REMEDY : BNSSG referral pathways & Joint Formulary

BNSSG Adult Joint Formulary
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Decisions 17th January 2017

At the meeting that took place on 17th January, the following decisions were agreed:

 

New Drug Requests

 

Approved

Alogliptin

  • To be added with Prescribing advice for Gliptins

Degludec Type 1

  • SCP to be discussed at the next JFG meeting

Fexofenadine

  • Fexofenadine is for the treatment of chronic idiopathic urticaria and seasonal allergic rhinitis in patients who have not adequately responded to cetirizine and loratadine. Fexofenadine is more expensive than loratadine and cetirizine

 

Not Approved

Degludec Type 2

  • No changes are required to the current status

 

Shared Care Protocols/TLS Change in Status

Adjuvant bisphosphonates in Early Breast Cancer

  • SCP to be circulated via email 

Goserelin and triptorelin

  • The group felt that GPs would not initiate this drug and that it should remain Amber, but could move to no shared care to reflect that no particular monitoring is needed by primary care

Melatonin

  • In adults initiated by a Neuropsychiatrist
  • The group felt that this was originally added to the formulary approximately 9 years ago before establishment of the Joint Formulary. MP agreed that NBT would review use of Melatonin for this indication and report back to the group.