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BNSSG Adult Joint Formulary
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Decisions 2nd June 2020

At the meeting on the 2nd June the following decisions were agreed

 

New Drug Requests

Approved

Dalbavancin (TLS Red)

  • On the advice of Microbiology or Infectious Disease Physician to be used within it’s licensed indication for the treatment of complicated and potentially life-threatening bacterial infections in adult populations, where the organism is proven sensitive to Dalbavancin and other agents have failed or bacterial organism has shown resistance to other agents. 

Triptorelin (Decapeptyl®) (TLS Amber no SCP)

  • 6 monthly formulation added to formulary for Prostate Cancer indication in line with licensed indications. 6 monthly formulation is preferred in Primary Care once a tolerance with patient has been established following a trial of 1m or 3m formulation.
  • Triptorelin remains the first line GnRH analogue of choice on the formulary for licensed indications

Leuprorelin (Prostap®) (TLS Amber no SCP)

  • approved as second line GnRH analogue of choice on the formulary for licensed indications

 (TLS Amber 3 months)

Shared Care Protocols/TLS changes

Mycophenolate mofetil Mycophenolate sodium (TLS Amber 3 months)

  • TLS change from Red to Amber 3 month for use in rheumatological conditions
  • JFG confirmed TLS Amber 3 month appropriate for this medication which has not previously been prescribed in Primary Care

Levetiracetam (parenteral)  (TLS Amber no SCP)

  • For palliative patients, under the advice of a specialist palliative care consultant, who are unable to take their oral antiepileptics to treat seizures. 

 

 Further Work Needed

Desmopressin Oral Lyophilisate (Noqdirna®) (TLS Amber 3 months)

  • New Drug Request approved for inclusion to the formulary, pending SCP,  for the symptomatic treatment of nocturia due to idiopathic nocturnal polyuria