Key to symbols
The medicine should be initiated by, or on the advice of a specialist, but is suitable for continuation by a GP
The medicine should only be used and prescribed by a specialist
Indicates the preferred choice within a class or group of medicines
6.3. Corticosteroids
6.3.2. Glucocorticoid therapy
Preferred List
DEXAMETHASONE
HYDROCORTISONE (tablets)
Prescribing Notes:
- Used in adrenocortical insufficiency, shock and hypersensitivity reactions.
- Excludes hydrocortisone modified-release tablets/capsules (Plenadren® and Efmody®) which are not recommended for use by the SMC and are non-Formulary.
PREDNISOLONE
Restrictions:
Excludes 25mg tablets
Prescribing Notes:
Used in many inflammatory and allergic disorders.
Please note that dispersible prednisolone tablets are significantly more expensive than standard oral tablets or the oral solution [December 2024]
Total Formulary
BUDESONIDE (BUDENOFALK) (capsules)
Restrictions:
The treatment of autoimmune hepatitis. It is restricted to specialist initiation in non-cirrhotic patients who are intolerant of conventional oral steroids (prednisolone) with severe corticosteroid-related side effects (actual or anticipated) such as psychosis, poorly controlled diabetes or osteoporosis.