RED Specialist prescribing only For information on Malignant Disease and Immunosuppression, please follow BNF Chapter 8 at the end of this ...

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RED Specialist prescribing only
For information on Malignant Disease and Immunosuppression, please
follow BNF Chapter 8 at the end of this document.
                                                        THERAPEUTIC
 GENERIC NAME               BRAND NAME
                                                        INDICATION
 Adefovir dipivoxil         (Hepsera®)                  Chronic hepatitis B
 Acitretin                  (Neotigason®)               Psoriasis
 Alitretinoin               (Toctino®)                  Severe chronic hand
                                                        eczema in adults
 Anagrelide                 (Xagrid®)                   Essential
                                                        thrombocythaemia
 Anti-TNF–α drugs and
 cytokine modulators
     - abatacept            (Orencia®)
     - adalimumab           (Humira®)
     - anakinra             (Kineret®)
     - belimumab            (Benlysta®)
                                                        All indications
     - certolizumab pegol   (Cimzia®)
     - etanercept           (Enbrel®)
     - golimumab            (Simponi®)
     - infliximab           (Remicade®)
     - rituximab            (Generic)
     - tocilizumab          (RoActemra®)
 Antivirals for HIV
 infections.
 1.Nucleoside reverse
 transcriptase inhibitors
     - abacavir             (Ziagen®/Kivexa®/Trizivir®)
     - didanosine           (Videx®)
     - emtricitabine        (Emtriva®)
     - lamivudine           (Epivir®/Zeffix®)
     - stavudine            (Zerit®)
     - tenofovir            (Viread®/Truvada®/Atripla®/
                            Eviplear®)
    -   zidovudine          (Zidovudine®/Retrovir®/
                            Combivir®)                  HIV infection
 2.Protease inhibitors
     - atazanavir           (Reyataz®)
     - darunavir            (Prezista®)
     - fosamprenavir        (Telzir®)
     - indinavir            (Crixivan®)
     - lopinavir            (Kaletra®)
     - nelfinavir           (Viracept®)
     - ritonavir            (Norvir®)
     - saquinavir           (Invirase®)
     - tipranavir           (Aptivus®)
 3.Non-nucleoside reverse
 transcriptase inhibitors

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RED TRAFFIC LIGHT LIST. May 2021
- efavirenz              (Sustiva®)
    - etravirinr             (Intelence®)
    - nevirapine             (Viramune®)
    - rilpivirine            (Edurant®)
 4.Other antiretrovirals
    - enfuvirtide            (Fuzeon®)
    - maraviroc              (Celsentri®)
    - raltegravir            (Isentress®)
 Apraclonidine               (Iopidine®)
 Asenapine                   (Sycrest®)                   Moderate to severe
                                                          manic episodes in
                                                          bipolar 1 disorder in
                                                          adults
 Avelumab with axitinib                                   Untreated advanced
                                                          renal cell carcinoma
 Becaplermin Gel             (Regranex ®)                 Adjunct treatment of
                             No license in this country   full-thickness,
                                                          neuropathic, diabetic
                                                          ulcers
 Boceprevir                  (Victrelis ®)                Chronic hepatitis C
 Botulinum toxin             (Botox, Dysport ®)           All indications
 Buprenorphine oral          (Espranor®)                  All indications
 lyophilisate
 Cannabis-based                                           Defined approved
 medicinal preparations                                   indications within
                                                          paediatrics and
                                                          neurology
 Cidofovir                   (Vistide®)                   Cytomegalovirus
                                                          (CMV) retinitis in AIDS
 Cinacalcet                  (Mimpara ®)                  Secondary
                                                          hyperparathyroidism in
                                                          patients with end-
                                                          stage renal disease
 Clozapine                   (Clorazil®)                  Schizophrenia
 Colchicine                  (Generic)                    Pericarditis caused by
                                                          systemic inflammatory
                                                          diseases and post-
                                                          cardiac injury
                                                          syndromes
 Dapagliflozin               (Forxiga®)                   Type-1 Diabetes
 Deferasirox, deferiprone,   (Exjade®, Ferriprox®,        Treatment of iron
 desferrioxamine mesilate    Desferal ®)                  overload
 Dexamethasone               (Generic)                    Treatment of COVID-
                                                          19 infection
 Entecavir                   (Baraclude®)                 Chronic hepatitis B
 Ferric maltol               (Feraccru®)                  Iron deficiency in
                                                          adults with

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RED TRAFFIC LIGHT LIST. May 2021
inflammatory bowel
                                                   disease
 Filgrastim               (Neupogen®)              Neutropenia
 Fondaparinux             (Arixtra®)               VTE prophylaxis and
                                                   heparin-induced
                                                   thrombocytopenia
 Foscarnet                (Foscavir®)              CMV retinitis in AIDS
 Fremanezumab             (Ajovy®)                 Preventing chronic
                                                   migraine
 Galcanezumab             (Emgality®)              Preventing migraine
 Ganciclovir              (Cymevene®)              Life and sight
                                                   threatening
                                                   cytomegalovirus
                                                   infections
 Hylan                    (Synvisc ®)              Osteoarthritis
 Ibandronic acid I.V      (Bonviva ®)              Osteoporosis in
                                                   postmenopausal
                                                   women
 Isotretinoin             (Roaccutane ®)           Acne
 IVF intranasal and
                                                   In-vitro fertilisation
 injectable drugs
 Ketamine oral solution   (Unlicensed special ®)   Unlicensed use for the
                                                   relief of pain in
                                                   palliative care patients
                                                   and for the
                                                   management of
                                                   chronic pain

 Lenograstim              (Granocyte®)             Neutropenia
 Linaclotide              (Constella®)             IBS - Constipation
 Linezolid                (Zyvox®)                 Antibiotic
 Liothyronine                                      Hypothyroidism
 Liraglutide              (Saxenda®)               Managing overweight
                                                   and obesity
 Metolazone               (Unlicensed special)     Heart failure, oedema,
                                                   hypertension
 Moviprep®                (Moviprep®)              Preparation for
                                                   endoscopy – hospital to
                                                   supply to patients in
                                                   advance of endoscopy
                                                   appointment
 Palivizumab              (Synagis®)               Prevention of serious
                                                   lower respiratory
                                                   infection caused by
                                                   RSV
 Patiromer                (Veltassa®)              Hyperkalaemia

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RED TRAFFIC LIGHT LIST. May 2021
Quinagolide               (Norprolac®)                  Hyperprolactinaemia
 Ribavirin                 (Rebetol®)                    Severe respiratory
                                                         sybcytial virus
                                                         bronchiolitis
 Sertindole                (Serdolect®)                  Schizophrenia
 Siponimod                 (Mayzent®)                    Multiple sclerosis
 Sotagliflozin             (Not licensed in UK)          Type-1 diabetes
 Telaprevir                (Incivo®)                     Chronic hepatitis C
 Telbivudine               (Sebivo®)                     Chronic hepatitis B
 Upadacitinib              (RINVOQ®)                     Rheumatoid arthritis
 Valganciclovir            (Valcyte®)                    Prophylaxis of CMV
                                                         (and treatment of CMV
                                                         – unlicensed)

BNF Chapter 8. Malignant Disease and Immunosuppression.

 GENERIC NAME                             BRAND NAME (not exhaustive)
 Abiraterone acetate                      (Zytiga®)
 Aldesleukin                              (Proleukin®)
 Alemtuzumab                              (MabCampath®)
 Amsacrine                                (Amsidine®)
 Antithymocyte immunoglobulin (rabbit)    (Thymoglobuline®)
 Atezolizumab                             (Tecentriq®)
 Arsenic trioxide                         (Trisenox®)
 Azacitidine                              (Vidaza®)
 Bacillus Calmette-Guerin (BCG)           (ImmuCyst®/OncoTICE®)
 Basiliximab                              (Simulect®)
 Belatacept                               (Nulojix®)
 Bendamustine                             (Levact®)
 Bevacizumab                              (Avastin®)
 Bexarotene                               (Targretin®)
 Bleomycin
 Bortezomib                               (Velcade®)
 Brigatinib                               (Alunbrig®)
 Busulfan                                 (Myleran®
                                          Busilvex®)
 Canakinumab                              (Ilaris®)
 Capecitabine                             (Xeloda®)
 Caplacizumab                             (Cablivi®)
 Carfilzomib                              (Kyprolis®)
 Carmustine                               (Gliadel®)
 Catumaxomab                              (Removab®)

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RED TRAFFIC LIGHT LIST. May 2021
Cetuximab                         (Erbitux®)
 Chlorambucil                      (Leukeran®)
 Cladribine                        (Leustat®)
                                   (Litak®)
 Clofarabine                       (Evoltra®)
 Crisantaspase                     (Erwinase®)
 Cyclophosphamide
 Cytarabine                        (DepoCyte®)
 Dacarbazine
 Dactinomycin
 Darolutamide                      (NUBEQA®)
 Daunorubicin                      (DaunoXome®)
                                   (Caelyx®)
 Doxorubicin hydrochloride
                                   (Myocet®)
 Encorafenib                       (Braftovi®)
 Epirubicin                        (Generic and Pharmorubicin®)
 Eribulin                          (Halaven®)
 Estramustine phosphate            (Estracyt®)
 Etoposide                         (Etopophos®)
                                   (Vepesid®)
 Fingolimod                        (Gilenya®)
 Fludarabine phosphate             (Fludara®)
 Fluorouracil (injection)
 Fulvestrant                       (Faslodex®)
 Gemcitabine                       (Gemzar®)
 Gimeracil
 Glatiramer acetate                (Copaxone®)
 Histamine Dihydrochloride         (Ceplene®)
 Histrelin                         (Vantas®)
 Idarubicin                        (Zavedos®)
 Ifosfamide
 Interferon alfa
     - Interferon alfa             (Intron A®)
                                   (Pegasys®/ViraferonPeg®)
     - Peginterferon alfa
 Interferon beta
     - Interferon beta-1a          (Avonex®/Rebif®)
     - Interferon beta-1b          (Betaferon®/Extavia®)
 Interferon Gamma-1b               (Immukin®)
 Ipilimumab                        (Yervoy®)
 Isatuximab                        (SARCLISA®)
 Lenalidomide
 Lomustine

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RED TRAFFIC LIGHT LIST. May 2021
Melphalan                         (Alkeran®)
 Mifamurtide                       (Mepact®)
 Mitomycin                         (Mitomycin C Kyowa®)
 Mitotane                          (Lysodren®)
 Mitoxantrone                      (Onkotrone®)
 Natalizumab                       (Tysabri®)
 Nelarabine                        (Atriance®)
 Nivolumab                         (OPDIVO®)
 Obinutuzumab                      (Gazyvaro®)
 Ofatumumab                        (Arzerra®)
 Osimertinib                       (TAGRISSO®)
 Oteracil
 Panitumumab                       (Vectibix®)
 Pembrolizumab                     (KEYTRUDA®)
 Pemetrexed                        (Alimta®)
 Pentostatin                       (Nipent®)
 Platinum compounds
    - Carboplatin
    - Cisplatin
    - Oxaliplatin
 Polatuzumab vedotin               (Polivy®)
 Pomalidomide                      (Imnovid®)
 Porfimer sodium
 Procarbazine
 Protein kinase inhibitors
    - Dasatinib                    (Sprycel®)
    - Erlotinib                    (Tarceva®)
    - Everolimus                   (Afinitor®/Votubia®)
    - Gefitinib                    (Iressa®)
    - Imatinib                     (Glivec®)
    - Lapatinib                    (Tyverb®)
    - Nilotinib                    (Tasigna®)
    - Pazopanib                    (Votrient®)
    - Sorafenib                    (Nexavar®)
    - Sunitinib                    (Sutent®)
    - Temsirolimus                 (Torisel®)
    - Vandetanib                   (Caprelsa®)
    - Vemurafenib                  (Zelboraf®)
 Thiotepa                          (Tepadina®)
 Treosulfan
 Raltitrexed                       (Tomudex®)
 Rituximab                         (MabThera®)
 Taxanes
    - Carbazitaxel                 (Jevtana®)

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RED TRAFFIC LIGHT LIST. May 2021
-    Docetaxel                             (Generic and Taxotere®)
    -    Paclitaxel                            (Generic and Abraxane®)
 Tegafur with and
 Tegafur with Uracil                           (Uftoral® )
 Temoporfin
 Temozolomide
 Thalidomide
 Tioguanine                                    (Lanvis®)
 Topoisomerase I inhibitors
    - Irinotecan Hydrochloride                 (Generic and Campto®)
    - Topotecan                                (Generic and Hycamtin®)
 Trabectedin                                   (Yondelis®)
 Trastuzumab                                   (Herceptin®)
 Tretinoin                                     (Vesanoid®)
 Venetoclax                                    (Venclyxto®)
 Vinblastine sulfate                           (Velve®)
 Vincristine sulfate                           (Oncovin®)
 Vindesine sulfate                             (Eldisine®)
 Vinflunine                                    (Javlor® )
 Vinorelbine                                   (Navelbine®)

        Formulary Traffic Light List     RED
        Date ratified by D&T Committee   May 2013
        1st Amendment                    August 2013. Linaclotide included
        Ratified by D&T                  August 2013
        2nd Amendment                    October 2013.
                                         Lisdexamfetamine mesilate and Asenapine included
        Ratified by D&T                  October 2013
        3rd Amendment                    March 2014.
                                         Lisdexamfetamine mesilate removed.
        Ratified by D&T                  March 2014
        Next Review Date                 March 2016
        4th Amendment                    April 2014
                                         Apraclonidine (Iopidine®) included
        Ratified by D&T                  April 2014
        Next Review Date                 April 2016
        5th Amendment                    October 2018
                                         Ulipristal (Esmya®) included
        Ratified by D&T                  October 2018
        Next Review Date                 October 2020
        6th Amendment                    October 2019
                                         Dapagliflozin (Forxiga®) included
        Next Review Date                 October 2020
        7th Amendment                    August 2020
                                         Ulipristal (Esmya®) removed (license suspension)
                                         Metolazone indications included
                                         Colchicine included
                                         Dexamethasone included
                                         Sotagliflozin included
                                         Patiromer included
                                         Moviprep® included
        Ratified by D&T                  August 2020
        Next review date                 August 2021

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RED TRAFFIC LIGHT LIST. May 2021
8th Amendment                  October 2020
                                    Buprenorphine oral lyophilisate included
                                    Fondaparinux included
     Ratified by D&T                October 2020
     Next review date               October 2021
     9th Amendment                  November 2020
                                    Avelumab with axitinib included
                                    Cannabis-based medicinal preparations included
                                    Liothyronine included
     Additions approved by MSEMOC   October 2020
     Next review date               November 2021
     10th Amendment                 May 2021 – additions
                                    Atezolizumab                 Liraglutide
                                    Brigatinib                   Nivolumab
                                    Caplacizumab                 Obinutuzumab
                                    Carfilzomib                  Osimertinib
                                    Darolutamide                 Pembrolizumab
                                    Encorafenib                  Polatuzumab vedotin
                                    Ferric maltol                Pomalidomide
                                    Fremanezumab                 Siponimod
                                    Galcanezumab                 Upadacitinib
                                    Isatuximab                   Venetoclax
                                    Chapter 8 sub-sections combined and alphabetised.
     Additions approved by MSEMOC   December 2020, February 2021
     Next review date               May 2022

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RED TRAFFIC LIGHT LIST. May 2021
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