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 Formulary Chapter 4: Central nervous system - Full Chapter
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04.10.01  Expand sub section  Alcohol dependence
Acamprosate (Campral EC®)
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Amber Continuation

Suitable for continuation in primary care following specialist initiation.

 
   
Disulfiram (Antabuse®)
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Amber Continuation

Suitable for continuation in primary care following recommendation by specialist service (Turning Point)

 
   
Nalmefene (Selincro®)
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Red

For reduction of alcohol consumption. To be prescribed only by Oxfordshire Drug and Alcohol recovery service (Turning Point).

APCO November 2014.

 
   
Naltrexone Hydrochloride
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For opioid dependence see 04.10.03.

Amber Traffic Light  For continuation in primary care. To be initiated by a consultant hepatologist for the treatment of pruritus due to cholestatic liver disease only.

APCO November 2004.

 
   
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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
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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

Red

Red: Medicines which should only be prescribed in secondary care by a specialist.  

Amber Continuation

Amber Continuation: Medicines which should be initiated or recommended by a specialist for continuation in primary care. The specialist must notify the GP that the prescribing responsibility has been transferred.   

Amber Shared Care Protocol

Amber Shared Care Protocol: Medicines which are appropriate to be initiated and stabilised by a specialist, once stabilised the medicine may be appropriate for responsibility to be transferred from secondary to primary care with the agreement of a GP and a formal ‘shared care’ agreement. The shared care protocol must be approved by the Area Prescribing Committee Oxfordshire (APCO).   

Green

Green: Medicines which are suitable for initiation and ongoing prescribing within primary care.   

Brown

Brown: Medicines which should only be prescribed in restricted circumstances.  

Black

Black: Medicines which are not recommended for use because of lack of evidence of clinical effectiveness, cost effectiveness or safety.  

OCCG Green

not used  

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