The Pennine Acute Hospitals
NHS Trust Formulary
 
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3 Respiratory system
03-02 Corticosteroids

Prescribe beclomethasone diproprionate by brand.
The MHRA has advised that beclomethasone diproprionate CFC-free inhalers should be prescribed by brand name. Clenil Modulite® and Qvar® are not interchangeable. Qvar® has extra fine particles and is approximately twice as potent as Clenil Modulite®.
 
Single component corticosteroid inhalers are only licensed for ASTHMA. COPD patients should be prescribed combination inhalers.


Beclometasone Clenil Modulite®
First Choice
Metered Dose Inhaler (MDI)

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Beclometasone Qvar®
First Choice
Metered Dose Inhaler (MDI)
Easi-breathe
Autohaler

note Not licensed for use in paediatrics.

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Budesonide
Formulary
Dry powder inhaler (Easyhaler, Pulmicort Turbohaler)
Respules

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Fluticasone
Formulary
Metered dose inhaler (Flixotide Evohaler)
Dry powder inhaler (Flixotide Accuhaler)
Nebules

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Beclometasone and formoterol Fostair®
Formulary
  • Metered dose inhaler (MDI)
  • Dry powder inhaler (NEXThaler®)


Combination ICS/LABA inhaler

Fostair® contains an extra-fine formulation of beclomethasone and is more potent than traditional CFC-containing beclomethasone inhalers - check dose.

note  200/6 strength only licensed in asthma


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Budesonide and formoterol DuoResp® Spiromax
Formulary
Dry powder inhaler

Combination ICS/LABA inhaler

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Budesonide and formoterol Fobumix®
Formulary

Metered dose inhaler (Easyhaler®)

Combination ICS/LABA inhaler


note 80/4.5 strength only licensed in asthma


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Fluticasone and formoterol Flutiform®
Formulary
Metered dose inhaler

Combination ICS/LABA inhaler

note Licensed for ASTHMA only.

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Fluticasone and salmeterol AirFluSal®
Formulary

Dry powder inhaler (Forspiro®)

Combination ICS/LABA inhaler


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Fluticasone and salmeterol Sirdupla®
Formulary

Metered dose inhaler

Combination ICS/LABA inhaler

note Only licensed for use in asthma


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Fluticasone furoate & vilanterol Relvar Ellipta®
Formulary
Dry powder inhaler

Combination ICS/LABA inhaler

note184/22 strength licensed for ASTHMA only

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Beclometasone / formoterol / glycopyrronium Trimbow®
Formulary

Metered dose inhaler (MDI)


Combination ICS/LABA/LAMA inhaler


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Fluticasone / umeclidinium / vilanterol Trelegy Ellipta®
Formulary

Dry powder inhaler (DPI)


Combination ICS/LABA/LAMA inhaler


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Ciclesonide Alvesco®
Non Formulary

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Mometasone Furoate Asmanex®
Non Formulary

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Budesonide and formoterol Symbicort® Turbohaler
Non Formulary

Dry powder inhaler

Combination ICS/LABA inhaler

Restricted Item Not to be initiated, but can be continued in established patients


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Fluticasone and salmeterol Seretide®
Non Formulary

Metered dose inhaler (Seretide® Evohaler)
Dry powder inhaler (Seretide® Accuhaler)

Combination ICS/LABA inhaler

note Only the Seretide Accuhaler is licensed for use in COPD. Seretide Evohaler is very expensive - please consider alternatives where possible.

Restricted Item Not to be initiated, but can be continued in established patients.


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