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
 
 Search
 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...
04.07.04.01  Expand sub section  Treatment of the acute migraine attack
Ibuprofen tabs
View adult BNF View SPC online
Formulary  
   
Paracetamol tabs, soluble tabs
View adult BNF View SPC online
Formulary  
   
Lidocaine infusion
View adult BNF View SPC online
Restricted Drug Restricted
Red

Joint Formulary Committee approved off-label use (specialist headache clinic use only):

  • Short-lasting Unilateral Neuralgiform Headache attacks with conjunctival injection and Tearing (SUNCT)
  • Short-lasting Unilateral Neuralgiform Headache attacks with Cranial Autonomic Symptoms (SUNA)

See dosing protocol from KCH for further information

 
   
Aspirin injection
View adult BNF
Unlicensed Drug Unlicensed
Red

SPECIALIST USE ONLY

Inpatient management of severe withdrawal headache

Dose = 1g once to three times daily for up to 4 days

 
   
Indometacin injection
View adult BNF
Unlicensed Drug Unlicensed
Red

SPECIALIST USE ONLY

For the diagnosis of indometacin sensitive headaches (paroxysmal hemicranias)

Dose = 100-200mg intramuscular test dose

 
   
04.07.04.01  Expand sub section  5HT1 agonists
Rizatriptan wafers
View adult BNF View SPC online
Formulary  
   
Sumatriptan tabs, injection
View adult BNF View SPC online
Formulary  
   
04.07.04.01  Expand sub section  Ergot alkaloids
Dihydroergotamine injection
View adult BNF
Unlicensed Drug Unlicensed
Red

SPECIALIST USE ONLY

Inpatient treatment of medical refractory disabling migraine and cluster headaches.

See dosing protocol from KCH for further information

 
   
04.07.04.01  Expand sub section  Anti-emetics
Metoclopramide tabs
View adult BNF View SPC online
Formulary Maximum daily dose of 30mg for a maximum of 5 days. See MHRA davice. 
Link  MHRA advice August 2013: Metoclopramide: risk of neurological adverse effects
   
Prochlorperazine suppositories
View adult BNF View SPC online
Formulary  
   
 ....
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  

netFormulary