Formulary Search - PAD Formulary

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Search Results : Anal fissures (Glyceryl trinitrate - Anal fissures)

Records returned : 4 (on 24 Nov 2024 at 18:16:46). Return to search results for ' Anal fissures '.

Drug

Indication

Status

Trust Alignment

Links

Restrictions/Comments

01.07.04

02.06.01

Glyceryl trinitrate

Anal fissures

Green (see narrative)

Formulations :

Ointment

ASPH

RSFT

SASH

SABP

Primary Care

BNF SPC

Important

Preferred

0.4% ointment is the 1st-line treatment option in adults. Use of unlicensed strengths / formulations is not supported.

01.07.04

02.06.01

Anal fissures

Non Formulary

Formulations :

Cream
Ointment

ASPH

RSFT

SASH

SABP

Primary Care

BNF SPC

NFD1

Important

0.4% ointment is the 1st-line treatment option in adults. 0.1%, 0.2% and 2% creams and ointments are non-formulary

01.07.04

02.06.02

Diltiazem hydrochloride

Anal fissures

Green (see narrative)

Formulations :

Cream

ASPH

RSFT

SASH

SABP

Primary Care

BNF SPC

Important

2nd-line where patient has not tolerated GTN or this has been ineffective. Use 2% ointment in preference to cream (unless ointment unavailable)

01.07.04

02.06.02

Anal fissures

Green (see narrative)

Formulations :

Ointment

ASPH

RSFT

SASH

SABP

Primary Care

BNF SPC

Important

2nd-line where patient has not tolerated GTN or this has been ineffective.

For information about the icons and status values within this site, please refer to the keys below.

Icon/Links Key

NFD1

Non formulary

NFD2

Not assessed for formulary status. Apply to APC / DTC before use.

Controlled drug. Prescribing and/or storage requirements may apply

Restrictions apply

Safety Alert

Unlicensed - no UK marketing license in place

Off-label use. Not licensed for this indication.

NHSE

Treatment commissioned by NHS England

CDF

ICB

Treatment commissioned by the ICB

BlueTeq

BlueTeq form to be completed

NICE

Traffic Light Status Key

Red

Specialist ONLY drugs - treatment initiated and continued by specialist clinicians

Amber

Prescribing initiated and stabilised by specialist but has potential to transfer to primary care under a formal shared care agreement

Green

GPs (or non-medical prescribers in primary care) are able to take full responsibility for initiation and continuation of prescribing.

Black

Now referred to as "Non Formulary" but some BLACK drugs remain pending review. Not recommended for use in any health setting across Surrey and NW Sussex health economy.

Amber Star

Now referred to as "Blue" but some Amber Star drugs remain pending review. Prescribing initiated and stabliised by specialist but has potential to transfer to primary care WITHOUT a formal shared care agreement. Please note that in some circumstances a specialist may recommend that prescribing can be started in primary care.

Green (see narrative)

GPs (or non-medical prescribers in primary care) are able to take full responsibility for initiation and continuation of prescribing. Please refer to the narrative on the Drug Profile page where additional information may be conveyed as to the place in therapy or restrictions for use that have been locally agreed.

Non Formulary

Not recommended for use in any health setting across Surrey and NW Sussex health economy. (Formerly BLACK traffic light status)

See Below

Please add a description.

N/A

Please add a description.

Blue

Prescribing initiated and stabilised by specialist but has potential to transfer to primary care WITHOUT a formal shared care agreement. Please note that in some circumstances a specialist may recommend that prescribing can be started in primary care.

Green - Black

Now referred to as "Do not initiate in new patients" but some GREEN/BLACK drugs remain pending review. These drugs are NOT for new initiations (BLACK, (now referred to as Non Formulary)) but prescribing for existing patients may continue (GREEN). Please refer to the narrative on the Drug Profile page for further information if required.

See narrative

See narrative - is applied in instances where there may be more than one traffic light status for a drug. This occurs when the traffic light status may differ between specific cohorts of patients e.g. those of childbearing potential and those who are not (in the case of sodium valproate)

Do not initiate in new patients

These drugs are NOT for new initiations (Non Formulary) but prescribing for existing patients may continue (GREEN). Please refer to the narrative on the Drug Profile page for further information if required. (Formerly GREEN/BLACK traffic light status)