| 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.
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| Treatment can be initiated in primary care after a recommendation from an appropriate specialist |
| Specialist initiation followed by maintenance prescribing in primary care |
| 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 |
| Specialist and non-specialist initiation |
| Not recommended for prescribing |