netFormulary South East London Joint Medicines Formulary NHS
Guy's and St Thomas' NHS Foundation Trust
Kings College Hospital NHS Foundation Trust
Lewisham and Greenwich NHS Trust
 
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 Formulary Chapter 4: Central nervous system - Full Chapter
Notes:
In this section "SPECIALISTS" refer to medical prescribers specialising in Mental Health unless otherwise stated. At Guy's and St Thomas' and Lewisham Hospitals this would refer to SLAM employed consultants
 Details...
04.02.01  Expand sub section  Antipsychotic Drugs
Chlorpromazine tabs, syrup

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Formulary
Amber 2
   
Haloperidol caps, tabs, oral liquid, injection

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Formulary
Amber 2
   
Levomepromazine tabs, injection

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Restricted Drug Restricted
Amber 2
INITIATION BY SPECIALIST ONLY
   
Pimozide tabs

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Formulary
Red
   
Prochlorperazine tabs, injection

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Formulary
   
Promazine hydrochloride tabs

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Formulary
   
Sulpiride tabs, oral solution

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Restricted Drug Restricted
Amber 2
INITIATION BY SPECIALIST ONLY
   
Trifluoperazine tabs, caps, oral solution

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Restricted Drug Restricted
Amber 2
INITIATION BY SPECIALIST ONLY
   
Zuclopenthixol acetate injection

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Restricted Drug Restricted
Red
INITIATION BY SPECIALIST ONLY
   
Zuclopenthixol dihydrochloride tablets

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Restricted Drug Restricted
Amber 2
INITIATION BY SPECIALIST ONLY
   
Haloperidol injection

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Restricted Drug Restricted
Red
Approved off-label indication:
Sedation in the ICU. Restricted to use in accordance with a local critical care guideline
   
04.02.01  Expand sub section  Second-Generation Antipsychotic Drugs
Amisulpride tabs, solution

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Restricted Drug Restricted
Amber 2
INITIATION BY SPECIALIST ONLY
   
Aripiprazole tabs

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Restricted Drug Restricted
Amber 2
INITIATION BY SPECIALIST ONLY

Link  NICE TA213: Aripiprazole for the treatment of schizophrenia in people aged 15 -17 years
Link  NICE TA292: Aripiprazole for treating moderate to severe manic episodes in adolescents with bipolar I disorder    
Clozapine tabs

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Restricted Drug Restricted
Red
INITIATION BY SPECIALIST ONLY

Link  MHRA Oct 17: Clozapine: reminder of potentially fatal risk of intestinal obstruction, faecal impaction, and paralytic ileus    
Lurasidone tabs

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Restricted Drug Restricted
Red
INITIATION BY SPECIALIST ONLY
Restricted to use where a metabolically neutral atypical antipsychotic is required and aripiprazole is not suitable due to contraindication or intolerance

Link  SEL APC recommendation - Lurasidone for the treatment of schizophrenia in adults aged 18 years and over    
Olanzapine tabs, orodispersible tabs

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Restricted Drug Restricted
Amber 2
INITIATION BY SPECIALIST ONLY
   
Quetiapine tabs

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Restricted Drug Restricted
Amber 2
INITIATION BY SPECIALIST ONLY
   
Risperidone tabs, liquid, orodispersible tabs

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Restricted Drug Restricted
Amber 2
INITIATION BY SPECIALIST ONLY
   
 ....
Key
note Notes First Choice Item First Choice item
Section Title Section Title (top level) Non Formulary Item Non Formulary section
Section Title Section Title (sub level)
Cytotoxic Drug
Cytotoxic Drug
Restricted Drug
Restricted Drug
CD
Controlled Drug
Unlicensed Drug
Unlicensed
High Cost Medicine
High Cost Medicine
click to search medicines.org.uk
Link to SPCs
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Link to adult BNF
Track Changes
Display tracking information
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Cancer Drugs Fund
Cancer Drugs Fund
   

 

Traffic Light Status Information

Status Description
  Red   Specialist Prescribing only. The responsibility for prescribing, monitoring, dose adjustment and review should remain with the specialist. In very exceptional circumstances a specialist may discuss individual patient need for a RED drug to be prescribed by a GP and the GP should consider informing the Medicines Management team before a decision is made to prescribe for individual patients.   
  Amber 1   Treatment can be initiated in primary care after a recommendation from an appropriate specialist  
  Amber 2   Specialist initiation followed by maintenance prescribing in primary care  
  Amber 3   Specialist initiation with ongoing monitoring required. After dose stabilisation GPs can be requested to take over prescribing responsibilities using the approved APC shared care documentation  
  Green   Specialist and non-specialist initiation  
  Grey   Not recommended for prescribing  

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