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

Opioid Resource Pack

Gabapentinoid Reduction Leaflet

 Details...
04.02.03  Expand sub section  Drugs used for mania and hypomania
Lamotrigine
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Formulary
Amber

Off label use for mood stabilisation supported by NICE

MHRA Cat 2

 
   
04.02.03  Expand sub section  Benzodiazepines
04.02.03  Expand sub section  Antipsychotic drugs
04.02.03  Expand sub section  Carbamazepine
04.02.03  Expand sub section  Valproic acid to top
Valproic Acid (Episenta)
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First Choice
Green

1st line for new patients and at dose change.

See MHRA warnings on valproate in women of childbearing age

 
Sodium valproate
(Mania)
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Formulary
Green

Episenta brand 1st line for new patients and at dose change.

See MHRA warnings on valproate in women of childbearing age

 

 
   
04.02.03  Expand sub section  Lithium
Lithium Carbonate
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Formulary
Amber

See shared care and NICE CG185 See Safer Lithium Therapy recommendations.

Prescribe by brand. If no brand specified default formulary brand is Priadel®.

Patients must be given a lithium treatment pack on initiation and encouraged to keep monitoring booklet up to date.

 
   
Lithium Citrate
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Formulary
Amber

Lithium citrate liquid 520mg (Priadel® liquid) equiv. to 204mg lithium carbonate

Lithium citrate liquid 509mg (Li Liquid®) equiv. to 200mg lithium carbonate.

Care required when transferring between tablet and liquid formulations due to different bioavailability 

 
   
 ....
 Non Formulary Items
Asenapine
(Sycrest)

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Non Formulary
 
Clonazepam
(Mania)

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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
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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

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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