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Airedale NHS Foundation Trust
Airedale, Wharfedale and Craven CCG
 
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 Formulary Chapter 3: Respiratory system - Full Chapter
Notes:
Unless explicitly stated, any brand names included in brackets next to a drug's generic name are there solely to aid searching and identification, and should not be considered to limit use to that specific brand. 
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03.01.05  Expand sub section  Peak flow meters, inhaler devices and nebulisers
Acapella Vibratory PEP Therapy System (Acapella)
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Restricted Drug Restricted
Amber

Acapella® is a medical device for use as a Positive Expiratory Pressure (PEP) device in patients with cystic fibrosis, COPD, ansthma and lung diseases to aid clearance of secretions.

  • On the recommendation of a specialist Respiratory Physiotherapist only.
 
   
03.01.05  Expand sub section  Peak flow meters
Low range peak flow meter (Pulmo-Aide)
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Formulary
Green

Peak flow meter (Pulmo-Aide low range)

 
   
Standard range peak flow meter (Pulmo-Aide)
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Formulary
Green

Peak flow meter (Pulmo-Aide standard range)

 
   
03.01.05  Expand sub section  Drug delivery devices
AeroChamber Plus (Drug delivery aid)
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Formulary
Green
For use with all pressurised (aerosol) inhalers
Standard device blue with mask or mouthpiece
Infant device orange with mask
Child device yellow with mask 
   
Volumatic (Drug Delivery Device)
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Formulary
Green
Volumatic
Volumatic with paediatric mask
 
   
Haleraid (Drug Delivery Device)
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Formulary
Red
Haleraid (120-dose, 200-dose)

Not available for prescribing in primary care 
   
Nebuliser kit (Drug Delivery Device)
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Formulary
Red
Nebuliser kit with adult mask
Nebuliser kit with mouthpiece 
   
03.01.05  Expand sub section  Nebulisers
03.01.05  Expand sub section  Nebuliser Diluent to top
 ....
Key
note Notes
Section Title Section Title (top level)
Section Title Section Title (sub level)
First Choice Item First Choice item
Non Formulary Item Non Formulary section
Restricted Drug
Restricted Drug
Unlicensed Drug
Unlicensed
Track Changes
Display tracking information
click to search medicines.org.uk
Link to adult BNF
click to search medicines.org.uk
Link to children's BNF
click to search medicines.org.uk
Link to SPCs
Cytotoxic Drug
Cytotoxic Drug
CD
Controlled Drug
High Cost Medicine
High Cost Medicine
Cancer Drugs Fund
Cancer Drugs Fund
NHSE
NHS England
Homecare
Homecare
CCG
CCG

Traffic Light Status Information

Status Description

Green

Green - Drugs suitable for generalised use in accordance with position summary. Inform primary care of need to prescribe using a TTO chart if in patient or Treatment Advice Note (TAN) if Outpatient.   

Amber

Amber - these drugs require specialist initiation or recommendation  

Amber SCG

Amber Share Care - Drugs suitable for generalist use, in accordance with position summary, normally following specialist initiation and stabilisation. Ongoing division of responsibility for drug and disease monitoring between specialist and GP by a Shared Care Guideline (SCG). If no SCG in place status reverts to red.  

Red

Red - Drugs for specialist use only, in accordance with position summary. GPs should not be asked to prescribe these products.  

Red ULM

Red ULM - Unlicensed medicines for specialist use only, in accordance with position summary. GPs should not be asked to prescribe these products.  

Grey

Grey drugs - No formal commissioning position. Check appropriate CCG /NHSE commissioning list or contact CCG/NHSE Medicines Management team for advice. Fill in individual funding request for appropriate CCG/NHSE. This will need to be signed by the Chief Pharmacist and a copy of the relevant DTC submission attached.   

Black

Black - Drugs not routinely commissioned so should not usually be prescribed  

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