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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 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...
07.04.04  Expand sub section  Bladder instillations and urological surgery
Gepan Instill irrigation solution
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Formulary
traffic lightRed
  • First line at GWH
  • Non formulary at RUH or SFT
 
 
Glycine
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Formulary
traffic lightRed

 

 
 
Hexaminolevulinate
(Hexvix)
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Formulary
traffic lightRed
  • SFT only
  • Non formulary at RUH and GWH
 
 
Sodium chloride 0.9% irrigation solution
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Formulary
traffic lightRed
 
 
Sodium chondroitin
(Uracyst)
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Formulary
traffic lightRed
  • SFT and GWH
  • Non formulary at RUH
 
 
Sodium hyaluronate
(Cystistat)
(bladder instillation)
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Formulary
traffic lightRed
  • GWH (existing patients) and RUH only
  • Not stocked at SFT
 
 
Sodium Hyaluronate 800mg/50mL (1.6%), Sodium Chondroitin Sulfate 1g/50mL (2%)
(iAluRil)
Formulary
traffic lightRed
  • When used at GWH, this is ONLY for use in patients who do not respond to Gepan.
  • Used at the RUH for treatment of interstitial cystitis.
 
 
Sterile water for irrigation
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Formulary
traffic lightRed
  • RUH and GWH only.
 
 
DIMETHYL SULPHOXIDE Bladder Instillation 50%
(DMSO)
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Formulary
traffic lightRed
  • GWH existing patients only
  • Not stocked at RUH or SFT
 
 
07.04.04  Expand sub section  Maintenance of indwelling urinary catheters
 note 

Further information for Wiltshire and BaNES patients see Integrated Continence Urology Products Formulary 2018

 

Catheter Patency Solutions
(Chlorhexidine 0.02%)
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Formulary
traffic lightGreen
 
 
Catheter Patency Solutions
(Sodium chloride 0.9%)
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Formulary
traffic lightGreen
 
 
Catheter Patency Solutions
(Solution G)
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Formulary
traffic lightGreen
 
 
Catheter Patency Solutions
(Solution R)
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Formulary
traffic lightGreen
 
 
 ....
 Non Formulary Items
Farco-Fill Protect

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Non Formulary
 
Sodium Citrate

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Non Formulary
Self

Many preparations available over the counter for symptomatic relief, but prescribing is rarely indicated. Self Care Self Care Medicine.

 
  
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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