| Therapeutic Area | Formulary Choices | Cost for 28 (unless otherwise stated) | Rationale for decision / comments |
|---|---|---|---|
| Glucocorticoid therapy | Prednisolone As prednisolone Dompé | 1mg tablets: £0.83 (28) 5mg tablets: £1.07 (28) Oral solution 1mg/1ml (5ml) 10 single dose units £11.41 3x10 single dose units £34.23 | Can be crushed. Prescribing should be in multiple of 5mg for safety reasons. Prednisolone 25mg is non formulary. Prescribers are advised to use plain prednisolone. Enteric coated prednisolone has slower onset of action, less consistent blood levels and no proven evidence of GI protective effect. Recommended as a much cheaper (35%) alternative to soluble prednisolone. Comes with spoon which measures 1.25, 2.5 and 3.75ml doses. Patients on long term continuous treatment or having frequent doses should have an Emergency Steroid Card |
| Hydrocortisone 10mg tablets as generic 20mg tablets as generic | 10mg tablets: £4.75 (30) 20g tablets: £3.32 (30) | Patients on long term continuous treatment or having frequent doses should have an Emergency Steroid Card |
