Corticosteroids
Drug Safety Update
August 2017: Corticosteroids: rare risk of central serous chorioretinopathy with local as well as systemic administration. Local administration includes inhaled, intranasal, epidural, intraarticular, topical dermal and periocular routes. Advise patients to report any blurred vision or other visual disturbances.
NICE Guidance
NG129: Crohn’s disease: management, May 2019
NG130: Ulcerative colitis: management, May 2019
Prescribing Notes
Budesonide rectal foam enemas are the preferred, most cost-effective rectal option.
Budesonide CR is less effective than conventional corticosteroids but may have fewer side effects.
Budesonide CR or Beclometasone Dipropionate MR (Clipper®) have been agreed for use as “specialist initiation”. They must only be initiated using the locally agreed prescribing pathways which have been developed with specialist guidance.
| Pack | Price |
|---|---|
| 100 tablet | |
| 1000 tablet | |
| 28 tablet | £0.66 |
| 500 tablet |
| Pack | Price |
|---|---|
| 100 tablet | |
| 28 tablet | £1.06 |
| 30 tablet | |
| 500 tablet |
The TEVA brand should be dispensed for children who cannot swallow tablets
| Pack | Price |
|---|---|
| 100 tablet | |
| 1000 tablet | |
| 28 tablet | £0.74 |
| 30 tablet |
| Pack | Price |
|---|---|
| 7 enema (7 x 100ml enemas) |
| Pack | Price |
|---|---|
| 14 dose | £439.11 |
| Pack | Price |
|---|---|
| 1 suppository | |
| 10 suppository | £250.57 |
| Pack | Price |
|---|---|
| 30 tablet | £2.75 |
| Pack | Price |
|---|---|
| 30 tablet (3 x 10 tablets) | £3.86 |
| Pack | Price |
|---|---|
| 1 vial | £1.16 |
| Pack | Price |
|---|---|
| 14 dose | £57.11 |
| Pack | Price |
|---|---|
| 30 suppository | £198.00 |
| Pack | Price |
|---|---|
| 100 capsule | £60.00 |
For induction of remission of eosinophilic oesophagitis as per NICE TA 708 only
| Pack | Price |
|---|---|
| 90 tablet (9 x 10 tablets) | £323.00 |
| Pack | Price |
|---|---|
| 30 tablet | £56.56 |