| Formulary Chapter 4: Central nervous system - Full Chapter
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| 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 |
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| Details... |
| 04.02.01 |
Antipsychotic Drugs |
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| 04.02.01 |
Second-Generation Antipsychotic Drugs |
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Amisulpride
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 Restricted
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- Amisulpride Tablets
- Amisulpride Oral Solution
Restricted to Psychiatry specialist recommendation only
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Aripiprazole
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Restricted
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- 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.
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Clozapine (Clozaril®)
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Restricted
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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.
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 DSU: Clozapine: reminder of potentially fatal risk of intestinal obstruction, faecal impaction, and paralytic ileus (October 2017)
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Lurasidone
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Restricted
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Restricted for Psychiatry specialist recommendation only.
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Olanzapine (Zyprexa®, Zalasta®)
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Restricted
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Olanzapine tablets
Olanzapine injection
Olanzapine Orodispersible Tablets
Reserved for use in patients who cannot swallow tablets only
Restricted for Psychiatry specialist recommendation only
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Quetiapine (Seroquel®, Sondate XL)
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Restricted
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- Quetiapine Tablets
- Quetiapine MR Tablets
Reserved for Psychiatry specialist recommendation only
Note: Sondate XL® is the preferred brand of Quetiapine XL in primary care.
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Risperidone (Risperdal®)
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Formulary
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- 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
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| Non Formulary Items |
Paliperidone tablets (Invega®)
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Non Formulary
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Paliperidone modified release tablets are not routinely commissioned based on significant cost without additional clinical benefits in comparison with risperidone tablets. |
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Key |
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Cytotoxic Drug
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Controlled Drug
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High Cost Medicine
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Cancer Drugs Fund
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NHS England |
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Homecare |
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CCG |
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Traffic Light Status Information
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Description |
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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.
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Amber - these drugs require specialist initiation or recommendation |
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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. |
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Red - Drugs for specialist use only, in accordance with position summary. GP’s should not be asked to prescribe these products. |
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Red ULM - Unlicensed medicines for specialist use only, in accordance with position summary. GP’s should not be asked to prescribe these products. |
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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. |
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Black - Drugs not routinely commissioned so should not usually be prescribed |
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