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Bedfordshire and Luton Joint Formulary
Bedfordshire Hospitals NHS Foundation Trust
Bedfordshire, Luton and Milton Keynes ICB
Formulary Chapter: 6 - Endocrine system 
Notes:

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

06.05.01 Hypothalamic and anterior pituitary hormones and anti-oestrogens
06.05.01 Anti-oestrogens

Clomifene Citrate 50mg
( Tablets)

RED
Formulary

Specialist prescribing only.

Overview | Fertility problems: assessment and treatment | Guidance | NICE

CSM advice: Clomifene should not normally be used for longer than 6 cycles (possible increased risk of ovarian cancer).

Entry updated: October 2024

Letrozole 2.5mg tablets
(For PCOS)

RED
Restricted Drug Restricted

Approved by DTC for the off-label indication of ovulation induction in women with polycystic ovary syndrome.
Dose 2.5 to 5mg once daily from days 2 to 6 of the menstrual cycle for up to 6 months.

For hospital prescribing in the fertility clinic only.

06.05.01 Anterior pituitary hormones
06.05.01 Hypothalmic hormones
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.