Walsall

 Amber Initiation Walsall only 

Wolverhampton

 Amber Shared Care Wolverhampton only

ESCA Azathioprine (Wolverhampton only)

 Sandwell 

 Amber Shared Care Sandwell only

For use in Inflammatory Bowel Disease (IBD) as per effective shared care agreement

ESCA Azathioprine (Sandwell only)

 Dudley 

  Amber Shared Care Dudley only

ESCA Azathioprine (Dudley only)

Treatment of ulcerative colitis - for specialist use only

MHRA specify the ciclosporin must be prescribed and dispensed by brand as bioavailabilty differences exist between brands

Maintenance of remission of acute ulcerative colitis and Crohn’s disease in adults – unlicensed but in line with national guidelines

For use in Inflammatory Bowel Disease (IBD) 

Walsall

 Amber Initiation- Walsall only 

Wolverhampton

 Amber Shared Care- Wolverhampton only

ESCA Mercaptopurine-Wolverhampton only

Sandwell 

 Amber Shared Care- Sandwell only

ESCA Mecaptopurine (Sandwell only)

 Dudley 

  Amber Shared Care Dudley only

 ESCA Mecaptopurine (Dudley only)

Tablets 2.5mg (2.5mg tablets preferred as per NPSA alert)

Cytotoxic - do not crush and disperse in water

For use in active Crohn's disease

For specialist initiation only

Wolverhampton
 Amber Shared Care Wolverhampton only

 ESCA :Methotrexate (Wolverhampton only): 

Walsall

 Amber Initiation Walsall only 

Sandwell 

  Amber Shared Care Sandwell only

 ESCA:Methotrexate in active Crohn's disease (Sandwell only)

 Dudley 

  Amber Shared Care Dudley only

ESCA:Methotrexate (Dudley only)

In line with NICE

Tofacitinib for moderately to severe active ulcerative colitis - providers are NHS hospital trusts