Greater Glasgow and Clyde Medicines
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
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
6.7. Other endocrine drugs

6.7.2. Drugs affecting gonadotrophins

Total Formulary
Specialist and GP
BUSERELIN
Specialist and GP
GOSERELIN (ZOLADEX)
Specialist and GP
LEUPRORELIN

Prescribing Notes:

For use in breast cancer and prostate cancer, including prescribing restrictions, please see section 8.3.4.2.

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Specialist and GP
NAFARELIN (SYNAREL)
Specialist and GP
TRIPTORELIN

Restrictions:

Treatment of precocious puberty with triptorelin is restricted to initiation by a paediatrician. Triptorelin (as Decapepyl SR) is Formulary for the use in the treatment of endometriosis and uterine fibroids within the licensed indications for the available strengths. However, Gonapeptyl Depot for the treatment of endometriosis has not been accepted by SMC and this use of this particular preparation is non-Formulary. The reversible reduction of testosterone to castrate levels in order to decrease sexual drive in adult men with severe sexual deviations has not been accepted by SMC and this use of this particular preparation is non-Formulary.

Prescribing Notes:

For use in prostate cancer see section 8.3.4.2 and for use in breast cancer see 8.3.4.1.

 

Note: This Formulary entry relates to triptorelin acetate.  Triptorelin embonate (Salvacyl®) is not recommended by SMC is not included in the GGC Formulary.  Care should be taken to ensure the correct triptorelin preparation is prescribed and dispensed.

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