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:

Where a formulary entry does not detail a medicine’s indications for use, the medicine can be assumed to be approved for all licensed indications.

Formulary approved "off-label" use is detailed separately.

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...
04.03.01  Expand sub section  Tricyclic and related antidepressant drugs
04.03.01  Expand sub section  Tricyclic antidepressants
Amitriptyline tabs, oral soution
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Formulary  
   
Clomipramine caps
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Restricted Drug Restricted

INITIATION BY SPECIALIST ONLY

Approved use includes the following off-label indication:

Panic disorder - use in accordance with NICE CG113

 
Link  NICE CG113: Generalised anxiety disorder and panic disorder in adults: management
   
Dosulepin tabs, caps
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Formulary Red Traffic Light for new initiations Amber Traffic Light for existing patients 
   
Doxepin caps
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Formulary  
   
Imipramine tabs
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Formulary

INITIATION BY SPECIALIST ONLY

Approved use includes the following off-label indication:

Panic disorder - use in accordance with NICE CG113

 
Link  NICE CG113: Generalised anxiety disorder and panic disorder in adults: management
   
Lofepramine tabs, oral suspension
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Formulary  
   
Nortriptyline tabs
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Formulary  
   
Trimipramine tabs, caps
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Restricted Drug Restricted INITIATION BY SPECIALIST ONLY 
   
04.03.01  Expand sub section  Related antidepressants
 ....
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
click to search medicines.org.uk
Link to adult BNF
click to search medicines.org.uk
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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