Welcome to the Sandwell and West Birmingham CCG Health Economy Formulary. This formulary has been overseen by Sandwell and West Birmingham DTC which consists of a number of GPs, consultants and pharmacists from the health economy. Choices are based on clinical evidence, safety and cost-effectiveness. The formulary aims to provide information on the medicines recommended for prescribing within Sandwell and West Birmingham CCG.
Prescribing in children
The APC notes that the informed use of unlicensed medicines or of licensed medicines for unlicensed applications (‘off-label’ use) is often necessary in paediatric practice.
The APC advises GPs to consider specialist prescribing recommendations for Green and Amber medicines that are not subject to ESCAs or RICaDs in combination with the information provided in the BNFC which goes beyond that of marketing authorisations. The BNFC has been designed for rapid reference and the information presented has been carefully selected to aid decisions on prescribing.
Ethical and religious implications of animal derived substances in medicines
Drugs with animal and human derived content are widely used in medicine and surgery across the world. However, information regarding the origins of specific ingredients is not always available to health practitioners. A religious/ethical perspective concerning the use of animal and human derived drug ingredients has not thoroughly been investigated. This article https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4220589/ from December 2013 demonstrates the breadth and complexity of this issue.
The APC accepts that individuals may wish to avoid using medication that is in any way derived from animal and human origin (or containing alcohol) in order to support their ethical or religious views. When this view is expressed to prescribers, they will seek to find a formulary product with a suitable formulation. However, it is important to note that often, suitable alternatives may not be available. Following discussion with their doctor/prescriber - the individual should then make an informed decision regarding their choice to take the prescribed medication or not.
Medicine formulations are subject to change, therefore the APC does not identify specific products as being suitable for individuals with any specific religious or ethical view.
Individuals may seek the advice of their local community pharmacist regarding the suitability of medicines.