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 Formulary Chapter 4: Central nervous system - Full Chapter
Notes:

Opioid Resource Pack

Gabapentinoid Reduction Leaflet

 Details...
04.02.01  Expand sub section  Antipsychotic Drugs
Chlorpromazine
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Formulary
Green
 
   
Haloperidol
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Formulary
Green
 
   
Levomepromazine (Nozinan)
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Restricted Drug Restricted
Amber

Palliative Care use only [Previously methotrimeprazine (Nozinan®)]

 
   
Prochlorperazine
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Formulary
Green
 
   
Promazine Hydrochloride (Promazine)
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Formulary
Amber
 
   
Sulpiride
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Formulary
Amber
 
   
Zuclopenthixol (Clopixol)
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Formulary
Amber

Prescribe generically

 
   
Zuclopenthixol Acetate (Clopixol Acuphase)
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Formulary
Red

NOT suitable for primary care prescribing!

Short acting preparation for management of acute psychosis in secondary care (Clopixol Acuphase®) 

 
   
04.02.01  Expand sub section  First-Generation Antipsychotic Drugs
04.02.01  Expand sub section  Second-Generation Antipsychotic Drugs
Amisulpride
(tablet)
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Formulary
Amber
 
   
Aripiprazole
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Formulary
Amber
 
Link  NICE TA213: Aripiprazole for the treatment of schizophrenia in people aged 15 -17 years
Link  NICE TA292: Bipolar disorder (children) - aripiprazole
   
Clozapine
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Formulary
Red

 

Not suitable for primary care prescribing: complex monitoring required

 
   
Lurasidone (Latuda)
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Restricted Drug Restricted
Red

Occasional use, named patients only NICE ESNM48

 
   
Olanzapine
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Formulary
Amber
 
   
Quetiapine
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Formulary
Amber

Standard release tablets are first line.

Reserve MR tablets for acute phase initiation.

Prescribe MR tablets as Sondate XL (or Biquelle XL) brand in primary care if clinically necessary.

 
   
Quetiapine MR (Sondate XL)
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Formulary
Amber

HCCG brand of choice for acute phase initiation

 
   
Risperidone
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Formulary
Amber
 
   
 ....
 Non Formulary Items
Paliperidone

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Non Formulary

Lack of evidence of superiority to risperidone for oral preparation

 
Pimozide

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Non Formulary
 
Trifluoperazine

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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
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
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

Green

Suitable for use in primary care  

Amber

Specialist initiation. Shared care in place  

Red

Red do not use..  

Advice

Some formulations restricted  

Black

NICE "Do not do"  

Green 1

1st line option  

Green 2

2nd line option  

Green 3

3rd line option only  

Not Recomended / Black

Low Value Medicine not recommended for use - see NHSE guidelines  

OTC

This preparation should be bought over the counter for self-care  

Red Amber

Check product description for traffic light status  

Red Black

Low Value Medicine  

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