North East and North Cumbria
ICS Formulary
 
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8 Malignant disease and immunosuppression
08-03-04-02 Gonadorelin analogues

Clinicians are encouraged to prescribe the least expensive product that is clinically appropriate.


Goserelin
First Choice
  • Approved formulations include 3.6mg and 10.8mg implants.

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Leuprorelin Acetate
First Choice
  • Approved formulations include leuprorelin 3.75mg & 11.25mg prefilled syringes.

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Triptorelin
First Choice

  • Approved formulations include triptorelin 3mg, 11.25mg and 22.5mg IM injection for the treatment of prostate cancer

  • Please note for the treatment of precocious puberty please refer to Chapter 6 Drugs affecting gonadotrophins


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Degarelix
First Choice
  • Approved formulations include 80mg and 120mg vials (with diluent).
  • Approved for the first line treatment of advanced hormone dependant prostate cancer with a PSA > 20ng/l at presentation 
    • -approved as an option for treating advanced hormone-dependent prostate cancer in people with spinal metastases in line with NICE.

Link  NICE TA404: Degarelix for treating advanced hormone-dependent prostate cancer

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Buserelin
Formulary
  • Approved formulations include:
    • 5mg in 5ml injection;
    • 150 microgram metered dose nasal spray.


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