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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...
04.07.04.02  Expand sub section  Prophylaxis of migraine
Propranolol
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Formulary
Blue

Other beta blockers without partial agonism may also be used e.g. atenolol [unlicensed indication] and metoprolol.

 
   
FremanezumabBlack Triangle (Ajovy )
(Pre-filled Pen for Injection)
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Formulary
Red Hospital
High Cost Medicine
CCG
BlueTeq
 
Link  TA631 Fremanezumab for preventing migraine
   
GalcanezumabBlack Triangle (Emgality)
(Pre-filled Pen for Injection)
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Formulary
Red Hospital
High Cost Medicine
CCG
BlueTeq
 
Link  NICE TA659 Galcanezumab for preventing migraine
   
GalcanezumabBlack Triangle (Emgality)
(Pre-filled Pen for Injection)
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Formulary
Red Hospital
High Cost Medicine
CCG
BlueTeq
 
   
Topiramate
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Formulary
Blue

Contra-indicated in pregnancy and in women of child-bearing potential for migraine prophylaxis if not using an effective method of contraception.

Patients on long term treatment should be regularly weighed and monitored for continued weight loss.

If clinically significant weight loss occurs, consider stopping treatment.

Topiramate is associated with depression.

 
   
Pizotifen
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Formulary
Green

Specialist recommendation only - evidence of its efficacy is limited

 
   
 ....
 Non Formulary Items
Amitriptyline
(Migraine prophylaxis)

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Non Formulary
 
Clonidine  (Dixarit)

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Non Formulary
 
Clonidine Hydrochloride  (Catapres®)

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Non Formulary
 
Methysergide  (Deseril)

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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
Track Changes
Display tracking information
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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

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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