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Airedale NHS Foundation Trust
Airedale, Wharfedale and Craven CCG
 
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 Formulary Chapter 4: Central nervous system - Full Chapter
Notes:

Unless explicitly stated, any brand names included in brackets next to a drug's generic name are there solely to aid searching and identification, and should not be considered to limit use to that specific brand. 

For guidance on prescribing psychotropic drugs, refer to the Bradford District Care Trust Psychotropic Drug Formulary

North Yorkshire Primary Care Alcohol and Drug Misuse Service Medicines Formulary

North Yorkshire Primary Care Horizons Medicines Formulary (Craven patients only) - Jan 2020

 Details...
04.02.01  Expand sub section  Antipsychotic Drugs
04.02.01  Expand sub section  Second-Generation Antipsychotic Drugs
Amisulpride
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Restricted Drug Restricted
Amber
  • Amisulpride Tablets
  • Amisulpride Oral Solution

Restricted to Psychiatry specialist recommendation only

 
   
Aripiprazole
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Restricted Drug Restricted
Amber
  • Aripiprazole Tablets
  • Aripirazole Orodispersible Tablets

Aripiprazole Oral Solution (note high cost, only use if the tablets or orodispersible tablets aren't appropriate)

Restricted for Consultant Psychiatrist recommendation only.

 
   
Clozapine (Clozaril®)
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Restricted Drug Restricted
Red
  • Clozapine Tablets

Restricted for Consultant Psychiatrist use only.

  • Registration needed for all patients on this treatment.
  • Service managed by BDCT. Contact 01274 363230 (Linfield Mount Pharmacy) in normal working hours for information or assistance.
 
Link  DSU: Clozapine: reminder of potentially fatal risk of intestinal obstruction, faecal impaction, and paralytic ileus (October 2017)
   
Lurasidone
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Restricted Drug Restricted
Amber
  • Lurasidone Tablets

Restricted for Psychiatry specialist recommendation only.

 
   
Olanzapine (Zyprexa®, Zalasta®)
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Restricted Drug Restricted Amber Traffic Light Olanzapine tablets

Red Traffic Light Olanzapine injection

Amber Traffic Light Olanzapine Orodispersible Tablets
  • Reserved for use in patients who cannot swallow tablets only

    Restricted for Psychiatry specialist recommendation only 
  •    
    Quetiapine (Seroquel®, Sondate XL)
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    Restricted Drug Restricted
    Amber
    • Quetiapine Tablets
    • Quetiapine MR Tablets

    Reserved for Psychiatry specialist recommendation only
    Note: Sondate XL® is the preferred brand of Quetiapine XL in primary care.

     
       
    Risperidone (Risperdal®)
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    Formulary
    Amber
    • Risperidone Tablets
    • Risperidone Liquid
      Restricted to patients who are unable to swallow tablets.
    • Risperidone Orodispersible Tablets
      Reserved for patients who do not tolerate risperidone liquid, do to high cost.

    Restricted to Psychiatry specialist recommendation only

     
       
     ....
     Non Formulary Items
    Paliperidone tablets  (Invega®)

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    Non Formulary
    Black
    Paliperidone modified release tablets are not routinely commissioned based on significant cost without additional clinical benefits in comparison with risperidone tablets.
     
      
    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 children's BNF
    click to search medicines.org.uk
    Link to SPCs
    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

    Green

    Green - Drugs suitable for generalised use in accordance with position summary. Inform primary care of need to prescribe using a TTO chart if in patient or Treatment Advice Note (TAN) if Outpatient.   

    Amber

    Amber - these drugs require specialist initiation or recommendation  

    Amber SCG

    Amber Share Care - Drugs suitable for generalist use, in accordance with position summary, normally following specialist initiation and stabilisation. Ongoing division of responsibility for drug and disease monitoring between specialist and GP by a Shared Care Guideline (SCG). If no SCG in place status reverts to red.  

    Red

    Red - Drugs for specialist use only, in accordance with position summary. GP’s should not be asked to prescribe these products.  

    Red ULM

    Red ULM - Unlicensed medicines for specialist use only, in accordance with position summary. GP’s should not be asked to prescribe these products.  

    Grey

    Grey drugs - No formal commissioning position. Check appropriate CCG /NHSE commissioning list or contact CCG/NHSE Medicines Management team for advice. Fill in individual funding request for appropriate CCG/NHSE. This will need to be signed by the Chief Pharmacist and a copy of the relevant DTC submission attached.   

    Black

    Black - Drugs not routinely commissioned so should not usually be prescribed  

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