Coventry silver drug formulary

- Prescribe by brand or branded-generic name to ensure patients receive the device they are used to.
- Check licensed indication (differences among brands).
- Be aware of differences in excipients among the different brands.

Prescribe using the most cost effective brand (taking into account availability of device by brand) - check with your local Medicines Optimisation team.

= low carbon footprint

APC RD046: Local Lowering the Carbon Footprint of Inhalers - July 22
03.01 Asthma
03.01 Chronic obstructive pulmonary disease
03.01.01.01 Short-acting beta2 agonists

See inhaler images and cost-effective information at the top of this chapter

Asthma & COPD:

Salamol® MDI 100 micrograms/dose

Salamol Easi-breathe® MDI 100 micrograms/dose

Salbutamol easyhaler DPI 100, 200 micrograms/dose

See inhaler images and cost-effective information at the top of this chapter

Asthma & COPD:

Bricanyl turbohaler® DPI 500 micrograms/dose

03.01.01.01 Long-acting beta2 agonists

COPD:

Easyhaler DPI 12 micrograms/doses

Metered dose inhaler (MDI) - no dose counter

Strength: 12 micrograms/dose


Metered dose inhaler (MDI) - no dose counter

Strength: 25 micrograms/dose

=

see information at the top of this chapter

Dry powder inhaler (DPI) - has dose counter

Strength: 50 micrograms/dose

see information at the top of this chapter

03.01.01.02 Other adrenoceptor agonists
03.01.02 Antimuscarinic bronchodilators
03.01.02 Short Acting Anti-muscarinic Bronchodilators

Metered dose inhaler (MDI) no dose counter

Strength: 20 micrograms/dose

03.01.02 Long Acting Anti-muscarinic Bronchodilators

Spiriva Respimat® SMI - has dose counter 2.5 micrograms/dose

Dry powder inhaler - has dose counter

Strength: 55 micrograms/dose

See inhaler images and cost-effective information at the top of this chapter

COPD:

Eklira Genuair® DPI 322 micrograms/dose

Dry powder inhaler (DPI) - no dose counter

Strength: 55 micrograms/dose

COPD:

Spiriva Respimat® SMI 2.5 micrograms/dose

see inhaler images at the top of this chapter

COPD:

Prescribe using the most cost effective brand - see information at the top of this chapter

03.01.03 Theophylline

Prescribe by brand as different brands may not be bioequivalent

03.01.04 Compound bronchodilator preparations

Dry powder inhaler - no dose counter

Strength: 85 micrograms/43 micrograms/dose

Soft mist inhaler (SMI) - has dose counter

Strength: 2.5 micrograms/2.5 micrograms/dose

Dry powder inhaler (DPI) - has dose counter

Strength: 55 micrograms/22 micrograms/dose

Dry powder inhaler (DPI) - has dose counter

Strength: 340 micrograms/12 micrograms/dose

Pressurised Metered Dose Inhaler (pMDI) - has dose counter

Strength: 7.2 micrograms/5 micrograms/dose

Non Formulary

Asthma: Flixotide® evohaler

Existing patients to continue if stabilised or until review

Non Formulary

Not recommended by APC, consider alternative formulary choice for the treatment of COPD