North Central London
Joint Formulary
 
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10 Musculoskeletal and joint diseases
10-01-03 Drugs affecting the immune response

Azathioprine
Restricted

NOTE: There is more than one monograph for this medicine, click here to search for formulary status and its use for other indications. 

Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • No restriction stated
  • RNOH:
    • Restricted to Rheumatology Consultants ONLY
    • See links below
  • UCLH:
  • WH:
    • No restriction stated
Link  NCL JFC: DMARD Quick Reference Guide for Primary Care Prescribers
Link  RNOH + Herts CCG: Adult Rheumatology Shared Care - Principles and Responsibilities
Link  RNOH + Herts CCG: Azathioprine in Adult Rheumatology - Shared Care Information
 

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

NOTE: There is more than one monograph for Ciclosporin, click here to search for formulary status and its use for other indications. 

Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • Deximune® is the preferred brand
  • RNOH:
    • Restricted to Rheumatology Consultants ONLY
    • See links below
  • UCLH:
  • WH:
    • No restriction stated
Link  RNOH + Herts CCG: Adult Rheumatology Shared Care - Principles and Responsibilities
Link  RNOH + Herts CCG: Ciclosporin in Adult Rheumatology - Shared Care Information
 

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

NOTE: There is more than one monograph for this medicine, click here to search for formulary status and its use for other indications. 

 

Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Approved for use in Scleroderma (lung fibrosis), Vasculitis, SLE and Sarcoid
  • RNOH:
    • Non-formulary
  • UCLH:
    • Non-formulary
  • WH:
    • Non-formulary

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

Provider notes

  • NMUH: 
    • Restricted to Rheumatology Consultants ONLY
  • RFL:
    • No restriction stated
  • RNOH:
    • Restricted to Rheumatology Consultants ONLY
    • See links below
  • UCLH:
  • WH:
    • Restricted to Rheumatology Consultants ONLY
Link  NCL JFC: Rheumatoid arthritis DMARD and high-cost drug pathway
Link  RNOH + Herts CCG: Adult Rheumatology Shared Care - Principles and Responsibilities
Link  RNOH + Herts CCG: Leflunomide in Adult Rheumatology - Shared Care Information
 

Restricted Drug GP - Red View adult BNF  View SPC online  View childrens BNF
Methotrexate SC / IM injection
Restricted

NOTE: There is more than one monograph for this medicine, click here to search for formulary status and its use for other indications. 

The licensed routes of administration for parenteral preparations vary—further information can be found in the product literature for the individual preparations.

Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • Metoject brand available in a variety of strengths
    • See pharmacy policy for the safe dispensing of methotrexate
  • RNOH:
    • Rheumatology Consultants ONLY
    • Metoject and Nordimet (if autoinjector required) brand
    • See links below
  • UCLH:
  • WH:
    • No restriction stated
Link  RNOH + Herts CCG: Adult Rheumatology Shared Care - Principles and Responsibilities
Link  RNOH + Herts CCG: Methotrexate in Adult Rheumatology - Shared Care Information
 

Restricted Drug GP - Red View adult BNF  View SPC online  View childrens BNF
Methotrexate tablets
Restricted

NOTE: There is more than one monograph for Methotrexate, click here to search for formulary status and its use for other indications. 

Provider notes

  • NMUH:
    • See links below.
  • RFL:
    • 2.5mg tablets only
    • See pharmacy policy for safe dispensing of methotrexate
  • RNOH:
    • Restricted for Rheumatology Consultants ONLY
    • 2.5mg tablets ONLY
    • See links below
  • UCLH:
  • WH:
    • No restriction stated
Link  NCL JFC: Rheumatoid arthritis DMARD and high-cost drug pathway
Link  NCL JFC: Shared care Guideline - Prescribing and Monitoring of oral methotrexate for licensed and off-label indications
Link  RNOH + Herts CCG: Adult Rheumatology Shared Care - Principles and Responsibilities
Link  RNOH + Herts CCG: Methotrexate in Adult Rheumatology - Shared Care Information
 

Restricted Drug View adult BNF  View SPC online  View childrens BNF