netFormulary NHS
NHS Bath and North East Somerset, Swindon and Wiltshire CCG
Royal United Hospitals Bath NHS Foundation Trust
Great Western Hospitals NHS Foundation Trust
Salisbury NHS Foundation Trust
 Formulary Chapter 10: Musculoskeletal and joint diseases - Full Section

Prescribing Guidance

Please see our Prescribing Guidelines page for all prescribing guidance relating to this chapter.

Shared Care Agreements

Please see our Shared Care Agreements page for all shared care agreements (SCAs) relating to this chapter.


Many of the products in this chapter are available for purchase over-the-counter, and patients are encouraged to self-care, with the support of their community pharmacist, in the first instance.

For further information on self-care & the NHS, please refer to

Numbers in brackets indicate counts of (Formulary items, Non Formulary items)
10.01 Drugs used in rheumatic diseases and gout (0,1)
10.01.01 Non-steroidal anti-inflammatory drugs (12,17)
Aspirin (0,0)
10.01.02 Corticosteroids (0,0) Systemic corticosteroids (1,0) Local corticosteroids injections (3,2)
10.01.03 Drugs which suppress the rheumatic disease process (3,0)
Penicillamine (1,0)
Antimalarials (1,1)
Drugs affecting the immune response (6,0)
Cytokine modulators (13,0)
Sulfasalazine (1,0)
10.01.04 Gout and cytotoxic-induced hyperuricaemia (0,1)
Acute attacks of gout (1,0)
Long-term control of gout (2,2)
Hyperuricaemia associated with cytotoxic drugs (1,0)
10.01.05 Other drugs for rheumatic diseases (0,1)
10.02 Drugs used in neuromuscular disorders (0,1)
10.02.01 Drugs which enhance neuromuscular transmission (0,0)
Anticholinesterases (2,2)
10.02.02 Skeletal muscle relaxants (4,1)
Nocturnal leg cramps (1,0)
10.03 Drugs for the treatment of soft-tissue disorders and topical pain relief (0,0)
10.03.01 Enzymes (0,1)
10.03.02 Rubefacients, topical NSAIDs, capsaicin, and poultices (0,0)
Topical NSAIDs and counter-irritants (2,6)
Capsaicin (3,0)