NHS Logo
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
01.03.03 Chelates and complexes

Bismuth subsalicylate (Pepto-Bismol® )

GREEN
Formulary

For H.pylori eradication in line with PHE guidance.

BNF BNFc SPC

Sucralfate

RED
Restricted Drug Restricted

1g in 5ml suspension.

Do not prescribe tablets as these are unlicensed. The liquids are now licensed.

N.B. These products are very expensive in primary care (including our FP10 prescriptions) and are not always available. Please prescribe on hospital out patient prescriptions to ensure patients obtain supply from the hospital.

The oral suspension can be administered rectally as per the approved protocol below. For Gastroenterology consultant prescribing only.

BNF BNFc SPC
Sucralfate enema - Patient leaflet
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.