Formulary Chapter 8: Malignant disease and immunosuppression - Full Chapter
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.
The initiation of treatment with a cytotoxic medicine must be by an experienced and specifically trained prescriber. This would normally be a Consultant but may be a non consultant specialist grade or ST doctor under supervision.
All prescribers may continue agreed treatments but they must have received generic training in the use of cytotoxics, specific training in relation to the actual medicine prescribed and be a Consultant or under the supervision of a Consultant.
FY1 and FY2 doctors are not allowed to prescribe intravenous cytotoxics but can assess patients as medically fit to receive them.
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 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).
Grey Drugs are locally-agreed medicines which are only recommended for restricted use within the Leeds Health Economy.
These drugs are not recommended for use within the Leeds Health Economy
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.