ELMMB logo
Facebook logo Twitter logo
Menu

Black Traffic Light Drugs                            (Not Recommended for Use)

Black Traffic Light Drugs (Not Recommended for Use)

These are medicines that have been reviewed and have been deemed less suitable for prescribing, and are therefore not recommended in primary or secondary care. This may be due to the lack of good clinical evidence, or due to the availability of more suitable alternatives.

These medicines are not included in the East Lancashire Joint Formulary and are not available within secondary care.

Generic Name 

Brand Name

Indication/Comments

Link(s)

Abatacept  Orencia® Psoriatic arthritis after DMARDs NICE TA568
appraisal terminated.
NOT recommended for prescribing on the NHS in Lancashire
Formulary BNF 10.1.3
Abiraterone  Zytiga®  Newly diagnosed high-risk hormone-sensitive metastatic prostate cancer -  Not recommended for prescribing on the NHS in Lancashire - NICE TA721 Formulary BNF 8.3.4
ActiPatch®  ActiPatch®  Chronic pain (presence of pain longer than 3 months) associated with knee osteoarthritis and plantar fasciitis  Forumlary BNF 4.7
Actos® Actos® Generic prescribing only  Formulary BNF 6.1
ACWY vaccine   Travel vaccination  See Position   Statement
Afatininb    Locally advanced or metastatic squamous non-small-cell lung cancer after platinum-based chemotherapy Appraisal Terminated   Formulary BNF 8.1
Aflibercept Zaltrap® Metastatic colorectal cancer
NICE TAG307
 Formulary BNF 8.1
Agomelatine Valdoxan® Major depression  Formulary BNF 4.3
Alectinib Alecensa® Previously treated anaplastic lymphoma kinase-positive advanced non-small-cell lung cancer (terminated appraisal) NICE TA438  Formulary BNF 8.1

Alendronate and Vitamin D

Fosavance®  Postmenopausal osteoporosis  Formulary BNF 6.6
Alimemazine tablets and liquid  All brands  antihistamine  Formulary BNF 3.4
Aliskiren   Non-formulary in line with NHSE low priority prescribing commissioning agenda  Formulary BNF 2>5
Alpelisib Piqray NICE is unable to make a recommendation alpelisib with fulvestrant for treating hormone-receptor positive, HER2-negative, PIK3CA-positive advanced breast cancer NICE TA652 updated by TA816 Formulary BNF 8>1>5
Amantadine  Lysovir®   Influenza treatment & prophylaxis
 NICE TA158, TA168
 Formulary BNF 5.3
Amifampridine
Firdapse® Lambert-Eaton Syndrome

 Formulary BNF 10.2
Amivantamab  Rybrevant Treating EGFR exon 20 insertion mutation-positive advanced non-small-cell lung cancer after platinum-based chemotherapy in adults.  Not recommended, within its marketing authorisation. NICE TA850 Formulary BNF 8.2.3
Amoxycillin (nebulised)   Not licensed for use via nebulised route for bronchiectasis or any other indication  Formulary BNF 5.1
Anakinra Kineret® Rheumatoid arthritis - NICE TA72

 Formulary BNF 10.3
Angiotensin II    Vasosuppressor-resistant hypotension caused by septic or   distributive shock. NICE TA859 - Terminated appraisal  Formulary BNF 2>7
Anifrolumab Saphnelo®  Active autoantibody-positive systemic lupus erythematosus - NICE TA793 - Appraisal terminated. Not recommended for prescribing on the NHS in Lancashire  Formulary BNF 10.1
Anti-thymocyte globulin (Riabbit) Thymoblobuline® Immunosuppressive therapy for kidney transplant in adults NICE TA481 (adults) NICE TA482 (Children and young adults) Formulary BNF 8.2
Apremilast Otezla Moderate to severe plaque psoriasis. NICE TA368
Formulary  BNF 10.1
Aprovel®
Aprovel® Generic Prescribing Only

Formulary BNF 2.5
Aricept® Aricept® Generic Prescribing Only

Formulary BNF 4.11
Thyroid extracts {unlicensed liothyronine and thyroid extract products] e.g. Armour Thyroid Hypothyroidism. RMOC  liothyronine guidance
UKMI Q&A Statement
 Statement from  British Thyroid Association
Formulary BNF 6.2

Asenapine  Sycrest® Schizophrenia/bipolar mania

Formulary BNF 4.2
Atezolizumab Tecentriq® Untreated advanced non-squamous non-small-cell lung cancer - Not recommended as in NICE TA618 Formulary BNF 8.1
Atorvastatin chewable tablets Lipitor chewable® Hypercholesterolaemia

Formulary BNF 2.12
Avapritinib Ayvakit Unresectable or metastatic gastrointestinal stromal tumours in adults. Terminated Appraisal - NICE TA730 Not recommended for prescribing on the NHS in Lancashire Formulary BNF 8.1.5
 Axicabtagene ciloleucel  Yescarta  Not recommended, within its marketing authorisation, for treating relapsed or refractory follicular lymphoma in adults as by NICE TA894  Formulary 8.2
Azacitidine Vidaza® Acute myeloid leukaemia
 
NICE TAG399 
Formulary  BNF 8.1
Azelastine/ Fluticase Dymista® Moderate to severe allergic rhinitis

Formulary BNF 12.2
Azilsartan Edarbi® Hypertension

 Formulary BNF 2.5
Baloxavir marboxil  Xofluza NICE is unable to make a recommendation on baloxavir marboxil (Xofluza) for treating acute uncomplicated influenza in people aged 12 and over. - Terminated appraisal - NICE TA732  Formulary 5.3.4
Bazedoxefine Duavive® Oestrogen deficiency symptoms. 

 Formulary BNF 6.4
BCG vaccine   Travel vaccination  See Position   Statement
Belatacept Nulojix® Immunosuppressive therapy for kidney transplant in adults NICE TA481 (adults) NICE TA482 (Children and young adults)  Formulary BNF 8.2
Belimumab Benlysta NICE is unable to make a recommendation on belimumab (Benlysta) for treating lupus nephritis. [NICE TA806]. Appraisal terminated  Formulary BNF 10.1
Bendamustine Levact® Non-Hodgkins lymphoma. NICE TA206 

Appraisal terminated.

 Formulary  BNF 8.1
Bevacizumab  Avastin® NICE is unable to make a recommendation about the use in the NHS of bevacizumab with carboplatin, gemcitabine and paclitaxel for treating the first recurrence of platinum-sensitive advanced ovarian cancer because no evidence submission was received from Roche.
 NICE TA560
 Formulary BNF 8.1
Bevacizumab Avastin® Relapsed, platinum‑resistant epithelial ovarian, fallopian tube or primary peritoneal cancer.
NICE TA353 Appraisal terminated. 
 Formulary BNF 8.1

Bevacizumab Avastin®

Monotherapy or combination chemotherapy of metastatic colorectal cancer, 2nd line NICE TA242

 Formulary BNF 8.1
Bevacizumab Avastin® Lung cancer, NSC NICE TA148

 Formulary BNF 8.1
Bevacizumab Avastin® Renal cell carcinoma NICE TA178

 Formulary BNF 8.1
Bevacizumab Avastin®

In combination with a taxane for metastatic breast cancer, 1st line NICE TA214

 Formulary BNF 8.1
Bevacizumab Avastin® Diabetic Macular Oedema

 Formulary BNF 8.1
Bevacizumab Avastin® In combination with paclitaxel and carboplatin for 1st line treatment of advanced ovarian carcinoma NICE TA284  Formulary BNF 8.1
Bevacizumab Avastin® In combination with gemcitabine and carboplatin for treating  1st recurrence of platinum-sensitive advanced ovarian carcinoma
NICE TA285  
 Formulary BNF 8.1
Bevacizumab Avastin®
EGFR mutation-positive non-small-cell lung cancer (terminated appraisal) NICE TA436             
 Formulary BNF 8.1
Bezlotuxumab Zinplava®  Preventing current clostridium difficile infection -appraisal terminated -NICE TA601 Formulary BNF
Biatain-IBU®  Biatain-IBU®  Polyurethane foam film dressing  Wound Care  Formulary 
Blinatumomab Blincyto  Previously treated Pghiladelphia-chromosome- positive acute lymphoblastic leukaemia - NICE TA686 [Appraisal terminated]  Formulary 8.2.3
Bortezomib Velcade®  Multiple myeloma after second or subsequent relapse. terminate appraisal Formulary 8.1.5
Bosutinib Bosulif Untreated chronic myeloid leukamia in adults _ NICE TA576 - appraisal terminated
NOT recommended for prescribing on the NHS in Lancashire
Formulary 8.1.5
Botulinum Type A Botulinum Type A Uncomplicated chronic anal fissure

 Formulary BNF 1.7
 Botulinum Toxin Type A   Botulinum Type A Hyperhidrosis (excessive sweating) in people with social anxiety disorder. Formulary BNF
NICE CG159
  Botulinum Toxin Type A    Botulinum Toxin Type A  Cosmetic purposes. Not available available for cosmetic purposes, including the treatment of facial ageing or excessive wrinkles.

 See resources: 
Brentuximab vedotin Adcetris®  Untreated advanced Hodgkin lymphoma NICE TA594 - appraisal terminated.  Formulary BNF 8.1
Bromfenac Yellox® Postoperative inflammation following cataract surgery  Formulary BNF 11.8
Budesonide oral capsules Entocort® 2nd line corticosteroid option in crohn's disease when conventional corticosteroid not tolerated  Formulary BNF 1.5
Buspirone  Buspar®  Anxiety (short term use)

 Formulary  BNF 4.3
Cabazitaxel Jevtana® Prostate Cancer

 Formulary BNF 8.1
Cabozantinib  Cabometryx Not recommended  within its marketing authorisation for previously treated advanced differentiated thyroid cancer unsuitable for or refractory to radioactive iodine, in adults. See NICE TA928  Formulary BNF 8.1
 Cannabis based Medicinal products   Intractable nausea and vomiting, chronic pain and severe treatment-resistant epilepsy. NICE Cannabis-based medicinal products [updated March 2021
ForManagement of Chronic Pain - See Position Statement 
 Formulary BNF 4.7
Canakinumab Ilaris®  Gout NICE TAG281

 Formulary BNF 8.2.4
Cangrelor Kangrexal®  Reducing atherothrombotic events in people undergoing percutaneous coronary intervention or awaiting surgery requiring interruption of anti-platelet therapy. Appraisal terminated  NICE TA351
 Formulary BNF 2.9

 Cannabis extract - Dekta-9-   tetrahydrocannabinol (THC) 27mg and   Cannabidiol (CBD) 25mg oromucosal spray  Sativex®  Refractory neuropathic pain. Not recommended for prescribing on the NHS in Lancashire and South Cumbria  Formulary BNF 2.7
 Capmatinib  Tabrecta Advanced non-small-cell lung cancer with MET exon 14 skipping (terminated appraisal) - NICE TA884 Not recommended for prescribing on the NHS in Lancashire and South Cumbria  Formulary BNF 
Capsaicin 179 mg (8%) Patches  Qutenza® Peripheral neuropathic pain in non-diabetic patients  Formulary BNF 10.3
Carfilzomib [with daratumumab and dexamethasone]  Kyprolis Relapsed or refractory multiple myeloma in adults. Appraisal terminated - NICE TA841
Not recommended for prescribing on the NHS
 Formulary BNF 8.1
Carmustine implant Gliadel® Recurrent glioblastoma multiforme  NICE TA149 
Appraisal terminated.
 Formulary BNF 8.1
Casodex® Casodex® Generic Prescribing Only

 Formulary BNF 8.3
Cemiplimab Libtayo Untreated PD-L1-positive advanced or metastatic non-small-cell lung cancer in adults. Appraisal terminated NICE TA848  Formulary BNF 8.1
 Cemiplimab  Libtayo Recurrent or metastatic cervical cancer (terminated appraisal) NICE TA901  Formulary BNF 8.1
Cenegermin Oxervate  Not recommended, within its marketing authorisation, for treating moderate to severe neurotrophic keratitis in adults - NICE TA532  Formulary BNF 11
Cetuximab Erbitux®

Metastatic colorectal cancer 2nd line, (montherpay or combination chemo) NICE TA242

 Formulary BNF 8.1
 Cholestyramine 10% in  cetomacrogol   Refer patient back to original prescriber  Formulary BNF 13
Cilostazol
Pletal® 

Intermittent claudication              NICE TA223

 Formulary BNF 2.6
 Ciltacabtagene  Carvykti Relapsed or refractory multiple myeloma in adults - Appraisal Terminated - NICE TA889  
Clarithromycin Straws  Clarosip®  Discontinued 

 Formulary  BNF 5.1
Clarithromycin XL  Klaricid XL®  Respiratory tract infections

 Formulary BNF 5.1
Co-aprovel® Co-aprovel® Generic Prescribing Only

 Formulary BNF 2.5

Co-careldopa Intestinal Gel

Duodopa®  Severe Parkinson's disease  Formulary  BNF 4.9
 Cobimetinib Cotellic®  Unrescetable or metastatic BRAF V600 mutation positive melanoma, in combination with vemurafenib
NICE TA414
 Formulary BNF 8.1
Co-enzyme Q10/ Ubiquinone/ Ubidecarenone
Co-enzyme Q10 Except for mitochondrial disorders   Formulary BNF 9.8
Colesevelam Cholestagel®

Familial hypercholesterolaemia (combination or monotherapy)        

 Formulary BNF 2.12
Co-phenotrope   all brands Adjunct  to rehydration in acute diarrhoea  Formulary BNF 1.4
Co-proxamol  e.g. Cosalgesic®, Distalgesic®,                       Dolgesic®                        
Unlicensed and only available on named patient basis   Formulary  BNF 4.7
Cozaar® Cozaar® Generic Prescribing Only

 Formulary BNF 2.5
Crisaborole    Mild to moderate atopic dermatitis - appraisal terminated. Not recommended for prescribing on the NHS in Lancashire. NICE TA701  Formulary BNF 13.5.3
Crizotinib Xalkori® Previously treated non-small-cell lung cancer associated with an anaplastic lymphoma kinase fusion gene - not recommended by NICE TAG296  Formulary BNF 8.1
Dapoxetine Priligy® Premature ejaculation in men 18-64 years of age.   
 Formulary  BNF 7.4
Daratumumab Daralex ®  Relapsed or refractory multiple myeloma (with dexamethasone and lenalinomide), Appraisal terminated. Formulary BNF 8.1.5
Daratumumab Daralex ®
 Daratuzumab with lenalidomide and dexamethasone for untreated multiple myeloma - appraisal terminated. NICE was unable to make a recommendation as the company did not provide an evidence submission. Formulary BNF 8.1.5
Daratumumab with pomalidomide and dexamethasone Daralex® with Imnovid® and dexamethasone
 Relapsed or refractory multiple myeloma  - Appraisal terminated - NICE TA726 Not recommended for prescribing on the NHS in Lancashire Formulary BNF 8.1.5
Darvadstrocel Alofisel Darvadstrocel is not recommended, within its marketing authorisation, for previously treated complex perianal fistulas in adults with non-active or mildly active luminal Crohn's disease. - NICE TA556 Formulary BNF 1.5.2
Dasatinib Sprycel® Philadelphia-chromosome-positive acute lymphoblastic leukaemia in children and adults - NICE TA714 - appraisal terminated. Not recommended for prescribing on the NHS in Lancashire Formulary BNF 8.1.5
Decitabine Dacogen® Leukaemia, acute myeloid        NICE TA270. Appraisal terminated  Formulary BNF 8.1
Degludec with Liraglutide Xultophy® Type II diabetes mellitus.

 Formulary BNF 6.1
Denosumab
Xgeva® Bone loss in non-metastatic prostate cancer NICE TA194 Terminated appraisal.  Formulary BNF 6.6
Dexamethasone                       intravitreal implant Ozurdex® Repeat treatment for posterior uveitis.
Position Statement
Formulary  BNF 11.4
Dexibuprofen  Seractil®  Pain & inflammation  Formulary BNF 10.1
Dibotermin alfa InductOs® Non-union long bone fractures [unlicensed indication]  
Diclofenac Gel Patch  Voltarol Gel Patch®  Pain & inflammation  Formulary BNF 10.3
Diclofenac tablets All brands Non Steroidal Anti Inflammatory Drug  Formulary BNF 4.7
Dicycloverine Non-proprietary Intestinal smooth muscle relaxant  Formulary BNF 1.2
Diethylamine salicylate cream Algesal®  Rubifacient  Formulary BNF
Diovan® Diovan® Generic Prescribing Only  Formulary BNF 2.5
Dosulepin Prothiaden® Depressive illness  Formulary BNF 4.3

Diclofenac & Misoprostol

Arthrotec® Rheumatoid arthritis; osteoarthritis   Formulary BNF 10.1
Disofrol® Disofrol® Intractable cough, unlicensed import from USA  Formulary BNF 3.0
Dupilumab Dupixent® Chronic rhinosinusitis with nasal polyps NICE TA648  Formulary BNF 13
Durvalumab Durvalumab Untreated extensive-stage small-cell lung cancer [terminated appraisal] NICE TA662 Formulary BNF 8.1.
Duvelisib    Relapsed follicular lymphoma after 2 or more systemic therapies - NICE TA717 - appraisal terminated. Formulary BNF 8.1
 Duvelisib  Copiktra  NICE is unable to make a recommendation about the use in the NHS of duvelisib for treating relapsed or refractory chronic lymphocytic leukaemia after 2 or more treatments. NICE TA811 Appraisal terminated  Formulary BNF 8.1
E-Cigarettes E-Cigarettes Substitute to smoking tobacco
Position statement
 Formulary BNF 4.10
Eculizumab Soliris® Refractory myasthenia gravis - NICE TA636 - terminated appraisal Formulary BNF 8.1.5
Eculizumab Soliris®

 Relapsing neuromyelitis optica - NICE TA647 appraisal terminated

Formulary BNF 8.1.
Efalizumab Raptiva® Licence currently suspended.  Formulary BNF 10.1
Elfornithine  Vaniqa®  Facial hirsutism  
Elotuzumab  Empliciti Previously treated multiple myeloma (terminated appraisal) NICE TA434  Formulary BNF 8.2.3
Eltrompobag Revolade® Severe aplastic anaemia refractory to immunosuppressive therapy - terminated appraisal. NICE TA382
 Formulary  BNF 9.1
Enfortumab vedotin Padcev Previously treated locally advanced or metastatic urothelial cancer - NICE TA797. Not recommended for prescribign on the NHS in Lancashire  Formulary BNF
Entocort®
Entocort® Prescribe as Budenofalk®  Formulary BNF 1.5
Enzalutamide   Xtandi  Hormone-relapsed non-metastatic prostate cancer - not recommended by NICE TA580  Formulary BNF
Erdosteine  Erdotin®  Acute exacerbations of chronic bronchitis  Formulary  BNF 3.7
Eribulin  Halaven® Locally advanced or metastatic (secondary) breast cancer in adults who have had only 1 course of chemotherapy - not recommended as an option in NICE TA515  Formulary BNF 8.1
Erlotinib Tarceva®

Monotherapy for maintenance treatment of non-small-cell lung cancer. NICE TA227

 Formulary BNF 8.1
Escitalopram  Cipralex® 

BLACK for Depression. GREEN for Generalised Anxiety Disorder

 Formulary BNF 4.3
Esketamine nasal spray  Spravato  Treatment-resistant depression in adults. Not recommended, within its marketing authorisation as by NICE TA854  Formulary BNF 4.3
 Esketamine nasal spray  Spravato  Treatment of major depressive disorder in adults at imminent risk of suicide Appraisal terminated - see NICE TA899 Formulary BNF 4.3
Estriol 0.1% vaginal cream  Gynest® (Ortho)  Topical HRT  Formulary BNF 7.2
Everolimus Certican® Preventing organ rejection in  liver transplant. NICE TAG348
 Formulary BNF 8.1
 Everolimus Certican® Immunosuppressive therapy for kidney transplant in adults NICE TA481 (adults) NICE TA482 (Children and young adults)  Formulary BNF 8.2
 Evolocumab  Repatha®  Prevention of cardiac events on patients with CHD and a history of ACS , in combination with a statin  Formulary 2.12

Ezetimibe & Simvastatin 

Inegy® 

Primary (heterozygous-familial & non-familial) cholesterolaemia Prescribe separately, NICE TA132

 Formulary BNF 2.12
Fampridine Fampyra® Multiple sclerosis: mobility problems.
See NICE NG22
 NICE guidance       NG 220
Fentanyl Lozenge  Actiq®  Severe chronic pain  Formulary  BNF 4.7
Fentanyl nasal spray Instanyl®, PecFent®  Severe chronic pain  Formulary BNF 4.7
Fentanyl sublingual Abstral®, Effentora® Severe chronic pain  Formulary BNF 4.7
 Ferric Maltol Feracrru®  Iron Deficiency Anaemia in patients with inflammatory bowel disease  Formulary BNF 9.1
Fluconazole capsules                           & suspension Diflucan® Breast ductal thrush  Formulary BNF 5.2
Fludarabine, oral  Fludara® Leukaemia, lymphocytic, 1st line monotherapy NICE TA119  Formulary BNF 8.1
Fluocinolone Acetonide         intravitreal implant Iluvien® Diabetic Macular Oedema         NICE TA271 - replaced by NICE TA301 - RED Traffic Light  Formulary BNF 11.4
Fluocinolone Acetonide         intravitreal implant  Iluvien®  Chronic diabetic macular oedema that has inadequately responded to previous therapy, in adults whose eyes have natural lenses (phakic eyes).   NICE TA613 Formulary BNF 11.4
               
Fluorouracil 0.5%                                  + salicylic acid 10% Actikerall® Actinic keratosis  Formulary BNF 13.8
Fluticasone & Formoterol             inhaler Flutiform® Asthma  Formulary BNF 3.2
Flupentixol (as dihydrochloride)    Depressive illness  Formulary BNF 4.0
Fluticasone furoate/Vilanterol Relvar® Ellipta®  COPD in adults
 Link to review
 Formulary BNF  3.1
Fluticasone furoate Avamys® Nasal allergies  Formulary BNF 12.2
Forceval® Forceval® BLACK for all indications except: Malabsorption = RED  Formulary BNF 9.6
Fulvestrant Faslodex® Breast cancer, locally advanced or metastatic. NICE TA239  Formulary BNF 8.3
Fulvestrant
Faslodex®
Locally advanced or metastatic oestrogen-receptor positive breast cancer in post menopausal women who have not had endocrine therapy before Formulary BNF 8.3
Gabapentin Liquid  Non-proprietary  Seizures, neuropathic pain Formulary BNF 4.8
Gamolenic Acid 

Efamast®  Epogam®   Evening Primrose Oil®  

Dietary supplement  
Gefitinib Iressa® Lung cancer, NSC, 2nd line.      NICE TA175 
Formulary  BNF 8.1
Gefitinib Iressa® Non-small-cell lung cancer that has progressed after prior chemotherapy. NICE TA374 

 

Formulary BNF 8.1

Gemcitabine infusion  Non-proprietary  In combination with carboplatin for treating the first recurrence of platinum‑sensitive ovarian cancer, as perNICE TA389  Formulary  BNF 8.1
Gentamicin & Hydrocortisone  Gentisone HC®    Eczematous inflammation in otitis externa Formulary BNF 12.1
Glasdegib with chemotherapy    Untreated acute myeloid leukaemia NICE TA646 - appraisal terminated Formulary BNF 8.1
Glucosamine Alateris®         
Glusartel
®
Osteoarthritis of the knee - NICE Do Not Do Recommendation Formulary BNF 10.1
 Gluten Free Food Products  Gluten Free Food Products  Coeliac disease or other gluten intolerances.  Link to  Commissioning  Statement
Golimumab Simponi®  BLACK for Methotrexate naive patients with Rheumatoid Arthritis. NICE TA224

RED as an option for Rheumatoid Arthritis NICE TA225, Psoriatic Arthritis NICE TA220 and Ankylosing Spondylitis NICE TA233

Formulary BNF 10.1
Golimumab  Simponi® Moderate to severe active ulcerative colitis.                   Position Statement Formulary  BNF 1.5
Grass pollen extract Grazax® 
Grass & tree pollen allergy.       New Drug Review
Formulary  BNF 3.4
 Haemophilus type b and Meningococcal group C conjugate vaccine  Menitorix  Adminstration in patients with rsepiratory conditions. Not recommended for prescribing on the NHS in Lancashire and South Cumbria. See supporting Document

 
Heliox® Heliox® Not commissioned for vocal chord dysfunction  
 Hepatitis B Vaccine    Travel vaccination  See Position   Statement
Hyaluronic Acid
Durolane®, Euflexxa®, Fermathron®, Hyalgan®,
Orthovisc®, Ostenil®,
Ostenil Plus®, RenehaVis®
Suplasyn®, Synocrom®, 
Synopsis®, Synvisc®,     SportVis®
Osteoarthritis (all joints) NICE CG177  (update of CG59) Formulary BNF 10.1
Hydrocortisone MR Plenadren®
Treatment of adrenal insufficiency
Formulary BNF 6.3
Hydrogen peroxide 1% cream
Crystacide®
Skin infection, infected eczema
Formulary BNF 13.11
Ibrutinib with bendamustine and rituximab 
 

Relapsed or refractory chronic lymphocytic leukaemia after systemic therapy (terminated appraisal) NICE TA437

Formulary BNF 8.1.5
Ibrutinib Imbruvica 


Untreated chronic lymphocytic leukaemia without a 17p deletion or Tp53 mutation (terminated appraisal) Formulary BNF 8.1.5
Ibrutinib [with rituximab] Imbruvica Untreated chronic lymphocytic leukaemia (appraisal terminated) Not recommended for prescribing on the NHS in Lancashire NICE TA703 Formulary BNF 8.1.5
Ibrutinib [with obinutuzumab]
Imbruvica Untreated chronic lymphocytic leukaemia and small lymphocytic lymphoma in adults. (appraisal terminated) NICE TA702  Formulary BNF 8.1.5
Ibrutinib [with rituximab] Imbruvica   (with rituximab) for treating Waldenstrom's macroglobulinaemia - NICE TA608 - appraisal terminated Formulary BNF 8.1.5
Icatibant
Firazyr®
Hereditary angioedema in patients with C1-esterase inhibitor deficiency.
Formulary BNF 3.4
Idelalisib
Zydelic® 


Follicular lymphoma that is refractory to 2 prior treatments (terminated appraisal) 
NICE TA328
Formulary BNF 8.1    
Idelalisib   Zydelic® 


 Chronic lymphocytic leukamia  Formulary BNF 8.1.5
Idelalisib  Zydelic®  Not recommended,within its marketing authorisation, for traeting Follicular lymphoma that has not responded to 2 prior lines of treatment in adults. NICE TA604 Formulary BNF 8.1
Idrolax®
Idrolax® 
Osmotic laxative
Formulary BNF 1.6
Imatanib, high dose
Glivec®
GIST, unresectable/ metastatic NICE TA209
Formulary BNF 8.1
Imipramine  Non-proprietary Neuropathic Pain Formulary BNF 4.7
Imiquimod 3.75%
Zyclara®
Actinic keratosis
Formulary BNF 13.8
Influenza Vaccine                                   (Intadermal)
Intanza®
9 or 15 microgram / strain
MMB Decision - INTERFACE
 Inositol Nicotinate   Hexopal®   Peripheral vascular disease.        NICE TA223 Formulary  BNF 2.6
 Insulin glargine/lixisenatide  Suliqua®▼  In combination with metformin for the treatment of adults with T2DM to improve glycaemic control when this has not been provided by metformin alone or metformin combined with another oral glucose lowering medicinal product or with basal insulin Formulary BNF 6.1
Intrabeam radiotherapy system   Adjuvant treatment of early breast cancer NICE TA501  
IQoro® device  IQoro® device  For treatment of hiatus hernia  
Isatuximab with carfilzomib and dexamethasone Sarclisa® with Kyprolis® and dexamethasone
Relapsed or refractory multiple myeloma - Terminated appraisal - NICE TA727 - Not recommended for prescribing on the NHS in Lancashire Formulary BNF 8.1.5
 Japanese Encephalitis Vaccine    Travel vaccination  See Position   Statement
 Ketamine (oral)  unlicensed

 Chronic pain - limited clinical evidence. 

 Formulary BNF  4.7
Ketamine infusion    Non - fromulary  Formulary BNF  4.7
Lapatinib
Tyverb®
In combination with an aromatase inhibitor for women who have been through the menopause and who have metastatic breast cancer that is hormone receptor and HER2 positive. NICE TA257
 Formulary BNF 8.1
Lenalidomide Revlimid®  Untreated multiple myeloma - appraisal terminated - NICE TA603 Formulary BNF 8.2.4
 Lenalidomide  Revlimid®  Relapsed or refractory mantle cell lymphoma - appraisal terminated - NICE TA774 Note recommended for prescribing on the NHS in Lancashire. Formulary BNF 8.2.4
Lesinurad  Ziurampic®   Chronic hyperuricaemia in adults with gout - not recommended by NICE TA506  Formulary BNF
Levocetirizine
Xyzal®
Antihistamine
 Formulary  BNF 3.4
Levomepromazine tablets 6mg Non -proprietary  Pain, nausea, agitation in palliative care.  Formulary  BNF 4.6
Levothyroxine Liquid   Hypothyroidism   Formulary BNF 6.2
Lidocaine/Prilocaine Spray Fortacin®  
 Primary premature ejaculation in adult men Formulary BNF 7.4.5
 Liothyronine 20mcg tablets   Monotherapy for the chronic management of hypothyroidism - not licensed. Not for use by the NHS in Lancashire  
 Liothyronine 20mcg tablets    Management of resistant depression - not licensed, Not for use by the NHS in Lancashire  
Liothyronine 20mcg tablets
   Liothyronine therapy commenced in the private sector. Not recommended for prescribing on the NHS in Lancashire  
Lipitor® Lipitor® Generic prescribing only  Formulary BNF 2.12
Liraglutide Saxenda®
Managing obesity in people aged 12 to 17 years - NICE TA749 (Appraisal terminated)
 Formulary BNF 6.1
Loprazolam  Non-proprietary
Hypnotic  Formulary  BNF 4.1
Lorlatinib  Lorviqua Not recommended for untreated ALK-positive advanced non-small-cell lung cancer in adults - NICE TA909  Formulary BNF 8.1
Lormetazepam 
Non-proprietary
Hypnotic  Formulary BNF 4.1
Losartan and                   Hydrochlorothiazide 
Cozaar Comp®
Hypertension
 Formulary  BNF 2.5
Losec®
Losec®
Generic Prescribing Only
 Formulary BNF 1.3
Loxapine

Acute agitation and disturbed behaviours associated with schizophrenia and bipolar disorder NICE TA286
 Formulary BNF 4.2
Lumacaftor-ivacaftor
Orkambi
Cystic Fibrosis in people 12 years and older who are homozygous  for the F508del mutation
NICE TAG398 
 Formulary BNF 3.7
Lumiracoxib
Prexige®
Discontinued  Formulary  BNF 10.1
Luspatercept Reblozyl Anaemia caused by beta-thalassaemia. Appraisal terminated NICE TA843 Not recommended for prescribing on the NHS  Formulary 8.1
 Luspatercept  Reblozyl Anaemia caused by myelodysplastic syndromes. Appraisal terminated NICE TA844 Not recommended for prescribing on the NHS  Formulary 8.1
Lutein 

ICAPS®,                           Vitalux Plus®

Dietary supplement
 ICAPS - New Drug Review
 Lutetium‑177 vipivotide tetraxetan  Pluvicto  not recommended, within its marketing authorisation, for treating prostate-specific membrane antigen (PSMA)-positive hormone-relapsed metastatic prostate cancer in adults as by NICE TA930  Formulary 8.1
Melatonin
Circadin®
Primary insomnia in adults 
 Formulary  BNF 4.1
Melphalan Phelinum Haematological diseases before allogenic haematopoietic stem cell transplant - Appraisal terminated - NICE TA822  Formulary BNF 8.1
Meningitis Vaccine    Travel Vaccination  See Position   Statement
Mepolizumab  Nucala Eosinophilic granulomatosis with polyangiitis in people 6 years and over. Appraisal terminated. NICE TA845 Not recommended for prescribing on the NHS  Formulary BNF 3.3
Mepolizumab
 Nucala Severe hypereosinophilic syndrome in adults, Appraisal terminated. NICE TA846 Not recommended for prescribing on the NHS  Formulary BNF 3.3
Mepolizumab
 Nucala  Severe chronic rhinosinusitis with nasal polyps in adults. Appraisal terminated. NICE TA847 Not recommended for prescribing on the NHS  Formulary BNF 3.3
Methylnaltrexone
Relistor® Opioid-induced  bowel dysfunction in people with advanced illness receiving palliative care NICE TAG277  & NICE TA468
 Formulary BNF 1.6
Minocycline tablet   Acne  Formulary BNF 13.6
Minocycline MR
Acnamino®MR, Minocin MR®, Sebomin MR®
Acne
 Formulary BNF 13.6
Mirapexin®
Mirapexin®
Generic Prescribing Only
 Formulary BNF 4.9
Mitapivat Pyrukynd® Pyruvate kinase deficiency - appraisal terminated NICE TA867. Not to be prescribed on the NHS in Lancashire and South Cumbria  Formulary BNF
Modulen IBD® 
Modulen IBD® 
Food supplement
 Formulary BNF 
Mosunetuzumab Lunsumio Relapsed or refractory follicular lymphoma in adults. NICE TA892. Not to be prescribed on the NHS in Lancashire and South Cumbria  Formulary 8.2.3
Mugard® 
Mugard® 
Mucositis from cancer therapy
 Formulary BNF 12.3 
Mycophenolate Sodium  Myfortic®, Ceptava®
Immunosuppressive therapy for kidney transplant in adults NICE TA481 (adults) NICE TA482 (Children and young adults) Formulary BNF 8.2

Naproxen & Esomeprazole

Vimovo®
Pain & inflammation
Formulary BNF 10.1
Naltrexone-bupropion Mysimba®   Management of overweight and obesity in   adults NICE TA494 Not recommended for     prescribing on the NHS  Formulary BNF 4.
Naltrexone

Nalorex®                   Opizone®

Treatment of advanced ovarian cancer
 Formulary BNF 4.
Nebulised Amoxycillin

Not licensed for use via nebulised route for bronchiectasis or any other indication
 Formulary
Necitumumab
Portrazza
Untreated advanced or metastatic squamous non-small-cell lung cancer. NICE TA411
 Formulary BNF 8.2
Nefopan  all brands  Non opioid analgesia  Formulary BNF 4.7
Sodium hydrogen carbonate capsules Nephrotrans® 500mg gastro-resistant capsules  Metabolic acidosis and maintenance treatment against recurrence of metabolic acidosis in adults with chronic renal impairment  Formulary BNF
Nicotine Strips
NiQuitin Strips®
Nicotine Replacement Therapy
 Formulary BNF 4.10
Nivolumab Opdivo®  Not recommended within its marketing authorisation , for treating locally advanced unresectable or metastatic urothelial carcinoma in adults - as per NICE TA530 Formulary BNF 8.1.5
Nivolumab with ipilimumab and chemotherapy  Opdivo® with Yervoy and chemotherapy Not recommended within its marketing authorisation  for untreated metastatic non-small-cell lung cancer  - NICE TA724   Formulary BNF 8.1.5
Norfloxacin
Utinor®
Prophylaxis of spontaneous bacterial peritonitis
 Formualry BNF 5.1
Nortriptyline Non-proprietary Depressive illness  FormularyBNF 4.3
Ofatumumab
Arzerra® 

Chronic lymphocytic leukaemia, NICE TA202

 Formulary  BNF 8.2
 Ofatumumab   Arzerra®   Chronic lymphocytic leukaemia (with chemotherapy)   Formulary BNF8.2.3

Olanzapine Embonate Depot  Injection

 ZypAdhera®
Schizophrenia
 Formulary BNF 4.2
Olaparib  Lynparza® BRCA mutation-positive HER2-negative metastatic breast cancer after chemotherapy. NICE TA762 [terminated appraisal] Formulary BNF 8.1
Olaparib  Lynparza® Maintenance treatment of BRCA mutation-positive metastatic pancreatic cancer after platinum-based chemotherapy. NICE TA750 (Appraisal terminated) Formulary BNF 8.1.5
 Olopatadine hydrochloride and Mometasone   Furoate Monohydrate nasal spray  Ryaltris®  Treatment of moderate to severe nasal symptoms associated with allergic rhinitis in adults and adolescents aged 12 years and older Formulary BNF 12.2
 Omalizumab
 Xolair®

BLACK for children under 6 . RED for adults and children over 6.  NICE TA278

 Formulary BNF 3.3
 Omalizumab   Xolair®  Chronic rhinosinusitis with nasal polyps.
 Not recommended for prescribing on the NHS   in Lancashire. NICE TA678 (Appraisal   terminated)
 
 Formulary BNF 3.4.
 Omega-3 acid ethyl esters
 Omacor®  Hyper-triglyceridaemia. NHS England has   identified this product as an item that should   not  be routinely prescribed in primary care. It is   available to purchase over the counter  Formulary BNF 2.12
 Omeprazole liquid  Non-proprietary  Gastro-oesophageal reflux Formulary BNF 1.3.5
 Ospemifene  Senshio® Moderate to severe symptomatic vulvar and   vaginal atrophy in post-menopausal women   who are not candidates for local vaginal   oestrogen therapy Formulary BNF 7.2.1
 Oxycodone hydrochloride/    naloxone hydrochloride
 Targinact®
 Restless Legs Syndrome
 Formulary  BNF 4.9
 RLS Guidelines 
 Oxycodone hydrochloride/         naloxone hydrochloride
 Targinact®
 Severe pain
 Formulary BNF 4.7
 Ozanimod  Zeposia® Relapsing–remitting multiple sclerosis in adults with clinical or imaging features of active disease. Not recommended for prescribing on the NHS in Lancashire - NICE TA706  Formulary BNF 8.2
 Omega-3 acid ethyl esters
 Omacor®
Post Myocardial Infarction. NHS England has identified this product as an item that should  not be routinely prescribed in primary care. It is available to purchase over the counter
 Formulary BNF 2.12
Paclitaxel

Abraxane®,                   Taxol®

Breast cancer, early (NICE TA108)
 Formulary BNF 8.1
Paclitaxel
Abraxane®
Paclitaxel as albumin-bound nanoparticles with carboplatin for untreated non-small-cell lung cancer (terminated appraisal). NICE TA362 
 Formulary BNF 8.1
 
Padeliporfin Tookad®  Padeliporfin is not recommended, within its marketing authorisation, for untreated, unilateral, low-risk prostate cancer in adults - NICE TA546  Formulary BNF 
Paliperidone tablets
Invega®
Schizophrenia
 Formulary BNF 4.2
Panitumumab (in combination with chemotherpay)
Vectibix®
Metastatic colon cancer (appraisal terminated)  NICE TA240 updated March 17
 Formulary  BNF 8.1
Panitumumab
Vectibix®
Monotherpay of metastatic colorectal cancer 2nd line (NICE TA242)
 Formulary  BNF  8.1.5
Paricalcitol
Zemplar®
Secondary hypoparathyroidism
 Formulary  BNF 9.6
Pegaptanib 
Macugen®

Age-related macular degeneration, (NICE TA155)

 Formulary  BNF 11.8
Pegloticase
Krystexxa®
Gout (NICE TA291)
 Formulary BNF 10. 
Pegylated liposomal irinotecan Onivyde  Pancreatic cancer in adults  after gencitabine (NICE TA440) Formulary BNF 8.1
Pembrolizumab Keytruda®  Not recommended as an option to treat relapsed or erfarctory classical Hodgkin lymphoma in adults who have had auologous atem cell transplant and brentuximab vedotin as per NICE TA540 Formulary BNF 8.1
 Pembrolizumab Keytruda® Recurrent or metastatic squamous cell carcinoma of the head and neck after platinum-based chemotherapy (NICE TA570) - appraisal terminated.
NOT recommended for prescribing on the NHS in Lancashire
Formulary BNF 8.1.5
 Pembrolizumab  Keytruda® Not recommended, with axitinib, for untreated advanced renal cell carcinoma NICE TA650 Formulary BNF 8.1.5
 Pembrolizumab  Keytruda®  Not recommended for prescribing on  the   NHS in Lancashire NICE TA674 [appraisal terminated]   Formulary BNF 8.1
 Pembrolizumab   Keytruda® Locally advanced or metastatic urothelial carcinoma after platinum-containing chemotherapy in adults - NICE TA692 [replaces NICE TA519] Not recommended for prescribing on  the   NHS in Lancashire  Formulary BNF 8.1
 Pentoxifylline
 Trental® 

Peripheral vascular disease, (NICE TA223)

 Formulary BNF 2.6
 Perindopril Arginine 
 Coversyl®
Use generic perindopril erbumine
 Formulary  BNF 2.5
 Pioglitazone15mg/                   Metformin 850mg
 Competact®
Type 2 diabetes mellitus
 Formulary BNF 6.1
 Pitolisant  Wakix®  Narcolepsy with or without cataplexy in adults  Formulary BNF 4.4
 Pitolisant hydrochloride   Not recommended, within its marketing authorisation:  Excessive daytime sleepiness caused by obstructive sleep apnoea - NICE TA776 , Not recommended for prescribing on the NHS in Lancashire  Formulary BNF 4
 Plavix® 
 Plavix®   Generic prescribing only - Plavix may be supplied against a generically written prescription.
Formulary BNF 2.9
 Pomalidomide  Imnovid®  Relapsed or refractory multiple myeloma (with bortezomib and dexamethasone) - NICE TA602 - appraisal terminated Formulary BNF 8.2.4
 Potassium hydroxide 5%  Molludab ®  Molluscum  Formulary BNF
 Prasterone Intrarosa®  Vulvar and vaginal atrophy in postmenopausal women having moderate to severe symptoms  Formulary BNF 7.2
 Pralsetinib  Gavreto Pralsetinib is not recommended, within its marketing authorisation, for treating RET fusion-positive advanced non-small-cell lung cancer (NSCLC) in adults who have not had a RET inhibitor before. NICE TA812  Formulary BNF 8.1
 Praxilene® 
Praxilene® 
Generic prescribing only
 Formulary BNF 2.6
 Prednisolone Soluble All brands
Suppression of inflammation and allergic disorders
 Formulary BNF 6.3
 Prednisolone 5mg EC
Deltacortril®
Use non-EC tabs, where possible, 2.5mg EC tabs remain GREEN
 Formulary BNF 6.3
 Prednisone
Lodatra®
Moderate to severe rheumatoid arthritis 
 Formulary BNF 6.3
Pregabalin
Lyrica®
Generalised Anxiety disorder       Joint Formulary for  Psychotropic Medication  LCFT
 Formulary BNF 4.3
 
Pregabalin 
Lyrica® 
Epilepsy only 
 Formulary BNF 4.8
Pregabalin Liquid  all brands Epilepsy, GAD, neuropathic pain   Formulary BNF 4.7
Progesterone Cream 

Unlicensed 
 Formulary BNF 6.4
Promethazine tablets 10mg, 25mg, liquid 5mg/5mL Promethazine  Not to be prescribed as a hypnotic: non-formulary indication consistent with the advice in the BNF that has determined that promethazine is “less suitable for prescribing"  Formulary BNF 4.1
 Rabeprazole   Rabeprazole  Gastro-oesophageal reflux  Formulary BNF 1.3
Rabies vaccine   Travel vaccination  See Position   Statement
Ramucirumab
Cyramza®
Advanced gastric cancer or gastro-oesophageal junction adenocarcinoma previously treated with chemotherapy. 
NICE TAG 378
 Formulary BNF 8.3 
Ramucirumab
Cyramza®
locally advanced or metastatic non-small-cell lung cancer , in combination with docetaxel, in adults whose disease has progressed after platinum-based chemotherapy. NICE TA403 
 Formulary BNF 8.1
                   
Ramucirumab
Cyramza®
With erlotinib for untreated EGFR-positive metastatic non-small-cell lung cancer NICE TA635 - terminated appraisal Formulary BNF 8.1.5
Ramucirumab Cyramza® Unresectable hepatocellular carcinoma in adults who have had sorafenib - NICE TA609 - terminated appraisal Formulary BNF 8.1
Ranibizumab Lucentis®  Diabetic retinopathy - NICE TA637 - terminated appraisal Formulary BNF 11.8.2
Recombinant human parathyroid hormone    Hypoparathyroidism - appraisal terminated Formulary 6.6
Regorafenib 
Stivarga®
Metastatic colorectal cancer after treatment for metastatic disease (terminated appraisal) NICE TA334
Formulary BNF 8.1
                    
Regorafenib   Stivarga® Previously treated advanced hepatocellular carcinoma in adults - not recommended  as an option in NICE TA514 Formulary BNF 8.1
RESPeRATE ®
RESPeRATE®
Black for Adjunct treatment of Hypertension
Formulary BNF 2.5
Retapamulin 
Altargo®
Superficial bacterial infections
Formulary BNF 13.10
Ripretininb  Qinlock Not recommended for treating advanced gastrointestinal stromal tumour in adults after 3 or more treatments as by NICE TA881  Formulary BNF 8.1
Risedronate
Actonel®
Osteoporosis, primary prevention (NICE TA160)
 Formulary BNF 6.6
Rituximab
MabThera®
Pemphigus
 Formulary BNF 8,2
Rituximab
MabThera®
Multi drug resistant, steroid dependent, frequently relapsing nephrotic syndrome
 Formulary BNF 8.2
Rituximab
MabThera®
Resistant coeliac disease
 Formulary BNF 8.2
Ruxolitinib   Acute graft versus host disease refractory to corticosteroids in people aged 12 and over. Appraisal terminated NICE TA839  Formulary BNF 8.1
Ruxolitinib   Chronic graft versus host disease refractory to corticosteroids in people aged 12 and over. Appraisal terminated. NICE TA840  Formulary BNF 8.1
Safinamide Xadago®
 Idiopathic Parkinson's disease
New Medicines Recommendation
 Formulary  BNF 4.9
Salbutamol SR tablets
Ventmax SR®
Asthma
 Formulary BNF 3.1
Salmeterol MDI
Neovent®
Asthma
 Formulary BNF 3.1
Sea Water nasal drops
Sterimar® 
Nasal decongestant
 Formulary BNF 12.2
Selenium
Oral food supplement
Post bariatric surgery - patient to purchase own. link to Guidelines
 Formulary BNF 9.5
Selinexor [with low dose dexamethasone]   Refractory multiple myeloma in adults. Appraisal terminated. Not recommended for prescribing on the NHS in Lancashire NICE TA700  Formulary BNF 8.1.5
Semaglutide   Wegovy Managing overweight and obesity in young people aged 12 to 17 years (terminated appraisal)  Formulary
Sertindole
Serdolect® 
Schizophrenia
 Formulary BNF 4.2
Silicone Gel Sheets
Scarsil®, Silgel STC-SE®,   Dermatix®, Ciltech®,          NewGel®,  Kelocote®,        Advasil Conform ®,      Cica-Care®
Hypertrophic and keloid scarring
 Formulary  woundcare
Silk Garments

Dermasilk®,         Dreamskin®,                Skinnies Silk TM

Eczema/atopic dermatitis
 ELHE Position statement
Simeprevir
Olysio®
Simeprevir in combination with sofosbuvir for treating genotype 1 or 4 chronic hepatitis C (terminated appraisal). NICE TA361
 Formulary BNF 5.3
                    
Simvastatin Suspension
Rosemont brand
Primary hypercholesterlaemia
 Formulary BNF 2.12
Sipuleucel-T

Asymptomatic or minimally symptomatic metastatic hormone-relapsed prostate cancer as by NICE TA332
 Formulary BNF 8.3
                    
Sirolimus Rapamune® Immunosuppressive therapy for kidney transplant in adults NICE TA481 (adults) NICE TA482 (Children and young adults)  Formulary BNF 8.2
Sitagliptin & Metformin
Janumet®

Type II Diabetes, (prescribe drugs separately)

 Formulary BNF 6.1
 Slow-release potassium bicarbonate-potassium citrate  Sibnayal Distal renal tubular acidosis- Appraisal terminated- not recommended for prescribing on the NHS in Lancashire  Formulary BNF 9.2
Sodium Chondroitin sulphate 2% bladder washout
Uracyst®
Painful bladder syndrome
 Formulary BNF 7.4
Sodium Hyaluronate Injection
Durolane®                   Hyalgan®                        Ostenil®

BLACK for OA of the knee.           RED for all other indications

 Formulary BNF 10.1
 Sodium hydrogen carbonate capsule

 Nephrotrans® 500mg gastro-resistant capsules   Metabolic acidosis and maintenance treatment against recurrence of metabolic acidosis in adults with chronic renal impairment  Formulary BNF
Solifenacin 6mg/                         tamsulosin 400mcg MR
Vesomni®
Symptoms associated with benign prostatic hyperplasia
 Formulary  BNF 7.4
 Solriamfetol    Not recommended, within its marketing authorisation. to improve wakefulness and reduce excessive daytime sleepiness in adults with obstructive sleep apnoea - see NICE TA777   
Sorafenib
Nexavar®
Renal cell carcinoma (NICE TA178)
 Formulary BNF 8.1
SQ HDM SLIT  Acarizax Treating allergic rhinitis and allergic asthma in adults caused by house dust mites. Not Recommended for prescribing on the NHS in Lancashire.  APPRAISAL TERMINATED NICE TA834
 Formulary BNF 3.4

St Johns Wort (Hypericum)

  Depression 
 Formulary  BNF 4.3
Sunitinib
Sutent®
Renal cell carcinoma (NICE TA178)
 Formulary BNF 8.1
Tabelecleucel  Ebvallo Post‑transplant lymphoproliferative disorder caused by the Epstein‑Barr virus. Not Recommended for prescribing on the NHS in Lancashire. APPRAISAL TERMINATED  Formulary BNF 8.1
Tacrolimus Prolonged Release Advagraf®, Envarsus  Immunosuppressive therapy for kidney transplant in adults NICE TA481 (adults) NICE TA482 (Children and young adults)  FormularyBNF 8.2
Tadalafil
Cialis®
Benign prostatic hyperplasia
 (NICE TA273)
 Formulary BNF 7.4
Tadalafil once daily
Cialis®
Post prostatectomy
 Formulary BNF 7.4
Tadalafil 2.5
Cialis®
Erectile Dysfunction
 Formulary BNF 7.4
Tafamidis Vyndaqel®
Transthyretin amyloidosis with cardiomyopathy. Not recommended for prescribing on the NHS in Lancashire.
NICE TA696
 Formulary BNF 4.9
Tafasitamab with lenalidomide  Minjuvi Relapsed or refractory diffuse large B-cell lymphoma in adults who cannot have an autologous stem cell transplant - NICE TA883
Not recommended for prescribing on the NHS in Lancashire and South Cumbria
 Formulary BNF 8.1
 Tagrazofusp  Elzonris Blastic plasmacytoid dendritic cell neoplasm (terminated appraisal) - NICE TA782 - Not recommended for prescribing on the NHS in lancashire  Formulary BNF
Tamsulosin MR Tablets
Flomaxtra XL®
Benign prostatic hyperplasia
Formulary  BNF 7.4
Tapentadol MR
Palexia SR®
Not recommended for use as a treatment option  for intractable neuropathic pain in non-palliative care patients. Link to  Position Statement
Formulary BNF 4.7.2

Tapentadol MR
Palexia SR®
Not recommended for use as a treatment for non-specific pain. Link to  Position Statement
Formulary  BNF 4.7

Taurine
Taurine
Supplementation in Cystic Fibrosis Liver Disease

Teclistamab Tecvayli®  Realpsed or refractory multiple myeloma after 3 or more therapies = appraisal terminated NICE TA869 Not to be prescribed on the NHS in Lancashire and South Cumbria  Formulary BNF 8.1
Telbivudine 
Sebivo® 
Chronic Hepatits B 
 Formulary BNF 5.3
Temsirolimus 
Torisel®
Renal cell carcinoma (NICE TA178)
 Formulary BNF 8.1
Temsirolimus
Torisel® 

Mantle Cell Lymphoma, (NICE TA207)

 Formulary BNF 8.1
Tenofovir alafenamide   Chronic hepatitis B (terminated appraisal) NICE TA 435 Formulary BNF 8.2.3
Testosterone gel
Testim®
Female sexual dysfunction post oophorectomy or primary ovarian failure
 LMMG new medicine assessment

Testosterone patches                        Testosterone mucoadhesive    buccal tablets.                           Testosterone gel

Intrinsa® 
Striant SR®

Testogel®
Hypoactive sexual desire in surgically induced menopause. Link to New Drug Review
Formulary BNF 6.4

Testosterone mucoadhesive   buccal tablets

Striant SR®
Hypogonadism
 Formulary BNF 6.4

Testosterone Patches Testosterone mucoadhesive  buccal tablets

Testosterone gel

Intrinsa® 

Striant SR®


Testogel®
Male low libido
 Formulary 6.4
Tick Borne Encephalitis vaccine    Travel vaccination  See Position   Statement
Tisagenlecleucel Kymriah® Relapsed or refractory follicular lymphoma in adults after 2 or more therapies. Appraisal terminated. NICE TA842 Not recommended for prescribing on the NHS in Lancashire.  Formulary 8.2.4
Tixagevimag Evusheld®  Tixagevimab plus cilgavimab is not recommended, within its marketing authorisation, for preventing COVID-19 - See NICE TA900  Formulary 5.3
Tolvaptan
Samsca®
Hyponatraemia
 Formulary BNF 6.5
Topotecan, IV
Non-proprietary
Lung cancer, small cell (NICE TA184)
 Formulary BNF 8.1
Topotecan, IV
Non-proprietary
Not recommended within its marketing authorisation for treating the first recurrence of platinum‑sensitive ovarian cancer. NICE TA389
 Formulary BNF 8.1
         
Topotecan, IV
Non-proprietary
Recurrent platinum‑resistant or platinum‑refractory ovarian cancer (not recommended) in NICE TA389
 Formulary BNF 8.1
                    
Trabectedin
Yondelis®

Relapsed platinum sensitive ovarian cancer when in combination with PLDH. (NICE TA222)

 Formulary BNF 8.1
Trabectedin
Yondelis®
Trabectedin in combination with PLDH is not recommended within its marketing authorisation for treating the first recurrence of platinum‑sensitive ovarian cancer. NICE TA389
 Formulary  BNF 8.1
                        
Tramadol and Paracetamol
Tramacet®
Moderate to severe pain
 Formulary  BNF 4.7
Trastuzumab
Herceptin®
In combination with an aromatase inhibitor for women who have been through the menopause and who have metastatic breast cancer that is hormone receptor and HER2 positive (NICE TA257)
 Formulary BNF 8.1
Trastuzumab deruxtecan  Enhertu HER2-positive unresectable or metastatic gastric or gastro-oesophageal junction cancer after anti-HER2 treatment. Appraisal terminated NICE TA879  Formulary BNF 8.1
Triamcinolone Hexadetonide Injection

Approved for use for JIA only in ELHE - Not approved for other indications
 Formulary BNF 10.1
Trimipramine    Depressive illness/neuropathic pain  Formulary BNF 4.3
 TYRX Absorbable Antibacterial Envelope    Preventing infection from cardiac implantable electronic devices - appraisal terminated - nor recommended for prescribing on the NHS in Lancashire   Formulary BNF
Ulipristal  Esmya®  Intermittent treatment of moderate to severe symptoms of uterine fibroids in adult women of reproductive age. See MHRA Alert February 2018  Formulary 6.4
 Umeclidinium
 Incruse®▼
COPD  Formulary BNF 3.1
 Valsartan and Amlodipine
 Exforge®
Hypertension
 Formulary  BNF 2.6
 Vandetanib  Caprelsa Vandetanib is not recommended, within its marketing authroisation , for treating aggressive and symtomatic medullary thyroid canmer in adults as in NICE TA550  Formulary BNF 8.
 Vardenafil
 Levitra®
Those patients prescribed this before July 2012 may continue on it
 Formulary BNF 7.4
 Vedolizumab   Entyvio  Chronic refractory pouchitis after surgery   for ulcerative colitis in adults - Appraisal   terminated NICE TA826  Formulary BNF 
 Vericiguat  Verquvo® Chronic heart failure with reduced ejection fraction in adults. Terminated appraisal - NICE TA731. Not recommended for prescribing on the NHS in Lancashire  Formulary BNF 4.
 Vernakalant  Brinavess  Rapid conversion of recent onset atrial   fibrilation to sinus rhythm in adults . Not   recommend for prescribing on the NHS in   Lancashire. NICE TA675 [appraisal terminated]  
Formulary BNF 2.3.2
 Viagra®
 Viagra®
Generic Prescribing Only
 Formulary BNF 7.4
 Vinflunine
 Javlor®
Urothelial tract carcinoma
 Formulary BNF 8.1
 Vildagliptin
 Galvus® 

Type II Diabetes / Use sitagliptin 

 Formulary  BNF 6.1
 Vismodegib  Erivedge  Basal cell carcinoma  Formulary BNF 8.1
 Vitamin D capsules
 Fultium®
Vitamin D deficiency
 Formulary BNF 9.6
 Vitamins, minerals, supplements, herbal and homeopathic medicines without a product licence    Link to position statement  Formulary BNF 9
Yellow fever Vaccine    Travel vaccination  See Position   Statement
Zinc
Oral food supplement
Post bariatric surgery - patient to purchase own
  • Guidelines