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 Formulary Chapter 7: Obstetrics, Gynaecology, and urinary-tract disorders - Full Chapter
07.04.01  Expand sub section  Drugs for urinary retention
07.04.01  Expand sub section  Alpha-blockers
Doxazosin
(Tablet)
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First Choice
Green

  • See Section 2.5.4 for use as antihypertensive

  • Prescribe as immediate release preparation.

  • Doxazosin modified release is NOT RECOMMENDED

 
Tamsulosin
(Capsules)
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First Choice
Green

  • If needed capsules can be opened and contents dispersed in water. However the contents clump together when mixed with water and will block feeding tubes. The granules are modified release, so they must not be crushed or chewed.

  • DO NOT PRESCRIBE MODIFIED RELEASE TABLETS - Non-formulary

 
Alfuzosin
(Tablet)
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Restricted Drug Restricted
Green

  • CUHFT: Restricted to when first line choices are clinically unsuitable or contraindicated

  • If M/R tablet needed use Xatral® XL

  • If needed normal release tablets can be crushed and dispersed in water.

  • Do not crush MR tablets.

  • NWAFT and RPH: Non-formulary

 
   
07.04.01  Expand sub section  Parasympathomimetics
 ....
 Non Formulary Items
Dutasteride and Tamsulosin  (Combodart®)
(Capsule)

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Non Formulary
Black

  • Not for first line use.

  • August 2015 more expensive than constituent components and significantly more expensive than finasteride and doxazocin in combination.

  • see dutasteride entry regarding possibility of switching patients if clinically appropriate.

  • Moderate to severe benign prostatic hyperplasia.

 
Indoramin  (Doralese®)

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Non Formulary
Grey
 
Prazosin

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Non Formulary
Grey

June 2020 - Shortage of Prazosin (Hypovase) 1mg tablets

  • Hypovase 1mg tablets are out of stock with resupply date to be confirmed. 
  • Hypovase 500mcg tablets are currently available.
 
Tamsulosin
(Tablets MR)

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Non Formulary
Black
Considerably more expensive than modified release capsules
 
Terazosin

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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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