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 Formulary Chapter 4: Central nervous system - Full Chapter
Notes:
This formulary is used by multiple organisations. There may be some instances where an item is on the formulary for one organisation but not the others. To help distinguish between each organisation, text will be colour coded, i.e. information relating to the Royal Berkshire NHS Foundation Trust will be in blue and Berkshire Healthcare NHS Foundation Trust will be in purple. Please ensure you read all information detailed under a drug.   
 Details...
04.07.02  Expand sub section  Opioid analgesics
Controlled Drug Alfentanil Sublingual Spray 5 mg in 5mL
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Restricted Drug Restricted
Brown
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item> unlicensedunlicensed - contact pharmacy for advice
 
   
Controlled Drug Buprenorphine (BuTrans patch)
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item patches - available brand/strength may vary - contact pharmacy for advice
 
Link  NICE TA 114 - Methadone and buprenorphine for the management of opioid dependence
   
Controlled Drug Buprenorphine (Temgesic)
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item patches - available brand/strength may vary - contact pharmacy for advice
 
Link  NICE TA 114 - Methadone and buprenorphine for the management of opioid dependence
   
Controlled Drug Buprenorphine (Transtec patch)
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item patches - available brand/strength may vary - contact pharmacy for advice
 
Link  NICE TA 114 - Methadone and buprenorphine for the management of opioid dependence
   
Codeine
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item tablets
 
   
Codeine Phosphate
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item tablets / oral solution / injection unavailable
 
Controlled Drug Injection Only
   
Controlled Drug Diamorphine
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item injection
 
   
Dihydrocodeine
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item tablets / elixir
 
Controlled Drug Injection Only
   
Controlled Drug Fentanyl
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item patch / injection
 
Link  APC 110: Immediate release fentanyl products for pain
Link  MHRA - Serious and fatal overdose of fentanyl patches
   
Controlled Drug Fentanyl (Actiq)
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Restricted Drug Restricted
Brown
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Link  APC 110: Immediate release fentanyl products for pain
Link  MHRA - Serious and fatal overdose of fentanyl patches
   
Controlled Drug Fentanyl (Effentora buccal tablets)
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Restricted Drug Restricted
Brown
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
   
Controlled Drug Fentanyl (Instanyl nasal spray)
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Restricted Drug Restricted
Brown
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Link  APC 110: Immediate release fentanyl for pain
   
Controlled Drug Methadone
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item oral solution (1mg/1mL) / conc oral solution (50mg/5mL)
 
Link  BHFT - METHADONE for refractory pain: SHARED CARE PROTOCOL
Link  NICE TA 114 - Methadone and buprenorphine for the management of opioid dependence
   
Controlled Drug Morphine
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item
- oral solution (10mg/5mL, conc. 100mg/5mL)
- tablets (Sevredol 10mg, 20mg, 50mg)
- MR capsules (Zomorph 10mg, 30mg, 60mg, 100mg)
- MR tablets (MST Continus 5mg )
- injection (10mg/1mL, 100mg/50mL, 15mg/1mL )


help Please note the above strengths. TTO for anything other than those stated will require amending prior to supply 
   
Controlled Drug Morphine Salts
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item see generic drug for details
 
   
Controlled Drug Morphine Salts (MST Continus)
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item see generic drug for details
 
   
Controlled Drug Morphine Salts (Oramorph)
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item see generic drug for details
 
   
Controlled Drug Morphine Salts (Sevredol)
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item see generic drug for details
 
   
Controlled Drug Oxycodone
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item
- oral solution 5mg/5mL
- Normal release capsules (5mg, 10mg, 20mg)
- Modified release tablets (5mg, 10mg, 20mg, 40mg, 80mg)
- injection (10mg/1mL, 20mg/2mL, 50mg/5mL)

Please note brands may vary.

 
   
Controlled Drug Pethidine
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item tablets / injection (50mg/1mL, 100mg/2mL)
 
   
Controlled Drug Tapentadol (Palexia)
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Restricted Drug Restricted
Amber
On the advice of a specialist only

Royal Berkshire NHS Foundation Trust >> Formulary Item - tablets / MR tablets - Restricted Item restricted to Pain team and Palliative Care team use ONLY 
Link  APC 127: Tapentadol for the management of severe pain
   
Controlled Drug Targinact (Oxycodone/Naloxone) (Targinact)
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Restricted Drug Restricted
Brown
LOW PRIORITY for patients with moderate to severe chronic non-malignant pain.

Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice

 
Link  APC 147 Targinact for pain
   
Controlled Drug Tramadol
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Formulary
Green
NICE state tramadol should only be considered for patients with neuropathic pain if they are in need of acute rescue therapy. Long term therapy with tramadol must only be initiated by a specialist.

Royal Berkshire NHS Foundation Trust >> Formulary Item capsules / MR capsules / dispersible tablets / injection
 
Link  NICE clinical guideline 173 - Neuropathic pain in adults: pharmacological management in non-specialist settings
Link  UKMI QA: risk of developing Serotonin Syndrome following concomitant use of tramadol with selective serotonin reuptake inhibitors (SSRIs)
   
Tramadol MR
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item see generic drug for details
 
   
 ....
 Non Formulary Items
Controlled Drug  Buprenorphine  (Butec patch)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item patches - available brand/strength may vary - contact pharmacy for advice
 
Controlled Drug  Dextromoramide

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Dihydrocodeine Tartrate  (DF 118 Forte)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice


Controlled Drug Injection Only
 
Dihydrocodeine Tartrate  (DHC Continus)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice


Controlled Drug Injection Only
 
Controlled Drug  Dipipanone  (Diconal)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Controlled Drug  Hydromorphone  (Palladone)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Controlled Drug  Hydromorphone Hydrochloride  (Palladone SR)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Meptazinol  (Meptid)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Controlled Drug  Morphine and cyclizine  (Cyclimorph)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Controlled Drug  Papaveretum

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Controlled Drug  Papaveretum

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Controlled Drug  Pentazocine

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Controlled Drug  Pethidine Hydrochloride and promethazine  (Pamergan P100)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Tramadol Hydrochloride  (DromadolSR)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item see generic drug for details (brand may not be available - contact pharmacy for advise)
 
Tramadol Hydrochloride  (Larapam SR)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item see generic drug for details (brand may not be available - contact pharmacy for advise)
 
Tramadol Hydrochloride  (Zamadol)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item see generic drug for details (brand may not be available - contact pharmacy for advise)
 
Tramadol Hydrochloride  (Zamadol SR)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item see generic drug for details (brand may not be available - contact pharmacy for advise)
 
Tramadol Hydrochloride  (Zydol)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item see generic drug for details (brand may not be available - contact pharmacy for advise)
 
Tramadol Hydrochloride and paracetamol  (Tramacet)

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Non Formulary
Brown
Royal Berkshire NHS Foundation Trust>> NON - Formulary Item
Link  APC 178 Paracetamol and tramadol combination products v1.1
 
Tramadol oral drops

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust>> NON - Formulary Item
 
  
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 that should be initiated or recommended by a specialist for continuation in primary care. The specialist must notify the primary care provider that the prescribing responsibility has been transferred. Where applicable, shared care protocols will be agreed and must be adhered to. The shared care protocol must have been agreed by the relevant secondary care trust Drugs and Therapeutics Committee(s)(DTC) and approved by Berkshire West APC.   

Brown

Drugs that have been reviewed and not recommended for prescribing. These drugs are not considered a cost effective use of scarce NHS resources. There may be individual patient specific or clinical reasons why a drug deemed low priority may be suitable for a particular patient. This is for the GP to condsider, weighing up the reasons against his/her allocated CCG budget. Where the decision is made to prescribe a low priority drug, detailed documentation must be included within the patients' notes for audit purposes. *Please note that low priority drug requests are unsuitable for the Case Review Committee and therefore should not be sent to this committee.   

Green

Medicines suitable for routine use and can be prescribed within primary care within their licensed indication in accordance with the BNF or other recognised national formulary. Primary care prescribers take full responsibility for prescribing  

Red

Medicines which should be prescribed by specialists only  

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