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Hayfever formulary change May 2019


The CAS hay fever module has been revised to enable users to supply more than one month’s treatment during a consultation.
Users should use professional discretion when supplying treatment and use the following as guidance:
  1. The initial supply should be for month’s treatment to ensure the patient is reviewed for symptom control/adverse effects
  2. Subsequent supplies (or where the patient is already stabilised on treatment) can be for a duration of up to 3 months where clinically appropriate.
  3. Children prescribed steroid nasal sprays must be reviewed frequently (See formulary for further guidance).
  4. All patients should be encouraged to self-care where future treatment may be required as appropriate.
The new maximum number of packs that can be supplied are:
Product Pack size Maximum number of packs per supply
Cetirizine 10 mg tablets 30 3
Cetirizine 1 mg/ml sugar-free oral solution 200 ml 4
Loratadine 10 mg tablets 30 3
Loratadine 1 mg/ml oral solution 100 ml 4
Chlorphenamine 4 mg tablets 28 3
Chlorphenamine 2 mg/5 ml sugar-free oral solution 150 ml 3
Sodium cromoglicate 2% eye drops 13.5 ml (via PGD) 3
Beclometasone 50 microgram nasal spray 200 spray unit (via PGD) 3