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Harrogate & District NHS Foundation Trust
Harrogate & Rural District Clinical Commissioning Group
 
 
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 Formulary Chapter 4: Central nervous system - Full Chapter
Notes:

Guidelines for the Management of Antipsychotic-Induced Hyperprolactinaemia

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04.02.01  Expand sub section  Atypical Antipsychotic Drugs
 note 


04.02.01  Expand sub section  First-Generation Antipsychotic Drugs
04.02.01  Expand sub section  Atypical Antipsychotics
Amisulpride
View adult BNF View SPC online View childrens BNF
Formulary
Amber
Tablets 50mg, 200mg
Liquid 500mg/5ml 
   
Aripiprazole (Abilify)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber
Tablets 5mg, 10mg, 15mg - Not Stocked

Initiation by Consultant Psychiatrists only, requested through LPG on an individual patient basis. 
   
Clozapine (Clozaril)
View adult BNF View SPC online View childrens BNF
Formulary
Red
Tablets 25mg, 100mg

Initiation by specialists only.
Patients must be registered with Clozaril monitoring service. 
   
Olanzapine (Zyprexa)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Amber
Tablets 2.5mg, 5mg, 10mg
Orodispersible tablets 5mg, 10mg
 
   
Quetiapine (Seroquel)
View adult BNF View SPC online View childrens BNF
Formulary
Amber
Tablets 25mg, 100mg, 200mg, 300mg 
   
Risperidone (Risperdal)
View adult BNF View SPC online View childrens BNF
Formulary
Amber
Tablets 500 micrograms, 1mg, 3mg
Liquid 1mg/ml 
   
 ....
 Non Formulary Items
Sertindole  (Serdolect®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Zotepine  (Zoleptil®)

View adult BNF View SPC online View childrens BNF
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

Amber

Medicines which are suitable to be prescribed in primary care only after specialist recommendation. Ongoing prescribing by primary care includes titration of dose and assessment of efficacy. There is no need for ongoing monitoring other than for general adverse effects as listed in the BNF & SPC.  

Amber Shared Care

Medicines which are suitable to be prescribed in primary care only after specialist recommendation only under a shared care protocol once the patient has been stabilised. Prior agreement must be obtained by the specialist from the primary care provider before prescribing responsibility is transferred. The shared care protocol must be approved by the Harrogate & Rurual District Area Prescribing Committee (HaRD APC).   

Black

Medicines which the Harrogate & Rural District Area Prescribing Committee (HaRD APC) has reviewed and does not recommend for use at present based on a review of clinical and/or cost effectiveness data.   

Green

Medicines suitable for routine use and can be prescribed within primary care within their licensed indication in accordance with nationally recognised formularies e.g. BNF, BNF for Children, Palliative Care Formulary. Primary care prescribers take full responsibility for prescribing.  

Grey

Medicines which the Harrogate & Rural District Area Prescribing Committee (HaRD APC) have not yet reviewed.   

Red

Medicines for hospital use only. The responsibility for initiation and monitoring treatment should rest with an appropriate hospital clinician. The drug should be supplied by the hospital for the duration of the treatment course. Primary care prescriber initiation or continuation of treatemnt is not recommended.  

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