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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
 link Link    NICE CG103: Delirium: prevention, diagnosis and management (March 2019)
 link Link    NICE CG178: Psychosis and schizophrenia in adults: prevention and management (February 2014)
 link Link    UKMI QA: Which drugs can cause Neuroleptic Malignant Syndrome? (March 2014)
04.02.01  Expand sub section  Second-Generation Antipsychotic Drugs
Amisulpride
View adult BNF View SPC online View childrens BNF  Track Changes 		Restricted Drug Restricted
Amber
  • Amisulpride Tablets
  • Amisulpride Oral Solution

Restricted to Psychiatry specialist recommendation only

 
Link  DSU: Clozapine and other antipsychotics: monitoring blood concentrations for toxicity (August 2020)
 
Aripiprazole
View adult BNF View SPC online View childrens BNF  Track Changes 		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.

 
Link  DSU: Clozapine and other antipsychotics: monitoring blood concentrations for toxicity (August 2020)
 
Clozapine (Clozaril®)
View adult BNF View SPC online View childrens BNF  Track Changes 		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 and other antipsychotics: monitoring blood concentrations for toxicity (August 2020)
Link  DSU: Clozapine: reminder of potentially fatal risk of intestinal obstruction, faecal impaction, and paralytic ileus (October 2017)
 
Lurasidone
View adult BNF View SPC online View childrens BNF  Track Changes 		Restricted Drug Restricted
Amber
  • Lurasidone Tablets

Restricted for Psychiatry specialist recommendation only.

 
 
Olanzapine (Zyprexa®, Zalasta®)
View adult BNF View SPC online View childrens BNF  Track Changes 		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 
    • Link  DSU: Clozapine and other antipsychotics: monitoring blood concentrations for toxicity (August 2020)
     
    Quetiapine (Seroquel®, Sondate XL)
    View adult BNF View SPC online View childrens BNF  Track Changes     		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.

     
    Link  DSU: Clozapine and other antipsychotics: monitoring blood concentrations for toxicity (August 2020)
     
    Risperidone (Risperdal®)
    View adult BNF View SPC online View childrens BNF  Track Changes     		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

     
    Link  DSU: Clozapine and other antipsychotics: monitoring blood concentrations for toxicity (August 2020)
     
     ....
     Non Formulary Items
    Paliperidone tablets  (Invega®)

    View adult BNF View SPC online View childrens BNF Track Changes     		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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