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

01.05.02 Corticosteroids

Budesonide
(Oral)

Formulary

Licensed for Crohn's disease.
3mg gastro-resistant capsules (Budenofalk)
3mg controlled release capsules (Entocort CR)
9mg gastro-resistant granules (Budenofalk sachets)

 

 

Budesonide (Budenofalk®)
(Rectal Foam)

Formulary

2mg / dose

Budesonide (Budenofalk®)
(4mg suppositories)

Formulary

Short-term treatment (6-8 weeks) of mild to moderate acute ulcerative colitis limited to the rectum (ulcerative proctitis) in adult patients.

Budesonide (Jorveza®)
(orodispersible tablet)

RED
Formulary

Approved for use in accordance with the NICE TA.

For induction of remission of eosinophilic oesophagitis only, not for maintenance treatment.

 

Entry check: July 2025

Budesonide 9 mg prolonged release tablets (Cortiment®)
(Beds/Luton use)

RED
Restricted Drug Restricted

Restricted to prescribing by a gastroenterology specialist for ulcerative colitis patients.

Hospital-only. Prescribe whole course (up to max. 8 weeks).

 

 

Entry reviewed: January 2024

Budesonide 9 mg prolonged release tablets (Cortiment®)
(MKUH PIFU Pathway)

Restricted Drug Restricted

For use in patients on the MKUH Gastroenterolgy Patient Initiated Follow Up (PIFU) pathway ONLY

Please note that patients on the PIFU pathway should only receive ONE course of treatment with Cortiment. If they need further courses at a later date, they must be referred back to Gastro for review.

 

Entry reviewed: January 2024

Prednisolone

Formulary

5mg suppositories
20mg retention enema

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.