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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 20: Unlicensed Medicines / Significant off-label use - Full Chapter
Notes:

Where possible, we have indicated unlicensed medicines and significant off label use within the relevant clinical chapters of this formulary.

This chapter of the BSW Formulary contains entries for medicines which are not included in the current BNF, and which cannot be classified under the BNF chapter system.

 Details...
20  Expand sub section  Unlicensed Medicines
Acetic acid 5%
Unlicensed Drug Unlicensed
traffic lightRed
  • GWH Obstetric and Gynae OP stock

 

 
 
Ajmaline
Unlicensed Drug Unlicensed
traffic lightRed
  • For use within RUH
  • Approved for use in the diagnosis of Brugada syndrome (unlicensed) by Consultant Cardiologists (for diagnostic use only).
 
 
Biolon / Haelonid AV
Unlicensed Drug Unlicensed
traffic lightRed
  • For use within SFT

 

 
 
Cyanoacrylate glue N-butyl-2-cyanoacrylate
Unlicensed Drug Unlicensed
traffic lightRed
  • For use within the RUH
  • For treatment of gastric variceal bleeding
 
 
Fibrin Sealant
(Tisseel)
Unlicensed Drug Unlicensed
traffic lightRed
  • For use within RUH and GWH only
 
 
Heavy Liquid (Perfluorodecalin)
Unlicensed Drug Unlicensed
traffic lightRed
  • For use within GWH only

 

 
 
Indigo carmine solution
View adult BNF View SPC online
Unlicensed Drug Unlicensed
traffic lightRed
  • For use within RUH
  • 'Off label' use of solution for injection as replacement for unlicensed preparation in endoscopy
 
 
Indocyanine green Injection 25 mg, 50mg
Unlicensed Drug Unlicensed
traffic lightRed
  • For use within the RUH 
 
 
Monsels Ferris Subsulphate Solution
Unlicensed Drug Unlicensed
traffic lightRed
  • GWH Obstetric and Gynae OP stock

 

 
 
 ....
 Non Formulary Items
Dibotermin Alfa, rhBMP-2
(Inductos)

Non Formulary
 
Eptotermin Alfa
(Osigraft)

View adult BNF View SPC online
Non Formulary
High Cost Medicine
 
Levamisole Tablets 50 mg

Unlicensed Drug Unlicensed
 
Methylthioninium chloride
(methylene blue)
(visualisation / staining)

Unlicensed Drug Unlicensed
 
Procainamide Capsules 250 mg

Unlicensed Drug Unlicensed
 
Sodium Hyaluronate
(Hyacyst)

Non Formulary
 
St Johns Wort

View adult BNF View SPC online
Non Formulary
 
St Marks solution

View adult BNF View SPC online
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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