University Hospitals Birmingham NHS Foundation Trust

Reports

Status Drug name NICE TAs Comments
Status: Red Methylphenidate tablets

ESCAs and additional advice in relation to age of patient and CCG

Status: Amber Methylphenidate tablets

ESCAs and additional advice in relation to age of patient and CCG

Status: Red Methylprenisolone sodium succinate inj

Hospital only

Status: Red Metirsoine

Hospital use only

Status: Red Metoclopramide injection

For hospital use only

Status: Green Metoclopramide injections

Not recommended for patients aged 20 years and below due to risk of dystonic reactions.

MHRA guidance - metroclopramide: risk of neurological adverse effects

Status: Green Metoclopramide suspension

Not recommended for patients aged 20 years and below due to risk of dystonic reactions.

MHRA guidance - metroclopramide: risk of neurological adverse effects

Status: Green Metoclopramide tablets

Not recommended for patients aged 20 years and below due to risk of dystonic reactions.

MHRA guidance - metroclopramide: risk of neurological adverse effects

Status: Amber Metolazone

Specialist recommendation (unlicensed).

There is now a UK licensed metolazone 5mg tablet available (Xaqua®). There are significant differences in bioavailability between Xaqua® and alternative unlicensed imported metolazone preparations.

Xaqua® tablets have up to approximately twice the bioavailability of other metolazone preparations.

If switching from another metolazone product to Xaqua® tablets or vice versa, a dose adjustment may be necessary, and individualised titration based on patient's response and tolerability is advised.

More information available from Specialist Pharmacy Service (SPS). We are awaiting guidance on switching to the licensed product – in the mean time please ensure that the patients are not inadvertently switched between products.

Status: Red Metoprolol injection

Hospital only

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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