University Hospitals Birmingham NHS Foundation Trust

Chapters

StatusDrug nameNICE TAsComments
Status: GreenBeclometasone and formoterol (Fostair® Bibecfo® Luforbec®)

Fostair Aerosol inhalation - Beclometasone dipropionate 100 micrograms & Formoterol fumarate 6 micrograms
Fostair Aerosol inhalation - Beclometasone dipropionate 200 micrograms & Formoterol fumarate 6 micrograms
Fostair NEXThaler® (= dry powder inhalation) - Beclometasone dipropionate 100 micrograms & Formoterol fumarate 6 micrograms
Fostair NEXThaler® (= dry powder inhalation) - Beclometasone dipropionate 200 micrograms & Formoterol fumarate 6 micrograms

Status: GreenBeclometasone and formoterol (Fostair® NEXThaler®)

Fostair Aerosol inhalation - Beclometasone dipropionate 100 micrograms & Formoterol fumarate 6 micrograms
Fostair Aerosol inhalation - Beclometasone dipropionate 200 micrograms & Formoterol fumarate 6 micrograms
Fostair NEXThaler® (= dry powder inhalation) - Beclometasone dipropionate 100 micrograms & Formoterol fumarate 6 micrograms
Fostair NEXThaler® (= dry powder inhalation) - Beclometasone dipropionate 200 micrograms & Formoterol fumarate 6 micrograms

Status: GreenBeclometasone CFC free MDI (QVAR brand)

For existing patients only

Status: GreenBeclometasone dipropionate

APC listing of current formulary brands

Status: GreenBeclometasone with Formoterol & Glycopyrronium (Trimbow®)

For COPD and asthma

Status: GreenBudenoside and Formoterol (Symbicort)

For asthma only. Non-formulary for COPD.

Status: GreenBudenoside nebulised
Status: GreenBudesonide inhaler

As per BTS/SIGN asthma guidelines

Status: RedCiclesonide

Initiation by a respiratory specialist. Supported by a RICaD.

Status: GreenFlucitasone and salmeterol

APC listing of current formulary brands

Status: GreenFlucitasone and salmeterol (Seretide®)

For existing patients, for paediatric use only (i.e. up to 18 years of age) - APC listing of current formulary brands

Status: AmberFlucitasone inhaler (Flixotide) evohaler 125 / Fluticasone accuhaler 250

For paediatric use only

Status: GreenFlucitasone inhaler (Flixotide) evohaler 50 / Fluticasone accuhaler 50, 100

For paediatric use only

Status: AmberFluticasone
Status: GreenFluticasone and formoterol (Flutiform®)
Status: GreenFluticasone furoate & vilanterol (Relvar Ellipta®)

92mcg/22mcg - In line with COPD Guidance
92mcg/22mcg & 184mcg/22mcg - In line with asthma guidance

Status: GreenFluticasone nebulised (Flixotide)
Status: GreenFluticasone with Umeclidium and Vilanterol (Trelegy Ellipta)

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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