PAD Formulary : Surrey Heartlands
PAD - Prescribing Advisory Database
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For Surrey PAD, please go to https://surreyccg.res-systems.net/PAD.

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A-Z of Drugs : A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

Search Results : Osteoarthritis (Diclofenac sodium - Osteoarthritis)

Records returned : 8 (on 24 Nov 2024 at 14:15:17). .

Drug
Indication
Status
Trust Alignment
Links
Restrictions/Comments
10.01.01
10.03.02
11.08.02
Diclofenac sodium
Osteoarthritis
Green (see narrative)
Formulations :
  • Gel
ASPH
RSFT
SASH
SABP
Primary Care
BNF SPC
Important
1%, 1.16% gels. Diclofenac gel is the most costly option in primary care. Consider a lower cost alternative e.g. ibuprofen 5% gel or piroxicam 0.5% gel.
10.03.02
Capsaicin
Osteoarthritis
Green
Formulations :
  • Cream
ASPH
RSFT
SASH
SABP
Primary Care
BNF SPC
Important
0.025% cream (Zacin brand) is licensed for this indication. (0.075% Axsain cream is NOT licensed for osteoarthritis)
07.01.01
10.01.01
10.03.02
Ibuprofen
Osteoarthritis
Green
Formulations :
  • Gel
ASPH
RSFT
SASH
SABP
Primary Care
BNF SPC
Important
Preferred
5% gel. This is the least costly option for primary care.
10.01.01
10.03.02
Ketoprofen
Osteoarthritis
Green
Formulations :
  • Gel
ASPH
RSFT
SASH
SABP
Primary Care
BNF SPC
Important
2.5% gel
10.03.02
Piroxicam
Osteoarthritis
Green
Formulations :
  • Gel
ASPH
RSFT
SASH
SABP
Primary Care
BNF SPC
Important
Preferred
0.5% gel. Low cost option for primary care.
09.12.00
Chondroitin
Osteoarthritis
Non Formulary
Formulations :
  • Not Specified
ASPH
RSFT
SASH
SABP
Primary Care
BNF SPC
09.12.00
Glucosamine
Osteoarthritis
Non Formulary
Formulations :
  • Not Specified
ASPH
RSFT
SASH
SABP
Primary Care
BNF SPC
10.03.02
Felbinac
Osteoarthritis
Non Formulary
Formulations :
  • Gel
ASPH
RSFT
SASH
SABP
Primary Care
BNF SPC
NFD1
 

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.
CD
Controlled drug. Prescribing and/or storage requirements may apply
R
Restrictions apply
SA
Safety Alert
U
Unlicensed - no UK marketing license in place
Un
Off-label use. Not licensed for this indication.
NHSE
Treatment commissioned by NHS England
CDF
CDF
ICB
Treatment commissioned by the ICB
BlueTeq
BlueTeq form to be completed
NICE
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)
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