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North East Essex CCG
East Suffolk and North East Essex NHS Foundation Trust
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 Formulary Chapter 10: Musculoskeletal and joint diseases - Full Chapter
10.01.01  Expand sub section  Non-steroidal anti-inflammatory drugs
Ibuprofen
(Oral)
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First Choice
Blue

MHRA:High-dose ibuprofen (≥2400mg/day):small increase in cardiovascular risk


Can be bought OTC

 
Naproxen
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Second Choice
Blue
 
   
Etodolac (MR tabs)
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Restricted Drug Restricted
Blue

Ipswich Hospital

Etodalac is approved for use to treat Rheumatoid Arthritis and Osteoarthritis only

Colchester Hospital / NEECCG

Etodalac is considered a non-formulary medicine

 
   
Celecoxib
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Restricted Drug Restricted
Blue

Ipswich Hospital

Second-line use to treat Rheumatoid Arthritis and Ankolysing spondylitis only

Colchester Hospital

Celecoxib has limited use as a second line agent.

 
   
Etoricoxib
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Restricted Drug Restricted
Blue

MHRA:Revised dose recommendation for rheumatoid arthritis and ankylosing spondylitis


Ipswich Hospital

Second-line use to treat Rheumatoid Arthritis, Osteoparthritis and Ankolysing Spondylitis

Colchester Hospital

Etoricoxib has limited use as a second line agent.

 
   
Mefenamic Acid
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Formulary
Blue

For menorrhagia

 
   
Meloxicam
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Restricted Drug Restricted
Green

Ipswich Hospital

Meloxicam is considered a formulary medicine

Colchester Hospital / NEECCG

Meloxicam is considered a non-formulary medicine

 
   
Indometacin
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Formulary

Hospital use only for acute gout

 

 

 
   
Diclofenac (suppositories, injection)
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Formulary
Red Hospital
 
   
Flurbiprofen
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Restricted Drug Restricted
Red Hospital

Ipswich Hospital

Flurbiprofen is approved for use only to treat scleritis/episcleritis

Colchester Hospital / NEECCG

Flurbiprofen is considered a non-formulary medicine

 
   
10.01.01  Expand sub section  Aspirin
 ....
 Non Formulary Items
Aceclofenac

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Non Formulary
 
Acelofenac  (Preservex)

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Non Formulary
 
Acemetacin  (Emflex)

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Non Formulary
 
Azapropazone  (Rheumox)

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Non Formulary
 
Dexibuprofen  (Seractil)

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Non Formulary
 
Dexketoprofen  (Keral)

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Non Formulary
 
Diclofenac  (tabs)

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Non Formulary
Link  IHT- Therapeutic Substitution Register
 
Fenbufen

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Non Formulary
 
Fenoprofen  (Fenopron)

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Non Formulary
 
Ibuprofen and famotidine  (Duexis)

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Non Formulary
 
Ketoprofen

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Non Formulary
 
Ketoprofen  (Axorid®)

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Non Formulary
 
Lumiracoxib  (Prexige)

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Non Formulary
 
Nabumetone

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Non Formulary
 
Nabumetone  (Relifex)

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Non Formulary
 
Naproxen & esomeprazole  (Vimovo)

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Non Formulary
Double Red
 
Piroxicam

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Non Formulary
 
Sulindac

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Non Formulary
 
Tenoxicam  (Mobiflex)

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Non Formulary
 
Tiaprofenic Acid

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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
click to search medicines.org.uk
Link to adult BNF
click to search medicines.org.uk
Link to children's BNF
click to search medicines.org.uk
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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