7. Obstetrics, Gynaecology and Urinary-tract Disorders

First line drugs Second line drugs Specialist drugs Secondary care drugs
Recommended in both primary and secondary care Alternatives (often in specific conditions) in both primary and secondary care; Where a specialist input is needed (see introduction for definition) Prescribing principally within secondary care only

Traffic light status (TLS) explained:

  • Green: Routine prescribing within licensed indication
  • Amber 1: specialist recommendation followed by GP initiation and continuation
  • Amber 2: specialist or GP initiation in line with local guideline after 1st line failure followed by GP continuation
  • Amber 3: specialist initiation and stabilisation followed by GP continuation
  • Amber SCG: specialist initiation and stabilisation followed by GP continuation in line with an agreed shared care guideline
  • Red: Hospital or specialist prescribing only 
  • Double Red: These medicines have been evaluated and rejected by MKPAG and are NOT approved for use within MK. They are not recommended for use because of lack of clinical effectiveness, cost effectiveness or safety.


Prescribing some drugs in this chapter on FP10 prescription is controlled by the Selective List Scheme (SLS). The explanatory notes provide further guidance and the drugs affected are marked SLS
Doctors within secondary care are asked not to ask GPs to prescribe drugs outside of the controls imposed by SLS.             

7.1    Drugs used in obstetrics

7.2    Treatment of vaginal and vulval conditions

7.3    Contraceptives

7.4    Drugs for genito-urinary disorders 


Last updated by: Annie Bolton on 27-12-2017 09:26