North Central London
Joint Formulary
 
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10 Musculoskeletal and joint diseases
10-01-01 Non-steroidal anti-inflammatory drugs

Celecoxib
Restricted

Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • For Rheumatology use only
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary

Restricted Drug View adult BNF  View SPC online  View childrens BNF
Diclofenac Sodium
Restricted

Provider notes

  • NMUH:
    • See MHRA Drug Safety Update
  • RFL:
    • Restricted to Rheumatology and Obstetricians / Gynaecology
    • Injection, Suppositories 12.5mg/25mg/100mg, EC tablets 25mg/50mg 
  • RNOH:
    • Restricted: Diclofenac treatment should only be initiated after careful consideration for patients with significant risk factors for cardiovascular events (eg, hypertension, hyperlipidaemia, diabetes mellitus, smoking).
  • UCLH:
  • WH:
    • See MHRA Drug Safety Update

Restricted Drug View adult BNF  View SPC online  View childrens BNF
Diclofenac sodium + Misoprostol
Restricted

Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • No restriction stated
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Must not be given to women of child-bearing potential

Restricted Drug View adult BNF  View SPC online  View childrens BNF
Diclofenac sodium Modified release
Restricted

Provider notes

  • NMUH:
    • Non-formulary
    • Check MHRA Drug Safety Updates 
  • RFL:
    • Restricted to only Rheumatology and Obs / Gynae
    • M/R tablets 75mg and 100mg available
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • See MHRA Drug Safety Update

Restricted Drug View adult BNF  View SPC online  View childrens BNF
Etodolac
Restricted

Provider notes

  • NMUH:
    • Restricted to use by Rheumatology Consultants only
  • RFL:
    • Restricted to use by Rheumatology only
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Restricted to Rheumatology only

Restricted Drug View adult BNF  View SPC online  View childrens BNF
Etodolac Modified Release
Restricted

Provider notes

  • NMUH:
    • Restricted to use by Rheumatology Consultants only
  • RFL:
    • Restricted to use by Rheumatology only
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Restricted to Rheumatology only

Restricted Drug View adult BNF  View SPC online  View childrens BNF
Etoricoxib
Formulary

Provider notes

  • NMUH:
    • Non-formulary
    • Check MHRA Drug Safety Updates 
  • RFL:
    • Restricted to use by Rheumatology only
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary

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Ibuprofen immediate release
Formulary

Provider notes

  • NMUH:
    • See MHRA Drug Safety Update
  • RFL:
    • No restriction stated
  • RNOH:
    • First choice NSAID
  • UCLH:
  • WH:
    • Intravenous injection restricted to Consultant level

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Indometacin immediate release
Formulary

Provider notes

  • NMUH:
    • See link below
  • RFL:
    • Restricted to Neurology
  • RNOH:
    • No restriction stated
  • UCLH:
  • WH:
    • No restriction stated
Link  NMUH: Guideliens on Management of Acute and Chronic Gout
 

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Indometacin Modified Release
Restricted

Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • Restricted to Neurology
  • RNOH:
    • No restriction stated
  • UCLH:
  • WH:
    • Restricted to Rheumatology only

Restricted Drug View adult BNF  View SPC online  View childrens BNF
Mefenamic Acid
Restricted

Provider notes

  • NMUH:
    • Non-formulary
    • See link below
  • RFL:
    • Restricted to Gynaecology
  • RNOH:
    • No restriction stated
  • UCLH:
  • WH:
    • No restriction stated
Link  NMUH: Treatment Options for Primary Dysmenorrhoea and Menorrhagia
 

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Meloxicam
Restricted

Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Restricted to use by Rheumatology only
  • RNOH:
    • No restriction stated
  • UCLH:
  • WH:
    • Restricted to Rheumatology only

Restricted Drug View adult BNF  View SPC online  View childrens BNF
Nabumetone
Restricted

Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Restricted to Haematology.
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary

Restricted Drug View adult BNF  View SPC online  View childrens BNF
Naproxen
Formulary

Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • No restriction stated
  • RNOH:
    • Second choice NSAID
  • UCLH:
  • WH:
    • No restriction stated
Link  NMUH: Trust guidelines on Management of Acute and Chronic Gout
 

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Piroxicam
Formulary

Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Restricted to Rheumatology only
    • 10mg capsules available.
  • RNOH:
    • Non-formulary  
  • UCLH:
  • WH:
    • Only piroxicam 0.5% gel

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Sulindac
Restricted

Approved as first line treatment for oestrogen receptor-negative, desmoid-type fibromatosis for patients with slowly progressive, unresectable disease. Specialist initiation only (July 2014)

Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • No restriction stated
  • RNOH:
    • Non-formulary  
  • UCLH:
  • WH:
    • No restriction stated

Restricted Drug View adult BNF  View SPC online  View childrens BNF
Acemetacin
Restricted

Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Non-formulary
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Restricted to Rheumatology only.

Restricted Drug View adult BNF  View SPC online  View childrens BNF
Aceclofenac
Non Formulary

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Azapropazone
Non Formulary

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Dexibuprofen
Non Formulary

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Dexketoprofen
Non Formulary

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Diclofenac potassium
Non Formulary

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Fenoprofen
Non Formulary

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Flurbiprofen
Non Formulary

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Ibuprofen modified release
Non Formulary

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Ketoprofen
Non Formulary

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Ketoprofen + Omeprazole
Non Formulary

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Ketoprofen Modified Release
Non Formulary

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Naproxen + Esomeprazole
Non Formulary

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Naproxen + Misoprostol
Non Formulary

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Tenoxicam
Non Formulary

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Tiaprofenic Acid
Non Formulary

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