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Herefordshire & Worcestershire
Medicines and Prescribing Committee
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 Formulary Chapter 6: Endocrine system - Full Chapter
06.06.02  Expand sub section  Bisphosphonates and other drugs affecting bone metabolism
06.06.02  Expand sub section  Bisphosphonates
Alendronic acid
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First Choice
Green

Oral solution (70mg/100mL) is less cost effective; RESTRICTED only to patients unable to take tablets. 


 

 
Ibandronic acid  (solution for injection)
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Formulary
Red

  • Treatment of osteoporosis in postmenopausal women at increased risk of fracture

  • Treatment of osteoporosis in men at increased risk of fracture (unlicensed use)

  • Solution for injection 1mg per 1ml

 
 
Ibandronic acid 150mg tablets
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Formulary
Green

  • Treatment of osteoporosis in postmenopausal women at increased risk of fracture

  • Treatment of osteoporosis in men at increased risk of fracture (unlicensed use)

 
 
Ibandronic acid 50mg tablets
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Restricted Drug Restricted
Red

Indicated in adults for the prevention of skeletal events in patients with breast cancer and bone metastases.

 
 
Pamidronate disodium
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Formulary
Red
 
 
Risedronate sodium
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Formulary
Green
 
 
Sodium clodronate
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Formulary
Amber
 
 
Zolendronic acid
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Formulary
Red
 
 
06.06.02  Expand sub section  Denosumab
06.06.02  Expand sub section  Strontium renelate
 ....
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
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Link to adult BNF
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Link to children's BNF
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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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