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East Staffordshire Clinical Commissioning Group
South East Staffordshire and Seisdon Peninsula Clinical Commissioning Group
Stafford and Surrounds Clinical Commissioning Group
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 Formulary Chapter 4: Central nervous system - Full Chapter
04.07.04  Expand sub section  Antimigraine drugs
04.07.04.01  Expand sub section  Treatment of the acute migraine attack
Aspirin
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Formulary
Green
Aspirin Tablet 300mg

Because of an association with Reye's syndrome, preparations containing aspirin should not be offered to people aged under 16 years. 
Link  MHRA : Oral salicylate gels: not for use in those younger than age 16 years
   
Paracetamol (See Section 4.7.1)
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Formulary
Green
 
   
Domperidone
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Formulary
Green
Please refer to Section 4.6 
Link  Click Here to go to Section 04.07:
   
Metoclopramide (Section 4.6 also)
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Formulary
Green
Please refer to section 4.6

Metoclopramide HCl Tablet 10mg 
Link  Click Here to go to Section 04.07:
   
04.07.04.01  Expand sub section  5HT1 agonists
Sumatriptan
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Formulary
Green
Sumatriptan Tablet 100mg
Sumatriptan Tablet 50mg
Sumatriptan Aq Nasal Spray 20mg/0.1ml Ud
 
   
Zolmitriptan
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Formulary
Green

NICE Recommend this for Menstrual-related Migraine. If this is not tolerated then consider Frovatriptan 2.5mg tablets instead for menstrual related migraine. (Unlicensed indication)

 
   
Rizatriptan
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Formulary
Green
 
   
04.07.04.02  Expand sub section  Prophylaxis of migraine
Botulinum Toxin Type A (Botox®)
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Formulary
Red
High Cost Medicine
CCG
BlueTeq

Restriction: In line with NICE Guidance only

 
Link  NICE TA260: Botulinum toxin type A for the prevention of headaches in adults with chronic migraine
   
ErenumabBlack Triangle (Aimovig®)
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Formulary
Red
High Cost Medicine
CCG
BlueTeq

Restriction: In line with NICE Guidance only

 
Link  NICE TA682: Erenumab for preventing migraine
   
FremanezumabBlack Triangle (Ajovy®)
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Formulary
Red
High Cost Medicine
CCG
BlueTeq

Restriction: In line with NICE Guidance only

 
Link  NICE TA631: Fremanezumab for preventing migraine
   
GalcanezumabBlack Triangle (Emgality®)
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Formulary
Red
High Cost Medicine
CCG
BlueTeq

Restriction: In line with NICE Guidance only

 
Link  NICE TA659: Galcanezumab for preventing migraine
   
Pizotifen
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Formulary
Green

Pizotifen Malate_Tab 1.5mg
Pizotifen Malate_Tab 500microgram

Liquid Preparations are Unlicensed and Expensive

 
   
Propranolol
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Formulary
Green
See Section 2.4

See link for Chapter 2.4.9 
Link  Beta-Adrenoceptor blocking Drugs - Propanolol Hydrochloride
   
Topiramate Tablets
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Formulary
Green
Topiramate Tabs 25mg
Topiramate Tabs 50mg
Topiramate Tabs 100mg
Topiramate Tabs 200mg

 
Link  Control of the Epilepsies - Topiramate
   
04.07.04.03  Expand sub section  Cluster headache to top
 ....
 Non Formulary Items
Almotriptan  (Almogran®)

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Non Formulary
 
Clonidine Hydrochloride

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Non Formulary
 
Clonidine Hydrochloride  (Catapres®)

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Non Formulary
 
Clonidine Hydrochloride  (Dixarit®)

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Non Formulary
 
Clonidine Hydrochloride  (Dixarit®)

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Non Formulary
 
Eletriptan  (Relpax®)

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Non Formulary
 
Ergotamine Tartrate  ((Cafergot®))

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Non Formulary NON formulary not recommended for prescribing
 
Ergotamine Tartrate  (Migril®)

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Non Formulary Non formulary not recommended to prescribe
 
Methysergide  (Deseril®)

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Non Formulary
 
Naratriptan  (Naramig®)

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Non Formulary
 
Sumatriptan  (Imigran®)

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Non Formulary
 
Sumatriptan  (Imigran® Radis)

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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

Red

Drugs which require special consideration. These are drugs for Consultant Prescribing ONLY. They should not be prescribed in Primary Care.  

Amber

Drugs that should be initiated by a Specialist but are suitable for continuation in Primary Care. For some drugs there may be a Ricad in place to aid the transition to primary care.  

Amber E

Drugs that should be initiated by a Specialist but are suitable for continuation in Primary Care but also require and ESCA (Shared Care Agreement)   

Green

Suitable first-line drugs for implementation in Primary Care  

On Formulary

South Staffs Formulary Choice  

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