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
9.1. Anaemias and some other blood disorders

9.1.3. Drugs used in hypoplastic, haemolytic, and renal anaemias

Total Formulary
Specialist and GP
DARBEPOETIN ALFA

Restrictions:

Restricted to specialist initiation. Approved in NHSGGC only for anaemia associated with renal failure. This is the preferred Formulary agent for this indication.

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Specialist Only
DEFERASIROX (tablets)

Restrictions:

Restricted to specialist use only in accordance with the Prescribing Notes below.

Prescribing Notes:

Formulary indications:

  • Treatment of chronic iron overload associated with the treatment of rare acquired or inherited anaemias requiring recurrent blood transfusions when deferoxamine therapy is contraindicated or inadequate
  • Treatment of myeloplastic syndrome (MDS) in patients with an International Prognostic Scoring System (IPSS) score of low or intermediate -1 risk when deferoxamine therapy is contraindicated or inadequate in accordance with regional protocol (in development)

It is not recommended by SMC for:

  • Treatment of patients with chronic iron overload requiring chelation therapy when deferoxamine therapy is contraindicated or inadequate in patients with non-transfusion-dependent thalassaemia syndromes and is non-Formulary for these indications.

BNF Link

Specialist Only
DESFERRIOXAMINE

Restrictions:

Restricted to specialist use only.

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Specialist and GP
EPOETIN ALFA

Restrictions:

Restricted to specialist initiation. Approved in NHSGGC only for anaemia associated with renal failure.

Prescribing Notes:

  • Prescribe by brand name.
  • The treatment of symptomatic anaemia in adults with low or intermediate-1-risk primary myelodysplastic syndromes (MDS) who have low serum erythropoetin is not recommended for use by the SMC and is non-Formulary.

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Specialist and GP
EPOETIN BETA

Restrictions:

Restricted to specialist initiation. Approved in NHSGGC only for anaemia associated with renal failure.

Prescribing Notes:

Prescribe by brand name.

BNF Link

Specialist and GP
METHOXY POLYETHYLENE GLYCOLEPOETIN BETA

Restrictions:

Restricted to specialist initiation. Approved in NHSGGC only for anaemia associated with renal failure.

BNF Link

Specialist Only
ROXADUSTAT (Evrenzo) (tablets)

Restrictions:

The treatment of symptomatic anaemia associated with chronic kidney disease (CKD) is restricted to specialist use in patients who are non-dialysis dependent (NDD) at the time of treatment initiation.

BNF Link