REMEDY : BNSSG referral pathways & Joint Formulary

BNSSG Paediatric Joint Formulary
Home > Formulary : Paediatric > Recent Decisions > 2024 >

Tuesday 21st May

New Drug Requests: 

  • Drospirenone (Slynd) (TLS Blue) second line progesterone only pill
  • Ethinylestradiol / drospirenone (Yacella and Dretine) (TLS Blue) second line combined hormonal contraceptive
  • Ethinylestradiol / gestodene (Millinette 30/75 and 20/75) (TLS Blue) second line combined hormonal contraceptive. Femodene ED brand also approved for use where the inactive tablets may add benefit to support compliance only.
  • Doublebase Once gel (TLS Blue) as a second line emollient option for chronic severe inflammatory hand conditions where first line emollient options have not controlled disease.
  • Adex gel (TLS Blue) as a second line emollient option for facial inflammatory conditions - eczema, psoriasis, perioral dermatitis, seborrhoeic dermatitis. For use in patients with facial inflammatory conditions where topical steroid sparing is required but topical calcineurin inhibitors are not tolerated/effective or reduced topical corticosteroid frequencies are giving flare and alternative options have not controlled disease.

Shared Care Protocols:

  • Sodium valproate SCP updated

Traffic light status changes:

  • Bendroflumethiazide – TLS changed to Amber Specialist Initiated

Other decisions and discussions:

  • Nutrizym 22 pancreatic enzyme approved for inclusion onto Joint Formulary as TLS Amber Specialist Initiated
  • Migraine and neuropathic pain indications for valproate removed from Joint Formulary as no longer recommended
  • Canesten HC cream approved for use as an alternative to Daktacort cream as TLS Green
  • Spironolactone for acne in female patients was discussed. This requires further work before inclusion on the Joint Formulary.
  • Klean-Prep discontinued and removed from the Joint Formulary.
  • Miconazole pessary discontinued and removed the Joint Formulary.