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North Central London
Joint Formulary
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 Formulary Chapter 4: Central nervous system - Full Chapter
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04.06  Expand sub section  Drugs used in nausea and vertigo
04.06  Expand sub section  Antihistamines
04.06  Expand sub section  Phenothiazines and related drugs
04.06  Expand sub section  Domperidone and metoclopramide
Metoclopramide
(Nausea and vomiting)
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Provider notes

  • NMUH:
    • Check MHRA Safety Drug Updates
  • RFL:
    • No restriction stated
  • RNOH:
    • Check MHRA Safety Drug Updates
  • UCLH:
  • WH:
    • May induce acute dystonic reactions, especially in children, young adults and the elderly
 
Domperidone
(Nausea and vomiting)
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NOTE: There is more than one monograph for this medicine, click here to search for formulary status and its use for other indications. 

Provider notes

  • NMUH:
    • Check MHRA Safety Drug Updates
  • RFL:
    • No restriction stated
  • RNOH:
    • Oral suspension available as 1 mg/mL 
  • UCLH:
  • WH:
    • Risk of cardiac side effects - to be used at the lowest effective dose for the shortest period of time
 
04.06  Expand sub section  5HT3 antagonists to top
04.06  Expand sub section  Neurokinin receptor antagonist
04.06  Expand sub section  Cannabinoid
04.06  Expand sub section  Hyoscine
04.06  Expand sub section  Other drugs for Ménière's disease
 ....
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
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Link to children's BNF
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Link to SPCs
Homecare
Homecare

Traffic Light Status Information

Status Description

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.

See link for the complete NCL Red List https://www.ncl-mon.nhs.uk/wp-content/uploads/2017/08/ncl_red_list.pdf

  

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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