monitoring in line with shared care protocols. See on Interface Pharmacy website for further information Methotrexate may be an option for such patients who cannot tolerate azathioprine or mercaptopurine Cautions has a similar name to Practices and ‘Mercaptopurine’ ‘mercaptamine’. community pharmacists are encouraged to take steps to minimise the risks associated with this, e.g. when selecting these medicines for prescribing from GP clinical system lists’. See for further ‘pick information 1.6 Laxatives 1st choice Ispaghula husk Dose: 1 sachet in Pack size 30 (Fybogel® twice daily Multi-flavours sachets) preferably after meals Sugar and gluten free 2nd choice Macrogol Oral 1-3 sachets daily in After Powder, divided doses reconstitution Compound usually for up to 2 the solution can (Laxido®) weeks; contents of be kept in a each sachet refrigerator but dissolved in half a discarded if glass (approx. unused after 6 125ml) of water; hours maintenance, 1-2 sachets daily 3rd choice Oral Senna tablets Dose: 2-4 tablets or 10-20ml syrup at 7.5mg, syrup night 7.5mg/5ml
monitoring in line with shared care protocols. See on Interface Pharmacy website for further information Methotrexate may be an option for such patients who cannot tolerate azathioprine or mercaptopurine Cautions ‘Mercaptopurine’ has a similar name to ‘mercaptamine’. Practices and community pharmacists are encouraged to take steps to minimise the risks associated with this, e.g. when selecting these medicines for prescribing from GP clinical system ‘pick lists’. See for further information 1.6 Laxatives 1st choice Ispaghula husk (Fybogel® sachets) Dose: 1 sachet in twice daily preferably after meals Pack size 30 Multi-flavours Sugar and gluten free 2nd choice Macrogol Oral Powder, Compound (Laxido®) 1-3 sachets daily in divided doses usually for up to 2 weeks; contents of each sachet dissolved in half a glass (approx. 125ml) of water; maintenance, 1-2 sachets daily After reconstitution the solution can be kept in a refrigerator but discarded if unused after 6 hours 3rd choice Oral Senna tablets 7.5mg, syrup 7.5mg/5ml Dose: 2-4 tablets or 10-20ml syrup at night
NI%20Formulary%20Chapter%201%20GI%20-%20draft%20for%20consultation.docx