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 Formulary Chapter 8: Malignant disease and immunosuppression - Full Chapter
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08.02.02  Expand sub section  Corticosteroids and other immunosuppressants
Adoport® (Tacrolimus)
(Capsules)
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Formulary
Amber with Shared Care

RED for Renal transplant patients

 
Link  Shared care guidelines Immune modulating therapies June 2019
   
Advagraf® (Tacrolimus)
(Capsules)
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Formulary
Amber with Shared Care

RED for Renal transplant patients

 
Link  Shared care guidelines Immune modulating therapies June 2019
   
Antithymocyte immunoglobulin (rabbit)  (Thymoglobuline®)
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Formulary
Red
High Cost Medicine
 
   
Basiliximab (Simulect®)
(Injection)
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Formulary
Red
High Cost Medicine
 
Link  NICE TA 482: Immunosuppressive therapy for kidney transplant in children and young people
Link  NICE TA481: Immunosuppressive therapy for kidney transplant in adults
   
Ciclosporin
(Capsules)
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Formulary
Amber with Shared Care
High Cost Medicine

Prescribe by brand

 
Link  Shared care guidelines Immune modulating therapies June 2019
   
Ciclosporin (Sandimmun®)
(for infusion)
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Formulary
Red
 
   
Envarsus® (Tacrolimus)
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Formulary
Red

Second-line for the renal transplant (when other preparations have unacceptable side effects).  Used under the advice of renal transplant specialists ONLY.

 
   
Prograf® (Tacrolimus)
(Capsules)
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Formulary
Amber with Shared Care

RED for renal indications

 
Link  Shared care guidelines Immune modulating therapies June 2019
   
Prograf® (Tacrolimus)
(for infusion)
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Formulary
Red
 
   
Cytotoxic Drug Sirolimus (Rapamune®)
(tablets, oral solution)
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Formulary
Red
High Cost Medicine

Existing patients with shared care may continue to obtain supplies via GP.

 
   
 ....
 Non Formulary Items
Belatacept  (Nulojix®)

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Non Formulary
High Cost Medicine
 
Ciclosporin  (Capsorin®)

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Non Formulary
 
Ciclosporin  (Deximune®)

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Non Formulary
 
Daclizumab  (Zenapax®)
(injection )

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Non Formulary

Disease-modifying drugs for MS are not provided at PHT

Link  NICE TA 441 Daclizumab for treating relapsing–remitting multiple sclerosis
 
Cytotoxic Drug  Everolimus  (Certican®)
(Transplant)

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Non Formulary
High Cost Medicine
 
Modigraf®
(Tacrolimus)

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Non Formulary
 
Tacrolimus
(Vivadex)

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Non Formulary
 
  
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
click to search medicines.org.uk
Link to adult BNF
click to search medicines.org.uk
Link to children's BNF
click to search medicines.org.uk
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

Green

Primary and Secondary Care (unrestricted) – may be prescribed by GPs, hospital doctors or other qualified prescribers in primary and secondary care  

Amber Initiation

Amber Initiated: first prescription from specialist, on going supplies from primary care (or when stabilised on therapy).  

Amber Recommended

Amber recommended: first prescription may be supplied by primary care under the advice of a specialist.  

Amber with Shared Care

For initiation within a specialist service followed by ongoing prescribing in primary care according to published shared care guidance  

Red

For initiation and ongoing prescribing in secondary care only. Medicines in this category may be further restricted to use by specific hospital departments only.  

Blue

For prescribing in primary care only  

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