Respiratory

Respiratory Specialist formulary list

**Other indications for particular drugs may be included on completion of further specialist lists**

For information on use of unlicensed medicines or medicines used 'off-label' - click here

The following specialist medicines are approved for prescribing by or on the recommendation of a prescribing respiratory specialist:

TAF SECTION	MEDICINE	SUMMARY OF RESTRICTED INDICATION	CATEGORY	PROTOCOL
3.4	Omalizumab injection	Severe persistent allergic asthma. Add-on therapy to BTS step 5.		Omalizumab treatment protocol for adults and adolescents (12 years of age and above). (NHS Tayside Staffnet intranet link only)
3.7	Dornase Alfa Nebulised	Cystic Fibrosis (CF).		Shared Care Agreement (NHS Tayside Staffnet intranet link only)
3.7	Azathioprine (in combination with N-acetylcysteine tablets (unlicensed) and Prednisolone)	Alveolitis not including idiopathic pulmonary fibrosis (IPF).		Azathioprine monitoring in IPF GP letter (NHS Tayside Staffnet intranet link only)
3.7	N-acetylcysteine tablets (unlicensed)	Idiopathic pulmonary fibrosis (IPF).		Shared Care Agreement for N-acetylcysteine (NHS Tayside Staffnet intranet link only) Contact Ninewells Medicines Information Department for Patient Information Leaflets (patient-specific requests only)
3.11	Pirfenidone ▼	Mild to moderate idiopathic pulmonary fibrosis (IPF). Patients with a predicted forced vital capacity (FVC) < 80%.		Local treatment protocol GP letter
NHS Tayside Guide to Antibiotic Use – Cystic Fibrosis (Adult)	Colistin (colistimethate sodium) Nebulised or dry powder for inhalation (hard capsules)	Chronic pulmonary Pseudomonas aeruginosa infection in cystic fibrosis and bronchiectesis. First line choice of nebulised antibiotic treatment.		Shared Care Agreement for Colistimethate Sodium for Adult cystic fibrosis patients (NHS Tayside Staffnet intranet link only)
NHS Tayside Guide to Antibiotic Use – Cystic Fibrosis (Adult)	Tobramycin Nebulised (tobramycin nebuliser solution 300mg/4mL or tobramycin Podhaler 28mg/capsule)	Chronic pulmonary Pseudomonas aeruginosa infection in cystic fibrosis. Second line choice of nebulised antibiotic treatment.		Shared Care Agreement (NHS Tayside Staffnet intranet link only)

	May be prescribed by Hospital Specialists only
	May be prescribed in General Practice under the direction of a Specialist