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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
03.01.01.01 Short-acting beta2 agonists
03.01.01.01 Long-acting beta2 agonists

Formoterol

GREEN
First Choice

First choice long acting beta2-agonist in Primary care (LABA)

 

  • Formoterol Easyhaler 12 microgram DPI is preferred in Primary Care (Cost-effective choice) Green Low Carbon
  • Oxis Dry powder for inhalation (DPI), 6 micrograms per metered inhalation, 12 micrograms per metered inhalation Green Low Carbon
  • Atimos modulite Aerosal inhaltion, 12 micrograms/metered inhalation (Licensed 6 years and above) NB: Higher carbon footprint vs other optionsRed Footprint

Entry Reviewed: September 2022

BNF BNFc SPC

Salmeterol

GREEN
Formulary

Long-acting beta2-agonist (LABA)

  • 25micrograms metered dose inhalerRed Footprint
    50micrograms per metered dose AccuhalerGreen Footprint


    If concomitantly prescribed with an inhaled corticosteroid, consider using an ICS/LABA combination inhaler.

Entry Reviewed: September 2022

BNF BNFc SPC
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.