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...
04.02.02  Expand sub section  Antipsychotic depot injections
Aripiprazole depot injection
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Restricted Drug Restricted
Amber 3
SPECIALIST INITIATION GPs may be asked to take on prescribing under a the APC shared care agreement 
Link  SEL APC Shared Care Guidance for Aripiprazole prolonged- release suspension for injection (depot) for the treatment of schizophrenia in adults
   
Flupentixol decanoate injection
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Restricted Drug Restricted
Amber 2
INITIATION BY SPECIALIST ONLY 
   
Fluphenazine decanoate injection
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Restricted Drug Restricted
Amber 2
INITIATION BY SPECIALIST ONLY 
   
Haloperidol deconate injection
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Restricted Drug Restricted
Amber 2
INITIATION BY SPECIALIST ONLY 
   
Paliperidone palmitate injection
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Restricted Drug Restricted
Amber 3
INITIATION BY SPECIALIST ONLY GPs may be asked to take on prescribing under the APC shared care agreement for the monthly depot preparation only (Xeplion) Red Traffic Light The 3-monthly preparation (Trevicta - 175mg, 263mg, 350mg and 525mg strengths) is currently for hospital pescribing only 
Link  SE London APC Recommendation: Paliperidone depot injection for schizophrenia in adults
Link  SE London APC Shared Care Guidance for Paliperidone long-acting injection for the treatment of schizophrenia in adults
   
Pipotiazine palmitate injection
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Restricted Drug Restricted INITIATION BY SPECIALIST ONLY 
   
Risperidone depot injection
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Restricted Drug Restricted
Amber 2
INITIATION BY SPECIALIST ONLY 
   
Zuclopenthixol decanoate injection
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Restricted Drug Restricted
Amber 2
INITIATION BY SPECIALIST ONLY 
   
 ....
Key
note Notes
Section Title Section Title (top level)
Section Title Section Title (sub level)
First Choice Item First Choice item
Non Formulary Item Non Formulary section
Restricted Drug
Restricted Drug
Unlicensed Drug
Unlicensed
Track Changes
Display tracking information
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Link to adult BNF
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Link to SPCs
SMC
Scottish Medicines Consortium
Cytotoxic Drug
Cytotoxic Drug
CD
Controlled Drug
High Cost Medicine
High Cost Medicine
Cancer Drugs Fund
Cancer Drugs Fund
NHSE
NHS England
Homecare
Homecare
CCG
CCG

Traffic Light Status Information

Status Description

Red

Specialist or hospital prescribing only. The responsibility for prescribing, monitoring, dose adjustment and review should remain with the specialist or hospital. 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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