|Therapeutic Area||Formulary Choices||Cost for 28|
(unless otherwise stated)
|Rationale for decision / comments|
|Mucolytics||Carbocisteine||375mg capsules: £4.60 (120)|
250mg/5ml liquid: £8.55 (300ml)
750mg/10ml oral solution sachets £3.85 (15 x 10ml)
|Do not routinely use to prevent exacerbations.
Carbocisteine can be considered in patients with COPD with copious or tenacious sputum. Trial carbocisteine 750mg tds for 4 weeks and stop if ineffective. If effective reduce to bd.
Dose: initially 2.25g daily in divided doses, then 1.5g daily in divided doses as condition improves.
Erdocysteine is non-formulary
|600mg effervescent tablets. One daily.|
|Please do not use any other brand as at least 5 times the price.
Adult use only
Acetylcysteine 200mg sachets at tds work out at £337 per month