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Bedfordshire and Luton Joint Formulary
Bedfordshire Hospitals NHS Foundation Trust
Bedfordshire, Luton and Milton Keynes ICB
Formulary Chapter: 10 - Musculoskeletal and joint diseases 
Notes:

Any drug not listed on the Formulary should be considered Non-Formulary - Not recommended for prescribing
10.03.02 Rubefacients, topical NSAIDs, capsaicin, and poultices
10.03.02 Topical NSAIDs and counter-irritants

Ibuprofen gel 5%, 10%
(Gel )

GREEN
Formulary

In Primary care may be cheaper for patient to purchase than pay prescription charge.

Both 5% and 10% are GSL products.

 

Entry reviewed: August 2023

BNF BNFc SPC
Non formulary items

Algesal

 
Non Formulary

Cream containing diethylamine salicylate 10%

Should not be prescribed for self-limiting injuries. Patient to be advised to purchase over the counter.

BNF BNFc SPC

Diclofenac (Mobigel®, Voltarol Emugel 1% and 2%®, Voltarol Gel Patch®, Pennsaid)

 
Non Formulary
BNF BNFc SPC

Felbinac (Traxam®)

 
Non Formulary
BNF BNFc SPC

Ketoprofen 2.5% (Oruvail ®, Powergel®)

 
Non Formulary
BNF BNFc SPC

Movelat (Topical gel / cream)

 
Non Formulary
BNF BNFc SPC

Piroxicam (Feldene®)

 
Non Formulary
BNF BNFc SPC

Transvasin

 
Non Formulary
BNF BNFc SPC
10.03.02 Capsaicin
10.03.02 Poultices
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.