Derbyshire Medicines Management and Clinical Policies
GREEN: sodium chloride 0.9% nebuliser liquid 2.5ml unit dose ampoules.
For treatment of minor self-limiting conditions such as nasal congestion, self-care is encouraged. See Derbyshire CCGs self-care policy.
GREY: Sodium Chloride 0.9% nasal drops (Decision date - October 2018)
GREY after specialist Initiation: only after a suitable trial in hospital.
Sodium chloride 7% nebules (preferred cost effective brand Resp-Ease). (Decision date - September 2017).
Used in patients with bronchiectasis and the presence of thick sputum that optimised fluid intake and oral mucolytics (e.g.carbocisteine) have either been ineffective or not tolerated.
DO NOT PRESCRIBE (DNP) normal saline nasal sprays (Aqua Maris, Sterimar) (Decision date - May 2016)
