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Bedfordshire and Luton Joint Formulary
Bedfordshire Hospitals NHS Foundation Trust
Bedfordshire, Luton and Milton Keynes ICB
Formulary Chapter: 7 - Obstetrics, Gynaecology, and urinary-tract disorders 
Notes:

Any drug not listed on the Formulary should be considered Non-Formulary - Not recommended for prescribing
07.03.02.01 Oral progestogen-only contraceptives
Progestogen Only Pill (POP) missed pill advice from CKS

Desogestrel 75microgram tablets

GREEN
First Choice
  • Some individual generic and branded preparations may contain ingredients unsuitable for soya or nut allergy sufferers - check individual SPCs for details.
  • Generic prescribing is most cost effective in primary care.

 

Entry reviewed: October 2024

BNF BNFc SPC

Norethisterone 350micrograms Tablets (Noriday®)

GREEN
Second Choice

3 hrs missed pill window

 

Entry reviewed: October 2024

BNF BNFc SPC

Drospirenone 4mg tablet (Slynd®)

Amber SPIS
Second Choice

Second line choice for women in whom desogestrel is not appropriate after a suitable trial (minimum 3 months) and where other methods of contraception including long-acting reversible methods are contraindicated, have been declined or are not suited.

To be initiated by a specialist, defined as a “Sexual Health Specialist or a Primary care clinician who has relevant expertise and is clinically competent to prescribe”.  Initial 3 months’ prescription, and follow up at 3 months, to be provided by the specialist.

 

Entry reviewed: October 2024

BNF BNFc SPC
Drospirenone Prescribing Support Information for GPs – BLMKICB Medicines Optimisation
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.