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Herefordshire & Worcestershire
Medicines and Prescribing Committee
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 Formulary Chapter 6: Endocrine system - Full Chapter
06.01.02.03  Expand sub section  Other antidiabetic drugs
06.01.02.03  Expand sub section  Alpha glucosidase inhibitors
06.01.02.03  Expand sub section  DPP4 inhibitors (gliptins)
06.01.02.03  Expand sub section  SGLT2 inhibitors
Ertugliflozin
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Formulary
Green

In line with NICE TA572

 
Link  NICE TA 572: Ertugliflozin as monotherapy or with metformin for treating Type 2 Diabetes
 
Canagliflozin
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Formulary
Green

In Line with NICE TA315 and NICE TA390

 
Link  MHRA Drug Safety Update (April 2017): SGLT2 inhibitors: updated advice on increased risk of lower-limb amputation (mainly toes)
Link  NICE TA 315 Canagliflozin in combination therapy for treating type 2 diabetes
Link  NICE TA390 Canagliflozin, dapagliflozin and empagliflozin as monotherapies for treating type 2 diabetes
 
Dapagliflozin
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Formulary

Green In line with NICE TA288 for patients with type 2 diabetes.(Please note TA288 has been partially updated - see TA418), TA390 and TA418.


Amber In line with NICE TA 597 for patients with type 1 diabetes: Initiation and prescribing of dapagliflozin with insulin in T1DM patients to be retained by secondary care for the first six months, with the request for GPs to take over maintenance prescribing if the specialist deems there to be the required improvement in HbA1c (i.e. at least 0.3%) and the patient has received any additional monitoring guidance and education about increased risk of DKA.


 Amber In line with NICE TA 679 for the treatment of chronic heart failure with reduced ejection fraction.


 

 
Link  NICE TA288 Dapagliflozin in combination therapy for treating type 2 diabetes
Link  NICE TA390 Canagliflozin, dapagliflozin and empagliflozin as monotherapies for treating type 2 diabetes
Link  NICE TA418 Dapagliflozin in triple therapy for treating type 2 diabetes
Link  NICE TA597: Dapagliflozin with insulin for treating Type 1 Diabetes
Link  NICE TA679 Dapagliflozin for treating chronic heart failure with reduced ejection fraction
 
Dapagliflozin with metformin
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Formulary
Green

In line with NICE TA288 'Dapagliflozin in Combination Therapy for Treating Type 2 Diabetes'.

 
Link  NICE TA288 Dapagliflozin in combination therapy for treating type 2 diabetes
 
Empagliflozin
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Formulary
Green

In line with NICE TA336 and TA390

 
Link  NICE TA336: Empagliflozin in combination therapy for treating type 2 diabetes
Link  NICE TA390 Canagliflozin, dapagliflozin and empagliflozin as monotherapies for treating type 2 diabetes
 
06.01.02.03  Expand sub section  GLP1 agonists to top
06.01.02.03  Expand sub section  Meglitinides
06.01.02.03  Expand sub section  Other
06.01.02.03  Expand sub section  Thiazolidinediones
 ....
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
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

Red

Secondary care only, not to be prescribed in primary care.   

Amber 2

Specialist initiation with shared care guidance Medicines which should be initiated in secondary care by the specialist with follow-on prescription and monitoring according to a specific Shared Care (SC) Guideline. Prescribing may be continued in primary care in line with a shared care guideline   

Amber with Shared Care

Specialist initiation with shared care guidance Medicines which should be initiated in secondary care by the specialist with follow-on prescription and monitoring according to a specific Shared Care (SC) Guideline. Prescribing may be continued in primary care in line with a shared care guideline   

Amber

Considered suitable for primary care prescribing following specialist initiation/recommendation.  

Green

Considered appropriate for prescribing in both secondary and primary care. Suitable for initiation in primary care.   

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