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 Formulary Chapter 6: Endocrine system - Full Chapter
06.05.01  Expand sub section  Hypothalamic and anterior pituitary hormones and anti-oestrogens
 note 

Fertility guidelines

06.05.01  Expand sub section  Anti-oestrogens
 note  For women who are taking clomifene citrate, offer ultrsound monitoring during at least the first cycle of treatment to ensure that they are taking a dose that minimises the risk of multiple pregnancy.
The Committee on Safety of Medicines has recommended that clomifene should not normally be used for longer than 6 months.
Clomifene Citrate
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Formulary
Red

Tablets
  • Indication - Fertility treatment - Clomiphene only

    Blue Traffic Light
  • There are specialist GPs who prescribe under a commissioned Primary Care Fertility Service. In this case all prescribing and monitoring will be undertaken by the specialist GP from the service. 
  •    
    06.05.01  Expand sub section  Anterior pituitary hormones
    06.05.01  Expand sub section  Gonadotrophins
    06.05.01  Expand sub section  Growth Hormone to top
    06.05.01  Expand sub section  Growth hormone receptor antagonists
    06.05.01  Expand sub section  Thyrotropin
    06.05.01  Expand sub section  Hypothalmic hormones
     ....
     Non Formulary Items
    Tesamorelin

    View adult BNF View SPC online View childrens BNF Track Changes
    Non Formulary
    Black
  • Indication - HIV associated Lipodystrophy
  •  
      
    Key
    note Notes
    Section Title Section Title (top level)
    Section Title Section Title (sub level)
    First Choice Item First Choice item
    Non Formulary Item Non Formulary section
    Restricted Drug
    Restricted Drug
    Unlicensed Drug
    Unlicensed
    Track Changes
    Display tracking information
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    Link to adult BNF
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    Link to children's BNF
    click to search medicines.org.uk
    Link to SPCs
    Cytotoxic Drug
    Cytotoxic Drug
    CD
    Controlled Drug
    High Cost Medicine
    High Cost Medicine
    Cancer Drugs Fund
    Cancer Drugs Fund
    NHSE
    NHS England
    Homecare
    Homecare
    CCG
    CCG

    Traffic Light Status Information

    Status Description

    Black

    Comment : Not to be routinely commissioned (prescribed) in any care setting (primary or secondary care). This may be due to a lack of good clinical evidence, cost effectiveness, concerns over safety or due to the availability of more suitable alternatives. As such, drugs classified as Black should be considered as non-formulary.   

    Red

    Initiation : Specialist only
    Repeat Prescribing : Specialist
    Monitoring : Specialist
    Comment : Prescribing must be in line with any specific treatment criteria outlined. In exceptional circumstances a GP may be asked to prescribe the specialist must provide adequate information and support.   

    Amber

    Initiation : Specialist only
    Repeat Prescribing : Primary care OR specialist
    Monitoring : Primary care OR specialist
    Comment : Monitoring according to Effective Shared Care Agreement (ESCA) for stabilised patients only. GP agreement should be requested by specialist and confirmed/declined by GP on a patient-by-patient basis.   

    Blue

    Initiation/Recommendation : Specialist only
    Repeat Prescribing : Primary care
    Monitoring : Primary care
    Comment : Should be initiated or recommended by a specialist. Monitoring of either medicine or disease does not require specialist skills or equipment   

    Green

    Initiation : Primary care or specialist
    Repeat Prescribing : Primary care
    Monitoring : Primary care
    Comment : Suitable for non specialist initiation   

    OTC

    Patients should be advised to purchase if approriate.  

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