Formulary


	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 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...

07.04.01

Drugs for urinary retention

07.04.01

Alpha-blockers

Alfuzosin

Formulary

Tablets 2.5mg
Modified-release tablets 10mg

Doxazosin

Formulary

Tablets 1mg, 2mg, 4mg.
Only prescribe generic immediate-release formulations.

Finasteride

Formulary

Tablets 5mg

Tamsulosin

Formulary

400microgram capsules
Note: Tablets are non-formulary as prohibitively expensive.

....

Non Formulary Items

Alfuzosin
(Besavar^® XL)

Non Formulary

Alfuzosin
(Vasran^® XL)

Non Formulary

Dutasteride and Tamsulosin
(Combodart^®)

Non Formulary

COMBODART (Tamsulosin plus Dutasteride) and DUTASTERIDE as a single component medicine are NOT INCLUDED on this formulary.

Indoramin (Doralese^®)

Non Formulary

Prazosin

Non Formulary

Tadalafil (Cialis^®)

Non Formulary

Prescribe generically

Tamsulosin Hydrochloride
(Flomaxtra^® XL)

Non Formulary

Terazosin

Non Formulary

Terazosin (Hytrin^®)

Non Formulary

Key

	Notes
	Section Title (top level)
	Section Title (sub level)
	First Choice item
	Non Formulary section
	Restricted Drug
	Unlicensed
	Display tracking information
	Link to adult BNF
	Link to SPCs
	Scottish Medicines Consortium

	Cytotoxic Drug
	Controlled Drug
	High Cost Medicine
	Cancer Drugs Fund
	NHS England
	Homecare
	CCG
	High Cost Drug Approval System

Traffic Light Status Information

Status	Description
	RED - Hospital only – to be prescribed by a specialist and supplied from secondary care ONLY throughout treatment.
	Amber medicines are considered suitable for GP prescribing following specialist initiation or recommendation.
	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.
	These medicines are appropriate for initiation in both primary and secondary care. Prescribing is appropriate within licensed or local recommendations.
	Suitable for patient to be directed to buy themselves
	Not currently used. We intend to include this TLS in future to highlight where a decision to use this medicine is under review.
	(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.
	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.