Please note while the Ipswich and East Suffolk Joint formulary mirrors what is noted in the NSFT formulary, Netformulary contains information on other indications where antipsychotics may be used e.g levomepromazine in palliative care
North East Essex CCG
Please click here for the EPUTmental health formulary for use within North East Essex CCG. Note guidance above re: other indications.
For neuropathic pain if intolerant to amitriptyline
Clomipramine (caps)
Restricted
Clomipramine is a rarely prescribed and specialist treatment. It would not be initiated within the acute hospitals at Ipswich and Colchester but existing patients admitted to the organisation would have their treatment continued; and supplies procured accordingly if necessary.
Lofepramine (tabs, liquid)
Restricted
Lofepramine is a rarely prescribed and specialist treatment. It would not be initiated within the acute hospitals at Ipswich and Colchester but existing patients admitted to the organisation would have their treatment continued; and supplies procured accordingly if necessary.
04.03.01
Related antidepressants
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Non Formulary Items
Amitriptyline and perphenazine (Triptafen®)
Non Formulary
Amitriptyline and perphenazine (Triptafen-M®)
Non Formulary
Dosulepin
Non Formulary
Primary care guidance
Low Clinical Value Medicine
Dosulepin is captured as a "Medicine of Limited Clinical Value" by NHS England and its routine use is not recommended.
Dosulepin treatment would not be initiated within the acute Trust
Doxepin
Non Formulary
Doxepin is a rarely prescribed and specialist treatment. It would not be initiated within the acute hospitals at Ipswich and Colchester but existing patients admitted to the organisation would have their treatment continued; and supplies procured accordingly if necessary.
Nortriptyline (tabs) (depression)
Non Formulary
Nortriptyline is a very rarely prescribed treatment within Mental Health. It would not be initiated within the acute hospitals at Ipswich and Colchester but existing patients admitted to the organisation would have their treatment continued; and supplies procured accordingly if necessary.
Trimipramine
Non Formulary
Primary care guidance
Low Clinical Value Medicine
Trimipramine is captured as a "Medicine of Limited Clinical Value" by NHS England and is also very expensive.
Trimipramine treatment would not be initiated and imipramine or sertraline could be used as possible alternatives.
Restricted
