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Ipswich and East Suffolk CCG
North East Essex CCG
East Suffolk and North East Essex NHS Foundation Trust
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 Formulary Chapter 1: Gastro-intestinal system - Full Chapter
01.02  Expand sub section  Antispasmodics and other drugs altering gut motility
 note 

Primary care guidance

Self-care leaflets

IBS self care leaflet

01.02  Expand sub section  Antimuscarinics
Hyoscine Butylbromide
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Formulary
Blue

MHRA: Serious adverse effects in patients with underlying cardiac disease


Available as

  • Tablets (avaiable OTC)
  • 20mg/ml injection
 
   
01.02  Expand sub section  Other antispasmodics
Mebeverine (tablets)
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First Choice
Blue

Available OTC


The modified-release MR preparation is not approved for prescribing and is considered Non-Formulary.

 
Alverine citrate
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Formulary
Blue

Available OTC

 
   
Peppermint Oil
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Formulary
Blue

Available OTC

 
   
 ....
 Non Formulary Items
Algicon

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Non Formulary
 
Atropine
(tablets)

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Non Formulary
 
Dicycloverine

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Non Formulary
 
Gastrocote

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Non Formulary
 
Gaviscon Advance

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Non Formulary

May be continued for existing patients only.

Consider moving to a formulary option at next review

 
Mebeverine  (Fybogel Mebeverine)

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Non Formulary
Link  IHT- Therapeutic Substitution Register
 
Mebeverine  (suspension)

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Non Formulary

Mebeverine suspension is very expensive which precludes routine usage.

May be continued for existing patients only, consider moving to a formulary option at next review

 

 
Mebeverine modified release

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Non Formulary
 
Propantheline

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Non Formulary
 
Renie Duo

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Non Formulary
 
Topal  (Topal)

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Non Formulary
 
  
Key
note Notes
Section Title Section Title (top level)
Section Title Section Title (sub level)
First Choice Item First Choice item
Non Formulary Item Non Formulary section
Restricted Drug
Restricted Drug
Unlicensed Drug
Unlicensed
Track Changes
Display tracking information
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Link to adult BNF
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Link to children's BNF
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Link to SPCs
SMC
Scottish Medicines Consortium
Cytotoxic Drug
Cytotoxic Drug
CD
Controlled Drug
High Cost Medicine
High Cost Medicine
Cancer Drugs Fund
Cancer Drugs Fund
NHSE
NHS England
Homecare
Homecare
CCG
CCG

Traffic Light Status Information

Status Description

Blue

For routine prescribing in primary and secondary care.   

Green

Initiated (if clinically urgent) or advised (if non-urgent) by specialist in secondary care, prescribing can be continued in primary care.   

Amber

Shared care  

Red Hospital

Hospital only  

Double Red

There should be no prescribing of these drugs  

Mixed

The traffic light of the drug is dependant on the indication. Please see individual drug entry for details  

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