netFormulary Coventry and Warwickshire Area Prescribing Committee NHS
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 Formulary Chapter 4: Central nervous system - Full Chapter
04.02.02  Expand sub section  Antipsychotic depot injections
Flupentixol decanoate
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Formulary
Preferred
SI Treatment of schizophrenia and other psychoses
 
   
Fluphenazine decanoate
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Formulary
Preferred
SI Treatment of schizophrenia and other psychoses
 
   
Haloperidol decanoate
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Formulary
Preferred
SI Treatment of schizophrenia and other psychoses
 
   
Zuclopenthixol decanoate
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Formulary
Preferred
SI Treatment of schizophrenia and other psychoses, particularly with aggression and agitation.
 
   
Aripiprazole long acting injection
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Formulary
Second Line
SI Treatment of schizophrenia

Specialist to complete SIDC 
Link  Aripiprazole - Specialist Intiated Drug Checklist
Link  Aripiprazole LAI - Drug Positioning Statement
   
Paliperidone palmitate long acting injection
(1-monthly)
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Formulary
Second Line
SI Treatment of schizophrenia

Specialist to complete SIDC 
Link  Paliperidone Depot [Psychotic symptoms - Schizophrenia] - Drug Positioning Statement
Link  Paliperidone Palimate LAI [1-monthly] - Specialist Intiated Drug Checklist
   
Paliperidone palmitate long acting injection
(3-monthly)
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Formulary
Second Line
SI Treatment of schizophrenia in patients who have been stabilised on monthly paliperidone long acting injection for at least 12 months.

Specialist to complete SIDC
An exception to this would be patients already stabilised on the one monthly injection within primary care. Primary care could consider switching to the three monthly depot injection in line with the Drug Position Statement, the SPC and the checklist for assurance
 

Link  Paliperidone palmitate LAI - Specialist Initated Drug Checklist
Link  Paliperidone palmitate LAI [3-monthly] - Drug Positioning Statement
   
Risperidone long acting injection
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Formulary
Second Line
SI Treatment of schizophrenia and other psychoses
 
   
 ....
 Non Formulary Items
Olanzapine embonate depot

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Non Formulary
Non Formulary
Currently not available in CWPT except for when in-line with CWPT criteria then to be used as
SO
 
  
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
Homecare
Homecare

Traffic Light Status Information

Status Description

Preferred

Clinicians are free to prescribe these drugs. They are regarded as cost effective choices which have evidence to support their use.  

Second Line

These drugs should only be prescribed in the scenarios described in the formulary after preferred drug(s) have been ruled out.  

Non Formulary

Non-formulary choice - the vast majority of a patientís needs should be met by use of formulary preferred choices and second line options when appropriate. Therefore the Clinician should only use a non-formularly drug if this can be justified and it is recommended that all such instances are recorded in the patient record.  

Green SA

Specialist Advised Ė Specialists may simply advise a patientís GP to initiate these drugs themselves after they have made an initial assessment. Note: SA drugs can be initiated by the specialist according to patient need and also depending on local commissioning arrangements which may mandate, through the contract between provider and commissioner, that all SA drugs are treated as SI.  

Green SI

Specialist Initiation - These drugs must be initiated, i.e. the first dose prescribed, by the specialist and then may be continued when appropriate by the patientís GP following communication from the specialist.  

Amber SC

Shared Care - Responsibility for prescribing may be transferred from secondary to primary care with the agreement of an individual GP and when agreed shared care arrangements have been established. The specialist MUST stabilize the patient before asking for care to be transferred. Only specialists should initiate these drugs. Prescribing should be transferred to GPs according to an Shared Care Agreement [SCA]   

Red SO

Specialist Only - These drugs are deemed to be not appropriate for prescribing by GPs. Specialists should not ask GPs to prescribe these drugs.   

Black BL

Black Listed Medicines - These drugs are considered inappropriate for prescribing in Coventry & Warwickshire as they are either not cost-effective or of proven benefit or both.   

Not Recommended

Not Recommended - These are specialist drugs that are not recommended for use.  

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