Oxfordshire Clinical Commissioning Group
Formulary
 
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1 Gastro-intestinal system
01-05-02 Corticosteroids

Hydrocortisone Colifoam®
First Choice

First choice steroid foam enema for IBD.


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Prednisolone
Formulary

Prescribe standard tablets only, enteric-coated tablets are black-listed due to lack of evidence of cost-efficacy.

APCO January 2011.

Link  UKMI Q&A: Prednisolone - Use plain, not EC tablets
Link  UKMI Q&A: Prednisolone - Use plain, not soluble tablets
 

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Prednisolone Predsol®
Formulary

Available as:

  • Retention enema and suppositories. 
  • Foam Enema - Hydrocortisone (Colifoam®) is first choice. Predfoam® has been discontinued, the generic replacement is more expensive than Colifoam®


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Budesonide Budenofalk®
Formulary

Suitable for prescribing in primary care following recommendation from gastroenterology only. 

Prescribe by brand name.


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Budesonide Cortiment MMX®
Formulary

Alternative to prednisolone if not tolerated (at the second line stage of treatment for UC). OUH will provide initial 8 week course but further courses may be requested for GP to prescribe for repeat flare up or via IBD advice line.

Must be brand specific prescribing.

Clinic/ IBD advice line should send specific prescribing information to GPs if requested (email template to be developed).

APCO November 2018.


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Beclometasone Clipper®
Non Formulary

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Budesonide Entocort®
Non Formulary

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Prednisolone
Non Formulary

Lack of evidence of cost-efficacy.

APCO January 2011.  

Link  UKMI Q&A: Q&A Is there any evidence to support the use of enteric coated (EC) over uncoated prednisolone tablets?
 

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Prednisolone Predenema®
Non Formulary

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