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Bedfordshire and Luton Joint Formulary
Bedford Hospital NHS Trust
Bedfordshire CCG
Luton & Dunstable University Hospital NHS Foundation Trust
Luton CCG
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 Formulary Chapter 4: Central nervous system - Full Chapter
Notes:

Any drug not listed on the Formulary should be considered Non-Formulary - Not recommended for prescribing

 Details...
04.02.01  Expand sub section  Antipsychotic Drugs
04.02.01  Expand sub section  First-Generation Antipsychotic Drugs
04.02.01  Expand sub section  Second-Generation Antipsychotic Drugs
Amisulpride
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Formulary
Amber
50mg, 200mg & 400mg Tablets
100mg/1mL oral solution 
   
Aripiprazole
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Restricted Drug Restricted
Amber
5mg, 10mg, 15mg & 30mg Tablets
10mg & 15mg Orodispersible Tablets
1mg/1mL Solution

Restricted - to be prescribed in accordance with NICE TA213 and 292. 
Link  NICE TA213: Aripiprazole for the treatment of schizophrenia in people aged 15 -17 years
Link  NICE TA292: Bipolar disorder (children) - aripiprazole
   
Aripiprazole 7.5mg, 9.75mg
(Injection)
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Restricted Drug Restricted
Red
Only for continuation of treatment whist inpatient at Luton & Dunstable Hospital.
Initiation by Psychiatrist (Mental Health Trust) only, in line with NICE TA213 and 292 (as above).


 
   
Risperidone
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Formulary
Amber
0.5mg, 1mg, 2mg, 3mg, 4mg & 6mg Tablets
0.5mg, 1mg, 2mg & 3mg Orodispersible Tablet
1mg/1mL Oral Liquid  
   
Clozapine (Clozaril)
(Prescribe by brand name)
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Restricted Drug Restricted
Red
Can only be prescribed by consultant Psychiatrist.

Supply of medication must be obtained from patient wherever possible - no stock kept at L&D Pharmacy. Must be dispensed by Mental Health Trust.

Prescriptions must include proprietary name. 
Link  DSU Oct 2017: Clozapine: reminder of potentially fatal risk of intestinal obstruction, faecal impaction, and paralytic ileus
   
Clozapine (Denzapine)
(Prescribe by brand name)
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Restricted Drug Restricted
Red
Can only be prescribed by consultant Psychiatrist.

Supply of medication must be obtained from patient wherever possible - no stock kept at L&D Pharmacy. Must be dispensed by Mental Health Trust.

Prescriptions must include proprietary name. 
Link  DSU Oct 2017: Clozapine: reminder of potentially fatal risk of intestinal obstruction, faecal impaction, and paralytic ileus
   
Lurasidone (Latuda)
(Tablets)
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Restricted Drug Restricted
Amber

Restricted use in Mental Health Trust, initiaition only by specialist Mental Health Prescribers

 
   
Olanzapine
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Formulary
Amber
2.5mg, 5mg, 7.5mg, 10mg & 20mg Tablets
5mg, 10mg, 15mg & 20mg Orodispersible Tablet

 
   
Paliperidone
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Restricted Drug Restricted
Red

For initiation and continuation by Mental Health specialists

 
   
Quetiapine
(Tablets)
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Formulary
Amber

25mg, 50mg, 100mg, 150mg, 200mg and 300mg tablets

Preferred formulation in primary care

 
   
Quetiapine XL
(Tablets)
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Formulary
Amber

Primary care: Most cost effective brand to be advised via ScriptSwitch/ Optimise. Reserved for use if patient is unable to tolerate immediate release formulation

Secondary care: hospital contract brand will be provided

 
   
 ....
 Non Formulary Items
Clozapine  (Zaponex)

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Non Formulary
 
Sertindole  (Serdolect)

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Non Formulary
 
Ziprasidone  (Zeldox)

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Non Formulary
 
Zotepine  (Zoleptil®)

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Non Formulary
 
  
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
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Link to adult BNF
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Link to children's BNF
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Link to SPCs
SMC
Scottish Medicines Consortium
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

Red

RED - Hospital only to be prescribed by a specialist and supplied from secondary care ONLY throughout treatment  

Amber

Amber medicines are considered suitable for GP prescribing following specialist initiation.  

Green

These medicines are appropriate for initiation in both primary and secondary care. Prescribing is appropriate within licensed or local recommendations   

Amber SCG

Shared Care - these medicines require 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.   

Black

A decision has been made by either or both the local or national NHS not to routinely commission this preparation for its licensed indications. Do not prescribe.   

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