Formulary
County Durham and Darlington Formulary
Clinical Guidelines
Gastro-intestinal system
- Algorithm for the Management of Chronic Constipation (290 downloads)
- Azathioprine Shared Care Guideline (1204 downloads)
- Ciclosporin Shared Care Guideline (497 downloads)
- Mercaptopurine Shared Care Guideline (517 downloads)
- Methotrexate Shared Care Guideline (2361 downloads)
- Trans Anal Irrigation (TAI) for Refractory Chronic Constipation_Durham Constipation Clinic Guideline (230 downloads)
Cardiovascular system
- County Durham and Darlington DVT Pathway Information (1125 downloads)
- DVT Investigation Proforma – Enoxaparin (654 downloads)
- DVT Investigation Proforma – Rivaroxaban (1309 downloads)
- FATS7 Strategy for the Use of Cholesterol Lowering Drugs (1043 downloads)
- Guidelines for Prescribing in Atrial Fibrillation (1075 downloads)
- Hypertension Guidelines (1552 downloads)
- Patient Decision Aid for Treatment Options to Reduce Stroke Risk in Atrial Fibrillation (AF) (274 downloads)
- Sacubitril/valsartan (Entresto) for newly diagnosed or existing heart failure - Place in therapy (210 downloads)
Respiratory system
- Adult Asthma Inhaler Guide (5675 downloads)
- CD&D COPD Guideline (6883 downloads)
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (171 downloads)
Central nervous system
The following APC-approved mental health prescribing resources are available via the PHARMACY POLICIES AND PROCEDURES section of the Tees, Esk and Wear Valleys NHS Foundation Trust website:
Shared Care & Transfer of Prescribing
- Atomoxetine
- Formulary and prescribing transfer – a quick reference guide County Durham & Darlington, Tees, and Hambleton & Richmondshire
- Lisdexamfetamine – shared care guidelines
- Lithium
- Melatonin in children and adults
- Methylphenidate
- Psychotropic medication monitoring guide
- Safe Transfer of Prescribing Guidance
Guidelines
- ADHD Prescribing Guidelines Children and Young People
- Anxiety Medication Pathway Adults
- BPSD – Summary of pharmacological treatment options for Behavioural Psychological Symptoms of Dementia
- Clozapine and the role of therapeutic drug monitoring
- Dementia Care Pathway AChEI Decision Aid
- Depression pathway – handy hints when prescribing antidepressants
- Depression Medication Pathway for Adults
- Depression Pathway C&YP – guidance on pharmacological management
- Hyperprolactinaemia Management in Patients Receiving Antipsychotics
- Lithium NSAIDS SBARD
- Promazine deprescribing guidance
GP Leaflets
- Citalopram and Escitalopram Maximum Dose Reductions
- Clozapine – aide memoire for GPs
- Clozapine – important information about potentially fatal side effects
Additional material not available from TEWV
- Apomorphine Shared Care Guideline (343 downloads)
- Challenging Behaviour in People with Cognitive Impairment (294 downloads)
- Depression Pathway: Medication Guidelines for Primary and Secondary Care Monotherapies in Adult Mental Health (1350 downloads)
- Key Messages for Pain Management Scenarios (157 downloads)
- Lisdexamfetamine Shared Care Guideline (459 downloads)
- Melatonin Shared Care Guideline (678 downloads)
- Modafinil Shared Care Guideline (394 downloads)
- North of England Cancer Network Palliative and End of Life Care Guidelines (915 downloads)
- Opioid Prescribing for Persistent (Non-Cancer) Pain in Adults (266 downloads)
- Pharmacological Treatment of Neuropathic Pain (241 downloads)
- Psychotropic Medication and Driving - New Legislation: Information Sheet for Prescribers (213 downloads)
- Psychotropic prescribing: peri-pregnancy and in women of child bearing age (185 downloads)
- Quetiapine XL - TEWV guidance (277 downloads)
- Riluzole shared care agreement & guidelines (972 downloads)
- SBARD in relation to prescribing medicines for Attention Deficit Hyperactivity Disorder (116 downloads)
Infections and antibiotics
- Antibiotic Management of Recurrent Urinary Tract Infections in Adults (1323 downloads)
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (171 downloads)
- North East & Cumbria antimicrobial prescribing guideline for primary care (26658 downloads)
- Quick Reference Guide to Common Infections in Primary Care (5581 downloads)
Diabetes
- Algorithm for Blood Glucose Lowering Therapy in Adults with Type 2 Diabetes (3292 downloads)
- Guidelines for Self Monitoring of Blood Glucose (1718 downloads)
Other endocrine
- Gender Dysphoria Feminising Hormones (272 downloads)
- Gender Dysphoria Masculinising Hormones (186 downloads)
- Shared Care Guideline for Cinacalcet in Primary Hyperparathyroidism (299 downloads)
Obstetrics, gynaecology and urinary tract
- Antibiotic Management of Recurrent Urinary Tract Infections in Adults (1323 downloads)
- Erectile Dysfunction Commissioning Policy (134 downloads)
- Erectile Dysfunction summary of changes (126 downloads)
- Guidelines For Management of Erectile Dysfunction (ED) in Adults (≥ 18 YEARS) (615 downloads)
- Noqdirna (oral_desmopressin) - CHS Primary Care Information Leaflet (47 downloads)
- Treatment Pathway for Overactive Bladder (402 downloads)
Malignant disease and immunosuppression
- Azathioprine Shared Care Guideline (1204 downloads)
- Ciclosporin Shared Care Guideline (497 downloads)
- Hydroxycarbamide (Hydroxyurea) Shared Care Guideline (415 downloads)
- Leflunomide Shared Care Guideline (658 downloads)
- Mercaptopurine Shared Care Guideline (517 downloads)
- Methotrexate Shared Care Guideline (2361 downloads)
- Mycophenolate Shared Care Guideline (730 downloads)
- Penicillamine Shared Care Guideline (311 downloads)
- Sodium Aurothiomalate (Intramuscular Gold Injection) Shared Care Guideline (240 downloads)
- Sulfasalazine Shared Care Guideline (826 downloads)
Nutrition and blood
- Adult Vitamin D Deficiency - Quick Reference Guide (666 downloads)
- Care Pathway for the Prescribing of Nutritional Supplements for Adults in County Durham and Darlington (1016 downloads)
- Guidance for the Treatment of Vitamin D Insufficiency and Deficiency (2731 downloads)
- Guidance on Alternative Milk Drinks (over the counter) for 1 Year Old Onwards (371 downloads)
- Guidance on Preventing Vitamin D Deficiency in At Risk Groups (488 downloads)
- Guidelines for Diagnosing and Managing Cows Milk Protein Allergy (CMPA) and Lactose Intolerance (1270 downloads)
- Guidelines for the Supply of Gluten Free Products in Durham and Darlington (892 downloads)
- Hydroxycarbamide (Hydroxyurea) Shared Care Guideline (415 downloads)
- The Management of Hypomagnesaemia in Primary Care (176 downloads)
- Titration Guide for Infant Formula (294 downloads)
Musculoskeletal and joint diseases
- Ciclosporin Shared Care Guideline (497 downloads)
- Leflunomide Shared Care Guideline (658 downloads)
- Methotrexate Shared Care Guideline (2361 downloads)
- Mycophenolate Shared Care Guideline (730 downloads)
- Penicillamine Shared Care Guideline (311 downloads)
- Sodium Aurothiomalate (Intramuscular Gold Injection) Shared Care Guideline (240 downloads)
- Sulfasalazine Shared Care Guideline (826 downloads)
Eye
Ear, nose and throat
Skin
- Guidance for GPs on the use of Ingenol Mebutate (Picato) for Acetinic Keratosis (240 downloads)
- Guidance on Emollient Prescribing for Dry Skin Conditions (971 downloads)
- Specials Recommended by the British Association of Dermatologists for Skin Disease (744 downloads)
- Specials Recommended by the British Association of Dermatologists for Skin Disease - Appendix for County Durham and Darlington (323 downloads)
- Wound Dressing Order Form (546 downloads)
- Wound Management Formulary Summary (1165 downloads)
Immunological products and vaccines
Drug monitoring
Shared care
- Apomorphine Shared Care Guideline (343 downloads)
- Azathioprine Shared Care Guideline (1204 downloads)
- Ciclosporin Shared Care Guideline (497 downloads)
- Hydroxycarbamide (Hydroxyurea) Shared Care Guideline (415 downloads)
- Hydroxychloroquine Shared Care Guideline (137 downloads)
- Leflunomide Shared Care Guideline (658 downloads)
- Lisdexamfetamine Shared Care Guideline (459 downloads)
- Melatonin Shared Care Guideline (678 downloads)
- Mercaptopurine Shared Care Guideline (517 downloads)
- Methotrexate Shared Care Guideline (2361 downloads)
- Methotrexate Shared Care Request Letter (108 downloads)
- Modafinil Shared Care Guideline (394 downloads)
- Mycophenolate Shared Care Guideline (730 downloads)
- Nebulised Colistimethate (Colomycin) for non-CF Bronchiectasis_Green+ Leaflet (171 downloads)
- Penicillamine Shared Care Guideline (311 downloads)
- Riluzole shared care agreement & guidelines (972 downloads)
- Shared Care Guideline for Cinacalcet in Primary Hyperparathyroidism (299 downloads)
- Sodium Aurothiomalate (Intramuscular Gold Injection) Shared Care Guideline (240 downloads)
- Sulfasalazine Shared Care Guideline (826 downloads)
- Trans Anal Irrigation (TAI) for Refractory Chronic Constipation_Durham Constipation Clinic Guideline (230 downloads)
Specials
Other guidance
- CD&D APC Do Not Prescribe List (1335 downloads)
- CD&D APC Grey List (750 downloads)
- NICE NG 56 Multimorbidity: clinical assessment and management - briefing document (550 downloads)
- NTAG Guidance (895 downloads)
- Patient Decision Aids Resource (384 downloads)
- Useful prescribing information - a guide for prescribers (1719 downloads)
Prescribing systems and processes
- Useful prescribing information - a guide for prescribers (1719 downloads)
- What to do when prescribers join or leave a GP practice - briefing document (1067 downloads)
Self-care and over-the-counter medicines
- Self-Care and Medicines Available Over the Counter Summary (1138 downloads)
- Self-Care and OTC Product Guidance (2777 downloads)
Local decision making