| Acalabrutinib capsules |
discontinued - use tablets |
February 2024 |
| Acetic acid spray 2% |
discontinued |
August 2019 |
| Aciclovir eye ointment 3% (Zovirax®) |
discontinued |
January 2019 |
| Adrenaline/epinephrine injection 1 in 1,000: disposable syringe 1mg/mL (Minijet®) |
discontinued - use 1 in 1,000 solution for injection pre-filled syringe (1mg/mL) instead. |
April 2024 |
| Adrenaline/epinephrine injection 1 in 10,000 1mg/10mL (Minijet®) |
discontinued - use 1 in 10,000 dilute solution for injection pre-filled syringe (1mg/10mL) instead. |
April 2024 |
| Alphosyl shampoo |
discontinued |
February 2023 |
| Alprostadil 250 microgram urethral application (MUSE®) |
discontinued |
April 2020 |
| Betamethasone 0.1% eye ointment |
discontinued |
April 2020 |
| Biphasic Isophane insulin Injection 25% soluble, 75% isophane 100 units/mL 3mL cartridge (Insuman® Comb 25 for ClikSTAR®, Autopen®) and 3mL pre-filled pen (Insuman Comb 25 SoloStar®) |
discontinued |
February 2023 |
| Biphasic Isophane insulin Injection 50% soluble, 50% isophane 100 units/mL and 3mL cartridge (Insuman® Comb 50 for ClikSTAR®, Autopen®) |
discontinued |
February 2023 |
| Buprenorphine with naloxone film, all strengths |
discontinued |
February 2024 |
| Calcium syrup (calcium 2·5mmol or 102mg/5mL) unlicensed |
discontinued |
October 2022 |
| Cervarix vaccine suspension for injection 0.5ml pre-filled syringes |
discontinued |
June 2021 |
| Ciprofloxacin 3mg/mL, dexamethasone 1mg/mL (Cilodex) ear drops |
discontinued |
April 2021 |
| Clozapine oral suspension 50mg/ml |
Formulary review; use 25mg and 100mg orodisperisble tablets |
April 2022 |
| Collagenase |
discontinued |
December 2020 |
| Cyclo-progynova 2mg tablets |
discontinued |
April 2020 |
| Daclatasvir 30mg and 60mg tablets |
discontinued |
November 2019 |
| Dasabuvir 250mg tablets |
discontinued |
February 2021 |
| Deferiprone 500mg tablets |
discontinued |
November 2019 |
| Dermamist 10% spray |
discontinued |
October 2022 |
| Desflurane Inhalation vapour 1mL/1mL |
No longer used |
February 2022 |
| Dexamethasone soluble tablets 2mg, 4mg, 8mg |
Formulary review; standard tablets can be dispersed in water |
December 2021 |
| Diazepam rectal solution tubes 2.5mg/1.25mL |
removed due to unavailability |
December 2021 |
| Dicobalt Edetate 300mg/20mL injection |
discontinued - replaced with Sodium nitrite solution for injection |
May 2020 |
| Dihydrocodeine 10mg/5ml oral solution |
discontinued |
February 2021 |
| Diprobase cream and ointment |
Formulary review; Zeroderma range first line choice |
February 2021 |
| Dithranol (Dithrocream) 2% cream |
discontinued |
April 2021 |
| Dithranol (Dithrocream®) 0.25%, 0.5% and 1% cream |
discontinued |
April 2022 |
| Doublebase® Gel |
replaced with Zerodouble® Emollient Gel |
January 2019 |
| Engerix B 20microgram/1mL |
discontinued |
April 2021 |
| Enzalutamide 40mg capsules |
discontinued - replaced with enzalutamide tablets |
April 2020 |
| Epaderm ointment |
Formulary review, Zeroderma range first line choice |
February 2021 |
| Estradiol (Vagifem) |
Vagirux preferred brand for environmental reasons |
October 2021 |
| Ethinylestadiol and norethisterone (Loestrin) 20 and 30 tablets |
discontinued |
October 2019 |
| Exenatide injection, pre-filled pen 5 micrograms/dose, 10 micrograms/dose and prolonged-release suspension for injection 2mg/pre-filled pen |
discontinued |
April 2024 |
| Exenatide modified release powder for reconstitution 2mg/pre-filled pen |
discontinued - use prolonged-release suspension for injection 2mg/pre-filled pens |
October 2022 |
| Flecainide 200mg modified release tablets |
discontinued |
April 2020 |
| Fluphenazine decanoate solution for injection (oily) 12.5g/0.5mL, 25mg/1mL 100mg/1mL |
discontinued |
August 2021 |
| Fluticasone propionate/ formoterol 125 microgram/5 microgram (Flutiform® K-haler®) |
discontinued |
April 2021 |
| Gynest 0.01% estriol |
Formulary review - estriol cream of choice: estriol 0.1% |
August 2020 |
| Haloperidol 500 microgram capsules |
discontinued |
April 2020 |
| Hep A + Typhoid (viatim) |
discontinued |
April 2024 |
| Human papillomavirus (type 16, 18) vaccine (absorbed) suspension for injection 0.5ml pre-filled syringes |
discontinued |
June 2021 |
| Hydrocortisone 10% rectal foam |
discontinued |
April 2020 |
| Hydrocortisone (as acetate) (aqueous suspension) 25mg/1mL injection |
discontinued |
April 2022 |
| Ibandronic acid infusion 2mg/2mL and 6mg/6mL |
no longer used for malignant disease |
May 2019 |
| Infliximab powder for concentrate for solution for infusion 100mg (Remicade®) |
Formulary review - Remsima should be used |
June 2021 |
| Infliximab powder for concentrate for solution for infusion 100mg |
Formulary review - Inflectra, Remsima and Zessly brands should be used |
April 2022 |
| Insuman Comb 25 100units/ml suspension for injection 5ml vials |
discontinued |
June 2021 |
| Insulin glargine injection 100 units/mL 3mL cartridge (Abasaglar® for Autopen®) and (Lantus for ClikSTAR, Autopen®24) |
discontinued |
February 2023 |
| Isophane insulin 100 units/mL 5mL vial (Insuman® Basal) injection |
discontinued |
April 2022 |
| Isophane insulin 10mL vial (Insulatard®), removed 3mL cartridge (Insuman® Basal for ClikSTAR, Autopen®), (Humulin I® for Autopen®) and 3mL pre-filled pen (Insuman Basal SoloStar®) |
discontinued |
February 2023 |
| Isoprenalin injection 2mg/2mL unlicensed (hospital use only) |
Use licensed version |
April 2022 |
| Macrogol 3350 with potassium chloride, sodium bicarbonate and sodium chloride (Klean-Prep) oral powder 69g/sachet |
Formulary review - VistaPrep should be used |
October 2021 |
| Magnesium hydroxide Mixture BP |
alternative products available |
December 2020 |
| Mannitol (Viaflex®) |
discontinued |
August 2019 |
| Mesalazine 400mg and 800mg (Asacol® brand only) |
|
May 2019 |
| Mesalazine foam enema (Asacol®) |
discontinued |
October 2021 |
| Methotrexate subcutaneous all strengths (Zlatal® brand only) |
Formulary review - Methofill should be used |
December 2020 |
| Nepafenac 1mg/ml eye drops |
Replaced by nepafenac 3mg/ml eye drops |
June 2021 |
| Norethisterone acetate and ethinylestradiol (Loestrin®) |
discontinued |
November 2019 |
| Ofatumumab concentrate for solution for infusion 20mg/mL |
discontinued |
February 2021 |
| Orlistat capsules |
No longer recommended by NHS Highland. See the NHS Highland Adult Healthy Weight pathway. |
January 2019 |
| Pembrolizumab 50mg powder for infusion |
discontinued |
June 2022 |
| Pirfenidone 267mg capsules |
discontinued - use tablets |
June 2022 |
| Prazosin 1mg tablets |
discontinued |
April 2022 |
| Prednisolone retention enema 20mg/100mL |
discontinued |
August 2019 |
| Prednisolone foam enema 20mg/metered application (as metasulfobenzoate sodium) |
Formulary review - budesonide rectal foam 2mg/dose should be used |
February 2022 |
| Ranitidine 75mg/5ml oral solution sugar free |
discontinued |
June 2021 |
| Ranitidine 150mg and 300mg effervescent tablets |
discontinued |
June 2021 |
| Ranitidine 150mg and 300mg tablets |
discontinued |
February 2022 |
| Risankizumab 75mg/0.83mL |
discontinued - alternative is 150mg/mL pre-filled pen and pre-filled syringe |
December 2023 |
| Selegeline oral lyophilisate tablet 1.25mg |
discontinued |
December 2020 |
| Simeprevir capsules 150mg |
discontinued |
February 2021 |
| Sitagliptin 25mg, 50mg and 100mg tablets |
replaced with alogliptin |
August 2019 |
| Sodium aurothiomalate 10mg/0∙5ml and 50mg/0∙5ml injection |
discontinued |
August 2021 |
| Sodium chloride 4∙5% eye drops |
discontinued - replaced by sodium chloride 5% preservative free eye drops |
August 2021 |
| Somatropin (Norditropin Simplexx®) 5mg/1∙5ml, 10mg/1∙5ml and 15mg/1∙5ml solution for injection |
replaced with Norditropin Flexpro |
August 2021 |
| Theophylline (Slo-Phyllin®) 60mg, 125mg and 250mg |
discontinued |
February 2020 |
| Tolterodine 1mg and 2mg tablets and 4mg modified release |
replaced with solifenacin |
April 2020 |
| Triamcinolone acetonide 10mg/1ml suspension for injection ampoules |
discontinued |
February 2021 |
| Ulipristal acetate (Esmya) 5mg tablets |
discontinued |
April 2021 |
| Varenicline tablets 500 microgram, 1mg, starter pack |
discontinued |
October 2022 |
| Viekirax 12.5mg, 50mg and 75mg tablets |
discontinued |
February 2021 |
| VitA-POS eye ointment preservative free |
discontinued - replaced with Hylo Night |
August 2021 |
| Xerotin® oral spray |
not available |
January 2019 |
TAM (Treatments and Medicines) NHS Highland