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 Formulary Chapter 10: Musculoskeletal and joint diseases - Full Chapter
10.03.02  Expand sub section  Rubefacients, topical NSAIDs, capsaicin, and poultices
10.03.02  Expand sub section  Topical NSAIDs and counter-irritants
Ketoprofen 2.5% Gel (Oruvail ®, Powergel®)
(Gel )
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First Choice
Green

First line topical NSAID - one of the most cost-effective topical preparations available. 

APCO January 2013. 

 
Piroxicam Gel (Feldene®)
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First Choice
Green

First line topical NSAID - one of the most cost-effective topical preparations available. 

APCO January 2013.

 
Diclofenac Gel
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Restricted Drug Restricted
Brown

Available to purchase over the counter for short-term use.

Only prescribe if required for a chronic condition that is not expected to improve and where patient is not suitable for oral NSAIDs, in line with Clinical Commissioning Policy 88D

 
   
Ibuprofen Gel
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Restricted Drug Restricted
Brown

Available to purchase over the counter for short-term use.

Only prescribe if required for a chronic condition that is not expected to improve and where patient is not suitable for oral NSAIDs, in line with Clinical Commissioning Policy 88D.

 
   
10.03.02  Expand sub section  Capsaicin
10.03.02  Expand sub section  Poultices
 ....
 Non Formulary Items
Algesal
(Topical gel)

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Non Formulary
 
Diclofenac Gel Patch

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Non Formulary
 
Felbinac  (Traxam®)

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Non Formulary
 
Movelat  (Topical gel / cream)

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Non Formulary
 
Transvasin

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Non Formulary
 
  
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
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Link to adult BNF
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Link to children's BNF
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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

Red

Red: Medicines which should only be prescribed in secondary care by a specialist.  

Amber Continuation

Amber Continuation: Medicines which should be initiated or recommended by a specialist for continuation in primary care. The specialist must notify the GP that the prescribing responsibility has been transferred.   

Amber Shared Care Protocol

Amber Shared Care Protocol: Medicines which are appropriate to be initiated and stabilised by a specialist, once stabilised the medicine may be appropriate for responsibility to be transferred from secondary to primary care with the agreement of a GP and a formal ‘shared care’ agreement. The shared care protocol must be approved by the Area Prescribing Committee Oxfordshire (APCO).   

Green

Green: Medicines which are suitable for initiation and ongoing prescribing within primary care.   

Brown

Brown: Medicines which should only be prescribed in restricted circumstances.  

Black

Black: Medicines which are not recommended for use because of lack of evidence of clinical effectiveness, cost effectiveness or safety.  

OCCG Green

not used  

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