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
1. Gastro-intestinal system

1.3. Antisecretory drugs and mucosal protectants

1.3.1. H2-receptor antogonists

Preferred List
RANITIDINE
Total Formulary
CIMETIDINE

1.3.2. Selective antimuscarinics

1.3.3. Chelates and complexes

Preferred List
SUCRALFATE

1.3.4. Prostaglandin analogues

Preferred List
MISOPROSTOL

1.3.5. Proton pump inhibitors

Patients should be maintained on the lowest dose possible. Those with GORD without oesophagitis are encouraged to use PPIs "on demand". Measurement of serum-magnesium concentrations should be considered before and during prolonged treatment with a proton pump inhibitor, especially when used with other drugs that cause hypomagnesaemia or with digoxin.
Preferred List
LANSOPRAZOLE (CAPSULES)

Prescribing Notes:

Patients should be maintained on the lowest dose possible. Those with GORD without oesophagitis are encouraged to use lansoprazole 'on demand'.

BNF Link

OMEPRAZOLE (CAPSULES)

Prescribing Notes:

Patients should be maintained on the lowest dose possible. Those with GORD without oesophagitis are encouraged to use omeprazole 'on demand'.

BNF Link

Total Formulary
Specialist Only
OMEPRAZOLE (INFUSION)
Specialist and GP
LANSOPRAZOLE (ORODISPERSIBLE)

Restrictions: Restricted for specialist initiation in patients with narrow-bore feeding tubes.

Prescribing Notes:

For advice on administering lansoprazole via enteral feeding tubes please click here

BNF Link

Specialist and GP
OMEPRAZOLE (DISPERSIBLE)

Restrictions:

Use is restricted to

- patients with narrow-bore feeding tubes

- patients in the immediate period (2 weeks) after barriatric surgery 

Prescribing Notes:

The orodispersible preparations are considerably more expensive than omeprazole capsules and should not used unless necessary.

BNF Link