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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...
04.03.04  Expand sub section  Other antidepressant drugs
Agomelatine (Valdoxan)
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Restricted Drug Restricted
Red

For initiation and ongoing prescribing by ELFT Specialist only.

 
   
Duloxetine 30mg, 60mg
(Capsules)
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Restricted Drug Restricted
Amber

Specialist initiation for GAD or depression

 
   
Mirtazapine
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Formulary
Green
15mg & 30mg Tablets
15mg, 30mg & 45mg Orodispersible Tablets
 
   
Reboxetine (Edronex)
(Tablets)
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Restricted Drug Restricted
Amber

For initiation by Mental Health specialist from ELFT only

 
   
Venlafaxine
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Formulary
Green
37.5mg & 75mg tablets
37.5mg modified release tablets
75mg & 150mg modified release capsules 
   
Vortioxetine
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Restricted Drug Restricted
Amber
Restricted - only to be initiated by a Consultant Psychiatrist for treating major depressive episodes in accordance with NICE TA367.

5mg, 10mg & 20mg Film Coated Tablets 
Link  NICE TA367: Vortioxetine for treating major depressive episodes
   
Flupentixol
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Formulary
Amber

500microgram & 1mg Tablets

 
   
 ....
 Non Formulary Items
Mirtazapine 15mg/1mL
(Oral Solution)

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Non Formulary
Black
About 50 x more expensive than orodispersible tablets.
Use orodispersible tablets for patients with swallowing difficulties and for enteral tube administration.
 
Tryptophan

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Non Formulary
 
Trytophan  (Optimax®)

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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
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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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