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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
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