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Products Miscellany and Supply Problems January 2017
Products
Supply Now Available
Re-named product Haelan
tape has been re-named as
fludroxycortide tape
Product Information
Comments
Haelan tape is a transparent plastic
surgical tape impregnated with
fludroxycortide, which is a fluorinated,
synthetic, moderately potent, topical
corticosteroid. As with other topical
steroids, the therapeutic effect is
primarily the result of its antiinflammatory activity, but it offers
protection and support to the affected
skin.
The tape is indicated for use as an adjuvant
therapy indicated for chronic, localised recalcitrant
dermatoses that may respond to topical
corticosteroids, and particularly for dry scaling
lesions.
Size available is 7.5cm x 20cm=£8.19
Licensed Metformin oral
solution s/f (Colonis)
Instead of using unlicensed/ specials
metformin 850mg/5ml and metformin
1g/5ml oral solution, the following
products which are licensed should be
considered:

Metformin 850mg/5ml oral solution
s/f 150ml=£20.40

Metformin 1g/5ml oral solution s/f
150ml=£24.00
There is a professional requirement that where a
product is ordered on a prescription, a pharmacist
must supply a product with a marketing
authorisation, where such a product exists and is
available, in preference to an unlicensed medicine.
Liquid preparations of metformin should
only be used if the patients have
genuine swallowing difficulties as
metformin tablets are the most cost
effective preparations available.
Information for Community Pharmacists
Emerade® pre-filled pens
The SPC and PIL for Emerade® pre-inspection window
filled pens have been updated with
information regarding checking the
solution.
The expiry date has been reduced from 30 months
to 18 months.
The costs of the 150mcg and 300mcg Emerade®
has been reduced to reflect prices that are less
than the 150mcg and 300mcg Epipen® pens.
Pharmacists delivering vaccination
services should check the solution
periodically through the inspection
window of the unit by lifting the label,
indicated by an arrow, to make sure
the solution is clear and colourless.
If the solution is discoloured or contains
particles, it should be discarded. When
Emerade® is supplied against a
prescription, remember to counsel the
patient on periodically checking the
solution through the inspection
window.
General Information
Class 4 MHRA Drug Alert
Arava® 10mg leflunomide
The Medicines and Healthcare Products
Regulatory Agency (MHRA) has issued
a class 4 alert for certain batches of:
Arava (leflunomide) 10mg filmcoated tablets (Sanofi-Aventis
Deutschland GmbH).
There is a risk to patients who have compromised
eye-sight and who rely solely on Braille to
determine their tablet strength. Packs with the
specified batch numbers should not be dispensed
to patients who rely solely on Braille.
To view the alert please visit the MHRA website
Sanofi on behalf of Sanofi-Aventis
Deutschland GmbH, has informed the
MHRA that there is an error in the
Braille on 1 in 5 cartons from certain
batches. On affected cartons, the
strength of the product reads ‘20mg’
instead of ‘10mg’ in Braille. The printed
text is correct on all packaging.
Tin Orchel Medicines Management Team Southampton City CCG
E-mail [email protected]
Products Miscellany and Supply Problems January 2017
Class 4 MHRA drug alert –
Mirena® 20 micrograms/24
hours intrauterine delivery
system (Bayer plc)
Healthcare waste referral
form for Southampton City
MHRA Drug Safety
Update-January 2017
Mirena 20 micrograms/24 hours
intrauterine delivery system pack size 1
x 1 (Bayer plc)
PL number: 00010/0547
Batch number: TU01BPE
Expiry date: June 2019
Bayer plc has informed the MHRA that
it has received two complaints globally
concerning Mirena inserters with an
insertion tube which is mounted
inversely to the handle. This has
resulted in inversion of the insertion
depth scale, which may lead to incorrect
insertion depth and the possibility of a
reduced efficacy or adverse events.
Any stock on hand from the above
batch should be inspected to ensure
that the insertion tube is mounted
correctly. This can be done without
opening the blister. Instructions on how
to do this are included in the MHRA
drug alert.
Southampton City Council has not had
any fax facilities since July 2016.
All surgeries and hospitals need to be
aware of the email address to send the
form to.
Any incorrectly mounted insertion tubes identified
should be reported to Bayer plc
01635 563116 or
Email, [email protected].
To view the alert please visit the MHRA website
For more details on e- mail addresses :
latest Healthcare
Waste Referral Form - Word Document 01.07.2016.doc
January 2017 Drug Safety Update:
pdf_Jan.pdf
Specials information
Chewable sildenafil
preparations
Dermatological specials
A licensed chewable sildenafil brand
name Nipatra® is available for patients
with swallowing difficulties
Please prescribe this product only by
exception as generic sildenafil tablets
are the most cost effective preparations.
However Nipatra® is more cost
effective than unlicensed specials of
sildenafil liquid preparations which can
only be obtained at high cost in
community.
In the past few months the following
“special “ item was prescribed locally in
community :
Liq Paraf 50%/Emulsif 50%Oint at a
cost of > £600 for 500g
Alternatives may include : white soft
paraffin 50%/ liquid paraffin 50%
ointment at a cost of <£5.00 for 500g
There is a professional requirement that where a
product is ordered on a prescription, a pharmacist
must supply a product with a marketing
authorisation, where such a product exists and is
available, in preference to an unlicensed medicine.
There is a professional requirement that where a
product is ordered on a prescription, a pharmacist
must supply a product with a marketing
authorisation, where such a product exists and is
available, in preference to an unlicensed medicine.
The prescription has to be endorsed appropriately
if a “special” is dispensed which would include the
cost price.
If the cost of the special seems
disproportionate to the item, please contact the
GP practice or your local Medicines
Management Team to discuss a possible
alternative, so that good use is made of NHS
funds.
Southampton City Medicines Management Team
 023 80 296916
Tin Orchel Medicines Management Team Southampton City CCG
E-mail [email protected]