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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...
04.03.01  Expand sub section  Tricyclic and related antidepressant drugs
04.03.01  Expand sub section  Tricyclic antidepressants
Amitriptyline Hydrochloride
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Restricted Drug Restricted
  • Amitriptyline SF Solution
  • Amitriptyline Tablets

Green Neuropathic pain

Amber Depression


Amitriptyline is not routinely recommended as an antidepressant but may be considered for neuropathic pain

Use as an antidepressant restricted to Psychiatry Specialist recommendation only

 
   
Clomipramine Hydrochloride
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Restricted Drug Restricted
Amber
  • Clomipramine Capsules
  • Clomipramine MR Tablets 

Restricted to psychiatry specialist recommendation only

 
   
Doxepin
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Restricted Drug Restricted
Amber
  • Doxepin Capsules

Restricted to psychiatry specialist recommendation only

 
   
Imipramine Hydrochloride
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Amber
  • Imipramine Tablets

Restricted to psychiatry specialist recommendation only

 
   
Lofepramine
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Amber
  • Lofepramine Tablets
  • Lofepramine SF Oral Suspension

Restricted to Psychiatry specialist recommendation only

 
   
Nortriptyline
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Restricted Drug Restricted
Amber
  • Nortriptyline Tablets

Restricted to psychiatry specialist recommendation only

Note: Nortriptyline is very expensive

 
   
04.03.01  Expand sub section  Related antidepressants
 ....
 Non Formulary Items
Dosulepin Hydrochloride

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Non Formulary
Black

Not for routine prescribing in primary care in-line with NHSE recommendation (2017). 

Link  Items which should not be routinely prescribed in primary care: Guidance for CCGs (November 2017)
 
Trimipramine

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Non Formulary
Black

Not for routine prescribing in primary care in line with NHSE recommendation.

Link  NHSE: Items which should not routinely be prescribed in primary care: Guidance for CCGs (2017)
 
  
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. GPs should not be asked to prescribe these products.  

Red ULM

Red ULM - Unlicensed medicines for specialist use only, in accordance with position summary. GPs 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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