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. Endocrine system

6.7. Other endocrine drugs

6.7.1. Bromocriptine and other dopaminergic drugs

Total Formulary
Specialist and GP
QUINAGOLIDE

Restrictions: Restricted to specialist initiation.

BNF Link

Specialist and GP
CABERGOLINE

Restrictions: Restricted to specialist initiaion. Restricted to use on the recommendation of a specialist endocrinologist or gynaecologist. The CSM has advised that bromocriptine and cabergoline have been associated with pulmonary, retroperitoneal and pericardial fibrotic reactions. Refer to BNF for details.

BNF Link

Specialist and GP
BROMOCRIPTINE

Restrictions: Restricted to specialist initiation. Restricted to use on the recommendation of a specialist endocrinologist or gynaecologist. The CSM has advised that bromocriptine and cabergoline have been associated with pulmonary, retroperitoneal and pericardial fibrotic reactions. Refer to BNF for details.

BNF Link

6.7.2. Drugs affecting gonadotrophins

Total Formulary
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

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.

BNF Link

NAFARELIN
LEUPRORELIN
GOSERELIN
Specialist and GP
GANIRELIX

Restrictions: Restricted to specialist initiation.

BNF Link

Specialist and GP
CETRORELIX

Restrictions: Restricted to specialist initiation.

BNF Link

BUSERELIN

6.7.3. Metyrapone

Total Formulary
Specialist and GP
METYRAPONE

Restrictions: Restricted to specialist initiation.

BNF Link

6.7.4. Somatomedins

Total Formulary
Specialist and GP
MECASERMIN

Restrictions: Restricted to specialist initiation. Restricted to use in accordance with paediatric protocol.

BNF Link