University Hospitals Birmingham NHS Foundation Trust

Chapters

StatusDrug nameNICE TAsComments
Status: RedArachis oil enema
Status: GreenBisacodyl
Status: GreenCo-danthramer capsules

For terminally ill patients

Status: GreenCo-danthramer suspension

For terminally ill patients

Status: GreenCo-danthrusate capsules

For terminally ill patients

Status: GreenDanthron

Treatment of constipation in terminally ill patients

Status: GreenDocusate capsules
Status: GreenDocusate liquid
Status: RedFleet Phospho-Soda
Status: GreenGlycerin suppositories
Status: GreenIsphagula husk
Status: RedKlean prep
Status: GreenLactulose solution
Status: AmberLinaclotide

For moderate to severe IBS-Constipation. For patients who have not responded adequately to or cannot tolerate all other suitable treatment options BUT BEFORE other agents with higher costs.

Status: GreenMacrogol sachets e.g. Laxido
Status: GreenMicro-enema
Status: AmberMisoprostol

Specialist use only

Status: RedMoviprep

For radiology use

Status: GreenNaldemedine (Rizmoic®)
Status: GreenNaloxegol (Moventig®)

For treating opioid-induced chronic constipation - use in line with NICE

Status: GreenPhosphate enema
Status: RedPicolax

Bowel cancer screening

Status: RedPlenvu®
Status: AmberPrucalopride

Available for use in men and women for chronic constipation.

Status: GreenSenna syrup
Status: GreenSenna tablets
Status: GreenSodium citrate enema

Drug status key

Formulary drugs are allocated a traffic light status. This provides guidance on where clinical and prescribing responsibilities lie in regard to the initiation and maintenance of prescribing.

Grey

Grey

Positive NICE TA and/or awaiting local clarification on place in therapy. Please contact your medicines optimisation team for more information.

Red

Red

Initiation and maintenance of prescribing by specialists only.

Amber

Amber

Initiation and maintenance of prescribing by specialists and transfer to primary care prescribing when appropriate, or in primary care following a specialists recommendation. Prior to initiation some medicines may require committee agreement or a framework to support safe transfer and maintenance.

Green

Green

Initiation and maintenance of prescribing by specialists, GPs and other qualified clinicians.

Blue

Blue

Under review at University Hospitals Birmingham NHS Foundation Trust.

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