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. |
|||||
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. |
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temazepam | On Formulary | ||||
zolpidem tartrate | Off Formulary |
NICE TA77 |
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zopiclone | On Formulary |
NICE TA77 |
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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 |