Lancashire and South Cumbria
Formulary
Formulary
3 Respiratory system
When prescribing inhalers the drug, device (e.g. MDI, Easibreathe, Autohaler, Accuhaler), strength (micrograms per inhalation), number of puffs per dose and frequency MUST be specified
03-07 Mucolytics
| Carbocisteine |
|
Formulary
|
250mg/5ml oral solution and 750mg/10ml oral solution in sachet Restriction: only to be used for those with swallowing difficulties who can't take capsules. |
|
| Ivacaftor Kalydeco® |
|
Formulary
|
Tablets 150mg |
 NHSE: Clinical Commissioning Policy: Ivacaftor for Cystic Fibrosis (named mutations) |
|
| Mannitol Bronchitol® |
|
Formulary
|
Inhalation powder, hard capsule with device 40mg |
 NICE TA266: Mannitol dry powder for inhalation for treating cystic fibrosis |
|
|
Links
- NICE TA10: Guidance on the use of inhaler systems (devices) in children under the age of 5 years with chronic asthma
- Asthma action plan child: Asthma UK
- Asthma management plan: Asthma UK
- Clinical Commissioning Policy: Ivacaftor for Cystic Fibrosis (G551D gene)
- LSCMMG: Asthma Treatment Guideline for Adults
- LSCMMG: Asthma Treatment Guideline for Children
- LSCMMG: Chronic Obstructive Pulmonary Disease (COPD) Desktop Guideline
- MART asthma plan
- MHRA Drug Safety Update :Nebulised asthma rescue therapy in children: home use of nebulisers in paediatric asthma should be initiated and managed only by specialists
- MHRA: Ivacaftor, tezacaftor, elexacaftor (Kaftrio▼) in combination with ivacaftor (Kalydeco): risk of serious liver injury; updated advice on liver function testing
- MHRA: Ivacaftor, tezacaftor, elexacaftor (Kaftrio▼) in combination with ivacaftor (Kalydeco): risk of serious liver injury; updated advice on liver function testing
- MHRA: Ivacaftor, tezacaftor, elexacaftor (Kaftrio▼) in combination with ivacaftor (Kalydeco): risk of serious liver injury; updated advice on liver function testing
- MHRA: Pressurised metered dose inhalers (pMDI): risk of airway obstruction from aspiration of loose objects
- NHS England Clinical Commissioning Policy:Inhaled Therapy for Adults and Children with Cystic Fibrosis
- NHSE: Clinical Commissioning Policy: Ivacaftor for Cystic Fibrosis (named mutations)
- NICE NG115: Chronic obstructive pulmonary disease in over 16s: diagnosis and management
- NICE NG209: Tobacco: preventing uptake, promoting quitting and treating dependence
- NICE NG78: Cystic fibrosis: diagnosis and management
- NICE NG80:Asthma: diagnosis, monitoring and chronic asthma management
- NICE TA266: Mannitol dry powder for inhalation for treating cystic fibrosis
- NICE TA38: Inhaler devices for routine treatment of chronic asthma in older children (aged 5–15 years)
- NICE TA398: Lumacaftor–ivacaftor for treating cystic fibrosis homozygous for the F508del mutation
- NICE TA988: Ivacaftor–tezacaftor–elexacaftor, tezacaftor–ivacaftor and lumacaftor–ivacaftor for treating cystic fibrosis
- NICE TA988: Ivacaftor–tezacaftor–elexacaftor, tezacaftor–ivacaftor and lumacaftor–ivacaftor for treating cystic fibrosis
- NICE TA988: Ivacaftor–tezacaftor–elexacaftor, tezacaftor–ivacaftor and lumacaftor–ivacaftor for treating cystic fibrosis