Prescribing Commissioning Policy SOP v1 2.pdf - South ...

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Cannock Chase Clinical Commissioning Group South East Staffordshire and Seisdon Peninsula Clinical Commissioning Group Stafford and Surrounds Clinical Commissioning Group East Staffordshire Clinical Commissioning Group Medicines Optimisation Prescribing Audit Prescribing Commissioning Policy Aim NHS Commissioners receive funding to commission health services for their resident population and make decisions within the context of statutes, statutory instruments, regulations and guidance. NHS Commissioners have a responsibility to seek the greatest health advantage possible for local populations using the resources allocated to them. It is necessary to make decisions regarding the investment of resources in interventions which achieve the greatest health gain for the population. Medicines optimisation is important in achieving the best outcomes for patients. The Royal Pharmaceutical Society good practice guide on medicines optimisation suggests the following principles are key to help patients get the most out of their medicines. 1 Treatments of limited clinical value are not used and medicines no longer required are stopped. Optimal patient outcomes are obtained from choosing a medicine using best evidence (for example, following NICE guidance, local formularies etc.) and these outcomes are measured. Medicines wastage is reduced. The NHS achieves greater value for money invested in medicines. Patients are more engaged, understand more about their medicines and are able to make choices, including choices about prevention and healthy living. It becomes routine practice to signpost patients to further help with their medicines and to local patient support groups. Incidents of avoidable harm from medicines are reduced. The PrescQiPP DROP-list recommendations have been combined with existing South Staffordshire prescribing recommendations to establish a Prescribing Commissioning Policy which details the position of the CCGs in the prescribing of included drugs. The Clinical Prioritisation Group (CPAG) within South Staffordshire review treatments and procedures to assess their effectiveness and suitability for commissioning by CCG’s. For drugs which are prescribed within primary care, those which have been reviewed and are not considered a priority for commissioning are now included within this policy. The drugs list within the policy is divided into 2 sections: List A: Drugs not commissioned for prescribing within South Staffordshire. These drugs are not suitable for prescribing locally due to recommendations from NICE to ‘not prescribe’ or are drugs which have been reviewed within South Staffordshire through the Clinical Prioritisation Group and are not recommended for prescribing. List B: Drugs which are only recommended for prescribing in certain circumstances. These drugs should not routinely be prescribed unless clinically indicated for the individual patient in certain circumstances (as detailed in appendix 1 of the full policy).

Transcript of Prescribing Commissioning Policy SOP v1 2.pdf - South ...

Cannock Chase Clinical Commissioning Group South East Staffordshire and Seisdon Peninsula Clinical Commissioning Group Stafford and Surrounds Clinical Commissioning Group East Staffordshire Clinical Commissioning Group

Medicines Optimisation Prescribing Audit

Prescribing Commissioning Policy

Aim NHS Commissioners receive funding to commission health services for their resident population and make decisions within the context of statutes, statutory instruments, regulations and guidance. NHS Commissioners have a responsibility to seek the greatest health advantage possible for local populations using the resources allocated to them. It is necessary to make decisions regarding the investment of resources in interventions which achieve the greatest health gain for the population. Medicines optimisation is important in achieving the best outcomes for patients. The Royal Pharmaceutical Society good practice guide on medicines optimisation suggests the following principles are key to help patients get the most out of their medicines.1

• Treatments of limited clinical value are not used and medicines no longer required are stopped. • Optimal patient outcomes are obtained from choosing a medicine using best evidence (for example,

following NICE guidance, local formularies etc.) and these outcomes are measured. • Medicines wastage is reduced. • The NHS achieves greater value for money invested in medicines. • Patients are more engaged, understand more about their medicines and are able to make choices,

including choices about prevention and healthy living. • It becomes routine practice to signpost patients to further help with their medicines and to local patient

support groups. • Incidents of avoidable harm from medicines are reduced.

The PrescQiPP DROP-list recommendations have been combined with existing South Staffordshire prescribing recommendations to establish a Prescribing Commissioning Policy which details the position of the CCGs in the prescribing of included drugs. The Clinical Prioritisation Group (CPAG) within South Staffordshire review treatments and procedures to assess their effectiveness and suitability for commissioning by CCG’s. For drugs which are prescribed within primary care, those which have been reviewed and are not considered a priority for commissioning are now included within this policy. The drugs list within the policy is divided into 2 sections: List A: Drugs not commissioned for prescribing within South Staffordshire. These drugs are not suitable for prescribing locally due to recommendations from NICE to ‘not prescribe’ or are drugs which have been reviewed within South Staffordshire through the Clinical Prioritisation Group and are not recommended for prescribing. List B: Drugs which are only recommended for prescribing in certain circumstances. These drugs should not routinely be prescribed unless clinically indicated for the individual patient in certain circumstances (as detailed in appendix 1 of the full policy).

Rationale To review all patients receiving the below drugs which are included within the Prescribing Commissioning Policy. List A: Drugs not commissioned for prescribing within South Staffordshire.

1. Aliskiren (Rasilez®) NICE state there is insufficient evidence of its effectiveness to determine its suitability for use in resistant hypertension.2 Suggested action: patients to be reviewed by GP and for resistant hypertension treatment options, follow NICE CG127.2

2. Cannabis Sativa Reviewed by the South Staffordshire Clinical Prioritisation Group and not recommended for prescribing. For multiple sclerosis, the cost effectiveness evidence did not support its use.3 Not licensed for other indications in UK. Suggested action: patients to be reviewed by GP to follow NICE Clinical Guideline 186: Multiple Sclerosis – management of multiple sclerosis in primary and secondary care.3

3. Complementary Therapies There is a limited evidence base and a lack of robust randomised controlled trials directly comparing them with standard treatments. Some are also associated with severe adverse effects, they may significantly interact with other medicines and can delay accurate diagnosis of underlying pathology. None reviewed by NICE recommend their use.4

Many products are not prescribable on NHS prescriptions as set out in Part XVIIIA of the Drug Tariff Suggested action: current medication should be discontinued and patient advised to purchase as over-the-counter products and inform GP what they are taking so it can be documented in medical notes.

4. Co-proxamol Markedly more toxic in overdose than paracetamol. Withdrawn from the market in 2005 due to safety concerns and marketing authorisations cancelled at end of 2007.5 Prescribing continues on unlicensed basis which puts the full clinical responsibility on the prescribing GP. Previously included within the South Staffordshire Grey List - Drugs that should not be prescribed in the South Staffordshire Health Economy. Suggestive action: patients to be reviewed by GP and changed to alternative analgesics e.g. paracetamol and codeine or co-codamol tablets.

5. Cough and cold remedies (products as listed in Appendix 1) Limited clinical value for these treatments – cough mixtures, aromatic inhalations, decongestants, sore throat lozenges etc. Over the counter products are suitable for most patients’ in-line with their product licenses. Many products are not prescribable on NHS prescriptions as set out in Part XVIIIA of the Drug Tariff. Suggested action: current medication should be discontinued and patient advised to purchase as over-the-counter products.

6. Dental products and fluoride supplements Products recommended by dentists (or other specialists) e.g. fluoride tablets, toothpastes and mouthwashes should be purchased OTC or prescribed by the dentist/specialist. It is inappropriate to ask a GP to take clinical responsibility for this prescribing. Dental Pain and Infections prescribing commissioning statement is available via

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http://www.southstaffordshirejointformulary.nhs.uk/. Suggested action: current medication should be discontinued and patient advised to purchase as over-the-counter products or to obtain supplies from their dentist/specialist.

7. Doxazosin Modified-Release (MR) No good evidence of additional benefit over immediate release doxazosin. Both formulations provide effective blood pressure control (doxazosin is recommended only as a fourth-line antihypertensive) and are effective at controlling the symptoms of BPH and improving maximum urinary flow rate. The long half-life of immediate release doxazosin allows once daily dosing. Suggested action: current prescription for doxazosin MR to be changed to normal-release doxazosin tablets.

8. Eflornithine cream (Vaniqua®) for hirsutism There is no evidence of its efficacy in comparison to other hirsutism treatments. It needs to be used indefinitely but the long-term benefits and safety have not been established (past 24 weeks).6 In-line with the local Procedures of Limited Clinical Value, cosmetic treatments are not routinely funded by the CCG. Reviewed by the South Staffordshire Clinical Prioritisation Group and not recommended for prescribing locally. The prescribing of eflornithine cream for cosmetic reasons is not supported for prescribing on the NHS within South Staffordshire for any patient. The Specialised Services Circular: Primary Care Responsibilities in Prescribing and Monitoring Hormone Therapy for Transgender and Non-Binary Adults (updated) – April 2016, requests that GP’s should prescribe medication advised by Gender Identity Clinics however eflornithine is not supported for prescribing on the NHS locally. Suggested action: current medication should be discontinued and patient advised to use alternative hair removal options.

9. Fentanyl immediate release formulations Morphine is the most valuable opioid for severe pain. Fentanyl is significantly more expensive and there are potential safety problems presented by these products, which provide relatively high doses of a potent opioid and are associated with complicated titration and maintenance instructions.7

No immediate-release fentanyl products are included within the South Staffordshire Formulary. Suggested action: patient to be reviewed by the GP and alternative formulary immediate-release opioids prescribed e.g. morphine or oxycodone.

10. Glucosamine/ Glucosamine & Chondroitin Do not do recommendation in NICE CG177.8 “Do not offer glucosamine or chondroitin products for the management of osteoarthritis.” Reviewed by the South Staffordshire Clinical Prioritisation Group and not recommended for prescribing. Suggested action: current medication should be discontinued and patient advised to purchase as over-the-counter products.

11. Lidocaine plasters NICE CG173 on neuropathic pain does not recommend the use of lidocaine patches as a treatment option due to limited clinical evidence supporting its use.9

Previously reviewed by South Staffordshire Formulary Working Group and was NOT included on to the local formulary. Suggested action: patient to be reviewed by GP and changed to alternative treatments as per NICE Clinical Guideline 173: Neuropathic Pain.9

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12. Lutein and antioxidant vitamins for age-related macular degeneration

Evidence base does not show that lutein and other eye vitamins are beneficial for age-related macular degeneration.10

Products are food supplements and not licenced medicines. Reviewed by the South Staffordshire Clinical Prioritisation Group and not recommended for prescribing. Suggested action: current medication should be discontinued and patient advised to purchase as over-the-counter products.

13. Minocycline for acne Not considered first line tetracycline for acne. Increased risk of side effects, including greater risk of lupus erythematosus-like syndrome and irreversible pigmentation. Not included in the South Staffordshire antimicrobial guidelines for primary care. Previously included within the South Staffordshire Grey List - Drugs that should not be prescribed in the South Staffordshire Health Economy. Suggested action: patient to be reviewed by GP for alternative treatment options. Refer to the local Primary Care Antimicrobial Prescribing Guidelines for further recommendations.

14. Omega-3 and other fish oils For secondary prevention of myocardial infarction NICE CG172 states: “Do not offer or advise people use omega-3 fatty acid capsules or omega 3 fatty acid supplemented foods to prevent another MI.” “Advise people to eat a Mediterranean-style diet (more bread, fruit, vegetables and fish; less meat; and replace butter and cheese with products based on plant oils)”.11

NICE CG170 states “Do not use omega-3 fatty acids to manage sleep problems in children and young people with autism”.12 NICE do not recommend fish or algal oils solely with the aim of preventing hypertensive disorders in pregnancy13 or omega-3 fatty acid supplements for familial hypercholesterolaemia.14 Suggested action: current medication should be discontinued and patient advised to purchase as over-the-counter products. Also offer advice on eating a Mediterranean style diet (more bread, fruit, vegetables and fish; less meat; and replace butter and cheese with products based on plant oils).

15. Oxycodone/Naloxone (Targinact®) Randomised controlled trials have only compared with standard-release oxycodone, NOT with other strong opioids such as morphine, together with regular laxatives. Naloxone element has no effect on risk of overdose as it is not absorbed – it just acts on the GI tract. There is also no data showing that combined oxycodone and naloxone reduce the need for laxatives in the long-term. Poor cost-effectiveness - previously reviewed by South Staffordshire Formulary Working Group and was NOT included on to the local formulary. Previously included within the South Staffordshire Grey List - Drugs that should not be prescribed in the South Staffordshire Health Economy. Suggested action: patient to be reviewed by GP to change to alternative opioid analgesics with regular laxatives e.g. morphine and lactulose.

16. Paracetamol/Tramadol (Tramacet®) Fixed dose combination of 37.5mg tramadol plus 325mg paracetamol per tablet. No more effective than established analgesics in acute or chronic pain,15 contains a sub-therapeutic amount of paracetamol and is more expensive than alternatives. There are safety concerns with tramadol (harms and misuse) as well as an increased number of deaths.16

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Previously reviewed by South Staffordshire Formulary Working Group and was NOT included on to the local formulary. Suggested action: current medication should be discontinued and patient changed to formulary analgesics choice (paracetamol, codeine, co-codamol or tramadol).

17. Perindopril arginine (Coversyl® Arginine and Coversyl® Arginine Plus) No benefit over generic perindopril erbumine and it is more costly.17 Coversyl® prescribed by brand name will be dispensed as Coversyl® arginine. Suggested action: current medication to be changed to generic perindopril erbumine. Note: 2.5mg perindopril arginine is equivalent to 2mg perindopril erbumine.

18. Roflumilast NICE TA244 recommends roflumilast for people with severe COPD only if they are taking part in a research study (clinical trial) that is investigating using roflumilast at the same time as a bronchodilator (a type of inhaled drug). 18

Previously included within the South Staffordshire Grey List - Drugs that should not be prescribed in the South Staffordshire Health Economy. Suggested action: if roflumilast is requested for prescribing please refer back to the specialist within secondary care. For existing patients, patient to be reviewed by the GP and referred back to secondary care to take over the prescribing responsibility for roflumilast.

19. Rubefacients (excluding capsaicin and topical NSAIDs) Topical rubefacient preparations may contain nicotinate and salicylate compounds, essential oils, capsicum, and camphor which are all irritants. There is no clinical evidence for improvement in symptoms. The BNF states there is a lack of evidence for the use of rubefacients in both acute and chronic pain. NICE do not recommend the use of rubefacients for the management of osteoarthritis.8

Suggested action: current medication to be discontinued and patient advised to purchase as over-the-counter products or topical NSAIDs may be purchased over-the-counter or prescribed.

20. Travel vaccine not prescribable on the NHS Hepatitis B, Japanese encephalitis, tick-borne encephalitis, meningococcal meningitis, rabies, tuberculosis and yellow fever are not available on the NHS for the purposes of travel.19

Hepatitis B is not available free of charge on the NHS for travel. Therefore the combined hepatitis A and B vaccination should not routinely be given for travel as travellers should be asked to pay for the hepatitis B component. The combined hepatitis A and B vaccine may however be an option for children under 3 years of age if clinically appropriate. Vaccinations available on the NHS for travel are diphtheria, polio and tetanus (combined booster), typhoid, hepatitis A and cholera. This is because these diseases are thought to pose the greatest risk to public health if brought back into the UK. Patients should be charged privately for all travel vaccines not prescribable on the NHS. List B: Drugs which are only recommended for prescribing in certain circumstances.

1. Amiodarone Not commissioned for prescribing for new patients for long-term rate control - prescribing only appropriate for existing patients if clinically appropriate. Amiodarone is no longer recommended by NICE for long-term rate control due to its potentially fatal, long-term side effects. Digoxin is equally as effective.20

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Amiodarone is a treatment option:20

• for rhythm control in people with left ventricular impairment or heart failure • Pre (4 weeks) and post (up to 12 months) electrical cardioversion • Pharmacological cardioversion in new onset AF • People undergoing cardiothoracic surgery to reduce risk of post-op AF

Suggested action: all exisiting patients on amiodarone to be reviewed. For new patients, digoxin is first-line treatment option for long term rate control.

2. Dosulepin Not commissioned for prescribing for new patients - prescribing only appropriate for existing patients. Patients should be reviewed for alternative treatments when appropriate. NICE CG90 for depression in adults states Do not switch to, or start, dosulepin because evidence supporting its tolerability relative to other antidepressants is outweighed by the increased cardiac risk and toxicity in overdose.21

Previously included within the South Staffordshire Grey List - Drugs that should not be prescribed in the South Staffordshire Health Economy. Suggested action: all exisiting patients on dosulepin to be reviewed. For new patients, selective serotonin receptor inhibitors (SSRIs) are first-line for depression. Where non-SSRI antidepressants are required, prescribers should follow the NICE CG90.21

3. Liothyronine Only to be prescribed for clinically appropriate patients after specialist initiation when levothyroxine not clinically effective. There is no robust clinical evidence on the use of liothyronine either alone or in combination with levothyroxine and it is not licensed for long-term use. There are some patients who can only achieve thyroid control with liothyronine however these patients need to have been clinically assessed by a specialist. The British Thyroid Association (BTA) has considered the evidence around L-T3 therapy, both alone and in combination with L-T4. The BTA advise that some patients, who have unambiguously not benefited from L-T4, may benefit from a trial of L-T4/L-T3 combination therapy. These patients should be supervised by accredited endocrinologists with documentation of agreement after being fully informed and have understood discussion of the uncertain benefits of treatment, likely risks of over-replacements, potential adverse consequences and lack of safety data.22

The BTA do not recommend the use of L-T3 (liothyronine) therapy alone as there are no longer-term controlled clinical trials available which provide evidence to support this treatment. Suggested action: all exisiting patients on liothyronine to be reviewed. Any existing patient who has not been reviewed by a specialist endocrinologist prior to liothyronine treatment should be reviewed by the GP. For new patients, treatment is only appropriate with specialist initiation and appropriate monitoring for benefit (over levothyroxine therapy).

4. Probiotics VSL#3 prescribable only accordance with ACBS for the specified conditions:

• For use under the supervision of a specialist/consultant for the maintenance of remission of ileoanal pouchitis only in adults as induced by antibiotics.

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All other probiotics are classed as food supplements and are therefore unlicensed products with no clinical evidence of effectiveness. They should therefore be purchased as over-the-counter products and not prescribed on the NHS. Suggested action for non-ACBS VSL#3 prescriptions: current medication to be discontinued and patients advised to purchase probiotics as over-the-counter products.

5. Capsaicin cream – prescribe only in accordance with NICE guidance. NICE states that capsaicin cream should be considered for people with localised neuropathic pain who wish to avoid, or who cannot tolerate, oral treatments and patches for neuropathic pain should be used on the advice of a specialist.12 The NICE Clinical Guideline (CG) for osteoarthritis states that topical capsaicin should be considered as an adjunct to core treatments for knee or hand osteoarthritis.8 Suggested alternative: patients to be reviewed by GP for alternative treatments if necessary such as the purchase of over-the-counter products or prescribing/purchase of topical NSAID products.

Audit Criteria • Patient ID • Patient Surname • Patient forename • Registered / usual/ prescribing GP ( as per practice) • Patient Age • Current drug of categories 1-8 (see below) • Indication of treatment • Quantity on prescription • Frequency of prescriptions • Date of Initiation • Initiation by (GP /Hospital?) • Pharmacists comments • GP action

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Method Step 1: Medicines Optimisation Technician/Pharmacist performs initial search in accordance with the audit criteria. For all drugs (excluding Travel Vaccines) a search should be performed to identify patients with the drug on current prescription. For the non-NHS travel vaccines, a search should be run to identify patients issued these vaccines on NHS prescription (i.e. not privately) within the last 3 months – if any inappropriate NHS prescribing is identified this should be addressed directly with the practice manager or prescribing lead GP.

Step 2: Medicines Optimisation Pharmacist clinically reviews patients highlighted in search and recommends actions for the GP.

Step 3: Medicines Optimisation Team gives completed audit to GP practice team to either action or to be signed off to be actioned by Medicines Optimisation Team.

Step 4: Medicines Optimisation Team performs changes if required by GP practices.

Step 5 : Interventions captured and reported

Notes for Practice Pharmacist When reviewing dental mouthwashes, which initiated by an oral maxillary surgeon, oncologist or palliative care team, these should to be reviewed by the GP.

For high dose fluoride toothpaste, which are POM, the dentist should prescribe, be it NHS or private depending on the personal circumstance of the patient. The dentist is responsible for prescribing and reviewing, and patient should be moved over to OTC toothpaste when deemed appropriate by the dentist.

Some rubeficients are cheaper than topical NSAIDs (which are recommended by NICE). Consider risk of patient reverting to oral NSAID if to be stopped.

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References 1. Royal Pharmaceutical Society of Great Britain. Medicines Optimisation: Helping patients to get the most of their medicines. May 2013. 2. National Institute for Health and Care Excellence (NICE). CG127: Hypertension-full guideline the clinical management of primary hypertension in adults. August 2011. Available at http://www.nice.org.uk/guidance/cg127 3. National Institute for Health and Care Excellence (NICE). Clinical Guideline 186. Multiple Sclerosis – management of multiple sclerosis in primary and secondary care. October 2014. Available at http://www.nice.org.uk/guidance/cg186 4. National Institute for Health and Care Excellence (NICE). Do not do recommendations. September 2012. 5. MHRA Media Centre: European Medicines Agency (EMEA) recommends withdrawal of dextropropoxyphene-containing medicines (including co-proxamol). June 2009. Accessed 18/02/2016 http://webarchive.nationalarchives.gov.uk/20141205150130/http://www.mhra.gov.uk/NewsCentre/CON049300 6. MTRAC (Midlands Therapeutics Review and Advisory Committee). Verdict and Summary– eflornithine. January 2006. Available at http://centreformedicinesoptimisation.co.uk/download/642c6f9432641505d3cb0e8e8f58e79f/Eflornithine-Verdict-Jan-06.pdf 7. MHRA. Drug Safety Update. Serious and fatal overdose of fentanyl patches. September 2008. Available at https://www.gov.uk/drug-safety-update/serious-and-fatal-overdose-of-fentanyl-patches 8. National Institute for Health and Care Excellence (NICE). Clinical guideline 177. Osteoarthritis. Available at http://www.nice.org.uk/guidance/cg177 9. National Institute for Health and Care Excellence (NICE). Clinical guideline 173. Neuropathic Pain – pharmacological management. Available at http://www.nice.org.uk/guidance/cg173 10. AMD Guidelines Group. The Royal College of Ophthalmologists. Age Related Macular Degeneration. Guidelines for Management. (Chapter 6). September 2013. 11. National Institute for Health and Care Excellence. Clinical Guideline 172. Myocardial Infarction – Secondary prevention in primary and secondary care. November 2013. Available at http://guidance.nice.org.uk/CG172 12. National Institute for Health and Care Excellence. Clinical Guideline 170. Autism- management of autism in children and young people. August 2013. Available at http://guidance.nice.org.uk/CG170 13. National Institute for Health and Care Excellence. Clinical Guideline 107. Hypertension in pregnancy. August 2010. Available at https://www.nice.org.uk/guidance/cg107 14. National Institute for Health and Care Excellence. Clinical Guideline 71. Identification and management of familial hypercholesterolemia. August 2008. Available at https://www.nice.org.uk/guidance/cg71 15. National Prescribing Centre. Pain Overview Data Focused Commentary: Use of Opioids. 2010. 16. Advisory Council on the Misuse of Drugs (ACMD) consideration of tramadol. February 2013. Accessed 11/02/2014 https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/144116/advice-tramadol.pdf 17. Hughes DA, Ferner RE. New drugs for old: disinvestment and NICE. BMJ 2010;340:C572. 18. Roflumilast for the management of severe chronic obstructive pulmonary disease NICE technology appraisal guidance [TA244] Published date: January 2012 http://www.nice.org.uk/guidance/TA244?UNLID=7812238412016218193745 19. NHS Choices. Travel Vaccinations. November 2013. Available at http://www.nhs.uk/conditions/Travel-immunisation/Pages/Introduction.aspx 20. National Institute for health and Care Excellence (NICE). Clinical guideline 180. Atrial fibrillation: the management of atrial fibrillation. June 2014. Available at https://www.nice.org.uk/guidance/cg180 21. National Institute for Health and Care Excellence (NICE). Clinical Guideline 90. Depression in Adults. October 2009. Available at http://www.nice.org.uk/guidance/cg90 22. Okosieme et al. Management of primary hypothyroidism: statement by the British Thyroid Association Executive Committee Clinical Endocrinology (2015), 0, 1–10. Accessed via http://www.british-thyroid-association.org/news/BTA_Hypothyroidism_Statement.pdf

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Authorisation

Signature Name Title Date

Mr Mahesh Mistry

Head of Medicines Optimisation NHS South East Staffs & Seisdon Peninsula CCG

1/11/2016

Dr Clare Pilkington NHS South East Staffs & Seisdon Peninsula GP Lead 1/11/2016

Appendices 1. Product list of drugs included in Prescribing Commissioning Policy.

2. Patient information letters

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Appendix 1: Suggested patient information letters List A: Drugs not commissioned for prescribing within South Staffordshire.

Drug or Treatment Suggested Patient Information Letter

Aliskiren (Rasilez®) Aliskiren.rtf

Cannabis Sativa Cannabis sativa.rtf

Complementary Therapies Complementary medicines.rtf

Co-proxamol Co-proxamol.rtf

Cough and cold remedies Cough & cold preparations.rtf

Dental products and fluoride supplements Dental products.rtf

Doxazosin Modified-Release (MR) Doxazoxin MR.rtf

Eflornithine cream (Vaniqua®) for hirsutism Eflornithine.rtf

Fentanyl immediate release formulations Fentanyl immediate release.rtf

Glucosamine/ Glucosamine & Chondroitin Glucosamine.rtf

Lidocaine plasters Lidocaine patches.rtf

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Lutein and antioxidant vitamins for age-related macular degeneration Lutein

supplements.rtf

Minocycline for acne Minocycline.rtf

Omega-3 and other fish oils Omega 3.rtf

Oxycodone/Naloxone (Targinact®) Oxycodone & naloxone.rtf

Paracetamol/Tramadol (Tramacet®) Paracetamol and

tramadol.rtf Perindopril arginine (Coversyl® Arginine and Coversyl® Arginine Plus)

Perindopril Arginine.rtf

Roflumilast Roflumilast.rtf

Rubefacients (excluding capsaicin and topical NSAIDs) Rubefacients.rtf

List B: Drugs which are only recommended for prescribing in certain circumstances.

Drug or Treatment Suggested Patient Information Letter Amiodarone Dosulepin

Liothyronine Liothyronine.rtf

Probiotics Probiotics.rtf

Capsaicin cream (Rubefacients) Capsaicin.rtf

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Appendix 2: Products included in the Prescribing Commissioning Policy (note: these lists may not be exhaustive). Cough and Cold Preparations:

AAA_Sore Throat A/Spy 7.5g Abdine_Cold Relief Pdr Sach 650mg Actidil_Elix 2mg/5ml Actidil_Elix 2mg/5ml (2.5ml D) Actidil_Elix 2mg/5ml (H/Strgh) Actidil_Tab 2.5mg Actifed Expect_ Actifed_Chesty Cough Multi Action Syr Actifed_Co Linct Actifed_Cough Relief Actifed_Dry Cough Multi Action Linct Actifed_Multi Action Syr 30mg/1.25mg Actifed_Multi Action Tab Actifed_Syr Actifed_Tab Advil_Cold & Sinus Tab Alkaline Ipecac_Mix BPC 1963 Allens_Chesty Cough Allens_Dry Tickly Cough Allens_Pine & Honey Balsam Aminocridine/Lido HCl_Pastil .025/.25% Ammon Acet_Soln Strong Ammon Bicarb_Soln 500mg/5ml Ammon Chlor/Diphenhyd_Soln 130/14mg/5ml Ammonia & Ipecac_Mix Ammonia & Ipecac_Mix Dble Strgh Amylmetacresol/Vit C_Loz 600mcg Amylmetacresol_Loz 120mcg Amylmetacresol_Loz 600mcg Amylmetacresol_Loz 600mcg S/F Anaflex_Loz 30mg

Ascoxal_Tab Asmaopa_Mix Aspirin/Caffeine_Sach 600mg/50mg S/F Ayrton's_Pot Chlorate Loz 125mg Beecham Coughcaps_Cap Beechams Pdrs_Sach Beechams_Active Cold Relief Capl Beechams_All-In-One Syr Beechams_All-In-One Tab Beechams_Breathe Clear Hot H&L/M PdrSach Beechams_Cold Relief Orange Flav Tab Eff Beechams_Cold&Flu Hot Blkcurrant PdrSach Beechams_Cold&Flu Hot Lem&Honey Pdr Sach Beechams_Cold&Flu Hot Lemon Pdr Sach 6g Beechams_Decongestant Plus Cap Beechams_Flu-Plus Capl Beechams_Flu-Plus Hot Berry FruitPdrSach Beechams_Flu-Plus Hot Lemon Pdr Sach Beechams_Max Strgh Throat Loz (Blkberry) Beechams_Max Strgh Throat Loz(Lem&Honey) Beechams_Pdrs Cap Beechams_Throat-Plus Loz Beechams_Ultra All in One Cap Beechams_Ultra All in One Hot C/BPdrSach Beechams_Ultra All in One Hot L/MPdrSach Beechams_Venos For Kids Chesty Cough Syr

Beehive Balsam_Oral Susp Bellad & Ipecac_Mix Paed BPC Bell's_Chesty Cough Co Mix Bell's_Chesty Cough Co Oral Soln Bell's_Children's Cough Balsam Linct Bell's_Childrens Dry Cough Syr Bell's_Dry Tickly Cough Bell's_Flu Strgh Hot Lem Pdr Sach 1g Bell's_Hot/Blk Cold Relief Pdr Sach650mg Bell's_Mentholated Bronchial Balsam Bell's_Mucus Cough Benylin + Codeine_Syr Benylin 4-Flu_Hot Drink Pdr Sach Benylin 4-Flu_Liq Benylin 4-Flu_Tab Benylin_Chesty Cough & Cold Tab Benylin_Chesty Cough Non-Drowsy Sach 5ml Benylin_Chesty Coughs Non-DrowsyOralSoln Benylin_Chesty Coughs Orig Sach 5ml Benylin_Chesty Coughs Original Benylin_Child Apple Flav Cough Syr Benylin_Child Blkcurrant Flav Cough Syr Benylin_Child Chesty Cough Sach 5ml Benylin_Child Chesty Cough Syr 50mg/5ml Benylin_Child Cough Benylin_Child Cough & Cold Benylin_Child Dry Cough OralSoln 2mg/5ml

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Benylin_Child Night Cough Benylin_Child Tickly Cough Benylin_Children'sCough & SoreThroat Syr Benylin_Cold & Flu Day & Night Cap Benylin_Cold & Flu Max Strgh Cap Benylin_Cold&Flu MaxStrgh Non-DrowsySach Benylin_Day & Night Tab Benylin_Dry Coughs 7.5mg/5ml Oral Soln Benylin_Dry Coughs Blkcurrant Syr Benylin_Dry Coughs Original Syr Benylin_Infant's Cough Syr Benylin_Mucus Cough Menthol Oral Soln Benylin_Mucus Cough Night Syr Benylin_Mucus Cough Plus Decongest Syr Benylin_Mucus Cough Syr Benylin_MucusCough&ColdAllInOneReliefTab Benylin_Sore Throat Loz (Honey + Lem) Benylin_Tickly Cough Non-Drowsy Liq Benz Co_Tinct Benz_Tinct BPC Benzalk Chlor_Loz 500mcg S/F Benzalk_Loz Benzocaine/Cetalk Chlor_Spy 1.5%/0.0413% Benzocaine/Cetylpyr Chlor_Loz 10mg/1.4mg Benzocaine_Spy 1mg 15ml S/F Benzydamine HCl_Loz 3mg S/F Bioforce_Echinacea Loz Bioforce_Echinaforce Throat Spy Blkcurrant & Glycerol_Pastil Blkcurrant & Glycerol_Pastil Clr Boots_Anaesthetic Throat Loz Boots_AnaestheticSoreThroatRelief Spy 2% Boots_Antis Loz

Boots_Antis Throat Dps Cherry Menthol Boots_Antis Throat Dps Orng/Menthol+VitC Boots_Antis Throat Dps S/F Boots_Blocked Nose Relief Cap 12mg Boots_Catarrh Cough Syr Boots_Catarrh Pastil Boots_Chesty Cough Relief Oral Soln Boots_Chesty Cough Syr 6 Years + Boots_Child 6mth Plus Cough+Congest Syr Boots_Child Chesty Cough Syr 100mg/5ml Boots_Child Chesty Cough Syr 50mg/5mlS/F Boots_Child Decongestant Syr 10mg/5mlS/F Boots_Child Dry Cough Syr 2mg/5ml S/F Boots_Cold & Flu Max Relief Blk Pdr Sach Boots_Cold & Flu Max Relief Lem Pdr Sach Boots_Cold & Flu Relief + Ibuprofen Tab Boots_Cold & Flu Relief Hot Lem Pdr Sach Boots_Cold & Flu Relief Tab Boots_Cold&Flu Relief Hot Blk/C Pdr Sach Boots_Cough & Decongestant Syr 6 years + Boots_Cough Relief For Child S/F Boots_Cough Syrup 3 Months Plus Boots_Day Cold & Flu Relief Oral Soln Boots_Decongestant Syr Jnr 20mg/5ml S/F Boots_Decongestant Tab Boots_Decongestant+Paracet Tab 500/60mg Boots_Diabetic Cough Linct

Boots_Dry Cough Relief Loz 2.5mg Boots_Dry Cough Syr 6 Years + Boots_DryCough+Decongest Relief OralSoln Boots_Easy Breathing Pastil Boots_Glycerin & Blkcurrant Linct Boots_Glycerin & Blkcurrant Pastil Boots_Max Cold & Flu Cap Boots_Max Cold & Flu Day & Night Cap Boots_Max Cold&Flu Relief D/Dose BlkSach Boots_Max Cold&Flu Relief D/Dose LemSach Boots_Max Strgh S/Relief Day & Night Cap Boots_Max Strgh Sinus Relief Cap Boots_Night Cold & Flu Relief Oral Soln Boots_Nirolex Chesty Cough&C/ReliefLinct Boots_Pharmacy Cold & Flu 24 Hour Cap Boots_Pharmacy Cold & Flu Day Cap Boots_Pharmacy Cold & Flu Night Cap Boots_S/Throat Relief D/Act Loz (B/Chry) Boots_S/Throat Relief D/Act Loz (B/Crrt) Boots_S/Throat Relief D/Act Loz(Hon+Lem) Boots_Sinus Dual Relief Cap Boots_Sore Throat Relief Loz Cherry Boots_Sore Throat Relief Loz Lem Boots_Sore Throat Relief Loz S/F Boots_Sore Throat Relief LozOrng/Menthol Boots_St.Luke's Cough & Bronch Mix Bradosol Plus_Loz (Orig) Bradosol Plus_Loz S/F Bradosol_(S)

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Bradosol_Loz 0.5mg S/F (Cherry Menthol) Bradosol_Loz 0.5mg S/F (Orig Citrus) Brompheniramine Mal_Cap 12mg M/R Brompheniramine Mal_Elix 2mg/5ml Brompheniramine Mal_Syr Co Brompheniramine Mal_Tab 12mg M/R Brompheniramine Mal_Tab 4mg Bronal_Cough Balsam Bronal_Cough/Catarrh Elix Bronal_Diabetic Bronalin_Dry Cough Syr S/F Bronchial_Cough Mix Bronchipax_Tab Bronchosan Pine_Cough Syr Broncho-Vaxon_Cap Brontyl_Cough Cap 15mg Buttercup_Blkcurrant Flav Cough Syr Buttercup_Chesty Cough Oral Soln Buttercup_Honey & Lem Syr Buttercup_Max Strgh Sore Throat Loz Buttercup_Syr Buttercup_Throat Loz Caffeine & Sod Iodide_Pdr Caffeine Iodide & Ephed_Elix Caffeine Iodide_Elix 300mg/5ml Caffeine Iodide_Elix BPC Caffexen_Elix CalCough_Child Soothing Syr CalCough_Infant Syr Calcough_Six Plus Oral Soln 50mg/5ml CalCough_Tickly Oral Soln 0.75ml/5ml Camph Opium_Tinct Care_Decongestant Oral Soln 30mg/5ml S/F Care_Decongestant Tab 60mg Care_Simple Linct Paed S/F

Castellan_Pastil Catarrh_Pastil Catarrh_Pastil @gn Cetylpyr Chlor/Vit C_Loz 1.4mg/125mg Cetylpyr Chlor_Loz 1.4mg Cetylpyr Chlor_Loz 2.5mg Cheracol_Syr Child Lemsip_Cold&Flu Blkcurrant PdrSach Chloraseptic_Loz Chlorhex HCl/Benzocaine_Loz 5mg/2mg Citric Acid Monohyd/Ipecac_Oral Soln S/F Clioquinol/Ascorbic Acid_Loz 35mg/6mg Cocillana Co_Syr Codeine Phos_Linct 15mg/5ml Codeine Phos_Linct 15mg/5ml C/F Codeine Phos_Linct 15mg/5ml C/F S/F Codeine Phos_Linct 15mg/5ml S/F Codeine Phos_Linct Diabetic 15mg/5ml Codeine Phos_Linct Paed 3mg/5ml Codeine Phos_Linct Paed 3mg/5ml C/F Codeine Phos_Linct Paed 3mg/5ml S/F Codeine Phos_Linct Paed 3mg/5ml S/F @gn Codeine Phos_Oral Liq @spec Coltsfoot_Pine & Honey Balsam Congesteze_Syr Congesteze_Syr Paed Congesteze_Tab Contac 400_Cap Contac Coughcaps_Cap Contac_Cap Non-Drowsy 120mg Contac_Tab Non-Drowsy Dual Relief Copholcoids_Pastil Cough Nurse_Night Time Liq

Covonia_Bronchial Balsam Linct Covonia_Catarrh Relief For Covonia_Chesty Cough Oral Soln S/F Covonia_Cold & Flu For Oral Soln S/F Covonia_Dry & Tickly Cough Linct Covonia_Dry Cough Linct 5mg/5ml S/F Covonia_For Child Covonia_Herbal Mucus Cough Syr Covonia_Mentholated Cough Mix Covonia_Night Time For S/F Covonia_Throat Spy 30ml Covonia_Vapour Dps Creosote_Liq BPC 1959 Cupal_Baby Cough Syr Cupal_Gee's Linct Cupal_Gee's Linct Pastil Cupal_Pholcodeine Loz Cupal_Pholcodine Linct 5mg/5ml C/F Davenol_Linct Day & Night Nurse_Cap Day Nurse_Cap Day Nurse_Oral Soln De Witts_Throat Loz Delsym_12 Hour Cough Relief Liq Dequacaine_Loz Dequacets_Loz Dequadin_Loz 250mcg Dequalinium Chlor_Loz 250mcg Dequalinium Chlor_Loz 250mcg S/F Dequalinium Chlor_Pastil 250mcg S/F Dequaspray_P/Spy 2% 20ml Dexatrim_Cap 75mg Dexatrim_Tab 25mg Dexbromphen/Pseudoephed_Tab 6/120mg M/R Dextrometh Hydrob_Cap 15mg Dextrometh Hydrob_Cap 20mg Dextrometh Hydrob_Cap 30mg Dextrometh Hydrob_Cap 40.2mg M/R

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Dextrometh Hydrob_Cap Chble 15mg Dextrometh Hydrob_Chewy Squares Dextrometh Hydrob_Linct 7.5mg/5ml S/F Dextrometh Hydrob_Liq 3.4mg/5ml Dextrometh Hydrob_Liq 3.75mg/5ml S/F Dextrometh Hydrob_Liq Spec 10mg/5ml Dextrometh Hydrob_Liq Spec 20mg/5ml Dextrometh Hydrob_Liq Spec 40.5mg/5ml Dextrometh Hydrob_Loz 2.5mg Dextrometh Hydrob_Oral Liq 30mg/5ml Dextrometh Hydrob_Oral Soln 10mg/5ml Dextrometh Hydrob_Pastil 7.5mg Dextrometh Hydrob_Syr 5mg/5ml S/F Dextrometh Hydrob_Syr 7.5mg/5ml Dextrometh/Menthol_Linct 7.5mg/2.5mg/5ml Dextrometh/Pseudoephed_Liq10/10mg/5mlS/F Dia-Tuss_Linct 10mg/5ml S/F Dimotane Co_Paed Syr S/F Dimotane Co_Syr S/F Dimotane Elix/Sudafed Elix/Syr_25/25/50% Dimotane Elix/Sudafed Elix_50%/50% Dimotane Expect_Elixir S/F Dimotane L.A._Tab 12mg Dimotane Plus L.A._Tab Dimotane Plus_Elix S/F Dimotane Plus_Paed Elix S/F Dimotane_Elix 2mg/5ml Dimotane_Elix 2mg/5ml (2.5ml D) Dimotane_Elix 2mg/5ml (H/Strgh) Dimotane_Tab 4mg

Dimotapp L.A._Tab Dimotapp_Elix Dimotapp_Paed Elix Dimyril_Linct Diphenhyd HCl/Pholcod_Soln 12.5mg/3.75mg Diphenhydramine HCl/Menthol_Syr Diphenhydramine HCl_Cap 25mg Diphenhydramine HCl_Cap 25mg @gn Diphenhydramine HCl_Cap 50mg Diphenhydramine HCl_Linct 10mg/5ml Diphenhydramine HCl_Liq Spec 10mg/5ml Diphenhydramine HCl_Oral Soln 10mg/5ml Diphenhydramine HCl_OralSoln10mg/5ml(Old Diphenhydramine HCl_Pdr Diphenhydramine HCl_Tab 25mg Diphenhydramine HCl_Tab 25mg Diphenhydramine HCl_Tab 25mg @gn Diphenhydramine HCl_Tab 50mg Diphenhydramine_Expect Diphenhydramine_Expect Co Diphenhydramine_Linct Diphenhydramine_Linct Co Diphenhydramine_Linct Co Paed Diphenhydramine_Linct Paed 5mg/5ml Disophrol_Tab 6mg/120mg M/R Do-Do ChestEze_Tab Do-Do_Expect Domiphen Brom_Loz 500mcg Dr.Plant_Mix Ephed/Dextrometh_OralSoln 15/7.5mg/5mlSF Ephed/Ipecac_Oral Soln 3mg/6.25mg/5mlS/F Eskornade_Span Eucalyptus_Loz Euphorbia Co_Mix Evacode_Linct 15mg/5ml S/F

Evacode_Paed Linct 3mg/5ml S/F Evaphol Strong_Linct Evaphol_Linct Expulin_Chesty Cough Linct 100mg/5ml S/F Expulin_Dry Cough Linct 10mg/5ml S/F Expurhin_Paed Decongestant Famel_Honey & Lem Pastil Family Health_Gee's Linct Family Health_Glycerol,Honey,Lem,Ipeca Fedril_Night Cold & Flu Oral Soln Fedril_Oral Soln Paed S/F Fennings_Little Healers Tab 20mg Ferrol_Cough Rem Fisherman's Friend_Loz Flurbiprofen_Loz 8.75mg Formaldehyde_Loz (By Number) Franolyn Chesty_Cough Syr Franolyn Dry_Cough Syr Franolyn Sed_Cough Syr Franolyn_Expect Galcodine_Linct 15mg/5ml S/F Galcodine_Linct Paed 3mg/5ml S/F Galenphol_Linct 5mg/5ml S/F Galenphol_Linct Paed 2mg/5ml S/F Galenphol_Linct Strong 10mg/5ml S/F Galpharm_Flu Relief + Decongestant Cap Galpharm_Flu Strgh All in One Oral Soln Galpharm_Flu Strgh Hot Lem Pdr Sach 1g Galpharm_Flu-Max Chesty Cough & Cold Tab Galpharm_Flu-Max ChestyCough&ColdPdrSach Galpharm_Max Strength Decongestant Tab Galpharm_Max Strgh Cold & Flu Cap Galpseud Plus_Linct S/F

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Galpseud_Linct 30mg/5ml S/F Galpseud_Tab 60mg Galsud_Linct 30mg/5ml S/F Galsud_Tab 60mg Gelomyrtol Fte_Cap Glycerol & Honey_Linct Glycerol & Sucrose_Linct Glycerol & Thymol Co + Amc_Pastil Glycerol & Thymol_Co Loz (By Weight) Glycerol & Thymol_Co Pastil (By Number) Glycerol & Thymol_Co Pastil (By Weight) Glycerol & Thymol_Loz Glycerol & Thymol_Pastil Clr Glycerol & Thymol_Pastil Crystallised Glycerol,Honey & Lem_Linct Glycerol,Honey & Lem_Liq Glycerol,Honey & Lem_Pastil By Weight Glycerol,Lem & Honey_Oral Soln Glycerol,Lem & Honey_Syr Glycerol,Lem & Ipecac_Cough Co Oral Soln Glycerol,Lem,Honey & Glucose_Syr Glycerol,Lem,Honey & Ipecac_Oral Soln Glycerol/Gluc_Oral Soln 1.36g/280mg/5ml Glycerol_Co Loz Glycerol_Oral Soln 0.75ml/5ml S/F Glycerol_Oral Soln 750mg/5ml Glycogelatin_Pastil BPC'49 Glycyrrhizae_Mixt Expect No.2 Gppe Cap_Beechams Pdrs Gppe Cough & Cold_Benylin Child Gppe Cough Balsam_Bronal Gppe Cough Expect Paed_Vantage S/F Gppe Elix_Dimotane Expect S/F

Gppe Elix_Dimotane Plus Paed S/F Gppe Elix_Dimotane Plus S/F Gppe Linct_Actifed Dry Cough Multi Act Gppe Linct_Sudafed Gppe Linct_Tixylix Night-Time Gppe Linct_Tixylix Night-Time S/F Gppe Liq_Benylin 4-Flu Gppe Loz_Dequacaine Gppe Loz_Strepsils Menthol & Eucalyptus Gppe Loz_Strepsils Pain Relief Plus Gppe Loz_Tyrocane Gppe Oral Soln_Covonia Night Time S/F Gppe Oral Soln_Fedril Paed S/F Gppe Oral Susp_Tixyplus S/F Gppe Pastil_Copholcoids Gppe Pastil_Pholcodine (Jackson's)number Gppe Pastil_Pholcodine (Potter's) Weight Gppe Pdr Sach_Beechams Cold&FluLem&Honey Gppe Pdr Sach_Lemsip Cold& Flu Max Strgh Gppe Syr_Actifed Chesty Cough Multi Act Gppe Syr_Beechams All-In-One Gppe Syr_Congesteze Gppe Syr_Congesteze Paed Gppe Syr_Dimotane Co Paed S/F Gppe Syr_Dimotane Co S/F Gppe Syr_Robitussin Night Time S/F Gppe Syr_Secron Gppe Syr_Sudafed Plus Gppe Syr_Tixycolds S/F Gppe Tab_Beechams All-In-One Gppe Tab_Beechams Flu-Plus Gppe Tab_Benylin 4-Flu Gppe Tab_Congesteze Gppe Tab_Dimotane Plus L.A. Gppe Tab_Haymine

Gppe Tab_Sinutab Nightime Gppe Tab_Sudafed Plus Guaiacol/Codeine_Oral Soln 75mg/7mg/5ml Guaifen/Cetylpyr_Liq 100mg/2.5mg/5ml S/F Guaifen/Cetylpyr_Liq 50mg/2.5mg/5ml S/F Guaifen/Levomen_Oral Soln100mg/1.1mg/5ml Guaifen/Levomen_Sach 100mg/1.1mg/5ml Guaifen/Pseudoeph_Soln 50mg/10mg/5ml S/F Guaifen/Pseudoeph_Soln 66.67/20mg/5mlS/F Guaifen/Pseudoephed_Liq 100mg/30mg/5ml Guaifenesin_(S) Guaifenesin_Linct 50mg/5ml Guaifenesin_Linct 50mg/5ml S/F Guaifenesin_Oral Soln 100mg/5ml Guaifenesin_Oral Soln 100mg/5ml S/F Guaifenesin_Oral Soln 33.33mg/5ml S/F Guaifenesin_Oral Soln 50mg/5ml Guaifenesin_Oral Soln 50mg/5ml S/F Guaifenesin_Oral Soln 66.67mg/5ml Guaifenesin_Oral Soln 66.67mg/5ml S/F Guaifenesin_Syr 50mg/5ml Hactos_Cough Mix Halls_Child Cough Pastil Halls_Max Strgh Sore Throat Loz (Orig) Halls_Max Strgh SoreThroatLoz(Honey&Lem) Halls_Mentholyptus Blkcurrant Loz Halls_Mentholyptus Cherry Loz S/F Halls_Mentholyptus Ex Strong Loz

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Halls_Mentholyptus Orig Loz Halls_Mentholyptus Orig Loz S/F Halls_Mentho-Lyptus Tab Halls_Soothers Tab Haymine_Tab Heath & Heather_Catarrh Pastil Hexylres/Benzalk Chlor_Loz 2.5mg/1.2mg Hexylresorcinol_Loz 2.4mg Hexylresorcinol_Loz 2.5mg Hibitane_Loz Hill's Balsam_Chesty Cough Liq Hill's Balsam_Child Chesty Cough Liq Hill's Balsam_Dry Cough Liq Hill's Balsam_Ex Strong 2 in 1 Pastil Hill's Balsam_Nsl Congestion Pastil Hill's Balsam_Pastil For Chesty Cough Histalix_Syr Ibuprofen/Phenyleph HCl_Tab 200mg/5mg Ibuprofen/Pseudoephed HCl_Tab 200mg/30mg Ibuprofen/Pseudoephed_Cap 300mg/45mg M/R Ibuprofen/Pseudoephed_Susp100/15mg/5mlSF Iodised_Throat Loz Iodised_Throat Tab Ipecac & Ammonia_Mix Paed BPC 1973 Ipecac & Morph_Mix BP 1980 Ipecac Opiate_Mix Paed BPC Ipecac/Liquorice_Soln 0.005/0.125ml/5ml Ipecac_Mix Paed BPC 1973 Ipecac_Tab 20mg Isoaminile Cit_Linct 40mg/5ml Jackson's_All Fours Ex Strgh 100mg/5ml Jackson's_All Fours Oral Soln 50mg/5ml Jacksons_Antis Throat Pastil

Jacksons_Blkcurrant/Glycerin Pastil Clr Jacksons_Blkcurrant/Glycerin Pastil Cry Jacksons_Catarrh Pastil Jacksons_Classic Menthol&Eucalyptus Loz Jacksons_Eucalyptus & Menthol Pastil Jacksons_Gee's Linct Pastil Jacksons_Glycerine Thymol Pastil Clr Jacksons_Glycerine Thymol Pastil Cryst Jacksons_Glycerine/Lem & Honey Pastil Jackson's_Lem Linct Jacksons_Loz Antis Throat Jacksons_Loz Brompton Cough Jacksons_Loz Gale Force Jacksons_Loz Mintettes Jacksons_Orange & Glycerine Pastil Jacksons_Pastil Bronchial Catarrh Jacksons_Pastil Child Cough Jacksons_Pastil Night Cough Jacksons_Pastil Pholcodine (By Number) Jacksons_Pastil Pine & Eucalyptus Jacksons_Phenol Loz Jacksons_Pholcodine Pastil Jacksons_Pot Chlorate Loz Jacksons_Sugar-Free Pastil Keybells_Glycerol Lem & Ipecac Kilkof_Oral Soln Labosept_Pastil 250mcg S/F Lanes_Sinotar Tab Lem & Glycerol_Pastil Lemsip_Chesty Cough Oral Soln 50mg/5ml Lemsip_Cold & Flu Blkcurrant Pdr Sach Lemsip_Cold & Flu Breathe Easy Pdr Sach Lemsip_Cold & Flu Lemon Pdr Sach

Lemsip_Cold & Flu Soother Pdr Sach Lemsip_Cold&FluSinus 12hr Ibup/Pseud Cap Lemsip_Cough & Cold Dry Cough Medicine Lemsip_Flu 12 Hr Cap 300mg/45mg M/R Lemsip_Linct Lemsip_Max All in One Breathe Easy Sach Lemsip_Max All in One Cold & Flu Cap Lemsip_Max All in One Lem Pdr Sach Lemsip_Max All in One Liq Lemsip_Max All in One W/B+H/Oran PdrSach Lemsip_Max All Night Cold & Flu Tab Lemsip_Max Apple & Cinnamon Pdr Sach Lemsip_Max Blkcurrant Tab Lemsip_Max Cold & Flu Blk Pdr Sach Lemsip_Max Cold & Flu Cap Lemsip_Max Cold & Flu Lem Pdr Sach Lemsip_Max Cold&Flu BreatheEasy PdrSach Lemsip_Max Cold&Flu Direct Blk Pdr Sach Lemsip_Max Cold&Flu Direct Lem Pdr Sach Lemsip_Max Day&Night Cold&Flu Relief Cap Lemsip_Max Daytime Cold & Flu Relief Cap Lemsip_Max Flu Lemon Pdr Sach Lemsip_Max Honey & Ginger Pdr Sach Lemsip_Max Lem Tab Lemsip_Max Mucus Cough & Cold Cap Lemsip_Max Mucus Cough & Cold Sach

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Lemsip_Max Sinus Cap Lemsip_Max Sinus Pdr Sach Lemsip_Mucus Cough 100mg/2.5mg/5mlS/FC/F Lemsip_Mucus Cough Oral Soln Lemsip_Phcy Non-Decongestant Pdr Sach Lemsip_Powercaps Lemsip_Sore Throat T/Action Cit FruitLoz Lemsip_Sore Throat T/Action Honey&LemLoz Lido HCl/Amylmetocresol_Loz 10mg/600mcg Lido HCl/Domiphen Brom_Loz 5mg/500mcg Lido HCl/Domiphen Brom_Loz 5mg/500mcgS/F Lido HCl_Spy 2.6mg 20ml LidoHCl/Chlorhex Glucon_Spy .05%/.2%30ml Liquorice_Loz (By Number) Liquorice_Loz (By Weight) Lloyds_Antis Loz S/F Lloyds_Antis Throat Loz Cherry Lloyds_Cold Relief Cap Lloyds_Double Action Throat Loz Blkcurnt Lloyds_Dry Cough Syr S/F Lloyds_Expect & Decongestant Cough Syr Lloyds_Expect Cough Syr 66.67mg/5ml Lloyds_Expect Junior Cough Syr Lloyds_Glycerin & Lem Pastil Lloyds_Glycerol,Lem,Honey & Glucose Syr Lloyds_Hot Lemon Cold Relief OralPdrSach Lloyds_Loz Lloyds_Max Strgh Cold & Flu Cap Lloyds_Max Strgh Cold&Flu ReliefPdrSach Lloyds_Non-Drowsy Decongest +Paracet Cap Lockets_Loz

Lockets_Medic Linct Lozamine_Loz 3mg (Lem) Mac_Dual Action Loz Mac_Loz Medinex_Night Time Syr 10mg/5ml Meggezones_Pastil Melba_Paint Meltus_Adult Chesty Cough + Catarrh Soln Meltus_Adult Chesty Cough Linct C/F S/F Meltus_Adult Chesty Cough+Decongest Susp Meltus_Adult Dry Cough +Congest OralSusp Meltus_Adult Night Time Expect Meltus_Baby Cough Linct S/F Meltus_Cough Control Cap 15mg Meltus_Cough Mix Adult Meltus_Decongest Oral Soln 30mg/5ml S/F Meltus_Family Chesty Cough Honey+Lem Syr Meltus_Jnr Chesty Cough+Catar LiqC/F S/F Meltus_Jnr Dry Cough Meltus_Jnr Expect C/F S/F Menthodex_Cough Mix Menthol & Eucalyptus_Pastil (By Number) Menthol & Eucalyptus_Pastil (By Weight) Menthol/Eucalyptus Oil_Loz 0.14%/0.028% Menthol/Eucalyptus Oil_Loz 0.16/0.14%S/F Menthol/Eucalyptus Oil_Loz 0.185%/0.08% Menthol/Eucalyptus Oil_Loz 0.24/0.1% S/F Menthol/Eucalyptus Oil_Loz 0.52%/0.26% Menthol_Loz Mentholatum_Ex Strong Antis Loz Merocaine_Loz

Merocets Plus_Loz Merocets_Loz 1.4mg Merovit_Loz Muirs_Catarrh Tab Night Nurse_Cap Night Nurse_Hot Lemon Menthol Pdr Sach Night Nurse_Oral Soln Nigroids_Pellets Nirolex Chesty Cough_Linct Nirolex For Chesty Cough Decongestant_ Nirolex For Child_ Nirolex For Child_S/F Nirolex For Dry Cough With Expect_Linct Nirolex_Dry Cough Linct Nirolex_Night Cold & Flu Liq Nirolex_Night Time Cough Liq Noradran_Bronchial Syr Noscapine_Liq Spec 50mg/5ml Nu-Cross_Diphenhydramine HCl Linct Co Nu-Cross_Gee's Linct Pastil Nu-Cross_Menthol & Eucalyptus Pastil Numark_Adult Dry Cough Linct Numark_Blkcurrant & Glycerol Pastil Numark_Chesty Cough Expect Numark_Co Glycerin,Lem & Honey Oral Soln Numark_Decongest Nsl Spy 0.05% 15ml Numark_Flu AllinOne Chesty Cough&ColdTab Numark_Flu Relief + Decongestant Cap Numark_Glycerol,Lem & Honey Linct Numark_Glycerol,Lem & Honey Pastil Numark_Max-Strgh C/Relief Cap 12.2mg Numark_Max-Strgh Cold & Flu Cap

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Numark_Max-Strgh Cold&Flu Relief PdrSach Numark_Max-Strgh Sinus Relief Cap Numark_Mentholated Bronchial Balsm Soln Numark_Mucus Cough Oral Soln 100mg/5ml Numark_Night Cold & Flu Oral Soln Numark_Pholcodine Cough Pastil Numark_Simple Linct Numark_Simple Linct Paed Numark_Simple Linct S/F Numark_Vapour Rub Nurofen Cold & Flu Relief_Tab 200mg/5mg Nurofen Cold & Flu_Tab Nurofen Day&Night Cold&Flu_Tab 200mg/5mg Olbas For Child_Oil Olbas_Pastil Olbas_PowerFlu Tab + Vit C Chble Tab Opium Camph Co_Mix BPC Oralcer_Mth Ulcer Pellets Orbifen_Cold & Flu Oral Susp Otrivine Mu-Cron_Tab 500mg/60mg Otrivine_Congestion ReliefNslSpy0.1%10ml Paracet/Diphenhyd HCl_Soln120/12.5mg/5ml Paracet/Diphenhydramine HCl_Tab 500/25mg Paracet/Pseudoephed HCl_Tab 500mg/30mg Paracet/Pseudoephed HCl_Tab 500mg/60mg Paracet/Pseudoephed_1g/60mg Pdr Sach Paramed_Cold Relief Cap Paramed_MaxStrghCold&FluRelief Pdr Sach Paranorm_Cough Syr Pavacol-D_Diabetic Mix S/F

Penetrol_Catarrh Loz Phenol_Loz Phensedyl Plus_Linct Phensedyl_Linct Phenyleph HCl_Cap 12.2mg Phenyleph HCl_Cap 12mg Phenyleph HCl_Tab 12.18mg Phenylprop HCl/Chlorphenam_Cap 50/4mgM/R Phenylpropanolamine HCl_(S) Phenylpropanolamine HCl_Cap 10mg Phenylpropanolamine HCl_Cap 25mg Phenylpropanolamine HCl_Cap 50mg Phenylpropanolamine HCl_Cap 50mg M/R Phenylpropanolamine HCl_Cap 75mg Phenylpropanolamine HCl_Cap 75mg @gn Phenylpropanolamine HCl_Liq Spec25mg/5ml Phenylpropanolamine HCl_Tab 25mg Phenylpropanolamine HCl_Tab 50mg Pholcodine/Papaver HCl_Linct 19mg/5mg Pholcodine/Papaver HCl_Linct 5mg/1.25mg Pholcodine_Linct 10mg/5ml C/F S/F Pholcodine_Linct 10mg/5ml C/F S/F @gn Pholcodine_Linct 2mg/5ml C/F Pholcodine_Linct 2mg/5ml C/F S/F Pholcodine_Linct 2mg/5ml S/F @gn Pholcodine_Linct 4mg/5ml Pholcodine_Linct 4mg/5ml S/F Pholcodine_Linct 5mg/5ml Pholcodine_Linct 5mg/5ml C/F

Pholcodine_Linct 5mg/5ml C/F S/F Pholcodine_Linct 5mg/5ml S/F Pholcodine_Linct Diabetic 10mg/5ml Pholcodine_Linct Diabetic 15mg/5ml Pholcodine_Linct Diabetic 5mg/5ml Pholcodine_Linct Paed 2mg/5ml Pholcodine_Linct Strong 10mg/5ml Pholcodine_Linct Strong 10mg/5ml S/F Pholcodine_Mix 10mg/5ml C/F S/F Pholcodine_Oral Liq @spec Pholcodine_Oral Soln 2mg/5ml S/F Pholcodine_Pastil (By Number) Pholcodine_Pastil (By Weight) Pholcodine_Pastil (By Weight) @gn Pholcodine_Pastil 4mg Pholcomed D_Linct Diabetic 5mg/5ml S/F Pholcomed Fte_Linct Pholcomed Fte_Linct Diabetic 10mg/5ml S/ Pholcomed_Linct Pholcomed_Pastil Polynoxylin_Loz 30mg Pot Chlorate_Loz (By Number) Pot Chlorate_Loz 125mg (By Weight) Pot Chlorate_Tab 300mg Pot Iodide & Ammon Chlor Co_Mix Conc Pot Iodide Ammoniat_Mix Potter's_Alpine Herbal Pastil Potter's_Balm of Gilead Cough Mix Potter's_Blkcurrant/Glycerin Pastil Clr Potter's_Blkcurrant/Glycerin Pastil Crys

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Potter's_Catarrh Pastil Potter's_Child Cough Pastil Potter's_Cough Pastil S/F Potter's_Day & Night Cough Pastil Potter's_Decongestant Pastil Potter's_Gee's Linct Pastil Potter's_Glycerin Lemon & Honey Pastil Potter's_Glycerine Thymol Sore Throat Pa Potter's_Horehound & Aniseed Cough Mix Potter's_Pholcodine Pastil Potter's_Strong Bronchial Catarrh Pastil Praims_Double Action Loz Praims_Pastil Pro-Actidil_Tab 10mg Procol_Cap Propagest_Tab 25mg Pseudoep/Dextrom_Oral Soln 30mg/10mg/5ml Pseudoephed HCl_(S) Pseudoephed HCl_Cap 120mg M/R Pseudoephed HCl_Elixir 15mg/5ml Pseudoephed HCl_Linct 30mg/5ml Pseudoephed HCl_Liq Spec 30mg/5ml Pseudoephed HCl_Oral Soln 10mg/5ml S/F Pseudoephed HCl_Oral Soln 20mg/5ml S/F Pseudoephed HCl_Oral Soln 30mg/5ml Pseudoephed HCl_Oral Soln 30mg/5ml S/F Pseudoephed HCl_Tab 120mg M/R Pseudoephed HCl_Tab 60mg Pseudoephed/Chlorphen_Soln 30/2mg/5mlS/F Pulmo Bailly_Oral Soln Pulmoll_Throat Loz S/F

Rectophedrol_Suppos Adult Robitussin_Chesty Cough + Congestion Liq Robitussin_Chesty Cough Liq 100mg/5ml Robitussin_Dry Cough Linct 7.5mg/5ml S/F Robitussin_Elix 100mg/5ml Robitussin_Expect Liq 100mg/5ml S/F Robitussin_Jnr Persistent Cough Liq S/F Robitussin_Night Time Cough Syr S/F Robitussin_Soft Pastil For Dry Cough Sancos Co_Linct Sandersons_Throat Specific Mix Sandersons_Throat Specific Pastil Secron_Syr Simpkin's_Glycerol,Lem & Honey Loz Simple_Linct Simple_Linct Diabetic Simple_Linct Paed Simple_Linct Paed C/F Simple_Linct Paed C/F P/F Simple_Linct Paed S/F Simple_Linct S/F Sine-Off_Tab Sinitol_Cap Sinutab Nightime_Tab Sinutab_Non-Drowsy Tab Skels_Pastil Squill Opiate_Linct Squill Opiate_Loz Squill Opiate_Paed Linct Squill Opiate_Pastil (By Weight) Squill Opiate_Pastil (By Weight) @gn Squill Oxymel_Liq Squill/Ipecac_Pastil 73mg/36mg Squill_Elix Squill_Liq Ext Squill_Soln Pro Syr 1+7 Squill_Syr

Squill_Vinegar Stramonium & Pot Iodide_Mix BPC Strefen_Loz 8.75mg Streppies_Child Pastil Strepsils_Children 6+ Loz Strepsils_Cool Loz Strepsils_Cough Loz 2.5mg (Blkcurrant) Strepsils_Ex Loz (Cherry) Strepsils_Ex Loz (Citrus Menthol) Strepsils_Ex Strgh Loz (Blkcurrant) Strepsils_Loz Honey & Lem Strepsils_Loz Lem & Herb S/F Strepsils_Loz Menthol & Eucalyptus Strepsils_Loz Orange + Vit C Strepsils_Loz Orig Strepsils_Loz Sbery S/F Strepsils_Loz Sore Throat & Cough Strepsils_Pain Relief P/Spy 2% 20ml Strepsils_Pain Relief Plus Loz Strepsils_Sore Throat & Blocked Nose Loz Strepsils_Warm Loz Strepsils_Zn Defence Loz (Blkcurrant) Strepsils_Zn Defence Loz (Lem & Lim) Sucrets_Loz Sudafed 12 Hr Decongest_Tab 120mg Sudafed Dual Relief_Cap Sudafed Plus_Syr Sudafed Plus_Tab Sudafed_Blocked Nose & Headache Cap Sudafed_Blocked Nose Cap 12mg Sudafed_Chesty Coughs With Decongest Liq Sudafed_Congest&HeadRelief Max Strgh Cap Sudafed_Congest&HeadReliefDay & NightCap

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Sudafed_Day & Night Cap Sudafed_Decongest Liq 30mg/5ml Sudafed_Decongest Tab 60mg Sudafed_Dry Coughs + Decongest Liq Sudafed_Elix 30mg/5ml (2.5ml D) Sudafed_Elix 30mg/5ml (H/Strgh) Sudafed_Linct 30mg/5ml Sudafed_Mucus Relief Day & Night Cap Sudafed_Mucus Relief T/Act Cold&Flu Tab Sudafed_Non-Drowsy Child Syr 30mg/5ml Sudafed_Non-Drowsy Congest, Cold&Flu Tab Sudafed_Sinus Max Strength Cap Sudafed-SA_Cap 120mg Sure Shield_Loz Iodised Throat,Iodisks Sure Shield_Pholcodine Pastil T.C.P._Pastil T.C.P._Sore Throat Loz Tabasan_Tab Tannic Acid_Loz 30mg Terpin & Codeine_Linct Terpin & Codeine_Syr 8mg/8mg/5ml Terpocodein_ Tesco_Glycerine & Blkcurrant Pastil Thornton & Ross_Menthol Bronchial Balsam Throaties_A-Bact Pastil (Honey/Lem) Throaties_A-Bact Pastil(R/Currant&R/Hip) Throaties_Blkcurrant Pastil Throaties_Pastil Throaties_Strong Orig Pastil Thymol_Pastil Tixycolds_Syr S/F Tixylix Baby_Syr S/F Tixylix Catarrh_Syr

Tixylix Chesty Cough_Linct 50mg/5ml Tixylix Chesty Cough_Linct 50mg/5ml S/F Tixylix Cough & Cold_Linct Tixylix Daytime_Linct Tixylix Dry Cough_Linct 4mg/5ml Tixylix Honey, Lem & Glycerol_Oral Soln Tixylix Night Cough_Linct Tixylix Night-Time_Linct Tixylix Toddler_Syr Tixylix_Blkcurrant Flav Syr Tixylix_Linct Triogesic_Elix Triogesic_Tab Triolinct_Syr Triominic_Syr Triominic_Tab Triprolidine HCl_Elix 2mg/5ml Triprolidine HCl_Tab 10mg M/R Triprolidine HCl_Tab 2.5mg Tussabron_Syr Tussi Ammon Co_Loz Tuxium_Cap 30mg Tyrocane_Jnr Antis Loz 2.5mg Tyrocane_Loz Tyrosolven_Loz Tyrothricin/Benzocaine_Loz 1mg/5mg Tyrozets_Loz Ulc-Aid_Mth Ulcer Tab Ultra Chloraseptic_P/Spy 15ml (B/Crrt) Ultra Chloraseptic_P/Spy 15ml (Cherry) Ultra Chloraseptic_P/Spy 15ml (Orig) Unichem_Blkcurrant & Glycerol Pastil Unichem_Chesty Cough Syr Unichem_Gee's Pastil Unichem_Gee's Pastil (By Weight) Unichem_Glycerol,Lem & Honey Pastil

Uniflu + Gregovite C_Tab Valda_Pastil Vantage_Cough Expect Paed S/F Vantage_Glycerol & Thymol Co Pastil Vantage_Glycerol,Lem & Honey Pastil Vantage_Pholcodeine Cough Pastil Veno's_Cough Mix Veno's_Expect Veno's_Honey & Lem Syr Vicks_Action For Cold & Flu Vicks_Expect Cough Syr + Vit C Vicks_Loz Vicks_Vaposyrup Chesty Cough/Nsl Congest Vicks_Vaposyrup For Chesty Cough Vicks_Vaposyrup For Tickly Cough Vocalzone_Pastil (By Number) Vocalzone_Pastil (By Weight) Waterhouse_Glycerol,Lem & Honey Wild Cherry_Syr BP 1980 Wraysbury_CM4 Adult Cough Mix Zensyls_Loz Zubes_Honey & Lem Loz Zubes_Orig Loz

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Probiotics Acidophilus + Pectin_Cap Acidophilus_500 Tab Acidophilus_Cap Acidophilus_Cap 500mg Acidophilus_Liq Acidophilus_Pdr Acidophilus_Pdr (Milk Free) Acidophilus_Pdrs Acidophilus_Tab Advan Nutrit_Acidophilus Cap B/Health_High Strgh Probiotic Cap Bio Acidophilus_Tab Biocare_Acidophilus Pdr Biocare_Banana Acidophilus Plus Pdr Biocare_Bio Acidophilus Milk Free Cap Biocare_Polyzyme Fte + Acidophilus Cap Biocare_Sbery Acidophilus Plus Pdr Bio-Kult_Cap Bionate Acidophilus_Cap Bionate Acidophilus_Pdr Blackmore's_Acidophilus & Pectin Tab Blackmore's_Acidophilus Bifidus Cap Cytoplan_Acidophilus Cap (Milk Free) Cytoplan_Acidophilus/Bifido 50%/50% Cap Cytoplan_Probiotic Plus Cap Fsc_Lactobac Acidophilus Cap Health+Plus_Acidophilus Cap HealthAid_Acidophilus Plus 4 Bill V/Cap

HealthAid_Balanced Acidophilus V/Cap HealthAid_Mega Potency Acidophilus Tab Healthcrafts_Acidophilus Extra Cap Healthlink_Acidophilus Plus Pectin Tab Healthlink_Milk Free Acidophilus (Mfa) Lactobac Acidophilus_Cap Lamb_Acidophilus (S) Lamb_Acidophilus Extra 10 Cap Lamb_Acidophilus Extra 4 Cap (8417) Lamb_Acidophilus Plus Pectin Tab (8401) Lamb_Super Acidophilus Plus Cap (8402) Lifeplan_Acidophilus + Rhamnosus Cap Lifeplan_Acidophilus Cap M.F.A._Acidophilus Pdr Multibionta Probiotic Multivit_Tab Multibionta_50+ Probiotic Multivit Tab N/Assoc_Acidophilus Pdrs N/Assoc_Acidophilus Tab N/Assoc_Acidophilus Tab 500mg N/Own_Acidophilus Cap (Supreme) N/Own_Acidophilus Pdr (Supreme) N/Own_Acidophilus Plus Cap (Supreme) N/Own_Acidophilus Plus Pdr (Supreme) N/Own_Probiotic Plus Pdr

N/Own_Probiotic Plus V/Cap N/Own_Pro-Travel Probiotic V/Cap Natur Flow_Acidophilus Cap Natur Flow_Acidophilus Pdr Natur Flow_Carrot Acidophilus Pdr Optimum_Acidophilus Plus Bifidus Cap P/Encaps_Lactobac Acidophilus Cap 150mg Phoenix_Non Dairy Acidophilus Fte Cap Practitioner's Acidophilus_Pdr Probiotic P.B.4_Pdr Probiotic Pb4_Pdr ProDophilusFOS_Probiotic Bacteria Cap Quest_Acidophilus Plus Cap Saccharomyces Boulardi_Cap 250mg Solgar_Advan 40 Plus Acidophilus V/Cap Solgar_Advan Acidophilus Plus V/Cap Solgar_Advan Acidophilus V/Cap Solgar_Multiacidophilus Pdr Superdoph/Acidophilus Lacrobacillus_(S) Superdoph/Acidophilus Lacrobacillus_Cap Symprove_Drink (2 Flav) Vega_Acidophilus/Bifidus Comp V/Cap VSL#3_Probiotic Food Supp Pdr Sach 4.4g Yakult Light_Yoghurt Drink Yakult_Yoghurt Drink

Rubefacients Algesal_Crm 10% Balmosa_Crm Bell's_Muscle Rub Oint

Benzydamine HCl_Crm 3% Capsaicin_Cutaneous Patch 179mg

Deep Freeze_Cold Gel 2% Deep Freeze_Spy 200ml/135g Deep Heat_A/Spy 150ml

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Diethylamine Sal_Crm 10% BP Difflam_Crm 3% Difflam-P_Crm 3% Elliman's_Universal Muscle Rub Lot Gppe Crm_Transvasin Gppe Spy_Deep Freeze 200ml/135g Kaolin_Poultice (S) Menthol_Gel 2% Mentholatum_Deep Heat Max Strgh Crm Mentholatum_Vapour Rub

Methyl Sal/Menthol_Crm 30%/8% Methyl Sal_Lin 25% Methyl Sal_Top Soln 7% Movelat Relief_Crm Movelat Relief_Gel Movelat_Crm Movelat_Gel Qutenza_Cutaneous Patch 179mg Radian-B_Pain Relief P/Spy 100ml Ralgex_Freeze A/Spy 125ml

Ralgex_Heat A/Spy 125ml Salicylic Acid/Mucopolysac_Crm 2%/0.2% Salicylic Acid/Mucopolysac_Gel 2%/0.2% Salonpas_External Pain Relieving Patch Transvasin_Heat A/Spy 125ml Transvasin_Heat Rub Wte_Lin

Dental Products and fluoride supplements Fluoride_Dps Amplex_Fluoride Mthwsh Double Amplex_Fluoride Mthwsh Colgate_Dental Crm + Mfp Fluoride Colgate_Fluoride Dps Oral-B_Fluoride Dps 0-2 Yrs Sod Fluoride_Tab 11mg Sod Fluoride_Tab 40mg @gn Sod Fluoride_Tab 50mg Sod Fluoride_Tab E/C 50mg Sod Fluoride_Cap E/C 15mg Sod Fluoride_Cap 30mg Sod Fluoride_Tab 30mg Sod Fluoride_Tab 22mg Sod Fluoride_Tab 200mg Sod Fluoride_Cap 10mg Sod Fluoride_Cap 15mg Sod Fluoride_Cap 20mg Sod Fluoride_Cap 25mg Sod Fluoride_Cap 40mg Sod Fluoride_Cap 50mg Sod Fluoride_Cap 60mg Sod Fluoride_Cap 2.2mg Sod Fluoride_Tab 20mg M/R Sod Fluoride_Tab 25mg M/R Sod Fluoride_Tab 5mg Sod Fluoride_Tab E/C 20mg

Sod Fluoride_Tab 25mg Sod Fluoride_Tab 40mg M/R Sod Fluoride_Tab 40mg M/R Sod Fluoride_Tab 1.1mg Sod Fluoride_Tab 2mg Sod Fluoride_Tab 2.2mg Sod Fluoride_Tab 10mg Sod Fluoride_Tab 15mg Sod Fluoride_Tab 20mg Sod Fluoride_Tab 25mg @gn Sod Fluoride_Tab 550mcg Sod Fluoride_Cap 11mg Sod Fluoride_Oral Dps DPF 0.84% Sod Fluoride_Oral Dps DPF 0.37% Sod Fluoride_Mthwsh 0.05% S/F Sod Fluoride_Mthwsh 0.2% Sod Fluoride_Mthwsh 2% Sod Fluoride_Cap E/C 20mg Sod Fluoride_Cap 1mg Sod Fluoride_Tab 250mcg Sod Fluoride_Cap 500mg Sod Fluoride_Cap 200mg Sod Fluoride_Tab 20mg M/R @gn Sod Fluoride_Tab 60mg Sod Fluoride_Tab E/C 15mg Sod Fluoride_Cap 45mg

Sod Fluoride_Tab E/C 25mg Sod Fluoride_Cap 5mg Sod Fluoride_Tab Chble 20mg Sod Fluoride_Cap E/C 25mg Sod Fluoride_Tab Chble 2.2mg S/F Sod Fluoride_Tab Chble 1.1mg S/F Sod Fluoride_Mthwsh 0.05% @gn Sod Fluoride_Liq Spec 10mg/5ml Sod Fluoride_Dental Paste 0.619% S/F Sod Fluoride_Dental Paste 1.1% S/F Sod Fluoride_Mthwsh 0.11% S/F Colgate_Sod Fluoride Tab 2.2mg Colgate_TOTAL Pro Gum Health DailyMthWsh En-De-Kay_Fluotab 550mcg En-De-Kay_Fluotab 1.1mg En-De-Kay_Fluotab 2.2mg En-De-Kay_Fluodrops Paed Dps 1.1mg/0.3ml En-De-Kay_Fluorinse Mthwsh 2% En-De-Kay_Daily Fluoride Mouthrinse Fluorigard_Dps 0.275mg

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Fluorigard Weekly_Dental Rinse 0.2% Fluorigard Daily_Dental Rinse 0.05% Fluorigard_Tab Chble 2.2mg Fluorigard_Tab Chble 1.1mg Fluorigard Daily_Dental Rinse 0.05% A/F Osteofluor_Tab 25mg Zymafluor_Tab 550mcg Zymafluor_Tab 2.2mg Ossin_Tab 40mg Fluor Ret_Tab 20mg Point-Two_Mouthrinse Fluor-A-Day_Tab Chble 2.2mg Fluor-A-Day_Tab Chble 1.1mg Oral-B_Fluoride Tab Chble 4+ Yrs 2.2mg Oral-B_Fluoride Tab Chble 6mth-4yr 1.1mg Duraphat_Rinse 0.2% Duraphat_Fluoride Toothpaste (2800ppm) Duraphat_Fluoride Toothpaste (5000ppm) Duraphat_Daily Mthwsh Dentiplus_Total Care Mthwsh NaFril Ret_Tab 25mg Stannous Fluoride_Gel 0.4% Stannous Fluoride_Gel 0.4% S/F Omnigel_Gel 0.4% Omnigel_Gel 0.4% Colgate_Fluorigard Gel-Kam Gel 0.4% Sod Monofluorophosphate_Tab 76mg Mono-Tridin_Tab 76mg Benzocaine_Gel 10% Benzocaine_Gel 20% Benzydamine HCl_Mthwsh 0.15% S/F Benzydamine HCl_Spy 0.15% 30ml S/F Difflam_Oral Rinse Soln 0.15% Difflam_P/Spy 0.15% 30ml Difflam_Sore Throat Rinse 0.15%

Choline Sal_Dental Gel 8.7% S/F Bonjela_Gel 8.7% S/F Bonjela_Cool Mint Gel 8.7% S/F Aminoacridine/Lido HCl_Gel 0.05%/0.66% Gppe Gel_Calgel S/F Lido HCl/Chlorocresol_Gel 2%/0.1% Lido HCl/Chlorocresol_Gel 1%/0.1% Lido HCl/Cetalkonium Chlor_Gel .33%/.01% Aminoacridine/Lido HCl_Gel 0.05%0.66%S/F Medijel_Gel Calgel_Teething Gel S/F Dentinox_Teething Gel S/F Anbesol_Adult Strgh Gel Anbesol_Teething Gel Bonjela_Teething Gel Iglu_Oral Gel Iglu_Rapid Relief Oral Gel Salic Acid/Rhubarb Ext_Soln 1%/5% Pyralvex_Soln + Brush Adcortyl In Orabase_Oral Paste 0.1% Adcortyl In Orabase_Mth Ulcer Paste 0.1% Chlorhex Glucon/Tetracai_Spy .05/.015% Eludril_A/Spy 55ml Gppe Pastil_Bonjela (By Weight) Gppe Pastil_Medigel (By Number) Lido HCl_Spy 2% 20ml Medijel_Pastil Bonjela_Antis Pastil Bonjela_Antis Pastil Dichlorobenzyl Alcohol_Pastil 1.29mg S/F Boots_Antis Sore Mth Pastil 1.29mg Myrrh,Borax & Rhatany_Mthwsh Toothache_Lot

Toothache_Soln Hydrocort_Mthwsh Polyeth Ox (Polyox)_Loz 150mg Toothache_Tinct @gn Toothache_Tinct Toothpaste_ Cocaine/Adren In Pur Water_Soln 10/0.001 Cocaine/Adren In Pur Water_Soln 10/0.01% Cocaine_Soln 4% Cocaine_Soln 10% Hydrocort & Neomycin_Mthwsh Sod Cromoglicate_Toothpaste 5% Aspirin/Hydrocort Acet_Mucilage Hull's For_Mthwsh Sod Cromoglicate_Toothpaste 10% Spiramycin/Metronidaz_Tab 750,000u/125mg Hydrocort_Mthwsh 10% Hydrocort_Mthwsh 1% Hydrocort_Mthwsh Dentogen_Toothache Oil Family Health_Toothache Tinct Vantage_Toothache Tinct Cupal_Toothache Lot Three Flasks_Clove Oil Rayglo_Tooth Tinct Nu-Cross_Toothache Tinct Pickles_Soothake Gel Pickles_Toothache Tinct Xylonor_Paste M_Throat & Mth Spy UltraDEX_Oral Rinse Dentogen_Clove Oil Gel Pickles_Soothake Toothache Tinct Boots_For C13623 Mthwsh Rodogyl_Tab 750,000u/125mg Olbas_Pastil S/F (Blkcurrant) MGS_Mthwsh Tab Eff Dentogen_Clove Oil Liq

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ProntOral_Mthwsh Cetrimide_Soln 0.01% Bansor_Mth Antis Cetylpyr Chlor_Mthwsh/Garg 0.05% Cetylpyr Chlor_Mthwsh 0.025% S/F Gppe Oral Liq_Anbesol Gppe Dental Rinse_Oral-B Gppe Mthwsh_Boots Advan Total Care(Mint) Cetylpyr Chlor_Gel 0.025% Merocet_Garg & Mthwsh Boots_Oral Antis Mthwsh Boots_Advan Total Care Mthwsh (Mint) Anbesol_Liq Search_Dental Rinse Steradent_Mthwsh Oral-B_Dental Rinse Oral-B_Anti Plaque Mth Rinse Alc Free Boots_Antis Gel 0.025% Hydrocort Acet_Mucilage 20mg/5ml Chlorhex Glucon_Gel 1% S/F Chlorhex Glucon_Mthwsh 0.2% Chlorhex Glucon_Mthwsh (Mint) 0.2% Gppe Mthwsh_Eludril Chlorhex Glucon_Spy 0.2% 60ml S/F Chlorhex Glucon_Mthwsh (Mint) 0.12% Chlorhex Glucon_Mthwsh (Aniseed) 0.2% Chlorhex Gluc/Sod Fluor_Mthwsh .06/.05% Chlorhex Glucon_Oromucosal Soln 0.2% S/F Corsodyl_Dental Gel 1% Corsodyl_Mthwsh 0.2% Corsodyl_Mthwsh (Mint) 0.2% Corsodyl_P/Spy (Mint) 0.2% 60ml Corsodyl Daily Defence_Mthwsh

Corsodyl Daily_Mthwsh F/Mint Corsodyl Daily_Mthwsh Cool Mint Corsodyl_Mthwsh Alcohol Free 0.2% Eludril_Mthwsh 0.1% Colgate_Chlorohex 2000 Oral Rinse Colgate_Chlorohex 1200 Oral Rinse (Mint) Colgate_Periogard Oromucosal Soln 0.2% Colgate_Pro Gum Health Antis Mthwsh 0.2% Tarodent_Mthwsh 0.2% Curasept_Oral Rinse 0.2% Ferric Chlor_Garg BPC 1963 Hexetidine_Mthwsh 0.1% S/F Hexetidine_Mthwsh 0.1% S/F (Icemint) Oraldene_Soln 0.1% Oraldene_Mthwsh (Icemint) 0.1% Glycerol_Mthwsh Glycerol,Honey & Lem_Mthwsh Hydrogen Per_Mthwsh Hydrogen Per_Mthwsh 3% Hydrogen Per_Mthwsh 8% Hydrogen Per_Mthwsh 1.5% Colgate_Peroxyl Antis Oral Cleanser Peroxyl_Oral Rinse Phenol_Garg Phenol_Mthwsh 1.4% Phenol_Mthwsh 1.4% + Spy 100ml Phenol_Mthwsh 1.4% + Spy 25ml Pot Chlorate & Phenol_Garg Phenol_Mthwsh 1.4% @gn Phenol_Mthwsh 0.71% Chloraseptic_Throat P/Spy 1.4% 100ml Chloraseptic_Mthwsh & Garg

Chloraseptic_Throat P/Spy 1.4% 25ml Ultra Chloraseptic_Antis Mthwsh & Garg Alkaline Phenol_Mthwsh BPC 1963 Povidone-Iodine_Mthwsh 1% Betadine_Garg & Mthwsh 1% Betasept_Antis Garg + Mthwsh Conc 1% Mthwsh_Soln Tab Sod Chlor Co_Mthwsh Sod Chlor_Mthwsh Sod Hypochlorite_Mthwsh 0.05% Sod Perborate_Mthwsh 1.7g Sach Bocasan_Sach 1.7g Allopurinol_Mthwsh 0.5mg/1ml Allopurinol_Mthwsh 1mg/1ml Allopurinol_Mthwsh 0.2mg/1ml Allopurinol_Mthwsh 1.5mg/1ml Allopurinol_Mthwsh 0.1mg/1ml Allopurinol_Mthwsh 5mg/1ml Allopurinol_Mthwsh 0.4mg/1ml Thymol_Mthwsh Tab Thymol Glycerin Co_Mthwsh Glycerol & Thymol_Mthwsh Tab Gppe Tab_Tellodont Gppe Mthwsh Tab_Eftabs Thymol_Co Soln Tab Thymol In Chlorof Water_4% Sotol_Tab Tellodont_Antis Garg Mthwsh Tab Tellora_Gran Eftab_Mth-Wsh Tab Listerine_Antis Mthwsh Thornton & Ross_Antis Mthwsh Lloyds_Antis Mthwsh Care_Antis Mthwsh Glycerol_Tannic Acid 20% Hydrocort Sod Succ_Mthwsh 0.05% Hydrocort Sod Succ_Mthwsh 0.025%

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Zn Sulf_Mthwsh DPF Zn Sulf_Mthwsh 0.2% Zn Sulf_Mthwsh 0.25% Zn Sulf_Mthwsh 2% Biotene_Dry Mth A-Bact Toothpaste (Orig) Biotene Oralbalance_Dry Mth System C/Pk

Biotene_Dry Mth Dental Chewing Gum S/F BioXtra_Chewing Gum BioXtra_Toothpaste BioXtra_Mth Rinse BioXtra_Moist Gel For Dry Mth BioXtra_Gel Mth P/Spy 50ml S/F Biotene Oralbalance_Dry Mth Moist Liq

BioXtra_Sucking Tab oraNurse_Toothpaste Orig (1450ppm) oraNurse_Toothpaste 0-3 yrs (1000ppm) oraNurse_Toothpaste 4+ (1450ppm)

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