17. Miscellaneous Preparations
|First line drugs||Second line drugs||Specialist drugs||Secondary care drugs|
|Recommended in both primary and secondary care||Alternatives (often in specific conditions) in both primary and secondary care||Where a specialist input is needed (see introduction for definition)||Prescribing principally within secondary care only|
This page is for medicinal products that have been through the Joint Formulary Process, and therefore are Formulary within BNSSG, however they are not listed within the BNF.
All are TLS Red
Acid citrate dextrose
- 500mL bags for use with Cell Saver machine
- UHB only
Bone morphogenetic protein (Inductos®, Osigraft®)
- N.B. Not for Complex spinal surgery - NHS England is the commissioner for this indication and they are not routinely commissioned. An IFR application is required
Independence Wound Protection/Collection Pouch Covers: VAP 1 (small), VAP 2 (regular), VAP 3 (large).
- Dialysis pouch covers are not routinely recommended by renal dialysis teams, advise the patient to contact the dialysis team before purchasing covers.
Eleview® lifting solution
- Lifting solution for endoscopic submucosal dissection (ESD) of polyps
- Surgical glue
Lutetium (177Lu) oxodotreotide
- As per NICE TA541 for treating unresectable or metastatic neuroendocrine tumours
- For use in by the Bristol Therapeutic Apheresis Unit for Photopheresis
- For use as a pharmacological stress agent for radionuclide myocardial perfusion imaging (MPI) in adult patients unable to undergo adequate exercise stress.
Sulfur hexafluoride lipid microspheres SonoVue®
- For use in Echocardiography, in patients with suspected or established cardiovascular disease to provide opacification of cardiac chambers and enhance left ventricular endocardial border delineation
- SonoVue® should only be used in patients where study without contrast enhancement is inconclusive
Sulfur hexafluoride lipid microspheres (SonoVue)
- for characterising indeterminate liver lesions, assessment of vascularity or blood flow for patients where an MRI or CT scan is unsuitable
Autologous chondrocyte implantation
- As per NICE TA477 Autologous chondrocyte implantation for treating symptomatic articular cartilage defects of the knee
- As per NICE TA508 Autologous chondrocyte implantation using chondrosphere for treating symptomatic articular cartilage defects of the knee
All medicines that are listed on the Royal College of Emergency Medicine and National Poisons Information Service Guideline on Antidote Availability for Emergency Departments are automatically included on the formulary as Red for use as per local Trust protocol. Please see RCEM guideline.
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