MTW NHS Trust West Kent CCG

Drug Status Key

  • Preferred
  • Second Line
  • Third Line
  • Specialist Initiation
  • Hospital Only
  • Not Approved for Formulary

Corticosteroids and Immunosuppressants

Drug safety update

 December 2009: Ciclosporin: must be prescribed and dispensed by brand name

 December 2014: Mycophenolate mofetil: pure red cell aplasia

 January 2015: Mycophenolate mofetil (CellCept) and mycophenolic acid: risk of hypogammaglobulinaemia and risk of bronchiectasis

 December 2015: Mycophenolate mofetil, mycophenolic acid: new pregnancy-prevention advice for women and men

 November 2017: Oral tacrolimus products: reminder to prescribe and dispense by brand name only

 February 2018: Mycophenolate mofetil, mycophenolic acid: updated contraception advice for male patients

 April 2019: Belimumab (Benlysta▼): increased risk of serious psychiatric events seen in clinical trials

NICE Guidance (also see drug specific guidance below)

 CG166: Ulcerative colitis: management, June 2013

 CG152: Crohn's disease: management, May 2016

 CG153: Psoriasis: assessment and management, September 2017

 TA481: Immunosuppressive therapy for kidney transplant in adults, October 2017

Corticosteroids are also powerful immunosuppressants. They are used to prevent organ transplant rejection and in high doses used to treat rejection episodes. For this indication, they are Specialist initiation only.

Pack Price
100 tablet (10 x 10 tablets) £9.22
28 tablet £5.35
Pack Price
100 tablet (10 x 10 tablets) £9.46
56 tablet (7 x 8 tablets) £6.00
Pack Price
1 vial £15.38

Brands available are: CellCept, Myfenax (250mg capsules, 500mg tablets)

Pack Price
100 capsule £24.33
Pack Price
50 tablet (5 x 10 tablets) £6.88
Pack Price
175 ml £115.16
Pack Price
4 vial £34.67

Brands available are as follows: Capimune, Capsorin, Deximune, Neoral, Sandimune and Vanquoral

Pack Price
60 capsule £18.25
Pack Price
30 capsule (6 x 5 capsules) £13.05
Pack Price
30 capsule (6 x 5 capsules) £25.50
Pack Price
30 capsule (6 x 5 capsules) £48.50
Pack Price
50 ml £86.96
Pack Price
10 ampoule £23.23
Pack Price
10 ampoule £110.05
Pack Price
50 capsule (5 x 10 capsules) £42.92
Pack Price
50 capsule (5 x 10 capsules) £51.75
Pack Price
30 capsule
60 capsule
Pack Price
50 capsule (5 x 10 capsules) £35.79
Pack Price
50 capsule (5 x 10 capsules) £266.92
Pack Price
50 capsule (5 x 10 capsules) £52.50
Pack Price
50 sachet £71.30
Pack Price
50 sachet £356.65
Pack Price
50 capsule £61.88
Pack Price
100 capsule £160.54
50 capsule £80.28
Pack Price
10 ampoule £584.51
Pack Price
30 tablet (3 x 10 tablets) £59.10
Pack Price
30 tablet (3 x 10 tablets) £236.40
Pack Price
30 tablet (3 x 10 tablets) £44.33