RED Specialist prescribing only For information on Malignant Disease and Immunosuppression, please follow BNF Chapter 8 at the end of this ...
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RED Specialist prescribing only For information on Malignant Disease and Immunosuppression, please follow BNF Chapter 8 at the end of this document. THERAPEUTIC GENERIC NAME BRAND NAME INDICATION Adefovir dipivoxil (Hepsera®) Chronic hepatitis B Acitretin (Neotigason®) Psoriasis Alitretinoin (Toctino®) Severe chronic hand eczema in adults Anagrelide (Xagrid®) Essential thrombocythaemia Anti-TNF–α drugs and cytokine modulators - abatacept (Orencia®) - adalimumab (Humira®) - anakinra (Kineret®) - belimumab (Benlysta®) All indications - certolizumab pegol (Cimzia®) - etanercept (Enbrel®) - golimumab (Simponi®) - infliximab (Remicade®) - rituximab (Generic) - tocilizumab (RoActemra®) Antivirals for HIV infections. 1.Nucleoside reverse transcriptase inhibitors - abacavir (Ziagen®/Kivexa®/Trizivir®) - didanosine (Videx®) - emtricitabine (Emtriva®) - lamivudine (Epivir®/Zeffix®) - stavudine (Zerit®) - tenofovir (Viread®/Truvada®/Atripla®/ Eviplear®) - zidovudine (Zidovudine®/Retrovir®/ Combivir®) HIV infection 2.Protease inhibitors - atazanavir (Reyataz®) - darunavir (Prezista®) - fosamprenavir (Telzir®) - indinavir (Crixivan®) - lopinavir (Kaletra®) - nelfinavir (Viracept®) - ritonavir (Norvir®) - saquinavir (Invirase®) - tipranavir (Aptivus®) 3.Non-nucleoside reverse transcriptase inhibitors 1 RED TRAFFIC LIGHT LIST. May 2021
- efavirenz (Sustiva®) - etravirinr (Intelence®) - nevirapine (Viramune®) - rilpivirine (Edurant®) 4.Other antiretrovirals - enfuvirtide (Fuzeon®) - maraviroc (Celsentri®) - raltegravir (Isentress®) Apraclonidine (Iopidine®) Asenapine (Sycrest®) Moderate to severe manic episodes in bipolar 1 disorder in adults Avelumab with axitinib Untreated advanced renal cell carcinoma Becaplermin Gel (Regranex ®) Adjunct treatment of No license in this country full-thickness, neuropathic, diabetic ulcers Boceprevir (Victrelis ®) Chronic hepatitis C Botulinum toxin (Botox, Dysport ®) All indications Buprenorphine oral (Espranor®) All indications lyophilisate Cannabis-based Defined approved medicinal preparations indications within paediatrics and neurology Cidofovir (Vistide®) Cytomegalovirus (CMV) retinitis in AIDS Cinacalcet (Mimpara ®) Secondary hyperparathyroidism in patients with end- stage renal disease Clozapine (Clorazil®) Schizophrenia Colchicine (Generic) Pericarditis caused by systemic inflammatory diseases and post- cardiac injury syndromes Dapagliflozin (Forxiga®) Type-1 Diabetes Deferasirox, deferiprone, (Exjade®, Ferriprox®, Treatment of iron desferrioxamine mesilate Desferal ®) overload Dexamethasone (Generic) Treatment of COVID- 19 infection Entecavir (Baraclude®) Chronic hepatitis B Ferric maltol (Feraccru®) Iron deficiency in adults with 2 RED TRAFFIC LIGHT LIST. May 2021
inflammatory bowel disease Filgrastim (Neupogen®) Neutropenia Fondaparinux (Arixtra®) VTE prophylaxis and heparin-induced thrombocytopenia Foscarnet (Foscavir®) CMV retinitis in AIDS Fremanezumab (Ajovy®) Preventing chronic migraine Galcanezumab (Emgality®) Preventing migraine Ganciclovir (Cymevene®) Life and sight threatening cytomegalovirus infections Hylan (Synvisc ®) Osteoarthritis Ibandronic acid I.V (Bonviva ®) Osteoporosis in postmenopausal women Isotretinoin (Roaccutane ®) Acne IVF intranasal and In-vitro fertilisation injectable drugs Ketamine oral solution (Unlicensed special ®) Unlicensed use for the relief of pain in palliative care patients and for the management of chronic pain Lenograstim (Granocyte®) Neutropenia Linaclotide (Constella®) IBS - Constipation Linezolid (Zyvox®) Antibiotic Liothyronine Hypothyroidism Liraglutide (Saxenda®) Managing overweight and obesity Metolazone (Unlicensed special) Heart failure, oedema, hypertension Moviprep® (Moviprep®) Preparation for endoscopy – hospital to supply to patients in advance of endoscopy appointment Palivizumab (Synagis®) Prevention of serious lower respiratory infection caused by RSV Patiromer (Veltassa®) Hyperkalaemia 3 RED TRAFFIC LIGHT LIST. May 2021
Quinagolide (Norprolac®) Hyperprolactinaemia Ribavirin (Rebetol®) Severe respiratory sybcytial virus bronchiolitis Sertindole (Serdolect®) Schizophrenia Siponimod (Mayzent®) Multiple sclerosis Sotagliflozin (Not licensed in UK) Type-1 diabetes Telaprevir (Incivo®) Chronic hepatitis C Telbivudine (Sebivo®) Chronic hepatitis B Upadacitinib (RINVOQ®) Rheumatoid arthritis Valganciclovir (Valcyte®) Prophylaxis of CMV (and treatment of CMV – unlicensed) BNF Chapter 8. Malignant Disease and Immunosuppression. GENERIC NAME BRAND NAME (not exhaustive) Abiraterone acetate (Zytiga®) Aldesleukin (Proleukin®) Alemtuzumab (MabCampath®) Amsacrine (Amsidine®) Antithymocyte immunoglobulin (rabbit) (Thymoglobuline®) Atezolizumab (Tecentriq®) Arsenic trioxide (Trisenox®) Azacitidine (Vidaza®) Bacillus Calmette-Guerin (BCG) (ImmuCyst®/OncoTICE®) Basiliximab (Simulect®) Belatacept (Nulojix®) Bendamustine (Levact®) Bevacizumab (Avastin®) Bexarotene (Targretin®) Bleomycin Bortezomib (Velcade®) Brigatinib (Alunbrig®) Busulfan (Myleran® Busilvex®) Canakinumab (Ilaris®) Capecitabine (Xeloda®) Caplacizumab (Cablivi®) Carfilzomib (Kyprolis®) Carmustine (Gliadel®) Catumaxomab (Removab®) 4 RED TRAFFIC LIGHT LIST. May 2021
Cetuximab (Erbitux®) Chlorambucil (Leukeran®) Cladribine (Leustat®) (Litak®) Clofarabine (Evoltra®) Crisantaspase (Erwinase®) Cyclophosphamide Cytarabine (DepoCyte®) Dacarbazine Dactinomycin Darolutamide (NUBEQA®) Daunorubicin (DaunoXome®) (Caelyx®) Doxorubicin hydrochloride (Myocet®) Encorafenib (Braftovi®) Epirubicin (Generic and Pharmorubicin®) Eribulin (Halaven®) Estramustine phosphate (Estracyt®) Etoposide (Etopophos®) (Vepesid®) Fingolimod (Gilenya®) Fludarabine phosphate (Fludara®) Fluorouracil (injection) Fulvestrant (Faslodex®) Gemcitabine (Gemzar®) Gimeracil Glatiramer acetate (Copaxone®) Histamine Dihydrochloride (Ceplene®) Histrelin (Vantas®) Idarubicin (Zavedos®) Ifosfamide Interferon alfa - Interferon alfa (Intron A®) (Pegasys®/ViraferonPeg®) - Peginterferon alfa Interferon beta - Interferon beta-1a (Avonex®/Rebif®) - Interferon beta-1b (Betaferon®/Extavia®) Interferon Gamma-1b (Immukin®) Ipilimumab (Yervoy®) Isatuximab (SARCLISA®) Lenalidomide Lomustine 5 RED TRAFFIC LIGHT LIST. May 2021
Melphalan (Alkeran®) Mifamurtide (Mepact®) Mitomycin (Mitomycin C Kyowa®) Mitotane (Lysodren®) Mitoxantrone (Onkotrone®) Natalizumab (Tysabri®) Nelarabine (Atriance®) Nivolumab (OPDIVO®) Obinutuzumab (Gazyvaro®) Ofatumumab (Arzerra®) Osimertinib (TAGRISSO®) Oteracil Panitumumab (Vectibix®) Pembrolizumab (KEYTRUDA®) Pemetrexed (Alimta®) Pentostatin (Nipent®) Platinum compounds - Carboplatin - Cisplatin - Oxaliplatin Polatuzumab vedotin (Polivy®) Pomalidomide (Imnovid®) Porfimer sodium Procarbazine Protein kinase inhibitors - Dasatinib (Sprycel®) - Erlotinib (Tarceva®) - Everolimus (Afinitor®/Votubia®) - Gefitinib (Iressa®) - Imatinib (Glivec®) - Lapatinib (Tyverb®) - Nilotinib (Tasigna®) - Pazopanib (Votrient®) - Sorafenib (Nexavar®) - Sunitinib (Sutent®) - Temsirolimus (Torisel®) - Vandetanib (Caprelsa®) - Vemurafenib (Zelboraf®) Thiotepa (Tepadina®) Treosulfan Raltitrexed (Tomudex®) Rituximab (MabThera®) Taxanes - Carbazitaxel (Jevtana®) 6 RED TRAFFIC LIGHT LIST. May 2021
- Docetaxel (Generic and Taxotere®) - Paclitaxel (Generic and Abraxane®) Tegafur with and Tegafur with Uracil (Uftoral® ) Temoporfin Temozolomide Thalidomide Tioguanine (Lanvis®) Topoisomerase I inhibitors - Irinotecan Hydrochloride (Generic and Campto®) - Topotecan (Generic and Hycamtin®) Trabectedin (Yondelis®) Trastuzumab (Herceptin®) Tretinoin (Vesanoid®) Venetoclax (Venclyxto®) Vinblastine sulfate (Velve®) Vincristine sulfate (Oncovin®) Vindesine sulfate (Eldisine®) Vinflunine (Javlor® ) Vinorelbine (Navelbine®) Formulary Traffic Light List RED Date ratified by D&T Committee May 2013 1st Amendment August 2013. Linaclotide included Ratified by D&T August 2013 2nd Amendment October 2013. Lisdexamfetamine mesilate and Asenapine included Ratified by D&T October 2013 3rd Amendment March 2014. Lisdexamfetamine mesilate removed. Ratified by D&T March 2014 Next Review Date March 2016 4th Amendment April 2014 Apraclonidine (Iopidine®) included Ratified by D&T April 2014 Next Review Date April 2016 5th Amendment October 2018 Ulipristal (Esmya®) included Ratified by D&T October 2018 Next Review Date October 2020 6th Amendment October 2019 Dapagliflozin (Forxiga®) included Next Review Date October 2020 7th Amendment August 2020 Ulipristal (Esmya®) removed (license suspension) Metolazone indications included Colchicine included Dexamethasone included Sotagliflozin included Patiromer included Moviprep® included Ratified by D&T August 2020 Next review date August 2021 7 RED TRAFFIC LIGHT LIST. May 2021
8th Amendment October 2020 Buprenorphine oral lyophilisate included Fondaparinux included Ratified by D&T October 2020 Next review date October 2021 9th Amendment November 2020 Avelumab with axitinib included Cannabis-based medicinal preparations included Liothyronine included Additions approved by MSEMOC October 2020 Next review date November 2021 10th Amendment May 2021 – additions Atezolizumab Liraglutide Brigatinib Nivolumab Caplacizumab Obinutuzumab Carfilzomib Osimertinib Darolutamide Pembrolizumab Encorafenib Polatuzumab vedotin Ferric maltol Pomalidomide Fremanezumab Siponimod Galcanezumab Upadacitinib Isatuximab Venetoclax Chapter 8 sub-sections combined and alphabetised. Additions approved by MSEMOC December 2020, February 2021 Next review date May 2022 8 RED TRAFFIC LIGHT LIST. May 2021
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