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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
 Details...
04.03.04  Expand sub section  Other antidepressant drugs
Mirtazapine (Zispin)
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First Choice
Green
  • Mirtazapine Tablets
  • Mirtazepine Orodispersible Tablets
    Reserved for patients with swallowing difficulties only
 
Venlafaxine (Efexor)
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Formulary
Green
  • Venlafaxine Tablets
  • Venlafaxine M/R Capsules
    Reserved for use in patients who have already been stabilised on venlafaxine immediate release tablets
     

Supported for use in line with NICE CG90: Depression in adults: recognition and management.
Amber Traffic Light  Doses greater than 150mg daily are restricted to psychiatry specialist recommendation only.

 
Link  NICE CG90: Depression in adults: Recognition and Management (Updated April 2016)
   
Agomelatine (Valdoxan)
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Restricted Drug Restricted
Amber
  • Agomelatine Tablets

Restricted to Consultant Psychiatrist initiation only

 
   
Duloxetine (Cymbalta)
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Restricted Drug Restricted
Amber
  • Duloxetine Capsules. Cymbalta brand only 

Restricted to Psychiatry Specialist recommendation only

 
   
Flupentixol dihydrochloride (Fluanxol)
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Restricted Drug Restricted
Amber
  • Flupentixol Dihydrochloride Tablets

Restricted to Consultant Psychiatrist initiation only

 
   
Reboxetine (Edronax)
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Restricted Drug Restricted
Amber
  • Reboxetine Tablets

Restricted to Consultant Psychiatrist initiation only

 
   
Vortioxetine (Brintellix)
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Restricted Drug Restricted
Amber
  • Vortioxetine Tablets

For major depressive episodes in line with NICE TA367, when initiated and monitored by a Consultant Psychiatrist at BDCT only.

 
Link  NICE TA367: Vortioxetine for treating major depressive episodes (November 2015)
   
 ....
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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