BNF 3 Respiratory

Formulary	Last Updated
Respiratory System	March 2025

Prescribing Guidelines for BNF 3 Respiratory

Prescribing Guideline	Last Updated	Review Date
Anaphylaxis treatment for adults and children	None	None
Asthma adult treatment algorithm (NICE 2024 update)	April 2025	April 2028
Asthma management in adults (under review)	May 2023	April 2026
Asthma management in children	May 2023	April 2026
Children's referral guideline for Sub-Lingual Immuno therapy (SLIT) - Grazax and Acarizax (with Derby Childrens Hospitals only)	July 2022	June 2025
Chronic Obstructive Pulmonary Disease guideline	December 2022	November 2025
Greener Inhaler Prescribing guidance	November 2021	May 2025
Oxygen Guideline	September 2021	August 2025

Other Information

Detailing aids:

• COPD

Relevant resources:

• Greener inhaler choice: Flowchart      
• Be Greener and Breathe Better patient information leaflet
• Stepping-down combination asthma inhaler therapy: Adults over 17 years of age
  
• Optimisation of inhaled corticosteroid (ICS) in COPD
• NICE guidance - Adult asthma diagnosis
• RightBreathe - inhaler information and training videos
• Inhaled corticosteroids equivalent doses

Respiratory Action Plan:

• Asthma + Lung UK Resources