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 Formulary Chapter 7: Obstetrics, Gynaecology, and urinary-tract disorders - Full Chapter
Notes:

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.

 

 

 Details...
07.01.01  Expand sub section  Prostaglandins and oxytocics
Carboprost (Hemabate)
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Formulary
traffic lightRed
  • 250micrograms/1ml solution for injection ampoules 
  • Indicated for postpartum haemorrhage due to uterine atony in patients unresponsive to ergometrine and oxytocin.
 
 
Dinoprostone
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Formulary
traffic lightRed
  • Prostin E2® dinoprostone 3mg vaginal tablets
  • Prostin E2®  dinoprostone 400micrograms per 1ml, 800micrograms per 1ml vaginal gel. 
    NB Prostin E2 vaginal tablets and vaginal gel are not bioequivalent. 
  • Propess® dinoprostone 10mg vaginal pessaries with retrieval device. 
 
 
Ergometrine Maleate
(Ergometrine)
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Formulary
traffic lightRed
  • Injection 500 micrograms in 1ml
 
 
Ergometrine Maleate and Oxytocin
(Syntometrine)
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Formulary
traffic lightRed
  • Injection containing ergometrine maleate 500 micrograms and oxytocin 5 units in 1ml
 
 
Gemeprost
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Formulary
traffic lightRed
  • Pessaries 1mg
 
 
Oxytocin (Syntocinon)
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Formulary
traffic lightRed
  • Injection 5 units in 1ml, 10 units in 1ml
 
 
Misoprostol
(Gynae)
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Unlicensed Drug Unlicensed
traffic lightRed
  • Misoprostol 200micrograms tablets
  • Unlicensed indication/route of administration. Such use of misoprostol is supported by the Royal College of Obstetricians and Gynaecologists guideline development group.
 
 
07.01.01.01  Expand sub section  Drugs affecting the ductus arteriosus
07.01.01.01  Expand sub section  Maintenance of patency
Alprostadil
(Prostin VR)
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Formulary
traffic lightRed
  • RUH only
  • Non formulary at GWH and SFT
  • 500 micrograms/ml solution for infusion
 
 
Dinoprostone
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Formulary
traffic lightRed
  • GWH and SFT
  • note - off label use
 
 
07.01.01.01  Expand sub section  Closure of ductus arteriosus
Ibuprofen
(Pedea injection)
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Formulary
traffic lightRed
  • GWH and SFT only
  • Non formulary at RUH
 
 
Indometacin
(Indocid PDA)
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Formulary
traffic lightRed
  • GWH and RUH only
  • Non formulary SFT
 
 
 ....
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
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Link to adult BNF
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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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