NHS Logo
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
07.03.04 Contraceptive devices
07.03.04 Intra-uterine devices

Copper-Bearing Intrauterine Device (380 mm² Cu-IUD)

GREEN
Formulary

1st line choice : framed copper banded (Framed, copper stem only devices should only be used if banded products cannot be obtained)

Cu-IUDs are licensed for either 5 or 10 years of use (see BNF for details)

A Cu-IUD containing ≥300 mm2 copper inserted at or after age 40 years can be used for contraception until menopause. (FSRH recommendation, off label)

BNF BNFc SPC
MHRA Drug Safety Update (June 2015) - Intrauterine contraception: uterine perforation—updated information on risk factors
07.03.04 Other contraceptive devices
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.