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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...
04.09.01  Expand sub section  Dopaminergic drugs used in Parkinsons disease
 note 

Dopamine receptor agonists

04.09.01  Expand sub section  Dopamine receptor agonists
Ropinirole
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Formulary
  • Ropinirole Tablets
  • Ropinirole SR Tablets -Please prescribe Ippinia XL® or Spiroco XL® brands in primary care
  • Ropinirole Starter Pack

Green Traffic Light Restless legs - No restrictions on prescribing.

Amber Traffic Light Parkinson's disease - Restricted to consultant neurologist and care of the elderly consulant initiation only.

 
   
Pramipexole
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Formulary
  • Pramipexole Tablets

Green Traffic Light Restless legs - No restrictions on prescribing.

Amber Traffic Light Parkinson's disease - Restricted to consultant neurologist and care of the elderly consulant initiation only, for use in patients who do not respond to, or are intolerant of ropinerole.

Pipexus MR® is the preferred brand in primary care for the modified-release preparation.

 
   
Rotigotine
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Formulary
Amber
  • Rotigotine Transdermal Patches

Restricted to use in patients with advanced Parkinson’s disease with swallowing difficulties

 
   
Apomorphine
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Restricted Drug Restricted
Amber
  • Apomorphine Pens

Restricted to Consultant Neurologist and Care of the elderly physician initiation only.

 
Link  Leeds Amber Guidance for Apomorphine for Parkinsonís Disease
Link  MHRA DSU: Apomorphine with domperidone: minimising risk of cardiac side effects (April 2016)
   
04.09.01  Expand sub section  Levodopa
04.09.01  Expand sub section  Monoamine-oxidase-B inhibitors
04.09.01  Expand sub section  Catachol-O-methyltransferase inhibitors to top
04.09.01  Expand sub section  Amantadine
 ....
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. GPís should not be asked to prescribe these products.  

Red ULM

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