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 Formulary Chapter 4: Central nervous system - Full Chapter
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04.02.02  Expand sub section  Antipsychotic depot injections
Paliperidone depot injection (Xeplion)
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Restricted Drug Restricted

Provider notes

  • NMUH:
    • Not for initiation, continuation of supply only
  • RFL:
    • Restricted to Bipolar disorder, mania, psychoses and schizophrenia
  • RNOH:
    • Non-formulary  
  • UCLH:
  • WH:
    • Non-formulary

 

 
   
Zuclopenthixol decanoate depot injection (Clopixol Conc.)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • Restricted for initiation until after a discussion with liaison psychiatry team
  • RNOH:
    • Non-formulary  
  • UCLH:
  • WH:
    • Restricted for initiation by a Consultant Psychiatrist only
 
   
Zuclopenthixol decanoate depot injection (Clopixol)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • Restricted for initiation until after a discussion with liaison psychiatry team
  • RNOH:
    • Non-formulary  
  • UCLH:
  • WH:
    • Restricted for initiation by a Consultant Psychiatrist only
 
   
Paliperidone depot injection (Trevicta)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Provider notes

  • NMUH:
    • Not for initiation, continuation of supply only
  • RFL:
    • Non-formulary
  • RNOH:
    • Non-formulary  
  • UCLH:
  • WH:
    • Non-formulary
 
   
Flupentixol decanoate depot injection (Depixol)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • Restricted for initiation until after a discussion with liaison psychiatry team
  • RNOH:
    • Non-formulary  
  • UCLH:
  • WH:
    • Restricted for initiation by a Consultant Psychiatrist only
 
   
Flupentixol decanoate depot injection (Depixol Conc.)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • Restricted for initiation until after a discussion with liaison psychiatry team
  • RNOH:
    • Non-formulary  
  • UCLH:
  • WH:
    • Restricted for initiation by a Consultant Psychiatrist only
 
   
Flupentixol decanoate depot injection (Depixol Low Volume)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • Restricted for initiation until after a discussion with liaison psychiatry team
  • RNOH:
    • Non-formulary  
  • UCLH:
  • WH:
    • Restricted for initiation by a Consultant Psychiatrist only
 
   
Fluphenazine decanoate depot injection (Modecate Concentrate)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Restricted for initiation until after a discussion with liaison psychiatry team
  • RNOH:
    • Non-formulary  
  • UCLH:
  • WH:
    • Restricted for initiation by a Consultant Psychiatrist only
 
   
Fluphenazine decanoate depot injection (Modecate)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Restricted for initiation until after a discussion with liaison psychiatry team
  • RNOH:
    • Non-formulary  
  • UCLH:
  • WH:
    • Restricted for initiation by a Consultant Psychiatrist only
 
   
Haloperidol depot injection (Haldol Decanoate)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • Restricted for initiation until after a discussion with liaison psychiatry team
  • RNOH:
    • Non-formulary  
  • UCLH:
  • WH:
    • Restricted for initiation by a Consultant Psychiatrist only
 
   
Risperidone depot injection (Risperdal Consta)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Restricted for initiation until after a discussion with liaison psychiatry team
  • RNOH:
    • Non-formulary  
  • UCLH:
  • WH:
    • Restricted for initiation by a Consultant Psychiatrist only
 
   
 ....
 Non Formulary Items
Aripiprazole depot injection  (Abilify Maintena)

View adult BNF View SPC online View childrens BNF
Non Formulary

Approved for use by C&I Mental Health site only & restricted to patients with schizophrenia already stabilised & responding to oral aripiprazole (JFC February 2015)

 
Olanzapine Embonate  (ZypAdhera)

View adult BNF View SPC online View childrens BNF
Non Formulary
Link  NMUH: Trust Therapeutic Drug Monitoring Guidelines
 
Pipotiazine Palmitate  (Piportil Depot)

View adult BNF View SPC online View childrens BNF
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
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

GP - 1st

Medicines suitable for first-line use within primary care.

Can be initiated within primary care within their licensed indication, in accordance with nationally recognised formularies, for example the BNF, BNF for Children, Medicines for Children or Palliative Care Formulary. Primary care prescribers take full responsibility for prescribing.

  

GP - 2nd

Medicines suitable for second-line use within primary care.

Can be initiated within primary care within their licensed indication, in accordance with nationally recognised formularies, for example the BNF, BNF for Children, Medicines for Children or Palliative Care Formulary. Primary care prescribers take full responsibility for prescribing.

  

GP - Amber

Medicines that should be initiated by a specialist. Prescribing can be transferred to primary care once the patient has been stabilised.

Shared care: For drugs with regular, ongoing need for monitoring and/or assessment of efficacy or toxicity. Prior agreement must be obtained by the specialist from the primary care provider before prescribing responsibility is transferred. The shared care protocol must have been agreed by the relevant secondary care trust Drugs and Therapeutics Committee(s) (DTC) and approved by the North Central London JFC.

Fact sheet: For drugs with some concerns surrounding safety or efficacy but do not require regular monitoring and/or monitoring of effectiveness/toxicity.

  

GP - Red

Medicines which should normally be prescribed by specialists only (hospital only).

For patients already receiving prescriptions in primary care - continue. No new patients to receive prescriptions in primary care.

  

GP - Grey

Medicines on hospital formularies which have not been reviewed for suitability in primary care.  

Black

Medicines not recommended for routine use in primary or secondary care.

Medicines, which the North Central London JFC has actively reviewed and does not recommend for use at present due to limited clinical and/or cost effective data.

  

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