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...

07.04.04

Bladder instillations and urological surgery

Gepan Instill irrigation solution

Formulary

First line at GWH
Non formulary at RUH or SFT

Glycine

Formulary

Hexaminolevulinate
(Hexvix^®)

Formulary

SFT only
Non formulary at RUH and GWH

Sodium chloride 0.9% irrigation solution

Formulary

Sodium chondroitin
(Uracyst^®)

Formulary

SFT and GWH
Non formulary at RUH

Sodium hyaluronate
(Cystistat^®)
(bladder instillation)

Formulary

GWH (existing patients) and RUH only
Not stocked at SFT

Sodium Hyaluronate 800mg/50mL (1.6%), Sodium Chondroitin Sulfate 1g/50mL (2%)
(iAluRil^®)

Formulary

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

Formulary

RUH and GWH only.

DIMETHYL SULPHOXIDE Bladder Instillation 50%
(DMSO)

Formulary

GWH existing patients only
Not stocked at RUH or SFT

07.04.04

Maintenance of indwelling urinary catheters

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

Catheter Patency Solutions
(Chlorhexidine 0.02%)

Formulary

Catheter Patency Solutions
(Sodium chloride 0.9%)

Formulary

Catheter Patency Solutions
(Solution G)

Formulary

Catheter Patency Solutions
(Solution R)

Formulary

....

Non Formulary Items

Farco-Fill^® Protect

Non Formulary

Sodium Citrate

Non Formulary

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

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.