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 Formulary Chapter 24: Leeds Children's Hospital Formulary - Full Chapter
Notes:

The Leeds Children's Hospital Formulary is laid out in BNF chapter order. There are custom indexes for the following specialist areas:

Paediatric Intensive Care Unit (PICU)
Neonatal Intensive Care Unit (NICU)
Paediatric Cardiology

Chapter Links...
 Details...
24.03  Expand sub section  Respiratory system (paediatric)
Aminophylline
(paediatrics)
View SPC online View childrens BNF
Formulary  
Link  PICU Prescribing and Administration Guide (aminophylline)
Link  Acute asthma guideline (IV aminophylline guide embedded in guideline) (NHS access only)
   
Caffeine citrate
(paediatrics)
View SPC online View childrens BNF
Formulary
  • Caffeine should be prescribed as citrate in paediatric areas
  • Further information: BNF-c
  • Always prescribe as citrate. Levels are not required unless there is evidence of toxicity or ongoing apnoeas
  • Caffeine citrate 10mg/1ml mixture is an unlicensed preparation 
  • Link  BNFC dosing (caffeine)
       
    Hydroxychloroquine
    (paediatrics)
    View SPC online View childrens BNF
    Formulary
    Amber 2
    • There are several indications for hydroxychloroquine: please see here for other indications.
     
    Link  Amber Drug Guidance: Interstitial Pneumonitis in Children
       
    Magnesium sulphate (acute asthma)
    (paediatrics)
    View SPC online View childrens BNF
    Formulary  
    Link  Paediatric acute asthma guideline (magnesium IV guide embedded in guideline) (NHS access only)
       
    Omalizumab (Xolair)
    (paediatrics)
    View adult BNF View SPC online View childrens BNF
    Formulary In line with NICE TA133, by respiratory specialists in accordance with asthma clinic protocols 
    Link  Omalizumab guidelines (NHS access only)
       
    Oxygen
    (paediatrics)
    Formulary
  • LTHT: treat as a medicine and ensure it is prescribed on drug chart 
  • Link  Guidelines
    Link  LTHT Quality and Safety Matters: oxygen and air (May 18)
       
    Salbutamol
    (paediatrics)
    View SPC online View childrens BNF
    Formulary  
    Link  PICU Prescribing and Administration Guide (salbutamol)
    Link  Paediatric acute asthma guideline (salbutamol IV guide embedded in guideline) (NHS access only)
       
    Salbutamol (for SMA II and III)
    (paediatrics)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Red
  • In addition to licensed uses, supported for the management of spinal muscular atrophy II and III - see link below (for SMA II and III - RED
  • Link  DTG submission - salbutamol for SMA II and III
       
     ....
    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
    SMC
    Scottish Medicines Consortium
    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

    Medicines which are appropriate for initiation and ongoing prescribing in both primary and secondary care.  

    Amber 1

    Amber Level 1- Specialist Recommendation
    These medicines are considered suitable for GP prescribing following specialist recommendation.

    There is no requirement for full Amber Drug Guidance. Generic Amber Level 1 Drug Guidance detailing responsibilities and information sources is available here
      

    Amber 2

    Amber Level 2- Specialist Initiation but no monitoring requirements
    These medicines are considered suitable for GP prescribing following specialist initiation, including titration of dose and assessment of efficacy.
    Some Amber Level 2 products will have an associated Amber Level 2 Drug Guidance document, available by clicking on the traffic light symbol to the right of the drug name. If this is not available, generic Amber Level 2 Drug Guidance is available here  

    Amber 3

    Amber Level 3- Specialist Initiation with ongoing monitoring requirements (Full Amber Drug Guidance required)
    Medicines that should be initiated by a specialist, and which require significant monitoring on an ongoing basis. Full agreement to share the care of each specific patient must be reached under the amber drug agreement, and Amber Drug Guidance must be provided to the GP (available by clicking on the traffic light symbol to the right of the drug name).   

    Red

    Guidance on the responsibilities for Red Drugs can be found here. Red Drugs would usually by prescribed by the hospital for the duration of the course. Primary care prescriber initiation or continuation of treatment not recommended except by Specialist GP and community paediatric prescribing.   

    Grey

    Grey Drugs are locally-agreed medicines which are only recommended for restricted use within the Leeds Health Economy.   

    Black

    These drugs are not recommended for use within the Leeds Health Economy  

    Multiple

    Products shown as blue have different Traffic Light List classifications dependent on indication. See the accompanying text next to the product for further information the indications for which it has a Traffic Light List classification.  

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