Leicestershire Health Community
Medicines Formulary
 
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6 Endocrine system
06-01-01-02 Intermediate- and long-acting insulins

Insuman Basal®
First Choice
Vial, Cartridge + ClikSTAR, SoloStar

Green View adult BNF  View SPC online
Humulin I®
Second Choice
Intermediate Human Isophane
Vial, Cartridge + HumaPen Savvio, KwikPen

Green View adult BNF  View SPC online
Insulatard®
Restricted
Intermediate Human Isophane
For use only when the Innolet device is required. Restricted to patients not able to manage less expensive devices

Restricted Drug Green View adult BNF  View SPC online
Lantus®
Formulary
Insulin Glargine 100 unit per ml
MUST BE PRESCRIBED BY BRAND NAME
Recombinant human insulin analogue- long acting. Monophasic. Once daily dosage

Vial, Cartridge+ClikSTAR, SoloStar

Green View adult BNF  View SPC online
Abasaglar®
Formulary
A Biosimilar of Insulin Glargine.
MUST BE PRESCRIBED BY BRAND NAME
Recommended in LLR for new patients and those undergoing review of therapy.
Link  Statement on Use of Biosimilar Insulin
 

Green View adult BNF  View SPC online
Levemir®
Formulary
Insulin Detemir.
Recombinant human insulin analogue – long acting. Monophasic. Twice daily dosing
Cartridge + NovoPen 4, Flexpen
Innolet also available but only for patients not able to manage less expensive device

Green View adult BNF  View SPC online
Toujeo®
Formulary

Insulin Glargine 300 units per ml.
MUST BE PRESCRIBED BY BRAND NAME
First line concentrated insulin of choice in insulin resistant patients requiring large amounts of insulin. Please take extra care in prescribing, insulin glargine 300units per ml and 100units per ml are not directly interchangeable - see SPC

Link  Leicestershire Evaluation: Toujeo® in Diabetes
Link  UKMI - Product Safety Assessment Report
 

Green Conditional View adult BNF  View SPC online
Tresiba®
Restricted
Insulin Degludec
For use in specific patient groups only in line with agreed algorithm.
  • Conditional Green traffic light status for GPs who have completed appropriate training.
  • Amber traffic light status for those without additional training.
  • Link  Leicestershire Evaluation: Insulin Degludec in Diabetes
    Link  Simple Amber list
    Link  Tresiba (Insulin Degludec) 100 units per ml: patient selection criteria
    Link  Tresiba (Insulin Degludec) 200 units per ml: patient selectin criteria
     

    Restricted Drug View adult BNF  View SPC online