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Nervous system
Nervous system / Dystonias and other involuntary movements
  botulinum toxin type A Restricted NICE TA260
NICE TA605
BOTULINUM TOXIN TYPE A

FTG approval needed for use in hyperhidrosis and achalsia [no Blueteq available]. No FTG or Blueteq required for use in vaginismus. Blueteq approval required for all indications for Black Country ICB. For other ICBs, refer to Botulinum Toxin QRG. 

Usage in anal fissure is allowed for patients who have failed diltiazem cream according to pathway.

  Powder for solution for injection
Botox (AbbVie Ltd) Off Formulary
Dysport (Ipsen Ltd) Off Formulary
  chlorpromazine hydrochloride On Formulary
  clonidine hydrochloride On Formulary
CLONIDINE HYDROCHLORIDE

Patches - Pain clinic & Injection - ITU/NNU

  clozapine Senior pharmacist approval
  diazepam On Formulary
  haloperidol On Formulary
  Oral solution
Haldol (Janssen-Cilag Ltd) Off Formulary
  orphenadrine hydrochloride On Formulary
  Oral solution
Orphenadrine hydrochloride (Non-proprietary) On Formulary
  pericyazine Off Formulary
  piracetam Off Formulary
  pramipexole Restricted
  prochlorperazine On Formulary
  procyclidine hydrochloride On Formulary
  promazine hydrochloride On Formulary
  ropinirole Restricted
  rotigotine Restricted
  tetrabenazine Restricted
  trifluoperazine On Formulary
  trihexyphenidyl hydrochloride Off Formulary
Nervous system / Parkinson's disease
  amantadine hydrochloride Off Formulary NICE TA158
NICE TA168
Amantadine

Not regularly stocked in the Trust. This is Red in the Black Country IMOC formulary, i.e. for hospital prescribing only.

  apomorphine hydrochloride Restricted
  bromocriptine Off Formulary
BROMOCRIPTINE

Suppression of lactation only.

This is AR in the Black Country IMOC formulary, i.e. may be prescribed in primary care after specialist recommendation.

  cabergoline Restricted
CABERGOLINE

Consultant gynaecologists and endocrinology, (it is also allowed for Neurologists and Parkinson's disease second-line noting MHRA guidance - see chapter 4).

This is AR in the Black Country IMOC formulary, i.e. may be prescribed in primary care after specialist recommendation.

  co-beneldopa On Formulary
  co-careldopa On Formulary
  entacapone Restricted
  levodopa with carbidopa and entacapone Off Formulary
  opicapone Restricted
  orphenadrine hydrochloride On Formulary
  Oral solution
Orphenadrine hydrochloride (Non-proprietary) On Formulary
  pramipexole Restricted
  procyclidine hydrochloride On Formulary
  rasagiline Restricted
  ropinirole Restricted
  rotigotine Restricted
  selegiline hydrochloride On Formulary
  tolcapone Off Formulary
  trihexyphenidyl hydrochloride Off Formulary
Nervous system / Alcohol dependence
  acamprosate calcium Restricted
  carbamazepine On Formulary
  Suppository
Carbamazepine (Non-proprietary) Off Formulary
  chlordiazepoxide hydrochloride Restricted
  clomethiazole Off Formulary
  diazepam On Formulary
  disulfiram Off Formulary
  naltrexone hydrochloride Nice-approved drug NICE TA115
Nervous system / Nicotine dependence
  bupropion hydrochloride On Formulary
  Modified-release tablet
Zyban (GlaxoSmithKline UK Ltd) Off Formulary
  nicotine On Formulary
  Sublingual tablet
Nicotine (Non-proprietary) Off Formulary
  Transdermal patch
Nicotine (Non-proprietary) On Formulary
  Spray
Nicotine (Non-proprietary) Off Formulary
  varenicline Restricted NICE TA123
Nervous system / Opioid dependence
  buprenorphine Restricted NICE TA114
  Sublingual tablet
Buprenorphine (Non-proprietary) Restricted
  buprenorphine with naloxone Off Formulary
  lofexidine hydrochloride Off Formulary
  methadone hydrochloride Restricted NICE TA114
METHADONE HYDROCHLORIDE

For palliative care methadone is AR in the Black Country IMOC formulary, i.e. for prescribing in primary care after specialist recommendation

As per protocol for patients with opioid dependence in accordance with the NICE guidelines and criteria.

  naltrexone hydrochloride Nice-approved drug NICE TA115
Nervous system / Local anaesthesia
  adrenaline with articaine hydrochloride Off Formulary
  bupivacaine hydrochloride On Formulary
  levobupivacaine On Formulary
  lidocaine hydrochloride On Formulary
  Ointment
Lidocaine hydrochloride (Non-proprietary) On Formulary
  lidocaine with phenylephrine Off Formulary
  lidocaine with prilocaine Off Formulary
  mepivacaine hydrochloride Off Formulary
  prilocaine hydrochloride Restricted
  Solution for injection
Citanest (Aspen Pharma Trading Ltd) Off Formulary
  ropivacaine hydrochloride Restricted
  tetracaine Restricted
Nervous system / Dementia
  donepezil hydrochloride Restricted NICE TA217
  galantamine Restricted NICE TA217
  memantine hydrochloride Restricted NICE TA217
  risperidone
  Powder and solvent for suspension for injection
Risperdal Consta (Janssen-Cilag Ltd) Senior pharmacist approval
  rivastigmine Restricted NICE TA217
  Transdermal patch
Exelon (Novartis Pharmaceuticals UK Ltd) Off Formulary
Nervous system / Nausea and labyrinth disorders
  aprepitant Restricted
  chlorpromazine hydrochloride On Formulary
  cinnarizine On Formulary
  cyclizine On Formulary
  domperidone On Formulary
  droperidol Off Formulary
  fosaprepitant Off Formulary
  granisetron Off Formulary
  haloperidol On Formulary
  Oral solution
Haldol (Janssen-Cilag Ltd) Off Formulary
  hyoscine hydrobromide On Formulary
  Solution for injection
Hyoscine hydrobromide (Non-proprietary) On Formulary
  levomepromazine Restricted
  lorazepam On Formulary
  metoclopramide hydrochloride On Formulary
  nabilone Off Formulary
  ondansetron Restricted
  palonosetron Off Formulary
  prochlorperazine On Formulary
  promethazine hydrochloride On Formulary
Promethazine

Suitable for self-care/purchase, if appropriate, for short term use for insomnia, urticaria, allergies, and travel sickness.

  promethazine teoclate Off Formulary
  trifluoperazine On Formulary
Nervous system / Ménière's disease
  betahistine dihydrochloride On Formulary
Nervous system / Pain
  alfentanil Restricted
  Solution for injection
Rapifen (Piramal Critical Care Ltd) Off Formulary
  aspirin On Formulary
ASPIRIN

Dispersible tablets and suppositories for use in the Trust only.

Enteric coated tablets are for second-line use and for blister packs.

  Gastro-resistant tablet
Nu-Seals (Alliance Pharmaceuticals Ltd) Off Formulary
  bupivacaine hydrochloride On Formulary
  bupivacaine with fentanyl Restricted
  buprenorphine Restricted NICE TA114
  Sublingual tablet
Buprenorphine (Non-proprietary) Off Formulary
  co-codamol On Formulary
  codeine phosphate Restricted
  Oral solution
Codeine phosphate (Non-proprietary) On Formulary
  diamorphine hydrochloride On Formulary
  Powder for solution for injection
Diamorphine hydrochloride (Non-proprietary) On Formulary
  diclofenac potassium Off Formulary
  dihydrocodeine tartrate On Formulary
  dihydrocodeine with paracetamol On Formulary
  dipipanone hydrochloride with cyclizine Off Formulary
  fentanyl Restricted
  Solution for injection
Fentanyl (Non-proprietary) Restricted
Sublimaze (Piramal Critical Care Ltd) Off Formulary
  Transdermal patch
Durogesic DTrans (Janssen-Cilag Ltd) Restricted
  hydromorphone hydrochloride Off Formulary
  ibuprofen On Formulary
IBUPROFEN

Oro-dispersible tablets available (Melts).

This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

  levobupivacaine On Formulary
  levomepromazine Restricted
  mefenamic acid Restricted
  meptazinol Off Formulary
  methadone hydrochloride Restricted NICE TA114
METHADONE HYDROCHLORIDE

For palliative care methadone is AR in the Black Country IMOC formulary, i.e. for prescribing in primary care after specialist recommendation

As per protocol for patients with opioid dependence in accordance with the NICE guidelines and criteria.

  morphine On Formulary
  Modified-release tablet
MST Continus (Napp Pharmaceuticals Ltd) On Formulary
Morphgesic SR (Advanz Pharma) Off Formulary
  Modified-release capsule
MXL (Napp Pharmaceuticals Ltd) Off Formulary
Zomorph (Ethypharm UK Ltd) On Formulary
  Oral solution
Morphine (Non-proprietary) On Formulary
Oramorph (Glenwood GmbH) Off Formulary
  nefopam hydrochloride Off Formulary
  nitrous oxide Restricted
  oxycodone hydrochloride Off Formulary
  oxycodone with naloxone Off Formulary
  paracetamol On Formulary
  Solution for infusion
Paracetamol (Non-proprietary) Restricted
  pentazocine Off Formulary
  pethidine hydrochloride On Formulary
  ropivacaine hydrochloride Restricted
  tapentadol Off Formulary
  tramadol hydrochloride Restricted
Nervous system / Headache
  clonidine hydrochloride Restricted
CLONIDINE HYDROCHLORIDE

Patches - Pain clinic & Injection - ITU/NNU

  pizotifen On Formulary
  sumatriptan On Formulary
  Spray
Imigran (GlaxoSmithKline UK Ltd) Off Formulary
  verapamil hydrochloride On Formulary
  Modified-release tablet
Half Securon (Viatris UK Healthcare Ltd) Off Formulary
Securon SR (Viatris UK Healthcare Ltd) Off Formulary
Verapress MR (Dexcel-Pharma Ltd) Off Formulary
  Solution for injection
Securon (Viatris UK Healthcare Ltd) Off Formulary
Nervous system / Migraine
  almotriptan Off Formulary
  amitriptyline hydrochloride On Formulary
  atenolol On Formulary
  botulinum toxin type A Restricted NICE TA260
NICE TA605
BOTULINUM TOXIN TYPE A

FTG approval needed for use in hyperhidrosis and achalsia [no Blueteq available]. No FTG or Blueteq required for use in vaginismus. Blueteq approval required for all indications for Black Country ICB. For other ICBs, refer to Botulinum Toxin QRG. 

Usage in anal fissure is allowed for patients who have failed diltiazem cream according to pathway.

  Powder for solution for injection
Botox (AbbVie Ltd) Off Formulary
Dysport (Ipsen Ltd) Off Formulary
  clonidine hydrochloride Off Formulary
CLONIDINE HYDROCHLORIDE

Patches - Pain clinic & Injection - ITU/NNU

  cyclizine On Formulary
  diclofenac potassium Off Formulary
  eletriptan Off Formulary
  erenumab Nice-approved drug NICE TA682
Erenumab

Blueteq form must be completed where available for this drug and required indication. Please contact the Pharmacy High Cost Drug team if any support needed.

https://www.blueteq-secure.co.uk/Trust/default.aspx

  frovatriptan Off Formulary
  metoprolol tartrate On Formulary
  Solution for injection
Betaloc (Recordati Pharmaceuticals Ltd) Restricted
Metoprolol injection

The injection is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

  nadolol Off Formulary
  naratriptan Off Formulary
  pizotifen On Formulary
  rizatriptan Off Formulary
  sodium valproate Off Formulary
  sumatriptan On Formulary
  Spray
Imigran (GlaxoSmithKline UK Ltd) Off Formulary
  timolol maleate Off Formulary
  tolfenamic acid Off Formulary
  topiramate Restricted
  trifluoperazine On Formulary
  valproic acid Off Formulary
  zolmitriptan Off Formulary
Nervous system / Neuropathic pain
  amantadine hydrochloride Off Formulary NICE TA158
NICE TA168
Amantadine

Not regularly stocked in the Trust. This is Red in the Black Country IMOC formulary, i.e. for hospital prescribing only.

  amitriptyline hydrochloride On Formulary
  capsaicin Restricted
Capsaicin

The patch is restricted to Pain Team and Rheumatology and is Red in the Black Country IMOC formulary, i.e. for hospital prescribing only.

  Cutaneous patch
Qutenza (Grunenthal Ltd) Restricted
Capsaicin

Qutenza is restricted to the Pain Team only and is also Red in the Black Country IMOC formulary, i.e. for hospital prescribing only.

  carbamazepine On Formulary
  Suppository
Carbamazepine (Non-proprietary) Off Formulary
  gabapentin On Formulary
  nortriptyline Off Formulary
  oxycodone hydrochloride Off Formulary
  phenytoin On Formulary
  pregabalin Restricted
Nervous system / General anaesthesia
  desflurane Restricted
  etomidate Restricted
  Emulsion for injection
Etomidate (Non-proprietary) Restricted
  isoflurane Restricted
  nitrous oxide Restricted
  propofol Restricted
  Emulsion for injection
Propofol (Non-proprietary) Restricted
  sevoflurane Restricted
  thiopental sodium Restricted
  Powder for solution for injection
Thiopental sodium (Non-proprietary) Restricted
Nervous system / CNS and respiratory depression
  naloxone hydrochloride On Formulary
Nervous system / Malignant hyperthermia
  dantrolene sodium On Formulary
  Powder for solution for injection
Dantrium (Forum Health Products Ltd) On Formulary
Nervous system / Anaesthesia adjuvants
  atropine sulfate On Formulary
  glycopyrronium bromide On Formulary
Nervous system / Neuromuscular blockade
  atracurium besilate Restricted
  Solution for injection
Atracurium besilate (Non-proprietary) Restricted
Tracrium (Aspen Pharma Trading Ltd) Off Formulary
  cisatracurium Off Formulary
  mivacurium Restricted
  Solution for injection
Mivacron (Aspen Pharma Trading Ltd) Restricted
  pancuronium bromide Restricted
  rocuronium bromide Restricted
  Solution for injection
Esmeron (Merck Sharp & Dohme (UK) Ltd) Off Formulary
  suxamethonium chloride Restricted
  Solution for injection
Suxamethonium chloride (Non-proprietary) Restricted
  vecuronium bromide Restricted
Nervous system / Peri-operative sedation
  alimemazine tartrate Off Formulary
  Oral solution
Alimemazine tartrate (Non-proprietary) Off Formulary
  dexmedetomidine Restricted
  diazepam On Formulary
  ketamine Restricted
  Solution for injection
Ketalar (Pfizer Ltd) Restricted
  lorazepam On Formulary
  midazolam Restricted
  propofol Restricted
  Emulsion for injection
Propofol (Non-proprietary) Restricted
  remifentanil Restricted
  temazepam On Formulary
Nervous system / Neuromuscular blockade reversal
  neostigmine Restricted
  neostigmine with glycopyrronium bromide Restricted
  Solution for injection
Neostigmine with glycopyrronium bromide (Non-proprietary) Restricted
  sugammadex Restricted
Nervous system / Peri-operative analgesia
  alfentanil Restricted
  Solution for injection
Rapifen (Piramal Critical Care Ltd) Off Formulary
  bupivacaine with fentanyl Restricted
  buprenorphine Restricted NICE TA114
  Sublingual tablet
Buprenorphine (Non-proprietary) Off Formulary
  diclofenac potassium Off Formulary
  fentanyl Restricted
  Solution for injection
Fentanyl (Non-proprietary) Restricted
Sublimaze (Piramal Critical Care Ltd) Off Formulary
  Transdermal patch
Durogesic DTrans (Janssen-Cilag Ltd) Restricted
  flurbiprofen Restricted
  ibuprofen On Formulary
IBUPROFEN

Oro-dispersible tablets available (Melts).

This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

  ketorolac trometamol Restricted
  Solution for injection
Ketorolac trometamol (Non-proprietary) Restricted
Toradol (Atnahs Pharma UK Ltd) Off Formulary
  Eye drops
Acular (AbbVie Ltd) On Formulary
  mefenamic acid Restricted
  meptazinol Off Formulary
  oxycodone hydrochloride Restricted
  oxycodone with naloxone Off Formulary
  parecoxib Off Formulary
  pethidine hydrochloride On Formulary
  remifentanil Restricted
Nervous system / Reversal of benzodiazepines
  flumazenil On Formulary
  Solution for injection
Flumazenil (Non-proprietary) On Formulary
Nervous system / Epilepsy and other seizure disorders
  acetazolamide Off Formulary
Acetazolamide

This is Black in the Black Country IMOG folrmulary for high-altitude sickness.

  Powder for solution for injection
Diamox (Advanz Pharma) Off Formulary
  carbamazepine On Formulary
  Suppository
Carbamazepine (Non-proprietary) Off Formulary
  clobazam Restricted
  clonazepam Restricted
  eslicarbazepine acetate Off Formulary
  ethosuximide Restricted
  Oral solution
Ethosuximide (Non-proprietary) Restricted
  fosphenytoin sodium Off Formulary
  gabapentin On Formulary
  lacosamide Off Formulary
  lamotrigine On Formulary
  levetiracetam Restricted
  magnesium sulfate On Formulary
  Solution for injection
Magnesium sulfate (Non-proprietary) On Formulary
  oxcarbazepine Restricted
  perampanel Restricted
  phenobarbital On Formulary
  phenytoin On Formulary
  pregabalin Restricted
  primidone Restricted
  rufinamide Off Formulary
  sodium valproate On Formulary
  tiagabine Off Formulary
  topiramate Restricted
  vigabatrin Restricted
  zonisamide Restricted
Nervous system / Status epilepticus
  diazepam On Formulary
  fosphenytoin sodium Off Formulary
  lorazepam On Formulary
  midazolam Restricted
  phenobarbital On Formulary
  phenytoin On Formulary
  thiopental sodium Restricted
  Powder for solution for injection
Thiopental sodium (Non-proprietary) Restricted
Nervous system / Anxiety
  alprazolam Off Formulary
  buspirone hydrochloride Off Formulary
  chlordiazepoxide hydrochloride Restricted
  diazepam On Formulary
  duloxetine Off Formulary
DULOXETINE

For use in pain on Pain Clinic advice only

Use in diabetes is only allowed if prescribing is done generically. The 90 mg and 120 mg capsules are non-formulary.

  escitalopram Off Formulary
  lorazepam On Formulary
  moclobemide Off Formulary
  oxazepam Off Formulary
  paroxetine Senior pharmacist approval
  pericyazine Off Formulary
  pregabalin Restricted
  trazodone hydrochloride On Formulary
  trifluoperazine On Formulary
  venlafaxine Senior pharmacist approval
  Modified-release capsule
Efexor XL (Viatris UK Healthcare Ltd) Off Formulary
Nervous system / Attention deficit hyperactivity disorder
  atomoxetine Off Formulary
  dexamfetamine sulfate Off Formulary
  methylphenidate hydrochloride Restricted
  Modified-release tablet
Concerta XL (Janssen-Cilag Ltd) Restricted
Delmosart (Accord-UK Ltd) Off Formulary
Matoride XL (Sandoz Ltd) Off Formulary
Ritalin-SR (Imported (United States)) Off Formulary
Xaggitin XL (Ethypharm UK Ltd) Off Formulary
Xenidate XL (Viatris UK Healthcare Ltd) Off Formulary
  Modified-release capsule
Equasym XL (Takeda UK Ltd) Off Formulary
Medikinet XL (Medice UK Ltd) Restricted
Nervous system / Depression
  agomelatine Off Formulary
  amitriptyline hydrochloride On Formulary
  citalopram On Formulary
  clomipramine hydrochloride Senior pharmacist approval
  dosulepin hydrochloride Off Formulary
  doxepin Off Formulary
  duloxetine Off Formulary
DULOXETINE

For use in pain on Pain Clinic advice only

Use in diabetes is only allowed if prescribing is done generically. The 90 mg and 120 mg capsules are non-formulary.

  escitalopram Off Formulary
  fluoxetine On Formulary
  flupentixol Restricted
  fluvoxamine maleate Off Formulary
  imipramine hydrochloride Off Formulary
  isocarboxazid Off Formulary
  lithium carbonate Restricted
  Modified-release tablet
Priadel (Essential Pharma M) Off Formulary
  lithium citrate Restricted
  Oral solution
Priadel (Essential Pharma M) Off Formulary
  lofepramine Senior pharmacist approval
  mianserin hydrochloride Off Formulary
  mirtazapine Restricted
  moclobemide Off Formulary
  nortriptyline Off Formulary
  paroxetine Senior pharmacist approval
  phenelzine Off Formulary
  quetiapine Restricted
  Modified-release tablet
Atrolak XL (Accord-UK Ltd) Off Formulary
Biquelle XL (Aspire Pharma Ltd) Off Formulary
Brancico XL (Zentiva Pharma UK Ltd) Off Formulary
Mintreleq XL (Aristo Pharma Ltd) Off Formulary
Seroquel XL (Luye Pharma Ltd) Off Formulary
Sondate XL (Teva UK Ltd) Off Formulary
Zaluron XL (Fontus Health Ltd) Off Formulary
  reboxetine Off Formulary
  sertraline Senior pharmacist approval
  tranylcypromine Off Formulary
  trazodone hydrochloride On Formulary
  trimipramine Off Formulary
  venlafaxine Senior pharmacist approval
  Modified-release capsule
Efexor XL (Viatris UK Healthcare Ltd) Off Formulary
Nervous system / Psychoses and schizophrenia
  amisulpride Senior pharmacist approval
  aripiprazole Senior pharmacist approval
  chlorpromazine hydrochloride On Formulary
  clozapine Senior pharmacist approval
  flupentixol Restricted
  flupentixol decanoate Senior pharmacist approval
  haloperidol Restricted
  Oral solution
Haldol (Janssen-Cilag Ltd) Off Formulary
  haloperidol decanoate Restricted
  olanzapine Restricted
  olanzapine embonate Off Formulary
  paliperidone Off Formulary
  pericyazine Off Formulary
  pimozide Off Formulary
  prochlorperazine On Formulary
  quetiapine Restricted
  Modified-release tablet
Atrolak XL (Accord-UK Ltd) Off Formulary
Biquelle XL (Aspire Pharma Ltd) Off Formulary
Brancico XL (Zentiva Pharma UK Ltd) Off Formulary
Mintreleq XL (Aristo Pharma Ltd) Off Formulary
Seroquel XL (Luye Pharma Ltd) Off Formulary
Sondate XL (Teva UK Ltd) Off Formulary
Zaluron XL (Fontus Health Ltd) Off Formulary
  risperidone Restricted
  Powder and solvent for suspension for injection
Risperdal Consta (Janssen-Cilag Ltd) Senior pharmacist approval
  sulpiride Off Formulary
  trifluoperazine On Formulary
  zuclopenthixol Off Formulary
  zuclopenthixol acetate Off Formulary
  zuclopenthixol decanoate Off Formulary
Nervous system / Bipolar disorder and mania
  aripiprazole Senior pharmacist approval
  carbamazepine On Formulary
  Suppository
Carbamazepine (Non-proprietary) Off Formulary
  chlorpromazine hydrochloride On Formulary
  haloperidol On Formulary
  Oral solution
Haldol (Janssen-Cilag Ltd) Off Formulary
  lamotrigine On Formulary
  lithium carbonate Restricted
  Modified-release tablet
Priadel (Essential Pharma M) Off Formulary
  lithium citrate Restricted
  Oral solution
Priadel (Essential Pharma M) Off Formulary
  olanzapine Restricted
  paliperidone Off Formulary
  prochlorperazine On Formulary
  quetiapine Restricted
  Modified-release tablet
Atrolak XL (Accord-UK Ltd) Off Formulary
Biquelle XL (Aspire Pharma Ltd) Off Formulary
Brancico XL (Zentiva Pharma UK Ltd) Off Formulary
Mintreleq XL (Aristo Pharma Ltd) Off Formulary
Seroquel XL (Luye Pharma Ltd) Off Formulary
Sondate XL (Teva UK Ltd) Off Formulary
Zaluron XL (Fontus Health Ltd) Off Formulary
  sodium valproate Senior pharmacist approval
  valproic acid Off Formulary
  zuclopenthixol acetate Off Formulary
Nervous system / Inappropriate sexual behaviour
  benperidol Off Formulary
Nervous system / Insomnia
  chloral hydrate Restricted
  clomethiazole Off Formulary
  diazepam On Formulary
  flurazepam Off Formulary
  loprazolam Off Formulary
  lormetazepam Off Formulary
  melatonin Restricted
  nitrazepam Off Formulary
  oxazepam Off Formulary
  promethazine hydrochloride On Formulary
Promethazine

Suitable for self-care/purchase, if appropriate, for short term use for insomnia, urticaria, allergies, and travel sickness.

  temazepam On Formulary
  zolpidem tartrate Off Formulary NICE TA77
  zopiclone On Formulary NICE TA77
Nervous system / Narcolepsy
  dexamfetamine sulfate Off Formulary
  methylphenidate hydrochloride Restricted
  Modified-release tablet
Concerta XL (Janssen-Cilag Ltd) Restricted
Delmosart (Accord-UK Ltd) Off Formulary
Matoride XL (Sandoz Ltd) Off Formulary
Ritalin-SR (Imported (United States)) Off Formulary
Xaggitin XL (Ethypharm UK Ltd) Off Formulary
Xenidate XL (Viatris UK Healthcare Ltd) Off Formulary
  Modified-release capsule
Equasym XL (Takeda UK Ltd) Off Formulary
Medikinet XL (Medice UK Ltd) Restricted
  modafinil Off Formulary
  sodium oxybate Off Formulary
Sodium oxybate

This is commssioned by NHSE for the indications below and a Blueteq form must be completed before prescribing. Please contact the Pharmacy High-Cost Drugs team if any assistance is required

Symptom control of narcolepsy with cataplexy in patients aged 7 to 18 years of age treated in a paediatric service