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Bedfordshire and Luton Joint Formulary
Bedfordshire Hospitals NHS Foundation Trust
Bedfordshire, Luton and Milton Keynes ICB
Formulary Chapter: 1 - Gastro-intestinal system 
Notes:

Any drug not listed on the Formulary should be considered Non-Formulary - Not recommended for prescribing

01.02 Antispasmodics and other drugs altering gut motility
01.02 Antimuscarinics
01.02 Other antispasmodics

Mebeverine Hydrochloride 135mg
(Tablets)

Formulary

N.B. MR tablets non-formulary.

Peppermint Oil
(Capsules)

Formulary

0.2ml capsules. Licensed for irritable bowel syndrome.

N.B. modified release capsules are non-formulary

 

Red Triangle Colpermin brand not suitable for peanut allergic patients (contains arachis oil)

Peppermint water

RED
Restricted Drug Restricted

Bedford hospital only until review completed.

L&D: Removed from Formulary (DTC decision). No evidence of cost-effectiveness, only has a herbal medicine license and is expensive (about £10 per bottle).

Non formulary items

Mebeverine Hydrochloride 50mg/5mL ( Oral Suspension)

DNP
Non Formulary

N.B. 1 x 300mL costs around £270. Consider alternative if liquid preparation needed.

01.02 Motility stimulants
Classifications
May be initiated in any care setting
Specialist to advise therapy and provide first 28 days supply, continuation in Primary Care
Specialist to initiate and stabilise medicine prior to continuation in Primary Care
To be prescribed as per Shared Care Guidance. If no SCG in place status reverts to 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).
A decision has been made either locally and/or nationally not to routinely commission this preparation. Do not prescribe.
To be purchased over the counter. May be prescribed for chronic, long term conditions or on admission to hospital if essential.