Key to symbols
The medicine should be initiated by, or on the advice of a specialist, but is suitable for continuation by a GP
The medicine should only be used and prescribed by a specialist
Indicates the preferred choice within a class or group of medicines
1. Gastro-intestinal system
1.4. Acute diarrhoea
Rehydration sachets (see section 9.2) should be considered the first-line treatment for acute diarrhoea.1.4.1. Adsorbents and bulk-forming drugs
1.4.2. Antimotility drugs
Preferred List
LOPERAMIDE (capsules, tablets)
Restrictions:
Second line treatment of acute diarrhoea.
Prescribing Notes:
Rehydration sachets (see section 9.2.1) are considered the first line treatment for acute diarrhoea.
Total Formulary
1.4.3. Carcinoid Syndrome Diarrhoea
Total Formulary
TELOTRISTAT (XERMELO) (tablets)
Restrictions:
The treatment of carcinoid syndrome diarrhoea in combination with somatostatin analogue therapy in adults is restricted to specialist use in accordance with regional protocol in patients who experience an average of four or more bowel motions per day, despite receiving somatostatin analogue therapy.
Prescribing Notes:
Click here for regional protocol [NHS network connection required]