South Tyneside Formulary

Chapters

Legend

Green Drug - Can be initiated and prescribed in all care settings.
Green Alternative - Second line / alternative green drug
Green+ drug - Specialist initiation / recommendation.
Amber drug - Specialist drugs suitable for transfer under shared care protocols.
Red drug - "Specialist only" drugs (not for transfer).
Not Approved - Drugs that are not approved for prescribing.
Not Reviewed - Drugs that haven’t been reviewed yet and should not normally be prescribed
Unclassed Drug - approved but no traffic light status (mainly antibiotics)
Grey Drug

10. Musculoskeletal and Joint Diseases

10.1 – Drugs Used in Rheumatic Diseases and Gout 14

Etodolac

Methylprednisolone Acetate

Methylprednisolone Acetate 40mg/ml & Lidocaine

Triamcinolone Acetonide

Penicillamine

Hydroxychloroquine

Azathioprine – see section 8.2.1

Ciclosporin –( Neoral) see section 8.2.2

Leflunomide

Methotrexate ONCE WEEKLY DOSE

Sulfasalazine

Colchicine

Allopurinol

Febuxostat

10.1.1 – Non-Steroidal Anti-Inflammatory Drugs 1

Etodolac

Etodolac

MR Tablets - 600mg

Ibuprofen 0

Tablets - 200mg, 400mg

Liquid - 100mg/5ml

Naproxen 0

Tablets - 250mg, 500mg

10.1.2 Corticosteroids 3

Methylprednisolone Acetate

Methylprednisolone Acetate 40mg/ml & Lidocaine

Triamcinolone Acetonide

10.1.2.1 Systemic Corticosteroids 0

See section 6.3

10.1.2.2 – Local Corticosteroid Injections 3

Methylprednisolone Acetate

Methylprednisolone Acetate 40mg/ml & Lidocaine

Triamcinolone Acetonide

Methylprednisolone Acetate

Injection - 40mg/ml

Methylprednisolone Acetate 40mg/ml & Lidocaine

Injection - 40mg/ml + 10mg/ml

Triamcinolone Acetonide

Injection - 40mg/ml

10.1.3 – Drugs Which Suppress the Rheumatic Disease Process 7

Penicillamine

Hydroxychloroquine

Azathioprine – see section 8.2.1

Ciclosporin –( Neoral) see section 8.2.2

Leflunomide

Methotrexate ONCE WEEKLY DOSE

Sulfasalazine

Penicillamine

Tablets - 125mg, 250mg

Shared Care Documents available

Hydroxychloroquine

Tablets - 200mg

Shared Care Documents available

Azathioprine – see section 8.2.1

For non Cancer indications

Shared Care Documents available

Ciclosporin –( Neoral) see section 8.2.2

Prescribe by brand name to ensure continuity

Shared Care Documents available

Leflunomide

Tablets - 10mg, 20mg

Shared Care Documents available

Methotrexate ONCE WEEKLY DOSE

Tablets - 2.5mg

Injection – for non cancer indications

Shared Care Documents available

Sulfasalazine

Tablets - 500mg

EC Tablets - 500mg

Shared Care Documents available

10.1.4 – Drugs Used in the Treatment of Gout and Cytotoxic Induced Hyperuricaemia 3

Colchicine

Allopurinol

Febuxostat

Colchicine

Tablets - 500microgram

Allopurinol

Tablets - 100mg, 300mg

Febuxostat

Tablets - 80mg , 120mg

Prescribed in accordance with NICE TA164

10.2 – Drugs Used in Neuromuscular Disorders 4

Baclofen

Dantrolene

Diazepam

Tizanidine

10.2.1 – Drugs which Enhance Neuromuscular Transmission 0

10.2.2 – Skeletal Muscle Relaxants 4

Baclofen

Dantrolene

Diazepam

Tizanidine

Baclofen

Tablets - 10mg

Syrup - 5mg/5ml

Dantrolene

Capsules - 25mg, 100mg

Diazepam

See section 4.1.2

Tizanidine

Tablets - 2mg

10.3 – Drugs for the Relief of Soft Tissue Inflammation 3

Ibuprofen

Piroxicam

Capsaicin

10.3.1 – Rubefacients and other topical antirheumatics 3

Ibuprofen

Piroxicam

Capsaicin

Ibuprofen

Gel - 5%

Piroxicam

Gel - 0.5%

Capsaicin

Cream - 0.075%

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