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North East Essex CCG
East Suffolk and North East Essex NHS Foundation Trust
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 Formulary Chapter 4: Central nervous system - Full Chapter
Notes:

Joint guidance

NSFT formulary

Please click here for the NSFT formulary

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.

 Details...
04.07.03  Expand sub section  Neuropathic pain
Amitriptyline
(neuropathic pain)
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First Choice
Blue

Unlicensed indication

 
Imiprimine
(neuropathic pain)
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Formulary
Blue

Unlicensed indication


Only if intolerant to amitriptyline 
   
Capsaicin 0.075% (cream)
(Neuropathic pain)
View adult BNF View SPC online View childrens BNF
Formulary
Blue
 
   
Gabapentin
(Neuropathic pain)
View adult BNF View SPC online View childrens BNF
Formulary
Blue

MHRA:Risk of severe respiratory depression

 
Link  NEECCG - Guidance on the review of Gabapentin & Pregabalin in Neuropathic pain
   
Duloxetine (Cymbalta)
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Formulary
Green

Traffic light information

Traffic light Details
Green

Major depressive episodes - treatment would not be initiated within the acute Trust, but if necessary to ensure patient care, existing therapy would be continued on (and supplies purchased if appropriate)

Blue Neuropathic pain (3rd line)

 

 
   
Pregabalin
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Formulary
Blue

Traffic light information

Traffic light Details
Blue

Neuropathic pain

  • Only if gabapentin not tolerated.
  • Caution: pregabalin use in people with a history of substance misuse.
  • Prescribe twice daily where possible

Prescribe generically

Green Generalise anxiety disorder

Adjunctive therapy in adults with partial seizures with or without secondary generalisation

 

 

 
Link  Gabapentin withdrawal guidance IESCCG
Link  NEECCG - Guidance on the review of Gabapentin & Pregabalin in Neuropathic pain
   
Lidocaine plasters
(Neuropathic pain)
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Formulary
Green

Green for its licensed indication ONLY: Post Herpatic Neuralgia

For any other indication this is considered NON-FORMULARY

 
Link  Lidocaine plasters- proforma
Link  Lidocaine proforma - NEECCG
   
04.07.03  Expand sub section  Trigeminal neuralgia
 ....
 Non Formulary Items
Controlled Drug  Ketamine oral solution

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
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

Blue

For routine prescribing in primary and secondary care.   

Green

Initiated (if clinically urgent) or advised (if non-urgent) by specialist in secondary care, prescribing can be continued in primary care.   

Amber

Shared care  

Red Hospital

Hospital only  

Double Red

There should be no prescribing of these drugs  

Mixed

The traffic light of the drug is dependant on the indication. Please see individual drug entry for details  

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