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Sunderland Joint Formulary
NHS Sunderland Clinical Commissioning Group
South Tyneside and Sunderland NHS Foundation Trust
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 Formulary Chapter 7: Obstetrics, Gynaecology, and urinary-tract disorders - Full Chapter
07.04  Expand sub section  Drugs for genito-urinary disorders
Tiopronin
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Unlicensed Drug Unlicensed
Red

Used in the prevention of nephrolithiasis

100mg, 250mg tablets

 
   
07.04.01  Expand sub section  Drugs for urinary retention
07.04.01  Expand sub section  Alpha-blockers
Tamsulosin Hydrochloride
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First Choice

M/R capsules: 400 micrograms

 
Alfuzosin Hydrochloride
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Alternatives

M/R tablets: 10mg

 
   
Doxazosin
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Alternatives

*Tablets: 1mg, 2mg, 4mg
*Legacy patients only

 
   
07.04.01  Expand sub section  Parasympathomimetics
07.04.01.02  Expand sub section  5-Alpha reductase inhibitors to top
Finasteride
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First Choice

Tablets: 5mg

 
Dutasteride
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Alternatives

Capsules: 500micrograms

 
   
Tadalafil
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Alternatives
Green +

Tablets: 5mg
(Green plus for indications involving urinary retention or benign prostatic hyperplasia)

 
   
07.04.02  Expand sub section  Drugs for urinary frequency, enuresis, and incontinence
07.04.02  Expand sub section  Urinary incontinence
Tolterodine
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First Choice

Tablets: 1mg, 2mg

 
Oxybutynin
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Second Choice

Tablets: 2.5mg, 5mg
Elixir: 2.5mg in 5ml
Self-adhesive patch: 36mg

 
   
Solifenacin
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Alternatives

Tablets: 5mg, 10mg

 
   
Mirabegron
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Alternatives

M/R tablets: 25mg, 50mg


 

 
Link  NICE TA290: Mirabegron for overactive bladder
   
Fesoterodine
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Alternatives

MR tablets: 4mg, 8mg

 
   
Trospium
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Alternatives

Tablets: 20mg

 
   
Propiverine
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Alternatives

Tablets: 15mg

 
   
Duloxetine
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Alternatives
Green +

*Capsules: 20mg, 40mg
(*Moderate to severe stress incontinence in combination with supervised pelvic floor excercises only)

 
   
07.04.02  Expand sub section  Nocturnal enuresis
Desmopressin (Noqdirna)
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Formulary
Green +

*Oral lyophilisates: 25microgram, 50 microgram


*Only to be used in line with NICE guidance (NG 171, NG 97)

 
   
Desmopressin
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Formulary

Tablets: 100 microgram, 200 microgram
Sublingual tablets: 120 microgram

 
   
07.04.03  Expand sub section  Drugs used in urological pain
07.04.03  Expand sub section  Alkalinisation of urine - treatment of interstitial cystitis to top
Pentosan polysulphate sodium
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Unlicensed Drug Unlicensed
Red

Capsules: 50mg, 100mg

 
Link  NICE TA610: Pentosan polysulfate sodium for treating bladder pain syndrome
   
Sodium hyaluronate (Hyacyst 120)
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Unlicensed Drug Unlicensed
Red

Prefilled syringe: 120mg/50ml

 
   
07.04.03  Expand sub section  Acidification of urine
07.04.03  Expand sub section  Other preparations for urinary disorders
07.04.04  Expand sub section  Bladder instillations and urological surgery
07.04.04  Expand sub section  Urological surgery
Glycine
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Formulary

1.5% solutions (up to 3 litres)

 
   
Sodium chloride
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Formulary

0.9% solutions (up to 3 litres)

 
   
Water
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Formulary

Volumes (up to 3 litres)

 
   
07.04.04  Expand sub section  Maintenance of indwelling urinary catheters to top
Chlorhexidine
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Formulary

100ml sachets: 0.02% (1 in 5,000) solution

 
   
Sodium chloride
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Formulary

100ml sachets: 0.9% solution

 
   
07.04.05  Expand sub section  Drugs for erectile dysfunction
Sildenafil
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First Choice

Tablets: 25mg, 50mg, 100mg

 
Avanafil
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Second Choice

Tablets: 50mg, 100mg, 200mg

 
   
Tadalafil
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Alternatives

*Tablets: 10mg, 20mg 
(*For post radical prostatectomy)

 
Link  NICE TA273: Hyperplasia (benign prostatic) - tadalafil (terminated appraisal) (TA273)
   
Alprostadil
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Alternatives
Green +

Dual chamber injections: 10microgram, 20 microgram
Injections: 10microgram, 20 microgram, 40microgram (Caverject®)
Starter pack and dual chamber injections: 10microgram, 20micrograms, 40microgram (Viridal Duo®)
Cream: 3mg/g (Vitaros®)

 
   
07.04.05  Expand sub section  Phosphodiesterase type 5 inhibitors
07.04.05  Expand sub section  Papaverine and phentolamine
07.04.06  Expand sub section  Drugs for premature ejaculation
07.04.06  Expand sub section  Dapoxetine to top
 ....
 Non Formulary Items
Anethol, Borneol, Camphene, Cineole, Fenchone, Pinene  (Rowatinex)

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Non Formulary
 
Ascorbic Acid

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Non Formulary
 
Bethanechol Chloride  (Myotonine®)

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Non Formulary
 
Dapoxetine  (Priligy)

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Non Formulary
 
Darifenacin  (Emselex)

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Non Formulary
 
DIMETHYL SULPHOXIDE Bladder Instillation 50%

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Non Formulary
 
Distigmine Bromide  (Ubretid)

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Non Formulary
 
Dutasteride and Tamsulosin  (Combodart)

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Non Formulary

Capsules: 400micrograms/500micrograms

 
Flavoxate  (Urispas 200)

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Non Formulary
 
Imipramine

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Non Formulary
 
Indoramin  (Doralese®)

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Non Formulary
 
Papaverine

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Non Formulary
 
Phentolamine

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Non Formulary
 
Potassium Citrate

Non Formulary
 
Prazosin

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Non Formulary
 
Propantheline

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Non Formulary
 
Sildenafil chewable tablets  (Nipatra)

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Non Formulary
 
Sodium Bicarbonate

Non Formulary
 
Sodium Citrate

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Non Formulary
 
Solifenacin and Tamsulosin  (Vesomni)

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Non Formulary
 
Terazosin

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Non Formulary
 
Terazosin  (Hytrin®)

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Non Formulary
 
Vardenafil  (Levitra)

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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 SPCs
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

Red

Drugs for hospital use or use by a specialist within specialist centre only. Initiation and monitoring of treatment should remain under the total responsibility of the appropriate hospital clinician or specialist. These drugs should only be prescribed under the direct supervision of that clinician or specialist and are not suitable for shared care arrangements. The drug should be supplied via the hospital or specialist centre for the duration of treatment.   

Amber

These are specialist drugs which must be initiated by secondary care specialist prescribers, but with the potential to transfer prescribing to primary care within written and agreed shared care protocols and according to the agreed process for transfer of care. For these drugs, in order to ensure patient safety, some aspects of care must remain with the specialist due to their complexity e.g. monitoring of disease or drug response. Other more routine aspects can be transferred to the GP e.g. monitoring of adverse effects and supply of the medicine. The specific responsibilities of the specialist and GP are defined in the shared care agreement for each drug. Shared care agreements are still under development for some amber drugs. Until these are available, it would be expected that any shared care request from secondary care to a GP would be accompanied by written information which defines prescribing and monitoring responsibilities. The hospital specialist should also provide the GP with enough information and support to allow the safe transfer and ongoing management of prescribing into primary care.   

Green +

Drugs which should usually be initiated in secondary care, or by a specialist clinician, but can be safely maintained in primary care with very little or no monitoring required. In some cases there may be a further restriction for use outlined - these will be defined in each case.  

Green

These are defined as new and established drugs, which may be prescribed, initiated, changed or maintained on FP10 by the GP and, if appropriate, discontinued without recourse to secondary care. N.B. DRUGS NOT IDENTIFIED IN THE FORMULARY BY A RED, AMBER OR GREEN+ SYMBOL ARE CLASSIFIED AS GREEN.   

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