netFormulary Oxfordshire Clinical Commissioning Group NHS
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 Formulary Chapter 14: Immunological products and vaccines - Full Chapter
Chapter Links...
Link   HPA: Vaccine incident guidance (actions to take in response to vaccine errors)
Link   MHRA: Live attenuated vaccines - Avoid use in those who are clinically immunosuppressed
Link   Public Health England: Splenectomy, leaflet for patients
Link   Public Health England: Splenectomy, patient alert card
Link   Routine immunisation schedule from summer 2016
Link   The DoH Green book on Immunisation against infectious disease
 Details...
14.05.02  Expand sub section  Disease-specific immunoglobulins
Hepatitis B immunoglobulin (HBIG)
View adult BNF View SPC online View childrens BNF 		Formulary
Red

Secondary care use only. 

 
Link  Immunoglobulin: when to use
   
Tetanus immunoglobulin
View adult BNF View SPC online View childrens BNF 		Formulary
Red

Secondary care use only. 

 
Link  Immunoglobulin: when to use
   
Varicella-Zoster immunoglobulin (VZIG)
View adult BNF View SPC online View childrens BNF 		Formulary
Red

Varicella-zoster immunoglobulin (VZIG) prophylaxis is recommended for individuals who fulfil all of the following three criteria:

  • Significant exposure to chickenpox (varicella) or shingles (zoster) during the infectious period,
  • At increased risk of severe chickenpox i.e. immunosuppressed individuals, neonates and pregnant women,
  • No antibodies to varicella-zoster virus (VZV). Urgent VZV antibody testing can be performed within 24 hours.

 
Link  Immunoglobulin: when to use
   
 link Link    DH: Clinical guidelines for immunoglobulin use (second edition update)
 link Link    HPA: Immunoglobulin handbook
 ....
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
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

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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