novopen PenMate®

Prefilled pen:3ml Flexpen® and 3ml Levemir Innolet®

Vial: 10ml

Hospital note – minimal stock of vials held.
Levemir InnoLet Pen – not stocked but available on request.


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Insulin Glargine - Lantus 100 units/ml
Second Choice

Cartridge: 3ml for ClikSTAR® or Autopen® 24

Prefilled pen: 3ml SoloStar®

Vial: 10ml

Hospital note – minimal stock of vials held


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Insulin Glargine - Toujeo 300 units/ml
Formulary

**HIGH STRENGTH INSULIN 300 units/ml**

For specialist initiation only - can be continued in primary care. See information leaflet link below.

 

Solostar prefilled pen: 300units/ml 


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Insulin degludec and liraglutide Xultophy®
Non Formulary

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Insulin Zinc suspension Hypurin®Bovine Lente
Non Formulary

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Isophane Insulin Humulin® I
Non Formulary

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Isophane Insulin Hypurin® Bovine Isophane
Non Formulary

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Isophane Insulin Hypurin® Porcine Isophane
Non Formulary

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Isophane Insulin Insuman® Basal
Non Formulary

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Isophane Insulin Pork Insulatard®
Non Formulary

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Protamine Zinc Insulin Hypurin® Bovine Protamine Zinc
Non Formulary

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