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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
03.01.05 Peak flow meters, inhaler devices and nebulisers
03.01.05 Peak flow meters
03.01.05 Drug delivery devices

Drug Delivery Device (A2A Spacer®)

GREEN
Formulary

Universal adaptor (all MDIs)

Collapsible, pocket sized

Available with or without mask

Compatible with all pMDIs Low static properties

Perceivable valve movement

210ml

BNF BNFc SPC

Drug Delivery Device (Able Spacer®)

GREEN
Formulary

Available with or without mask

Low static properties

Perceivable valve movement 210ml

BNF BNFc SPC

Drug Delivery Device (AeroChamber Plus Flow-Vu® Antistatic)

GREEN
Formulary

1. AeroChamber Plus® Flow-Vu® with small mask for infants (0-18 months) [Orange]

2. AeroChamber Plus® Flow-Vu® with medium mask for children (1-5 years) [Yellow]
3. AeroChamber Plus® Flow-Vu® with youth mouthpiece (5+ years) [Mint Green]
4. AeroChamber Plus® Flow-Vu® Adult mouthpiece [Blue]
5. AeroChamber Plus® Flow-Vu® adult with small mask [Purple]
6. AeroChamber Plus® Flow-Vu® adult with large mask [Blue]

Notes:

One size mask doesn’t fit all – there are now multiple mask sizes to fit patients of different ages (e.g. a small and large adult mask, etc)

 

Spacer device compatible MDI masks available

Volumatic Clenil Modulite, Ventolin, Flixotide, Serevent, Seretide Paediatric

Aerochanber Plus Flow-Vu - All pressurised metered dose inhalers - Infant, child and adult

 
Spacer device Compatible MDI Masks available
AeroChamber Plus® Flow-Vu® All pressurised metered dose inhalers Infant, child and
Adult
Volumatic Clenil Modulite, Ventolin, Flixotide, Serevent, Seretide Paediatric

 

Entry reviewed: April 2023

BNF BNFc SPC

Drug Delivery Device (Space Chamber Plus®)

GREEN
Formulary

Fits most MDIs

Perceivable valve movement

Standard and compact sizes

With or without facemask (small, medium large)

BNF BNFc SPC

Drug Delivery Device (Volumatic®)

GREEN
Formulary

Large volume spacer

Available with or without mask

Solid adaptor only fits specific MDIs including all Chiesi and GSK devices

Perceivable valve movement.

BNF BNFc SPC
03.01.05 Nebulisers
03.01.05 Nebuliser Diluent
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.