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Drug (proprietary examples) Acamprosate Agomelatine Indications and Rationale Adults with major depressive disorder. LFT monitoring requires that prescribing be retained by the mental health trust for the first 24 weeks of therapy. Status Amber Amber Antibiotics - nebulised Antipsychotic injections (Schizophrenia) Colomycin®, Promixin®, Tobi® Only for those patients under the care of a community psychiatric nurse and if SCP available. Amber Amber Apomorphine injection Atomoxetine Atypical antipsychotics (Oral) except Clozapine. Parkinson's disease. ADHD (Adults). Licensed Indications (including Aripiprazole). Amber Amber Amber Atypical antipsychotics (Oral) except Clozapine. Psychotic symptoms (i.e. hallucinations, thought disorder, paranoia, delusions, thought broadcasting etc in patients who do not have a diagnosis of schizophrenia or bipolar illness). NB: Unlicensed indication therefore remains Red if no SCP available). Amber Atypical antipsychotics (Oral) except Clozapine. Use in dementia patients. Red if no SCP. Speciliast initiation and follow up required. Amber Atypical antipsychotics (Oral) except Clozapine. Unlicensed indications as recommended by NICE guidance (i.e. in psychotic depression or anxiety in bipolar patients). Red if no SCP available. Amber Azathioprine Inflammatory bowel diseases. Unlicensed for maintenance therapy but in BNF. Amber Ciclosporin Licensed Indications.(red if no SCG available). Licensed Indications. See IPNTS recommendation. As per local shared care agreements. See IPNTS recommendation. As per local shared care agreements. Amber Deferasirox Denosumab Donepezil Dornase alfa Entacapone Febuxostat Flecainide See NICE guidance. In paediatric patients, although unlicensed well established therapy and is in the children's BNF. If no SCP then remains red. Amber Amber Amber Amber Amber Amber Amber Flutamide/Bicalutamide Fulvestrant Galantamine Goserelin/Leuprorelin For Prostate cancer. Goserelin/Leuprorelin/Triptorelin Licensed Indications (Prostate cancer for all plus breast cancer for Goserelin). Amber Growth Hormone Growth Hormone For children. For primary and secondary hypopituitarism. Palliative treatment of advanced Prostate cancer as per NTS recommendations. Amber Amber Essential thrombocythaemia or polycythaemia with high risk of complications. Sickle Cell Disease Breast cancer. Amber Histrelin Hydroxycarbamide Hydroxycarbamide Ibandronic Acid Dementia - as per NICE TA 217. Licensed Indications (Pre-op management prior to endometrial ablation/ fibroid surgery). Amber Amber Amber Amber Amber Amber Amber Interferon alpha Leukaemia and carcinoid tumours. Amber Lacosamide Leflunomide Lithium Low molecular weight heparins Epilepsy. Amber Amber Amber Amber Low molecular weight heparins Extended treatment of VTE in cancer patients as per Christie SCP For prophylactic use (except pregnancy and cancer).Red if no SCP available. Amber Paedatric patients, e.g. sleep disorders, ADHD. Dementia - as per NICE TA 217. Inflammatory bowel diseases. Unlicensed but in BNF. Oral. Amber Low molecular weight heparins Melatonin Memantine Mercaptopurine Methotrexate Methylphenidate Modafinil For travel prophylaxis in high risk patients (travelling time over 8 hrs) needs specialist initiation. Red if no SCP available. Sleepiness associate with narcolepsy. Mycophenolate mofetil Octreotide/Lanreotide Pegvisomant Rheumatology DMARDS: e.g. Gold Injection/ Azathioprine/Penicillamine/Sulfasalazine/ Ciclosporin/Hydroxychloroquine Riluzole Risperidone Consta Rivastigmine Licensed Indications. Rheumataoid Arthritis. Long Acting Injection. Lewy Body Disease, as per NTS recommendation and NICE Guideline 42. Dementia as per NICE TA 217. Amber Amber Amber Amber Amber Amber Amber (red if no SCG available). Amber Amber Amber Amber Amber Amber Sirolimus Tizanidine Tuberculosis, antibiotic therapy Venlafaxine Vigabatrin Treatment of spasticity. Various drugs. Depression (total daily dose ≥ 300mg only). Epilepsy. Amber (red if no SCG available). Amber Amber Amber Amber