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Harrogate & District NHS Foundation Trust
Harrogate & Rural District Clinical Commissioning Group
 
 
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 Formulary Chapter 1: Gastro-intestinal system - Full Chapter
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01.06  Expand sub section  Laxatives
01.06.01  Expand sub section  Bulk-forming laxatives
Ispaghula Husk
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
Sachets 3.5g 
   
01.06.02  Expand sub section  Stimulant laxatives
Senna
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Formulary
Green
Tablets 7.5mg; Liquid 7.5mg/5ml 
   
Bisacodyl
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Formulary
Green
Suppositories 5mg, 10mg
First choice in primary care 
   
Co-danthramer
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Formulary Suspension 25/200 in 5ml;
Strong suspension 75/1000 in 5ml

For palliative patients only 
   
Co-danthrusate
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Formulary
Green
Capsules 50/60 
   
Glycerol (Glycerin)
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Formulary
Green
Suppositories 1g 2g 4g 
   
Sodium Picosulfate
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Formulary
Green
Elixir 5mg/5ml 
   
01.06.03  Expand sub section  Faecal softeners
Liquid Paraffin
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Formulary  
   
01.06.04  Expand sub section  Osmotic laxatives to top
Phosphates (Rectal) (Fleet Ready to use Enema)
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Formulary  
Link  Flow chart for the decision making for the supply or administration of bowel-cleansing preparations
   
Sodium Citrate (Rectal) (Micralax® Micr-enema)
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Formulary  
   
Macrogols (Movicol Paediatric Pain)
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Formulary
Green
 
   
Macrogols (Laxido)
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Formulary
Green
 
   
Lactulose
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Restricted Drug Restricted For alcohol induced encephalopathy only 
   
01.06.05  Expand sub section  Bowel cleansing preparations
Bowel Cleansing Solutions (Moviprep)
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First Choice
Green

Approved by HaRD Area Prescribing Committee September 2013.

 
Bowel Cleansing Solutions (Picolax)
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Formulary
Green
 
Link  Flow chart for the decision making for the supply or administration of bowel-cleansing preparations
   
Citrafleet
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Formulary  
   
Fleet phospho-soda
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Formulary
Green

Approved for use until 30/06/2021 by APC January 2021

Place in pathway to be confirmed.

 
   
Klean-Prep
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Formulary  
Link  Flow chart for the decision making for the supply or administration of bowel-cleansing preparations
   
Plenvu
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Formulary
Red

Approved January 2020 APC

 
   
Citramag
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Formulary
Red

Approved by APC November 2020

 
   
01.06.06  Expand sub section  Peripheral opiod-receptor antagonist
Methylnaltrexone (Relistor)
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Restricted Drug Restricted
Amber
Injection 12mg
For Palliative Care Consultants only 
   
Naloxegol oxalate  (Moventig)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green

12.5mg and 25mg tablets
Approved in line with NICE TA345

 
Link  NICE TA345: Naloxegol for treating opioid-induced constipation
   
01.06.07  Expand sub section  5HT4 receptor agonists and guanylate cyclase-C receptor agonists
Linaclotide  (Constella)
(290mcg capsules)
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Restricted Drug Restricted
Amber
Approved for one patient only - September 2014 
Link  NICE ESNM16: Irritable bowel syndrome with constipation in adults: linaclotide
   
Lubiprostone (Amitiza )
(24mcg capsules)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
Approved by the Area Prescribing Committee September 2014 in line with NICE TA318 
Link  NICE TA318 Lubiprostone for treating chronic idiopathic constipation
   
Prucalopride (Resolor)
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Restricted Drug Restricted
Amber

Tablets 1mg

Initiation on the advice of a specialist only.
For chronic constipation in adults when all other laxatives have been ineffective after 6 months.

 
Link  NICE TA211: Prucalopride for constipation in women
   
 ....
 Non Formulary Items
Arachis Oil  (Fletchers Arachis oil Retention Enema)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Dantron

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Non Formulary
 
Docusate Sodium  (Dioctyl)

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Non Formulary
Green
Capsules 100mg; Liquid 50mg/5ml; Micro-enema 120mg
 
Docusate Sodium  (Norgalax® Micro-enema)

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Non Formulary
 
Fleet Phospho-soda

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Non Formulary
 
Ispaghula Husk  (Fibrelief®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Ispaghula Husk  (Isogel®)

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Non Formulary
 
Ispaghula Husk  (Ispagel® Orange)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Ispaghula Husk  (Regulan®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Macrogols  (Idrolax®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Macrogols  (Movicol® Half)

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Non Formulary
 
Magnesium Hydroxide Mixture BP

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Methycellulose  (Celevac®)

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Non Formulary
 
Phosphates (Oral)  (Diafalk®)

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Non Formulary
 
Phosphates (Rectal)  (Carbalax®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Phosphates (Rectal)  (Fletchers' Phosphate Enema, Fleet Ready to use Enema)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Senna  (Manevac®)

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Non Formulary
 
Senna  (Senokot) (Granules)

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Non Formulary
 
Sodium Citrate (Rectal)  (Microlette Micro-enema)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Sodium Citrate (Rectal)  (Relaxit Micro-enema)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Sterculia  (Normacol®)

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Non Formulary
 
Sterculia  (Normacol® plus)

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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

Amber

Medicines which are suitable to be prescribed in primary care only after specialist recommendation. Ongoing prescribing by primary care includes titration of dose and assessment of efficacy. There is no need for ongoing monitoring other than for general adverse effects as listed in the BNF & SPC.  

Amber Shared Care

Medicines which are suitable to be prescribed in primary care only after specialist recommendation only under a shared care protocol once the patient has been stabilised. Prior agreement must be obtained by the specialist from the primary care provider before prescribing responsibility is transferred. The shared care protocol must be approved by the Harrogate & Rurual District Area Prescribing Committee (HaRD APC).   

Black

Medicines which the Harrogate & Rural District Area Prescribing Committee (HaRD APC) has reviewed and does not recommend for use at present based on a review of clinical and/or cost effectiveness data.   

Green

Medicines suitable for routine use and can be prescribed within primary care within their licensed indication in accordance with nationally recognised formularies e.g. BNF, BNF for Children, Palliative Care Formulary. Primary care prescribers take full responsibility for prescribing.  

Grey

Medicines which the Harrogate & Rural District Area Prescribing Committee (HaRD APC) have not yet reviewed.   

Red

Medicines for hospital use only. The responsibility for initiation and monitoring treatment should rest with an appropriate hospital clinician. The drug should be supplied by the hospital for the duration of the treatment course. Primary care prescriber initiation or continuation of treatemnt is not recommended.  

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