Formulary


	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

Antispasmodics and other drugs altering gut motility

Primary care guidance

NICE CG49: Faecal incontinence

NICE CG99: Constipation in children and young people

01.02

Antimuscarinics

01.02

Other antispasmodics

Mebeverine (tablets)

First Choice

Available OTC

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

Alverine citrate

Formulary

Available OTC

Peppermint Oil

Formulary

Available OTC

....

Non Formulary Items

Mebeverine (Fybogel^® Mebeverine)

Non Formulary

IHT- Therapeutic Substitution Register

Mebeverine (suspension)

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

Non Formulary

Key

	Notes
	Section Title (top level)
	Section Title (sub level)
	First Choice item
	Non Formulary section
	Restricted Drug
	Unlicensed
	Display tracking information
	Link to adult BNF
	Link to children's BNF
	Link to SPCs
	Scottish Medicines Consortium

Traffic Light Status Information

Status	Description
	For routine prescribing in primary and secondary care.
	Initiated (if clinically urgent) or advised (if non-urgent) by specialist in secondary care, prescribing can be continued in primary care.
	Shared care
	Hospital only
	There should be no prescribing of these drugs
	The traffic light of the drug is dependant on the indication. Please see individual drug entry for details