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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
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 Formulary Chapter 1: Gastro-intestinal system - Full Chapter
Notes:

Gastroenterology-related Prescribing Guidance

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

Gastroenterology-related Shared Care Agreements

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

Self-care

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

https://www.england.nhs.uk/publication/conditions-for-which-over-the-counter-items-should-not-routinely-be-prescribed-in-primary-care-guidance-for-ccgs/

 Details...
01.01.01  Expand sub section  Antacids and simeticone
01.01.01  Expand sub section  Aluminium and magnesium containing antacids
Magnesium Trisilicate (Mixture)
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Formulary
traffic lightSelf
  • MixtureSF (Contains about 6mmol of sodium in 10ml).  
 
 
Co-magaldrox
(Suspension)
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Formulary
traffic lightSelf
  • SuspensionSF 195/220 (low sodium, bowel neutral). 
 
 
01.01.01  Expand sub section  Antacid preparations containing simeticone
Maalox Plus
(Suspension)
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Formulary
traffic lightSelf
  • Suspension containing aluminium hydroxide 35 mg & magnesium hydroxide 40 mg per 1 ml.
 
 
01.01.01  Expand sub section  Simeticine alone
Simeticone (Infacol)
(Suspension)
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Formulary
  • Red - GWH & SFT ONLY - For use during endoscopic procedures as a defoaming agent
  • Non-formulary - RUH
  •  40mg in 1ml suspension 
  • Please note: Infacol is also available for use in Paediatrics. Please refer to our Paediatric chapter
 
 
Simeticone (Carbex )
(Oral)
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Formulary
  • Red - RUH - For use during endoscopic procedures as a defoaming agent
  • Non-formulary - SFT and GWH
  • 2.8g sachet, containing simeticone 0.042g & sodium bicarbnate 1.26g, plus 10ml bottle of citric acid 1g in 10ml oral solution
 
 
 ....
 Non Formulary Items
Altacite plus

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Non Formulary
 
Aluminium Hydroxide

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Non Formulary
 
Aluminium Only Preparations
(Alu-Cap®)

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Non Formulary
 
Asilone

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Non Formulary
 
Co-magaldrox (Maalox)

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Non Formulary
 
Co-magaldrox 1100

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Non Formulary
 
Gripe Mixture

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Non Formulary
 
Magnesium Carbonate

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Non Formulary
 
Simeticone
(Dentinox®)

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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 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
Blueteq
High Cost Drug Approval System

Traffic Light Status Information

Status Description

Traffic LightRed

RED - Hospital only to be prescribed by a specialist and supplied from secondary care ONLY throughout treatment.  

Traffic LightAmber

Amber medicines are considered suitable for GP prescribing following specialist initiation or recommendation.  

Traffic LightAmber with Shared Care

Shared Care - these medicines require specialist initiation and stabilisation. Ongoing division of responsibility for drug and disease monitoring between specialist and GP by a Shared Care Guideline (SCG). If no SCG in place status reverts to red.  

Traffic LightGreen

These medicines are appropriate for initiation in both primary and secondary care. Prescribing is appropriate within licensed or local recommendations.  

Traffic LightSelf

Suitable for patient to be directed to buy themselves  

Traffic LightGrey

Not currently used. We intend to include this TLS in future to highlight where a decision to use this medicine is under review.   

Traffic LightBlack

(In use from Oct 2020) Used where a decision has been made by the BSW APC not to routinely commission this preparation for its licensed indications. Do not prescribe.   

Traffic LightRed Specialist Centre

Not currently used. We intend to include this TLS in future to highlight where this medicine and indication is ONLY available through a Specialist Centre according to a NICE Highly Specialised Technology or NHSE Specialised Commission Circular / Policy.  

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