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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...
07.03.02.03  Expand sub section  Intra-uterine progestogen-only contraceptive
 note 

Please prescribe by BRAND name: 

See MHRA Drug Safety Update Jan 2016 Levonorgestrel-releasing intrauterine systems should always be prescribed by brand name because products have different indications, durations of use, and introducers. 

Also see this information on the risk of ectopic pregnancy in association with the use of Bayer levonorgestrel IUS (LNG-IUS). Also explains the differences between three approved LNG-IUS products (Jaydess, Kyleena, Mirena) to help reduce the risk of medication error.

See MHRA Drug Safety Update June 2015 for further information and advice on  risk of uterine perforation. 

Intra-uterine Progestogen Only System
(Jaydess)
(Contraception)
View adult BNF View SPC online
Formulary
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  • Intra-uterine system containing 13.5mg of levonorgestrel
 
 
Intra-uterine Progestogen Only System
(Kyleena)
(Contraception)
View adult BNF View SPC online
Formulary
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  • Intra-uterine system containing 19.5mg levonorgestrel releasing 17.5micrograms per 24 hours
 
 
Intra-uterine Progestogen Only System
(Mirena)
View adult BNF View SPC online
Formulary
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  • Intra-uterine system releasing 20 micrograms of levonorgestrel per 24 hours
 
 
Intra-uterine Progestogen Only System
(Levosert)
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Formulary
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  • Intra-uterine system containing 52mg levonorgestrel releasing 20micrograms per 24 hours
 
 
 ....
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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