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 Formulary Chapter 3: Respiratory system - Full Chapter
Notes:

MHRA:Pressurised metered dose inhalers (pMDI): risk of airway obstruction from aspiration of loose objects

Inhalers

The following acronyms may be mentioned in this section in reference to inhalers

  • MDI- Metered dose inhaler
  • DPI- Dry powder inhaler
  • BAA- Breath actuated aerosol
  • ICS- Inhaled corticosteroid
  • SABA- Short-acting bronchodilator
  • LABA- Long-acting bronchodilator
  • SAMA- Short-acting muscarinic
  • LAMA - Long-acting muscarinic
Chapter Links...
Link   NICE CG101: COPD guideline
Link   NICE TA10: Asthma inhaler devices (children under 5)
Link   NICE TA38: Asthma inhaler devices (older children)
 Details...
03.01.04  Expand sub section  LAMA plus LABA
Umeclidinium & vilanterol (Anoro Ellipta®)
View adult BNF View SPC online View childrens BNF 		First Choice
Blue

Licensed for adults >18 years for COPD

 
   
Aclidinium and formoterol inhaler (Duaklir Genuair ®)
View adult BNF View SPC online View childrens BNF 		Formulary
Blue

Licensed for adults >18 years for COPD

 
   
 ....
 Non Formulary Items
Duovent

View adult BNF View SPC online View childrens BNF 		Non Formulary
 
Glycopyrrolate/ indacaterol inhaler  (Ultibro Breezhaler®)

View adult BNF View SPC online View childrens BNF 		Non Formulary

May be continued for existing patients only, consider moving to a formulary option at next review
Licensed for adults >18 years for COPD
 
Ipratropium bromide with salbutamol  (Combivent®)

View adult BNF View SPC online View childrens BNF 		Non Formulary

May be continued for existing patients only, consider moving to a formulary option at next review
 
Tiotropium & olodaterol  (Spiolto Respimat®)

View adult BNF View SPC online View childrens BNF 		Non Formulary

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

Licensed for adults >18 years for COPD
 
  
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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