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...
04.03.04  Expand sub section  Other antidepressant drugs
 note  Refer to MHRA guidance for SSRIs and SNRIs use and safety
Agomelatine tabs
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Restricted Drug Restricted
Red
SPECIALIST PRESCRIBING ONLY 
   
Duloxetine caps
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Restricted Drug Restricted INITIATION BY SPECIALIST ONLY 
   
Flupentixol tabs
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Formulary
Amber 2
 
   
Mirtazapine tabs, orodispersible tabs
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Formulary INITIATION BY SPECIALIST ONLY 
   
Reboxetine tabs
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Restricted Drug Restricted INITIATION BY SPECIALIST ONLY 
   
Venlafaxine m/r tabs, m/r caps
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Formulary  
   
Venlafaxine tabs (vasomotor symptoms in the menopause - off-label)
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Formulary
Amber 2

Approved off-label indication:

  • Treatment of vasomotor symptoms in the menopause where hormonal treatment is ineffective or inappropriate

Dose = 37.5mg twice a day 

 
   
Vortioxetine tabs
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Formulary
Green
 
Link  NICE CG367: Vortioxetine for treating major depressive episodes
   
 ....
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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