Tayside Netformulary User Guide
Contents
1. Link to SPCs e A anong Display tracking information A n f MER mi Handbook In Pat ent Diabetes Guidelines Handbook Management of hyperglvcaemia o LJ A BNF C First Choice item Non Formulary section Cytotoxic Drug Controlled Drug Link to adult BNF Link to children s BNF Off label use i e unlicensed use of a licensed medicine Medicines included in the formulary for an off label use i e use out with their licensed indications are listed with off label next to the relevant indication within the medicine entry as follows Letrozole Formulary BNE Ge 0 Ane Tablets Oestrogen receptor positive breast canc postmenopausal women Ovarian or primary peritoneal cancer off label after tamoxifen therapy no longer effective GB Anovwulatory infertility off label 10 Other features USING NEWS AND MOBILE TABS Tayside Area Formulary Tayside Prescriber Issue No 133 Buccal Midazola fn for st Sts epilepticug in children Tayside Prescriber Issue No 132 Adult Asthma JInhaled saa eee Update Click here for a list of all formulary chapters which allowing viewing on ee or export to a PDA device i e for _ Click here for latest users who have a handheld device prescribing meres that does not have app capability including Tayside The netFormulary app is available Ad Prescriber and DTC for Apple GOS or Android devices supplement bulletin2. CN Handbook Pharmacological manageMsat of glycaemic control in people with Type 2 diabetes Status formulary medicines for Useful links including local and national guidance All formulary medicines and some non formulary medicines have a traffic light status displayed Some medicines have additional prescribing information and or prescribing restrictions There are links to relevant local and national guidance where available Some links are to internal NHS Tayside Staffnet documents therefore will only be accessible from computers within NHS Tayside that are connected to Staffnet Where possible links have been made to allow external access e g for users accessing from the University Medical School TRAFFIC LIGHT STATUS SYMBOLS Further information on the meanings of the traffic light symbols Is listed at the bottom of every web page that has medicine entries on them Traffic Light Status Information Status 6 A Amber 8 6 dE Description General Use May be initiated by primary or secondary care Suitable for non specialist prescribing Can be prescribed in General Practice under the direction of a Specialist To be prescribed by Hospital Specialists Only SMC not accepted SMC not recommended medicines must go through Individual Patient Treatment Requests IPTRs as outlined in the NHS Tayside IPTR policy Medicines which NHS Tayside ADTC does not recommend for use at present due to limited clinical a
3. Formulary Licensed for post herpetic neuralgia Formulary Localised neuropathic pain off label Fourth line analgesic Specialist BME Sec c Le amber Initiation Pain Management Palliative Care Rib fracture pain under the advice of the Acute Pain Team off label Tayside Protocol for Lidocaine 5 Medicated Plaster in Neuropathic Pain E NHS Scotland Lidocaine Plaster in Palliative Care Fl Tirada Menka nnl far lida nnmnnn En Kade tiestoad Mla akar in Rlam mantnen Main The restricted symbol status is placed either above the middle traffic light or on the right side of a medicine entry wherever is most relevant It indicates that there is a prescribing restriction for the particular medicine or for a particular indication use or for the prescriber of the medicine It is most often used when the prescribing restriction means that it has been restricted locally or by the Scottish Medicines Consortium SMC in a way that is more restrictive than the licensed indication s for the medicine The meanings of other symbols used throughout the TAF are listed in the key which is found at the bottom of every web page that includes medicines entries above the traffic light status information Of note there is also a symbol for Unlicensed medicines Symbol for an unlicensed medicine Ay ays de J abet gt 1 m F4 T a Stille DIE IDELES M Key Notes Section Title top level Section Title sub level Restricted Drug
4. Tayside Area Formulary User Guide netFormulary Contents Introduction 1 P A E f r Sy IS Introduction Welcome to the Tayside Area Formulary TAF The formulary is intended to guide choice and awareness of a rational selection of medicines for adults within primary or secondary care that have been included on the basis of clinical efficacy safety patient acceptability and cost effectiveness The formulary is organised to mirror the main BNF chapters 1 to 15 with some additional relevant chapters Within chapters 1 4 and 6 12 the formulary contains the medicine selection or formulary choices relating to that clinical area where relevant or BNF chapter The core medicines or medicines which are intended for non specialist prescribing listed within the formulary provide first and second line treatment options for the majority of conditions seen in both primary and secondary care and thus aim to promote continuity of care More specialist medicines have been included within the formulary where the specialty clinical area have developed a Specialist Formulary List Chapter 5 includes Anti infective medicines as per BNF sections that are considered to be formulary within NHS Tayside ONLY when used in accordance with the NHS Tayside Guide to Antibiotic Use Chapter 13 Skin and the Dermatology Guidance Notes are not yet available on netFormulary but can accessed in the pr
5. Tramadol Second Choice Capsules M R capsules Soluble tablets Injection manufacturer S SPC for more Be rc E 6 e Second line to codeine less constipating detailed M R capsules more expensive than plain tra is direction of the Pain Service or when there is brea prescribing release information e Increases potential for seizure threshold lowering drugs 6 9 antidepressants antipsychotics quinolones to cause convulsions rescription requirements apply Audit trail link provides a published record of any changes made to the entry Nefopam Third Choice e Use with caution in elderly who cannot tolerate low dose codeine or as an alte e Causes little or no respiratory de BNF for Children link antimuscarinic side effects may be t Although only an adult formulary this link has been kept in for users convenience There are direct hyperlinks to e BNF e BNFc and to the electronic Medicines Compendium for manufacturer s Summaries of Product Characteristics SPC for each particular medicine Dapagliflozin BNE SPC C fe Additional Formulary Tablets information 6 Dual therapy in combination with metformin when a sulphonylurea inapp and In combination with insulin dose of concomitant insulin may need restrictions avoid when eGFR lt 60mL min those taking loop diuretics age gt 75 or t depleted SIGN 116 Wanagement of Diabetes March 2010 Traffic light blabetes M
6. evious formulary format from the links in Chapter 13 of netFormulary The Tayside Area Formulary TAF can be accessed via the internet at www taysideformulary scot nhs uk or from the Formulary tab on the main tool bar on the home page of Staffnet or via the netFormulary app for Apple iOS or Android devices free to download see netFormulary app User Guide for more information Staffnet Home Page y Ww F ME un ji i a aN Le gt e 5 as 1 Home NHSmail Docstore Directories IT Service Desk Formulary Clinical Portal Username Shaping Surgical Services Launch Ev nt Password a Shaping Surgical Services is a nexglinically led programme Eu id which is preparing to look at a review Okgat bas i P LA sn to discharge and or follow up across gen ra gt 2020 Vision and vascular surgery for both scheduled an Click here Forgotten Password Shaping Surgical Services care Clinical Systems The programme launch is on Monday 26 May in the Clinical Admin Systems Improvement Academy Level 5 Ninewells at 5 30pm Business Systems refreshments 4 45pm Infection Control All staff are welcome to attend the event which will give staff Sharps Safety the opportunity to meet with members of the Programme Policies Board and to hear the key themes that have emerged from the Ask Us engagement events Please click here Steps to Better Healthcare Home page This is the TAF home pa
7. ge Along the top are clickable tabs There is a search function for medicine name or disease state search e g migraine a table of useful links and news feed with latest prescribing news bulletins net Formulary Tayside Area Formulary NHS Home Chapters News Mobile Reports Feedback Introduction Welcome to the Tayside Area Formulary 9 ms TAF ADTC e Useful Links News Feed TraNadol New controlled drug requirements Taysic Prescriber Issue No 133 Buccal Madazolam for status eMNepticus in children Tayside Pre amp xrib Medicines Chart Type the medicine Tayside Prescrib as name e g DTC supplemen rIvaroxaban or drug DTC supplement class e g ACE More News ttenf Inhibitor or condition e g COPD Key Features Key features of the TAF on the new netFormulary platform are New search function Direct links to e BNF and the electronic Medicines Compendium eMC Links to local and national guidance Traffic light system for formulary status Traffic Light Status Information Formulary Status 6 General Use Primary or secondary care GP under direction of a Specialist Hospital Specialists Only SMC not recommended medicine e Links to NHS Tayside Guide to Antibiotic Use Wound and Minor Ailments Service formularies searching The search box is in the middle of the home page or can be found at the top of every web page throughout Searching of information w
8. ist SubSection Titles notes relates to the search term being present within the section sub section title or in the notes within a section sub section in either case the relevant section sub section title only will appear in the search results Links relates to the search term being present in the title of any chapter or section sub section links or any links which are within a medicine entry If the links are to those within a medicine entry clicking on the search result will take you to that medicine entry where the link sits Examples of Search Results This is an example of a search result screen following input of clopidogrel into the search box Tayside Area Formulary net Home Chapters News Mobile Reports Feedback Log off Search clopidogrel Results Looking for clopidogrel found 6 matches and 3 Links Formulary BNF Category Aspirin 2 O Antiplatelet drugs 02 09 Antiplatelet clopidogrel Antiplatelet drugs 02 09 Links Link to Drug Section Link to document MHRA Drug Safety Update PPIs and clopidogre SubSection Titles notes Proton pump inhibitors PPIs 01 03 05 You can now choose any of the underlined links to get more information about prescribing clopidogrel This is an example of a search result screen following input of antiplatelet into the search box Tayside Area Formulary f ntiplatelet Looking for antiplatelet found 6 matches and 4 Links For
9. ithin the TAF can be done by e Typing in the search box either medicine name preferred e g domperidone medicine class e g alpha blocker or disease state condition e g heart failure not complete see below e Clicking on the Chapters tab and selecting the required Chapter then section or sub section according to BNF layout USE OF THE SEARCH BOX FUNCTION Please note e Keywords for some disease states conditions may not be complete If there are any keywords you would like added to the TAF please use the netFormulary feedback facility click on the Feedback tab at the top of the formulary website e Search results should be viewed with caution There may be more than one entry for the same medicine or options for different preparations of the same medicine e lf it is a medicine or condition which is very common it may bring up lots of results e g hypertension e Ifthe search term entered is mentioned in the prescribing notes within a medicine entry this result will appear in the search and may not be relevant e g search for diuretic also brings up canagliflozin and dapagliflozin as the term diuretic is mentioned in the prescribing notes for these entries e Search terms should ideally be spelt correctly and entered as they appear in the BNF including any hyphens e g potassium sparing returns results for potassium chloride but potassium sparing finds this appropriate formulary sub section The search functi
10. mulary BNF Category antiplatelet Links Link to Drug Section Link to document Tayside Angioplasty Antiplatelet Algorithm 02 09 You can now choose any of the underlined links to get more information about prescribing antiplatelets This is an example of a search result screen following input of delirium into the search box delirium Looking for delirium found 28 matches and 23 Links Formulary items 5 matches Formulary BNF Category Haloperidol Antipsychotic Drugs 04 02 01 Lorazepam Injection Links Link to Drug Section Link to document NHS Education for Scotland TIME to Think Delirium Resources 04 02 01 Tayside Guidelines for Management of delirium in adult and older in patients 04 01 02 You can now choose any of the underlined links to get more information about the management of delirium Several of these links are listed more than once as all available links will appear e g if the same links are listed within more than one formulary section USE OF THE CHAPTERS TAB TO SEARCH This is an example of choosing the Gastro intestinal chapter Home eg Cn nn Segre JN oo Ao UN 20 21 22 ww Chapters News Mobile 7 Reports Gastro intestinal Syst Cardiovascular system Respirat system Click here Central nervous system Infections Endocrine system Obstetrics Gynaecology and urinary tract amp sorders Nutrition and bload Muscul
11. nd or cost effective data There is an abbreviated version of the meanings of the traffic light symbols under Key Features within this User Guide The traffic light symbols are a new way of providing a prescribing status of medicines within the TAF There may still be documentation featuring the previous classification category system Therefore the new system is equivalent to the previous system as follows Traffic light Status Equivalent previous formulary classification 6 Core formulary medicines May be prescribed in primary or secondary care S May be prescribed in General Practice under the direction of a Specialist H Hospital On These medicines were not listed within the previous TAF website These medicines were not listed within the previous TAF website OTHER SYMBOLS Restricted medicines show approved indications and or prescribers Duloxetine Cymbalta Restricted Capsules Diabetic Peripheral Neuropathy Third line initiated by a prescriber experienced in the management of diabetic peripheral neuropathic pain DPNP BNE SPC ic Consider prescribing an anti emetic to prevent initial problems with nausea and vomiting 6 Amber Other peripheral neuropathic pain syndromes in non diabetic patients off label 4th line see Local Protocol below once available E Tavside Neuropathic Pain Algorithm Tayside Guidance Management of Neuropathic Pain F4 Local Treatment Protocol Lidocaine plaster
12. on excludes disease state condition keywords relating to medicines within Chapter 5 Infections as medicines for treatment of infections are not searchable by infection organism Searching by medicine name medicine class or by BNF section sub section is still possible All NHS Tayside staff are directed to the Tayside Guide to Antibiotic Use for choice of anti infective regimes SEARCH RESULTS Results from searching are listed in the following possible categories Formulary Non Formulary SubSection Titles notes Links Formulary relates to the individual entry or entries there may be more than one for the same medicine for a formulary medicine Non Formulary relates to the individual entry or entries there may be more than one for the same medicine for a medicine that is not in the formulary Non formulary medicines are included on the basis that they may be commonly searched for and this would then bring up alternative formulary choices and where there have been specific local recommendations made or they are SMC not recommended As the TAF cannot include all potential non formulary medicines if no results appear from searching for a medicine provided spelling of the medicine name is correct it should be assumed that it is a non formulary medicine See NHS Tayside Non Formulary including IPTRs Policy for further information on prescribing of medicines that are non formulary and discuss with your Clinical Locality Pharmac
13. oskeletal and joint diseases Then click Ear nose and oropharynx her e Skin Unlicensed Medicines Significant off label use Palliative Care Formulary Non Formulary medicines Feedback Tayside Area Formulary You can then choose any underlined section sub section to find the relevant information 01 01 01 ol ol O1 O1 O1 ol O1 O1 O1 ol O1 O1 O1 ol O1 O1 ol O1 O1 ol 01 01 01 02 02 03 03 01 03 03 03 05 O4 04 02 05 05 01 05 02 05 03 05 04 06 06 01 06 02 06 03 06 04 06 05 05 07 Numbers in brackets indicate counts of Formulary items Non Formulary items sia and gastro oesophageal reflux disease 0 0 Compound alginates and proprietary indigestion preparations 0 0 Compound alginate preparations 3 0 Antispasmodics and other drugs altering gut motility 0 0 Antimuscarinics 1 0 Other antispasmodics 1 0 Antisecretory drugs and mucosal protectants 0 0 Helicobacter pylon infection 0 0 H2 receptor antagonists 1 0 Chelates and complexes 2 0 Proton pump inhibitors PPIs 6 0 Acute diarrhoea 0 0 Antimotility drugs 2 0 Chronic bowel disorders 0 0 Aminosalicylates 8 0 Corticosteroids 4 0 Drugs affecting the immune response 4 1 Cytokine inhibitors 1 1 Probiotics 1 0 Laxatives 0 0 Bulk forming laxatives 1 0 Stimulant laxatives 5 0 Faecal softeners 1 0 Osmotic laxa
14. s See the netFormulary app user guide for more information REPORT TAB Several formulary reports are available to all users Report name A Z drug List by Chapter Formulary and Restricted Use Ref A0001 Report A Z drug List Formulary and Restricted Use Ref A0002 Report A Z drug List showing details text Formulary and Restricted Use Ref A0003 Report A Z drug List showing trade names Formulary and Restricted Use Ref A0004 Report Popular Searches Ref 50001 Report System hit monitor Ref 50002 Report Traffic Light Status Monitor Ref A0005 Report 11 Feedback Please use the feedback facility to send us your comments net Formulary Tayside Area Formulary Welcome to the Tayside Area Formulary NHS NHS _ gt TAF Ny ADTC o Useful Links News Feed Tramadol New cont o BR prc supplement 13744 Feedback facility Tayside Prescriber Iss status epilepticus in ch Tayside Prescriber Issue No 132 Adult Asthma Inhaled Medicines Chart Update Tayside Prescriber Issue No 131 Respiratory Update COPD DTC supplement 136 Mar Apr 2014 More News Items This Formulary is currently under construction Please refer to our current formulary by clicking here Designed and developed by James Turton Pharmacy IT and Communications Manager Nottingham University Hospitals NHS Trust Version 7 0 Visits 6438 12
15. tives 5 1 Bowel cleansing preparations 2 0 SH receptor agonists and quanylate cyclase C receptor a ists 1 1 If there are sections sub sections which have the numbers 0 0 listed next to them this may indicate there are no medicines listed within that specific section sub section however there may be relevant links or notes listed there and usually these are sections which if selected allow viewing of several relevant sub sections together under one section e g if section 2 8 is selected this will display all sub sections within 2 8 i e 2 8 1 and 2 8 2 Medicine entries After searching and clicking on the relevant search result the relevant medicine entry will be displayed within the relevant sub section There may also be section sub section links and or Chapter links which will also be displayed above or sometimes below below for some sub section links the medicine entry There may also be other adjacent sections sub section titles displayed and these can then also be expanded to display relevant drug entries by clicking on the button First and Second choices are shown where possible to assist cost effective prescribing eBNE link for Codeine First Choic dose or other rescribin 6 In addition to paracetamol as Step 2 for mild m p 8 information Paracetamol and First Choice Tablets codeine Co codamol 30 500 6 Note high sodium content with soluble tablets ses SPC for details bth
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