netFormulary Coventry and Warwickshire Area Prescribing Committee NHS
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 Formulary Chapter 4: Central nervous system - Full Chapter
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04.02.02  Expand sub section  Antipsychotic depot injections
Flupentixol decanoate
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Formulary
Green SI

Treatment of schizophrenia and other psychoses

Preferred-

 
   
Haloperidol decanoate
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Formulary
Green SI

Treatment of schizophrenia and other psychoses

Preferred-

 
   
Zuclopenthixol decanoate
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Formulary
Green SI

Treatment of schizophrenia and other psychoses, particularly with aggression and agitation

Preferred-

 
   
Aripiprazole long acting injection
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Formulary
Green SI

Treatment of schizophrenia, specialist to complete SIDC

SecondLine-

 
Link  APC DPS056: Aripiprazole LAI
Link  APC SIDC05: Aripiprazole LAI drug checklist
   
Paliperidone palmitate long acting injection
(1-monthly)
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Formulary
Green SI

Treatment of schizophrenia

Specialist to complete Drug Checklist (SIDC) on initiation before GP can continue prescribing

 SecondLine-

 
Link  APC DPS032: Paliperidone LA depot injection [1-monthly]
Link  APC SIDC03: Paliperidone LA depot injection [1-monthly] drug checklist
   
Paliperidone palmitate long acting injection
(3-monthly)
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Formulary
Green 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

SecondLine-

 
Link  APC DPS084: Paliperidone palmitate LAI [3-monthly]
Link  APC SIDC12: Paliperidone palmitate LAI (3-monthly) drug checklist
   
Risperidone long acting injection
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Formulary
Green SI

Treatment of schizophrenia and other psychoses

SecondLine-

 
   
 ....
 Non Formulary Items
Fluphenazine decanoate  (Modecate® 25 mg/ml and Modecate® concentrate injection 100 mg/ml) )

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Non Formulary
Discontinued Medicines

note  All presentations are now discontinued.

We have been advised this was due to the unpredictability of the supply of fluphenazine decanoate from the third party manufacturer in South Africa. The discontinuation was not due to any safety issue.

  • All patients previously treated with fluphenazine decanoate should now have been reviewed and switched to an alternative therapy. Patients open to Coventry and Warwickshire Partnership Trust  will have been reviewed by the trust. 
  • GP’s can contact the ‘GP Mental Health Advice Line’ if they require any further advice - tel: 024 7696 7897 Open Mon-Fri (excluding Bank Hols) 09:45 to 16:30 

 

 

 
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
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
Blueteq
High Cost Drug Approval System

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

Green SA

Specialist Advised – Specialists may simply advise a patient’s 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 patient’s 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 drugs that are not recommended for use.  

Discontinued Medicines

Discontinued medicines - These are drugs that are no longer available to prescribe   

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