Corticosteroid
Dexamethasone Oral Liquid 2mg in 5ml can be prescribed for patients with swallowing difficulty.
Please ensure you prescribe the most cost effective product.
| Pack | Price |
|---|---|
| 50 tablet | £2.92 |
| Pack | Price |
|---|---|
| 28 tablet | £1.70 |
Oral Corticosteroid
| Pack | Price |
|---|---|
| 28 tablet | £0.61 |
| Pack | Price |
|---|---|
| 28 tablet | £0.63 |
Corticosteroid
| Pack | Price |
|---|---|
| 30 tablet | £1.50 |
| Pack | Price |
|---|---|
| 30 tablet | £3.51 |
Fludrocortisone Tablets
Corticosteroid - Treatment of Postural Hypotension
For other medication for postural hypotension see section 2.7.2
| Pack | Price |
|---|---|
| 30 tablet | £2.83 |
Dexamethasone injection should be prescribed pre-emptively, where required at the end of life, usually following the recommendation of the specialist palliative care team.
When given by injection, usually subcutaneously, dexamethasone injection is expressed in terms of dexamethasone (base):
Dexamethasone (base) 3.3mg/1ml injection = dexamethasone phosphate 4mg (oral equivalent)
Dexamethasone (base) 6.6mg/2ml = dexamethasone phosphate 8mg (oral equivalent)
Seek advice from the specialist palliative care team, where needed.
| Pack | Price |
|---|---|
| 10 ampoule | £9.41 |
| 5 ampoule |
Congenital adrenal hyperplasia
Efmody is a medicine used to treat an inherited condition called congenital adrenal hyperplasia (CAH) in patients 12 years old and above.
| Pack | Price |
|---|---|
| 50 capsule | £275.00 |
| Pack | Price |
|---|---|
| 50 capsule | £135.00 |
Corticosteroid
Allergic Emergencies
Secondary care will issue the first prescription. Further supplies can be issued in primary following use or upon expiry of the drug.
The consultant endocrinologist will confirm this is writing.
| Pack | Price |
|---|---|
| 5 ampoule | £10.60 |
| Pack | Price |
|---|---|
| 1 vial | £2.61 |
Replacement therapy in adrenal insufficiency in infants, children and adolescents (from 1 month to <18 years old)
Rationale 1,2 a
Liquid Hydrocortisone is initiated by a specialist but is suitable for primary care to continue and take over ongoing prescribing responsibility. The specialist to provide the primary care clinician with the necessary information and support in order for treatment to be managed safely in primary care. Referring to guidance within the Efmody SCP, hydrocortisone immediate release is referenced within the document as the first line.
| Pack | Price |
|---|---|
| 100 ml | £270.00 |

