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Bedfordshire and Luton Joint Formulary
Bedfordshire Hospitals NHS Foundation Trust
Bedfordshire, Luton and Milton Keynes ICB
Formulary Chapter: 3 - Respiratory system 
Notes:

Any drug not listed on the Formulary should be considered Non-Formulary - Not recommended for prescribing
Links:
BLMK ICB Guidance: Chronic obstructive pulmonary disease guidelines for primary care BLMK ICB Guidance: Review of Inhaled Corticosteroids (ICS) in patients with COPD BLMK Paediatric Wheeze and Asthma Guidelines (Children Age 16 and under), Oct 2024 NICE NG115: COPD guideline NICE NG78: Cystic fibrosis: diagnosis and management. October 2017 Right Breathe Inhaler Prescribing Information
03.01.01.01 Selective Beta2 agonists

Salbutamol Inhalers

GREEN
First Choice

Short-acting beta2-agonist

  • Salbulin Novolizer (DPI) refillable device Green Footprint
    • Replace device after 2000 inhalations (10 cartridge life) or annually.
    • Requires less inspiratory effort vs Easyhaler
  • Easyhaler Salbutamol 100mcg/dose (DPI)  Green Footprint
  • Salbutamol 200micrograms/dose DPI (Ventolin Accuhaler) Green Footprint
  • Salamol 100mcg/dose CFC free MDI Amber Footprint
  • Salbutamol 100mcg/dose CFC free MDI +/- spacer  Red Footprint 

 

Entry Reviewed: May 2025

BNF BNFc SPC

Salbutamol Intravenous

RED
Formulary

Short-acting beta2-agonist

 

5mg in 5mL ampoule for infusion - Must be diluted before use
500micrograms in 1mL injection

BNF BNFc SPC

Terbutaline 500micrograms/ metered dose DPI
(Bricanyl Turbohaler)

GREEN
Formulary

Short-acting beta2-agonist (SABA) Green Low Carbon

 

Entry Reviewed: September 2022

BNF BNFc SPC

Terbutaline Intravenous

RED
Formulary

Short-acting beta2-agonist

 

500micrograms in 1mL Injection

BNF BNFc SPC
03.01.01.01 Short-acting beta2 agonists
03.01.01.01 Long-acting beta2 agonists
Classifications
GREEN
May be initiated in any care setting
Amber SPA
Specialist to advise therapy and provide first 28 days supply, continuation in Primary Care
Amber SPIS
Specialist to initiate and stabilise medicine prior to continuation in Primary Care
SCG
To be prescribed as per Shared Care Guidance. If no SCG in place status reverts to red.
RED
Red medicines are designated as specialist only medicines which should only be prescribed by a specialist, usually within secondary care (either due to the requirement for specialist knowledge, long-term monitoring requirements, or restrictions that mean medicine supplies are only available to hospitals).
DNP
A decision has been made either locally and/or nationally not to routinely commission this preparation. Do not prescribe.
SELF
To be purchased over the counter. May be prescribed for chronic, long term conditions or on admission to hospital if essential.