Ipswich and East Suffolk CCG
North East Essex CCG
East Suffolk and North East Essex NHS Foundation Trust

 
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20 Unlicensed Medicines / Significant off-label use

Hospital only guidance

Prescribing guidance

These medicines do not have a license for use in the United Kingdom.

Unlicensed medicines are only available on a named patient basis on the signature of a consultant.

Some medicines may only be used in accordance with a trust protocol

20 Unlicensed Medicines

5 Mop (Methoxypsoralen)  20mg tabs
Formulary

Red Hospital View adult BNF  View SPC online  View childrens BNF
8 Mop (Methoxypsoralen)
Formulary

Available as 

  • bath lotion 1.2%
  • emulsion 0.15%
  • 10mg tablets

Red Hospital View adult BNF  View SPC online  View childrens BNF
Albendazole 400mg tablets
Formulary

Red Hospital View adult BNF  View SPC online  View childrens BNF
ALTRETAMINE (HEXAMETHYLMELAMINE) Capsules 50 mg
Formulary

Cytotoxic Drug  Red Hospital
ALUMINIUM ACETATE 13% ear drops
Formulary

Red Hospital View adult BNF  View SPC online  View childrens BNF
Benzbromarone 50mg
Formulary

Red Hospital
Biotin (Vitamin H)  5mg tablets
Formulary

Red Hospital View adult BNF  View SPC online  View childrens BNF
C1esterase inhibitor
Formulary

Red Hospital View adult BNF  View SPC online  View childrens BNF
Caffeine oral solution 5mg in 1ml
Formulary

Low CSF pressure headache


Red Hospital View adult BNF  View SPC online  View childrens BNF
Caffeine Sodium Benzoate Injection
Formulary

Low CSF pressure headache


Red Hospital View adult BNF  View SPC online  View childrens BNF
Calcitriol 1mcg in 1ml oral solution
Formulary

Red Hospital View adult BNF  View SPC online  View childrens BNF
CAPTOPRIL Oral Solution 5 mg in 1mL
Formulary

Red Hospital View adult BNF  View SPC online  View childrens BNF
Chloral hydrate suppositories
Formulary

Red Hospital View adult BNF  View SPC online  View childrens BNF
Chlorothiazide 250mg in 5mls suspension
Formulary

Red Hospital View adult BNF  View SPC online  View childrens BNF
Colecalciferol injection  300,000 units in 1ml
Formulary

Red Hospital View adult BNF  View SPC online  View childrens BNF
Desmopressin (high strength)  15mcg in 1ml
Formulary

Red Hospital View adult BNF  View SPC online  View childrens BNF
DIAZOXIDE Suspension 50 mg in 1mL
Formulary

Red Hospital View adult BNF  View SPC online  View childrens BNF
Disodium edetate EDTA 0.37% drops
Formulary

Available as 

  • eye drops
  • preservative free eye drops

Red Hospital View adult BNF  View SPC online  View childrens BNF
Edrophonium 10mg/ml injection
Formulary

Red Hospital View adult BNF  View SPC online  View childrens BNF
Ergocalciferol 20,000 units in 1ml oral solution
Formulary

Red Hospital View adult BNF  View SPC online  View childrens BNF
Ethinylestradiol 2mcg tabs
Formulary

Red Hospital View adult BNF  View SPC online  View childrens BNF
Flucytosine 500mg tablets
Formulary

Red Hospital View adult BNF  View SPC online  View childrens BNF
Fluorescein 20% 5ml amps
Formulary

Red Hospital View adult BNF  View SPC online  View childrens BNF
Fumaric acid (Fumaderm) tablets
Formulary

Consultant dermatologists only for use in psoriasis


Red Hospital View adult BNF  View SPC online  View childrens BNF
GEMTUZUMAB - OZOGAMICIN Injection 5 mg
Formulary
Link  NICE TA545 Gemtuzumab ozogamicin for untreated acute myeloid leukaemia
 

Red Hospital
Gentamicin 0.1% cream
Formulary

Prophylaxis for exit site infections in CAPD pts allergic to mupirocin


Red Hospital View adult BNF  View SPC online  View childrens BNF
Glycerol Injection
Formulary

Pain formulary only


Red Hospital View adult BNF  View SPC online  View childrens BNF
Gonadorelin (relefact) 100mcg injection
Formulary

Red Hospital View adult BNF  View SPC online  View childrens BNF
Iloprost
Formulary

Available as

  • 100mcg in 1ml
  • 50mcg in 0.5ml

Red Hospital View adult BNF  View SPC online  View childrens BNF
IOPANOIC ACID Tablets 500 mg
Formulary

For endocrinology team use only


Red Hospital View adult BNF  View SPC online  View childrens BNF
Isoniazid 50mg / 5ml oral solution
Formulary

Red Hospital View adult BNF  View SPC online  View childrens BNF
LEVAMISOLE Tablets 50 mg
Formulary

Red Hospital
Magnesium glycerophosphate liquid
Formulary

Red Hospital View adult BNF  View SPC online  View childrens BNF
Mepacrine 100mg
Formulary

Red Hospital View adult BNF  View SPC online  View childrens BNF
Mercaptopurine 10mg tablets
Formulary

Red Hospital View adult BNF  View SPC online  View childrens BNF
Metaraminol 10mg in 1ml injection
Formulary

Red Hospital View adult BNF  View SPC online  View childrens BNF
MIDAZOLAM buccal
Formulary

Red Hospital View adult BNF  View SPC online  View childrens BNF
Mydricaine No. 2 injection
Formulary

Red Hospital
PAPAVERINE 60mg in 1ml injection
Formulary

Available for accidental injection of thiopentone


Red Hospital
Paraldehyde / olive oil 50/50 Enema
Formulary

Red Hospital View adult BNF  View SPC online  View childrens BNF
Patent blue V 2.5% solution
Formulary

Red Hospital
Phenylbutazone 100mg
Formulary

Red Hospital View adult BNF  View SPC online  View childrens BNF
Phytomenadione (Konakion®) 10mg capsules/tablets
Formulary

Preparation should only be used if licensed Vitamin K is not available 

Please note prices between tablets and capsules may vary and the formulation with the lowest acquisition cost should be used  


Blue View adult BNF  View SPC online  View childrens BNF
Polyhexyethylene (Polihexanide) Biguanide 0.05% Eye drops
Formulary

Red Hospital View adult BNF  View SPC online  View childrens BNF
Praziquantel 500mg tablets
Formulary

Red Hospital View adult BNF  View SPC online  View childrens BNF
Probenecid 500mg tablets
Formulary

Red Hospital View adult BNF  View SPC online  View childrens BNF
Pyrazinamide tablets 500mg
Formulary

Red Hospital View adult BNF  View SPC online  View childrens BNF
PYRIDOXAL PHOSPHATE Tablets 50 mg
Formulary

Red Hospital
Riboflavin (Vitamin B2) tablets 200mg
Formulary

Red Hospital
Sodium benzoate
Formulary

Available as

  • 500g in 5ml liquid
  • 500mg tablets
  • IV 2g in 10ml

Red Hospital View adult BNF  View SPC online  View childrens BNF
Sodium chloride 5% eye oint
Formulary

Red Hospital View adult BNF  View SPC online  View childrens BNF
Sodium phenylbutyrate
Formulary

Available as 

  • tablets - 500mg
  • powder - 250mg in 1ml
  • injection - 2g in 10ml

Red Hospital View adult BNF  View SPC online  View childrens BNF
SPIRONOLACTONE Liquid
Formulary

Available as

  • 25mg in 5ml
  • 50mg in 5ml

Green
TALC BP purified sterile
Formulary

Hospital only guidance

Prescribing guidance

Talc for Pleurodesis


Red Hospital
Terracortril (Oxytetracycline + Hydrocortisone)
Formulary
Overgranulation

Red Hospital View adult BNF  View SPC online  View childrens BNF
Tham injection 7%
Formulary

Red Hospital
THIAMINE Injection 100 mg in 1mL
Formulary

Red Hospital
Non Formulary

Red Hospital View adult BNF  View SPC online  View childrens BNF
PENTOSAN POLYSULPHATE Capsules 50 mg Elmiron®
Non Formulary

MHRA: Rare risk of pigmentary maculopathy



SODIUM CHLORIDE Solution 7 % Nebules Nebusal® - see section3 now
Non Formulary

View adult BNF  View SPC online  View childrens BNF