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 Formulary Chapter 1: Gastro-intestinal system - Full Chapter
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01.03.05  Expand sub section  Proton pump inhibitors (PPIs)
 note 

C&PCCG Patient Information Leaflet: Proton Pump Inhibitors

Omeprazole
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First Choice
Green

 

  • CAPSULE is the first line solid oral PPI of choice.
  • Both omeprazole and lansoprazole are first line choices for GPs.
  • Omeprazole is licensed for use in pregnancy. Please see link below for further information. 

 

 
Lansoprazole
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Formulary
Green

  • LANSOPRAZOLE orodispersible tablet is the orodispersible PPI first line choice.

  • Lansoprazole capsules are prescribable in primary care


Orodispersible tablet first choice for adults with swallowing difficulties. Can be dispersed in a small amount of water and administered via a naso-gastric tube.

 
   
Pantoprazole
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Formulary
Green

  • Prescribable in primary care

  • Acute trusts: non-formulary

 
   
Esomeprazole
(Capsules, Tablets)
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Restricted Drug Restricted
Advice

  • CUHFT only: Restricted use for Gastro specialists (severe grade III, IV oesophagitis only) when omeprazole and lansoprazole have been tried and failed.

  • CUHFT only: Approved only for an 8 week course for severe Oesophagitis ( to be supplied in full by the Hospital Trust).

  • RPH only: Restricted to Cystic Fibrosis patients where formulary PPIs have failed

  • NWAFT: Non Formulary


Where prescribing is continued in primary care on the advice of a specialist, and formulary choices have failed, prescribe as gastro resistant tablets

 
   
Omeprazole IV
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Restricted Drug Restricted
Red Hospital

  • NWAFT: Formulary (infusion 1st line)

  • CUHFT: Bolus injection for PAEDIATRIC use only (Unlicensed).

 
   
Pantoprazole IV
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Restricted Drug Restricted
Red Hospital

  • CUHFT and RPH: First line - ADULTS (N.B. Omeprazole injection for paediatrics only).

  • NWAFT: Non-formulary

 
   
 ....
 Non Formulary Items
Rabeprazole  (Pariet)

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Non Formulary
Grey
 
  
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
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Link to adult BNF
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Link to children's BNF
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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

Traffic Light Status Information

Status Description

OTC

Available Over the Counter. Consider Self Care   

Green

Formulary - Can be prescribed in both secondary and primary care.   

Advice

Formulary - Specialist Advice, secondary care advice provided for primary care initiation.  

Amber No SCG

Formulary - Specialist initiation without shared care guidance.  

Amber SCG

Formulary - Specialist initiation with shared care guidance.  

Red Hospital

Restricted - Hospital only, not to be prescribed in primary care.  

Switch

Not recommended for prescribing. Switch to alternative cost-effective option.   

Black

Not recommended for prescribing in primary or secondary care.  

Grey

Not recommended as no formal application made for addition to the formulary. Contact relevant pharmacy team for further information.   

Non Formulary

Non-Formulary (category under review).  

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