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8. Malignant Disease and Immunosuppression
| First line drugs | Second line drugs | Specialist drugs | Secondary care drugs |
| Recommended in both primary and secondary care | Alternatives (often in specific conditions) in both primary and secondary care | Where a specialist input is needed (see introduction for definition) | Prescribing principally within secondary care only |
All drugs listed in this chapter should only be initiated under the supervision of a specialist
In the first instance refer to South West Strategic Clinical Network for Systemic Anti Cancer Therapy Protocols:
https://www.swagcanceralliance.nhs.uk/protocols/
Drugs that are approved for use under the Cancer Drugs Fund are considered on the formulary if used within the criteria set by the fund.
For extravasation please see your local policy.