University Hospitals Birmingham NHS Foundation Trust

Chapters

StatusDrug nameNICE TAsComments
Status: RedAnkynzeo® (Netupitant and Palonosetron) capsules

For use with chemotherapy only - replace aprepitant capsules

Status: GreenBetahistine tablets
Status: RedChlorpromazine hydrochloride

Nausea, hypermesis in pregnancy (off label)

Status: GreenCinnarizine tablets
Status: GreenCyclizine injection

For palliative care use

Status: GreenCyclizine tablets
Status: RedDexamethasone injection
Status: RedDexamethasone tablets
Status: GreenDomperidone SF suspension

For swallowing difficulties only

Status: GreenDomperidone suppositories
Status: RedDomperidone tablets

For short term use only

Status: RedDroperidol Xomolix® Injection
Status: RedGranisetron injection
Status: RedGranisetron patch

For use in oncology patients only

Status: RedGranisetron tablets
Status: GreenHyoscine hydrobromide 300microgram tablets

For hypersalivation caused by antipsychotics

Status: GreenHyoscine patch
Status: GreenLevomepromazine

Palliative care only

Status: RedMetoclopramide injection

For hospital use only

Status: GreenMetoclopramide tablets
Status: RedOndansetron injection
  • Red for chemotherapy
  • Amber for hyperemesis in pregnancy (off label)
  • Amber for palliative care (off label)
  • Syrup - swallowing difficulties only
Status: RedOndansetron melt tablets
  • Red for chemotherapy
  • Amber for hyperemesis in pregnancy (off label)
  • Amber for palliative care (off label)
  • Syrup - swallowing difficulties only
Status: RedOndansetron SF syrup
  • Red for chemotherapy
  • Amber for hyperemesis in pregnancy (off label)
  • Amber for palliative care (off label)
  • Syrup - swallowing difficulties only
Status: RedOndansetron suppositories
  • Red for chemotherapy
  • Amber for hyperemesis in pregnancy (off label)
  • Amber for palliative care (off label)
  • Syrup - swallowing difficulties only
Status: RedOndansetron tablets
  • Red for chemotherapy
  • Amber for hyperemesis in pregnancy (off label)
  • Amber for palliative care (off label)
  • Syrup - swallowing difficulties only
Status: GreenProchlorperazine buccal tablets
Status: GreenProchlorperazine injection
Status: GreenProchlorperazine syrup
Status: GreenProchlorperazine tablets
Status: GreenPromethazine hydrochloride

Drug status key

Formulary drugs are allocated a traffic light status. This provides guidance on where clinical and prescribing responsibilities lie in regard to the initiation and maintenance of prescribing.

Grey

Grey

Positive NICE TA and/or awaiting local clarification on place in therapy. Please contact your medicines optimisation team for more information.

Red

Red

Initiation and maintenance of prescribing by specialists only.

Amber

Amber

Initiation and maintenance of prescribing by specialists and transfer to primary care prescribing when appropriate, or in primary care following a specialists recommendation. Prior to initiation some medicines may require committee agreement or a framework to support safe transfer and maintenance.

Green

Green

Initiation and maintenance of prescribing by specialists, GPs and other qualified clinicians.

Blue

Blue

Under review at University Hospitals Birmingham NHS Foundation Trust.

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