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
8.2. Drugs affecting the immune response

8.2.1. Antiproliferative immunosuppressants

Total Formulary
Specialist and GP
AZATHIOPRINE

Restrictions:

Restricted to specialist initiation. Azathioprine should only be used instead of mycophenolate for renal transplantation if there is a low perceived immunological risk.

Prescribing Notes:

Near Patient Testing (NPT) arrangements for GPs may be in place for this medicine.  See the relevant section in the Prescribing Resources page for current information.

BNF Link

Specialist and GP
MYCOPHENOLIC ACID

Restrictions:

Restricted to specialist initiation. Restricted to use by transplant specialists as part of an immunosuppressive regimen.

Prescribing Notes:

The preferred brand in NHSGGC is Ceptava®

BNF Link

Specialist and GP
MYCOPHENOLATE MOFETIL

Restrictions:

Restricted to specialist initiation. Mycophenolate mofetil is restricted to specialist use in selected patients who are at high risk of organ transplant rejection. Mycophenolate mofetil injection is restricted to use on specialist advice in exceptional cases e.g. patients who are nil by mouth.

BNF Link