Portsmouth and South East Hampshire
Prescribing Formulary
 
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6 Endocrine system
06-06-02 Bisphosphonates

Alendronic Acid Tablets 70mg
First Choice

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Disodium Pamidronate
Formulary

Secondary Care only


Red View adult BNF  View SPC online  View childrens BNF
Ibandronic Acid
Formulary

Oncology only- adjuvant treatment of post-menopausal breast cancer (off-licence)

Link  Adjuvant bisphosphonates for breast cancer shared care agreement
 

Amber with Shared Care View adult BNF  View SPC online  View childrens BNF
Ibandronic Acid
Formulary

Post-menopausal osteoporosis if oral biphosphonates unsuitable or not tolerated


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Ibandronic Acid
Restricted

150mg tablet (monthly)

 

Use as per osteoporosis guidelines

Link  NICE TA464 - Bisphosphonates for treating osteoporosis
 

Restricted Drug Green View adult BNF  View SPC online  View childrens BNF
Risedronate sodium
Formulary

Second-line for Paget's disease


Amber Recommended View adult BNF  View SPC online  View childrens BNF
Risedronate sodium
Formulary

Once weekly for osteoporosis


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Zoledronic Acid
Formulary

Annual infusion for osteoporosis


Paget's disease


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Zoledronic Acid
Formulary

Oncology only  - for symptomatic skeletal events in hormone-refractory prostate cancer.


Oncology only  - for adjuvant treatment of post-menopausal breast cancer (off-licence)


Palliative care


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Alendronic Acid Fosamax®
Non Formulary

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Alendronic Acid Fosamax® Once Weekly
Non Formulary

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Alendronic Acid with colecalciferol Fosavance®
Non Formulary

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Ibandronic acid IV infusion Bondronat®
Non Formulary

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Sodium Clodronate
Non Formulary

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Sodium Clodronate Clasteon®
Non Formulary

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Tiludronic Acid Skelid®
Non Formulary

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