netFormulary NHS
Guildford And Waverley Joint Formulary
Guildford And Waverley CCG
Royal Surrey County Hospital NHS Foundation Trust
Welcome to the Royal Surrey County Hospital and Guildford and Waverley Clinical Commissioning Group Joint Formulary
For use by all primary and secondary care prescribers within the Trust and CCG. See about page.

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News Feed

BNF updates  June, 2019

Two new drug monographs have been added to the BNF in the last month: prasterone and doravirine. One new drug monograph has been added to the BNFC in the last month: mepolizumab. 
• Dose changes for atovaquone with proguanil hydrochloride to both the BNF and BNFC and to caffeine citrate in the BNFC.
• MHRA advice including restrictions and precautions for use of fluoroquinolone antibiotics and yellow fever vaccine fatal adverse reactions: extreme caution needed in those who are immunocompromised or aged 60 years and older.
• Updated guidance in-line with Public Health England recommendations including influenza vaccine and malaria prophylaxis. 

RSCH memo: Shortage of licensed liquid phenytoin  June, 2019

Please be aware there is a national shortage of licensed liquid phenytoin.

We have managed to source an unlicensed import from the US. Given the narrow pharmacokinetics of phenytoin please be aware when switching brands in patients who are firmly established on one brand of phenytoin liquid (usually the Epanutin brand in the UK) there may be a change in plasma levels when switching to the unlicensed product.

Please monitor patients for signs of altered seizure control and consider plasma levels if this is an issue. The product does not come with it's own patient information leaflet therefore pharmacy will supply a generic leaflet about phenytoin the drug from a UK source.  Contact your ward pharmacist if you have any concerns.

Update:  April, 2019 Manufacture of all strengths of fluphenazine decanoate (Modecate®) has ceased.  Prescribers should complete arrangements to transfer patients to therapeutic alternatives under medical supervision.  Some stock is still available to allow smooth transition to the alternative therapy. (expires August 2019 for 25mg/ml and August 2020 for 100mg/ml)

It is expected that all medicines prescribed in the Guildford and Waverley Area will be in accordance with this Formulary.  

Introduction of new medicines, and changes to traffic light classification of existing medicines, will be managed via the Drugs and Therapeutics Committee of the Royal Surrey County Hospital and the Medicines Optimisation Group at Guildford and Waverley CCG.  

If there is a need to prescribe a non-formulary medicine please contact the Royal Surrey Pharmacy or the CCG Medicines Management Team before initiating or recommending the medicine to the patient or other prescribers.

Contact Us

Please use the feedback button at the top of this page for:

  • any queries related to the formulary - we will endeavour to respond to you within 2 working days.  As this is the first draft of the new Formulary we welcome all feedback, including minor amendments.
  • any requests for consideration of medicines not currently in the Formulary or amendments of traffic light status.  Requests will be followed up in accordance with local priorities.

Any patient specific queries should not be submitted via this feedback form and prescribers should contact their hospital pharmacy team or local CCG medicines managment team in the usual way. 

To feedback secondary care prescribing concerns from RSCH please email using your secure e-mail account.

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   Last updated: 21/08/2019 12:00:26
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