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Formulary Guidelines
Acamprosate - see Alcohol Dependency below
Link  Acne Vulgaris - GP Referral Form for Dermatology at BHT
Link  Acne Vulgaris Treatment Algorithm - Primary/Secondary Care Guideline (BHTCG 820FM)
Link  Actinic Keratoses - Primary/Secondary Care guideline (BHTCG 365FM)
Link  Acute Coronary Syndrome Protocol - Secondary Care guideline (BHTCG 314FM)
Link  ADHD - Attention Deficit Hyperactivity Disorder treatment with Methylphenidate, Dexamfetamine and Atomoxetine - Shared Care (Amber) protocol (BHTCG 796FM)
Link  Alcohol Dependency in Adults 18 Years and Over - Acamprosate Treatment - Amber Initiation Guideline (BHTCG 560FM)
Link  Alcohol Dependency in Adults 18 Years and Over - Disulfiram Treatment - Amber Initiation Guideline (BHTCG 562FM)
Link  Alcohol Dependency in Adults 18 Years and Over - Naltrexone Treatment - Amber Initiation Guideline (BHTCG 561FM)
Link  Alcohol Referral Pathway For General Practitioners And Hospital Staff - Primary/Secondary Care Guideline (BHTCG 715FM)
Link  ALZHEIMER’S disease (Donepezil, Galantamine, Rivastigmine and Memantine) - Shared Care (Amber) Protocol (BHTCG 786FM)
AMD - See ’Ranibizumab’ below
Link  Amiodarone for use in Cardiology - Shared Care (Amber) Protocol (BHTCG 632FM)
Link  ANAEMIA - Iron Deficiency Anaemia in Adults - Primary/Secondary Care guideline (BHTCG 802FM)
Link  ANAEMIA - Iron Deficiency Anaemia Pathway - GP Referral Form
Analgesia / Analgesic Ladders - see PAIN below
Link  Ankylosing Spondylitis (AS) and non-Radiographic Axial Spondyloarthritis (AxS) Biologics Treatment - Secondary Care guideline (BHTCG 737FM)
Link  Anticoagulants (oral) when doses adjusted by Anticoagulation Clinic & prescribed by GP - Shared Care (Amber) protocol (BHTCG 797FM)
Link  Antifungal Therapy Guidelines for Haematology/Oncology - Secondary Care guideline (BHTCG 203FM)
Anti-Infectives/Antibiotics - see Infection Guidance below
Link  Antiplatelets for Secondary Prevention of Occlusive Vascular Events - Primary/Secondary Care guideline (BHTCG 708FM)
Link  Antipsychotics - Physical Health Monitoring for Oral and Depot Antipsychotic Medication (BHTCG 262FM)
Link  Antipsychotics - Treatment of Psychosis and Schizophrenia Algorithm - Primary/Secondary Care guideline (BHTCG 726FM)
Apixaban - see NOAC below
Link  Apomorphine for use in Parkinson’s Disease - Secondary Care (Red) guideline (BHTCG 352FM)
Link  Asthma Inhaled Treatment Algorithm (Adults) - Primary/Secondary Care guideline (BHTCG 803FM)
Atomoxetine - see above: (ADHD) - Shared Care (Amber) protocol (BHTCG 796FM) above
Link  Atrial Fibrillation - see NOAC below - Dabigatran, Rivaroxaban, Edoxaban and Apixaban - Amber Initiation Guideline (BHTCG 313FM)
Link  Atrial Fibrillation -Treatment guidelines - Primary/Secondary Care guidelines (BHTCG 775FM)
Link  Azathioprine for use in Rheumatology, Dermatology, Gastroenterology and Respiratory medicine - Shared Care (Amber) protocol (BHTCG 787FM)
Link  Azithromycin for Use in Non-CF Bronchiectasis - Primary/Secondary Care Guideline (BHTCG 97FM)
Link  Blood Monitoring Requirements for Amber Drugs - Primary/Secondary Care Guideline (BHTCG 821FM)
Botox - See ’Botulinium toxin type A’ below
Link  Botulinum toxin type A - Doses of different brands for different indications - Secondary Care guideline (BHTCG 331FM)
Link  Breast Cancer Treatment-Induced Bone Loss Management - Secondary Care guideline (BHTCG 782FM)
Link  Catheters - Standards of care of adult patients with long-term urinary indwelling catheters - Primary/Secondary Care Guidline (BHTCG 81FM)
Link  Cellulitis - Management and Treatment of Cellulitis - Secondary Care Guideline (BHTCG 364FM)
Link  Ciclesonide Inhaler for Use in Respiratory Medicine - Amber Initiation guideline (BHTCG 744FM)
Link  Ciclosporin for use in Dermatology, Gastroenterology and Rheumatology - Shared Care (Amber) protocol (BHTCG 788FM)
Link  Continence Appliances - Prescribing in Buckinghamshire - Primary/Secondary Care Guideline (BHTCG 823FM.1)
Link  Continuous Renal Replacement Therapy (CRRT) using Citrate - Secondary Care guideline (BHTCG 404FM)
Link  Contraception (Summary of Key Messages) - Primary/Secondary Care guideline (BHTCG783FM)
Link  COPD - Key Steps in the Management of COPD (GOLD 2017) - Primary/Secondary Care guideline (BHTCG 220FM)
Link  Cough (chronic) - Diagnosing the Cause - Primary/Secondary Care Guideline (BHTCG 189FM)
Link  COVID-19 – Conventional DMARDs in Dermatology, Gastroenterology, Respiratory and Rheumatology - Primary/Secondary Care Guideline (BHTCG 43FM.1)
Link  COVID-19: Hydroxychloroquine retinal screening statement NEW (BHTCG 453FM)
Link  Crohn’s Disease - Biologics Treatment Algorithm - Secondary Care Guideline
Link  Cyclophosphamide (oral) for use in Rheumatology - Secondary Care (Red) guideline (BHTCG 101FM)
Link  CYSTIC FIBROSIS - Vitamin Supplementation in Paediatric CF Patients - Primary/Secondary Care guideline (BHTCG 378FM)
Dabigatran - see NOAC below
Link  Dalteparin for prophylactic use in Surgery, Oncology, Haematology and Medicine - Amber Initiation guideline (BHTCG 116FM)
Link  DELIRIUM- Prevention, Diagnosis and Management of Delirium in Older People - Secondary Care guideline (BHT CG 278FM)
Link  Denosumab for Bone Metastases in Solid Tumours - Secondary Care (Red) guideline (BHTCG 305FM)
Link  Denosumab Primary & Secondary Fracture Prevention over 50 yrs - Shared Care (Amber) protocol (BHTCG 401FM)
Link  Dermatology Referral Guidelines - Primary/Secondary Care guideline (BHTCG 311FM)
Dexamfetamine - see above: (ADHD) - Shared Care (Amber) protocol (BHTCG 796FM) above
Link  Diabetes Type 2 - Management of Type 2 Diabetes: Blood-Glucose-Lowering Therapy - Primary/Secondary Care guideline (BHTCG 667FM)
Link  Diabetes Type 2 - Preferred Blood Glucose meters for patients with Type 2 Diabetes – Primary/Secondary Care Guideline (BHTCG 212FM)
Disulfiram - see Alcohol Dependency above
Link  Domperidone in Adults and Children - Amber Initiation Guideline (BHTCG 674FM)
Donepezil - see above: ALZHEIMER’S Disease - Shared Care (Amber) protocol (BHTCG 786FM)
Link  Dronedarone for use by Cardiology - Secondary Care (Red) guideline (BHTCG 123FM)
Dysport - See ’Botulinium toxin type A’ above
Edoxaban - see NOAC below
Link  Epididymitis - Investigation and Management of Acute Epididymitis - Secondary Care Guideline (BHTCG 177FM)
Link  Erectile Dysfunction - Treatment in Primary Care - Primary Care Guideline (BHTCG 125FM.1)
Exenatide - see Glucagon-Like Peptide-1 (GLP-1) Agonist below
Link  Febuxostat - Amber Recommendation guideline (BHTCG 781FM)
Galantamine - see above: ALZHEIMER’S Disease - Shared Care (Amber) protocol (BHTCG 786FM)
Link  Gaviscon - Prescription, Preparation and Administration - Secondary Care Guideline (BHTCG 519FM)
Link  Generalised Anxiety Disorder Guideline for Adults and Older Adults - Primary/Secondary Care guideline (BHTCG 131FM)
Link  Glaucoma - Prescribing in Buckinghamshire - Primary/Secondary Care guideline (BHTCG 267FM)
Link  Glucagon-like peptide-1 (GLP-1) Agonists for Adults with Type 2 Diabetes - Primary/ Secondary Care guideline (BHT CG109FM)
Link  GORD - Gastro-oesophageal Reflux Disease (GORD) in Children and Young People - Secondary Care Guideline (BHTCG 816FM)
Goserelin - see below: Triptorelin, Goserelin and Leuprorelin (LHRHa) for advanced prostate cancer - Shared Care (Amber) protocol (BHTCG 791FM)
Link  Gout Management - Primary/Secondary Care guideline (BHTCG 777FM)
Link  Headache - Buckinghamshire Headache Management Guidelines for Adults (BHTCG 721FM) - Primary/Secondary Care guideline
Heart Failure - Sacubitiril Valsartan- see below Sacubitiril Valsartan for Heart Failure- Secondary/ Primary Care Guideline (BHTCG 817FM)
Link  Heart Failure (Acute): Assessment and Treatment of the Inpatient with Suspected Acute Heart Failure - Secondary Care Guideline (BHTCG 288FM)
Link  Heart Failure (Chronic): Chronic Heart Failure in Adults: In patients with Heart Failure due to left ventricular systolic failure - Primary/Secondary Care guideline (BHTCG 707FM)
Link  Hydroxychloroquine for use in Rheumatology & Dermatology Shared Care Protocol (BHTCG 795FM)
Link  Hypertension in Adults - Primary/Secondary Care guideline (BHTCG 227FM)
Link  Hypokalaemia – Management of Hypokalaemia in Adults – Secondary Care Guideline (BHTCG 363FM)
Link  Ibandronic Acid - Zoledronic acid and Ibandronic acid for adjuvant treatment in early breast cancer (Amber Initiation Guideline for Ibandronic acid) - Primary/Secondary Care guideline (BHTCG 834FM)
Link  Ibandronic Acid for Treatment Metastatic Bone Disease in Breast Cancer - Amber Initiation guideline (BHTCG 307FM)
Link  Iloprost Infusion Protocol - Secondary Care Guideline (BHTCG 684FM)
Link  Immunosuppressants - Management of Patients on Immunosuppressants Admitted with Suspected Infections - Secondary Care Guideline (BHTCG 280FM)
Link  Infection management in absent or dysfunctional spleen - Secondary Care Guideline (BHTCG 182FM)
Link  Infections - Antibiotic guidelines for Primary Care (South Central Antimicrobial Network)
Link  Infections - Management and Antibiotic Therapy for Respiratory Tract Conditions in Adults - Secondary Care Guideline (BHTCG 133FM)
Link  Infections - Ophthalmic Infections - Secondary Care Guideline (BHTCG 372FM)
Link  Insulin- Guideline for Using High Strength Insulins - Primary/Secondary Care Guideline (BHTCG 818FM)
Link  Intranasal Steroid Guideline - Primary/Secondary Care guideline (BHTCG 323FM)
Link  Intrauterine Device and Actinomyces-Like Organisms (ALOs) Reported on Cervical Cytology (BHTCG 370FM)
Link  Intravitreal Injections of Anti VEGF treatment for Macular Diseases by Nurse Practitioners within the Ophthalmology Department - Secondary Care Guideline (BHTCG 94FM)
Link  Intravitreal Injections used in Ophthalmology algorithm
Link  Ivabradine for use in Chronic Stable Heart Failure - Amber Initiation guideline (BHTCG 774FM)
Link  Leflunomide for use in Rheumatology - Shared Care (Amber) protocol (BHTCG 790FM)
Leuprorelin - see below: Triptorelin, Goserelin and Leuprorelin (LHRHa) for advanced prostate cancer - Shared Care (Amber) protocol (BHTCG 791FM)
Link  Liothyronine Review Algorithm - Primary/Secondary Care Guideline (BHTCG 725FM)
Link  Lipid Modification for Secondary and Primary Prevention of CVD in Adult Patients - Primary/Secondary Care guideline (BHTCG 104FM) - Review in progress
Liraglutide - see Glucagon-Like Peptide-1 (GLP-1) Agonist above
Link  Lithium for use in Psychiatric Services - Shared Care (Amber) protocol (BHTCG 793FM)
Link  Melatonin for Sleep Disorders in Children and Adolescents with Neurodevelopmental Disorders - Shared Care (Amber) Protocol - (BHTCG 608FM)
Memantine - see Above: ALZHEIMER’S Disease - Shared Care (Amber) protocol (BHTCG 786FM)
Link  Mercaptopurine for use in Gastroenterology - Shared Care (Amber) protocol (BHTCG 115FM)
Link  Methotrexate for use in Rheumatology, Dermatology, Gastroenterology and Respiratory medicine - Shared Care (Amber) protocol (BHTCG 794FM)
Methylphenidate - see above: (ADHD) - Shared Care (Amber) protocol (BHTCG 796FM) above
Link  Midazolam Buccal Treatment Algorithm - Primary/Secondary Care guideline (BHTCG 382FM)
Link  Midodrine for use in Cardiology and Neurology for Orthostatic Hypotension or Unprovoked Vasovagal Syncope- Amber Initiation guideline (BHTCG 808FM)
Migraine - See Headache above
Link  Minocycline for Dermatology - Amber Initiation guideline (BHTCG 161FM)
Link  MRSA Colonisation - Eradication - for patients - Secondary Care guideline (BHTCG 14CFM)
Link  MRSA Colonisation - Suppression - for patients - Secondary Care guideline (BHTCG 14BFM)
Link  Mycophenolate mofetil for use in Rheumatology and Dermatology - Secondary Care (Red) guideline (BHTCG 221FM)
Naltrexone - see Alcohol Dependency above
Neuropathic Pain in Palliative Care in Adults - see PAIN below - Primary/Secondary Care guideline (BHTCG 275FM)
Link  NOAC - Dabigatran - Management of Overdose, Bleeding and Emergency/Elective Surgery - Primary/Secondary Care guideline (BHTCG 34FM)
Link  NOAC - Dabigatran, Rivaroxaban, Edoxaban & Apixaban for Atrial Fibrillation - Amber Initiation guideline (BHTCG 313FM)
Link  NOAC - Deep Vein Thrombosis and Pulmonary Embolism - Dabigatran, Rivaroxaban, Apixaban and Edoxaban - Amber Initiation Guideline (BHTCG 295FM)
Link  NOAC - GP Referral Form for NOAC service at BHT for Deep Vein Thrombosis and Pulmonary Embolism
Link  NOAC - GP referral form for NOAC service at BHT for Atrial Fibrillation
Link  NOAC - Rivaroxaban & Apixaban Management of Overdose, Bleeding & Emergency/Elective Surgery - Primary/Secondary Care guideline (BHTCG 240FM)
Link  NOAC - Rivaroxaban for Deep Vein Thrombosis and Pulmonary Embolism - Amber Initiation guideline (BHTCG 295FM)
Link  NSAIDs in Adults - Primary/Secondary Care guideline (BHTCG 299FM)
Link  Ocular Lubricants - Primary/Secondary Care guideline (BHTCG 371FM)
Link  Omalizumab for Severe Persistent Allergic Asthma - Secondary Care (Red) guideline (BHTCG 271FM)
Link  Opioids - Conversion of Opioid Medicines Dosages - Primary/Secondary Care Guideline (BHTCG 699FM)
Link  Osteoarthritis - Pharmacological Management of Knee and Hand Osteoarthritis in Adults - Primary/Secondary Care guideline (BHTCG 819FM)
Link  Osteoporosis: Primary Fracture Prevention Guidelines in Men and Women Over the Age of 50 with Risk Factors - Primary/Secondary Care guideline (BHTCG 402FM)
Link  Osteoporosis: Secondary Prevention Fracture Guidelines in Men and Women over the Age of 50 who sustain Fragility Fracture - Primary/Secondary Care guideline (BHTCG 403FM)
Link  Over-Active Bladder - Medical Management - Primary/Secondary Care guideline (BHTCG110FM)
Link  PAIN - Chronic Pain - treatment in Adult Spinal Patients - Secondary Care Guideline (BHTCG 375FM)
Link  Pain - Management of a Child in Pain - Secondary Care Guideline (BHTCG 388FM)
Link  PAIN - Neuropathic Pain - Management in Adults - Primary/Secondary Care guideline (BHTCG 714)
Link  PAIN - Neuropathic Pain in Palliative Care in Adults - Primary/Secondary Care guideline (BHTCG 275FM)
Link  PAIN - Post Operative Analgesic Ladder for Adults - Secondary Care guideline (BHTCG 49FM)
Link  Parkinson’s Disease- Emergency Management, Parkinson’s UK
Link  Penicillamine for use in Rheumatology - Shared Care (Amber) protocol (BHTCG 799FM)
Link  Perampanel in Refractory Epilepsy - Amber Initiation guideline (BHTCG 634FM)
Link  Phenindione -Anticoagulants (oral) when doses adjusted by Anticoagulation Clinic & prescribed by GP - Shared Care (Amber) protocol (BHTCG 797FM)
Link  Phenytoin Information for Prescribing, Monitoring and Administration in Adults - Secondary Care guideline (BHTCG 73FM)
Link  POI - Management of Premature Ovarian Insufficiency - Primary/Secondary Care Guideline (BHTCG 422FM)
Post-Operative Analgesic Ladder for Adults - see PAIN above - Secondary Care guideline (BHTCG 49FM)
Link  Proton Pump Inhibitors - Secondary Care Guideline (BHTCG 656FM)
Link  Psoriasis Biologics Treatment - Secondary Care guideline (BHTCG 738FM)
Link  Psoriasis Topical Treatment Algorithm - Adults - Primary/Secondary Care Guideline (BHTCG 61FM)
Link  Psoriatic Arthritis Biologics Treatment - Secondary Care guideline (BHTCG 740FM)
Link  Psychosis and Schizophrenia - Treatment of Psychosis and Schizophrenia Algorithm - Primary/Secondary Care guideline (BHTCG 726FM)
Link  Pulmonary Embolism - Algorithm for Suspected Acute Non-Massive PE - Secondary Care guideline (BHTCG 9AFM)
Link  Pulmonary Embolism - Guideline for Massive PE - Secondary Care guideline (BHTCG 9BFM)
Link  Ranibizumab for Wet Age-Related Macular Degeneration (AMD) - Treat and Extent Protocol - Secondary care guideline (BHTCG 828FM)
Link  Ranolazine for Cardiology - Amber Initiation guideline (BHTCG 113FM)
Link  Restless Legs Syndrome - Pharmacological Treatment Guidance - Primary/Secondary Care Guideline (BHTCG 361FM)
Link  Rheumatoid Arthritis Biologic treatment - Secondary Care guideline (BHTCG 749FM)
Link  Rheumatology - Giant Cell Arteritis Guideline - Primary/Secondary Care Guideline (BHTCG 194FM)
Link  Riluzole for Motor Neurone Disease - Shared Care (Amber) Protocol - Primary / Secondary Care Guideline (BHTCG 784FM)
Link  Rituximab - Intravenous Infusion for Rheumatoid Arthritis and Vasculitis - Secondary Care Guideline (BHTCG 792FM)
Rivaroxaban - see NOAC above
Rivastigmine - see above: ALZHEIMER’S Disease - Shared Care (Amber) protocol (BHTCG 786FM)
Link  Rosacea Treatment Pathway - Primary/Secondary Care Guideline (BHTCG 724FM)
Link  Rotigotine- see Parkinson’s Disease link above
Link  Sacubitiril Valsartan for Symptomatic Chronic Heart Failure with Reduced Ejection Fraction - Secondary/ Primary Care Guideline (BHTCG 817FM)
Link  Somatropin (Adults) for use in adults only in Endocrinology - Shared Care (Amber) protocol (BHTCG 268FM)
Link  Somatropin (Paeds) for use in Paediatrics - Secondary Care (Red) guideline (BHTCG 272FM)
Link  Stroke - Management of Acute Stroke - Secondary Care guideline (BHTCG 146FM)
Link  Sugammadex for Reversal of Neuromuscular Blockade in Theatres - Secondary Care guideline (BHTCG 151FM)
Link  Sulfasalazine for use in Rheumatology and Gastroenterology - Shared Care (Amber) protocol (BHTCG 798FM)
Link  Testosterone for Hypogonadism in Males - Amber Recommendation Guideline - Primary/Secondary Care guideline (BHTCG 859FM)
Thromboprophylaxis in Adults -see VTE below - Secondary Care guideline (BHTCG 733FM)
Link  Tocilizumab - Monitoring and Administration of Intravenous Tocilizumab - Secondary Care guideline (BHTCG 690FM)
Link  Tranquillisation - Rapid Tranquillisation Policy (Adults, CAMHS & Older Adults) - Secondary Care Guideline (Oxford Health NHS Foundation Trust - Policy Code CP04) (BHT Intranet Users Only)
Link  Trimipramine - Primary/Secondary Care Guideline (BHTCG 338FM)
Link  Ulcerative Colitis Biologics Treatment - Secondary Care Guideline (BHTCG 633FM)
Link  Urinary Incontinence (Gynaecology) - Primary/Secondary Care guideline (BHTCG 114FM)
Urinary Incontinence Pathway (Drug Treatment) - renamed Over-Active Bladder - Medical Management - Primary/Secondary Care guideline (BHTCG 110FM)(see above)
Link  Uveitis - Primary/Secondary Care guideline (BHTCG 374FM)
Valsartan Sacubitiril- see above Sacubitiril Valsartan for Heart Failure - Secondary/ Primary Care Guideline (BHTCG 817FM)
Venous Thromboembolism - see VTE below: Thromboprophylaxis during Pregnancy & Postnatal Period - Secondary Care guideline (BHTCG 646FM)
Link  Vitamin D Testing and Treatment in Adults - Primary/Secondary Care guideline (BHTCG 785FM)
Link  Vitamin D Testing and Treatment in Children - Primary/Secondary Care Guideline (BHTCG 739FM)
Vitamin Supplementation for Paediatric Cystic Fibrosis Patients - see CYSTIC FIBROSIS above - Primary/Secondary Care guideline (BHTCG 378FM)
VTE - NOACs bridging - see ’NOACs guideline BHTCG 240FM (rivaroxaban, apixaban) and 34FM (dabigatran)’
VTE – NOACs in AF and DVT/PE – see NOACs guidelines above
VTE - Rivaroxaban for Deep Vein Thrombosis and Pulmonary Embolism - see NOAC above - Amber Initiation guideline (BHTCG 295FM)
Link  VTE - Thromboprophylaxis in Adults - Secondary Care guideline (BHTCG 733FM)
Link  VTE - Venous Thromboembolism in Maternity - Secondary Care guideline (BHTCG 646FM)
VTE - Warfarin bridging - see ’Warfarin- Peri-operative Bridging in Adults Undergoing Elective Surgery or Invasive Procedures - Primary/Secondary Care guideline (BHTCG 83FM)’ below
Link  Warfarin - Anticoagulants (oral) when doses adjusted by Anticoagulation Clinic & prescribed by GP - Shared Care (Amber) protocol (BHTCG 797FM)
Link  Warfarin - Over-Anticoagulation protocol - Primary/Secondary Care guideline (BHTCG 191FM)
Link  Warfarin- Peri-operative Bridging in Adults Undergoing Elective Surgery or Invasive Procedures - Primary/Secondary Care guideline (BHTCG 83FM)
Link  Woundcare - see Dressings above
Xeomin - See ’Botulinium toxin type A’ above
Link  Zoledronic acid and Ibandronic acid for adjuvant treatment in early breast cancer (Amber Initiation Guideline for Ibandronic acid) - Primary/Secondary Care guideline (BHTCG 834FM)
Link  Zonisamide adjunctive therapy in treatment of adult patients with partial epileptic seizures, with or without secondary generalisation - Shared Care (Amber) protocol (BHTCG 800FM)
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