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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...
04.03.01  Expand sub section  Tricyclic and related antidepressant drugs
04.03.01  Expand sub section  Tricyclic antidepressants
Amitriptyline
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Formulary
Green
10mg, 25mg & 50mg Tablets
50mg/5mL Oral solution  
   
Clomipramine
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Formulary
Amber

10mg, 25mg & 50mg Capsules

 
   
Imipramine 10mg, 25mg
(Tablets)
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Restricted Drug Restricted
Amber

For initiation by Mental Health specialist from ELFT only. 

 
   
Lofepramine
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Formulary
Amber

70mg Tablets

 
   
Nortriptyline
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Restricted Drug Restricted
Amber
10mg & 25mg Tablets

Restricted - To be initiated by pain specialists only, where amitriptyline has effectively controlled the neuropathic pain but the patient is intolerant to the side effects.

 
   
04.03.01  Expand sub section  Related antidepressants
Mianserin
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Restricted Drug Restricted
Amber

For initiation by Mental Health specialist from ELFT only

 
   
 ....
 Non Formulary Items
Amitriptyline and perphenazine  (Triptafen)

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Non Formulary
 
Amitriptyline and perphenazine  (Triptafen-M)

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Non Formulary
 
Clomipramine  (Anafranil SR)

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Non Formulary
 
Dosulepin

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Non Formulary

No longer recommended.

 
Doxepin

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Non Formulary
 
Trazodone

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Non Formulary
 
Trazodone Hydrochloride  (Molipaxin®)

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Non Formulary
 
Trimipramine  (Surmontil®)

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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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