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South Staffordshire Joint Formulary
Cannock Chase Clinical Commissioning Group
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
04.10  Expand sub section  Drugs used in substance dependence
04.10.01  Expand sub section  Alcohol dependence
Acamprosate
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Red

Restriction: Initiation by substance abuse unit, no prescribing by General Practice

Patients with alcohol dependence should be referred using the GP surgeries clinical systems online referral form.

  • Staffordshire CCG’s – Humankind - Staffordshire treatment and recovery service (STARS) – Link to website


 

 
   
Nalmefene
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Red

Restriction: In line with NICE Guidance only

Restriction: Initiation by substance abuse unit, no prescribing by General Practice

Patients with alcohol dependence should be referred using the GP surgeries clinical systems online referral form.

  • Staffordshire CCG’s – Humankind - Staffordshire treatment and recovery service (STARS) – Link to website
 
Link  NICE TA325: Nalmefene for reducing alcohol consumption in people with alcohol dependence
   
04.10.02  Expand sub section  Nicotine dependence
 note 

Everyone Health, the service provider for smoking cessation service confirms it is now open to all tobacco smokers, living anywhere in Staffordshire, aged 40 years and over. Referrals can still be made by calling the contact centre on 0333 005 0095, or via email: eh.staffs@nhs.net

Link to website - everyonehealth.co.uk

Nicotine Replacement Therapy
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Formulary
Red

Restriction: As part of a smoking cessation programme or during inpatient stay only.

Commissioned by Staffordshire County Council. GPs should not routinely prescribe; patients should be directed to a local provider of stop smoking services to access support and treatment.

Self Care Self Care Medicine-Available OTC for self-care.

 
Link  My Health and Wellbeing Planner
Link  UKMI Q&A: Smoking and Drug Interactions
   
Varenicline (Champix)
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Formulary
Red

Varenicline Tart Tablet 0.5mg
Varenicline Tart Tablet 1mg

Varenicline Starter Pack (11 x 500mcg Tabs + 14 x 1mg Tabs)

Restriction: As part of a smoking cessation programme only.

 
Link  NICE TA123: Varenicline
   
Bupropion Hydrochloride (Zyban)
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Formulary
Red

Bupropion HCl Tablet 150mg M/R
 
Restriction: As part of a smoking cessation programme only.
 

MHRA/CHM advice: Bupropion (Zyban®): risk of serotonin syndrome with use with other serotonergic drugs (November 2020)

 
   
04.10.03  Expand sub section  Opioid dependence
04.10.03  Expand sub section  Opioid substitution therapy to top
Controlled Drug Buprenorphine (Subutex)
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Restricted Drug Restricted
Red

Buprenorphine_Tab Subling 400mcg S/F
Buprenorphine_Tab Subling 2mg S/F
Buprenorphine_Tab Subling 8mg S/F
Subutex_Tab Subling 2mg
Subutex_Tab Subling 400mcg
Subutex_Tab Subling 8mg 
 
 

From April 1st 2017 there should be no prescribing of medications within primary care for alcohol or substance misuse. New patients should be referred into the One Recovery specialist service.

One Recovery are working to repatriate patients back into their specialist services but if there any queries related to specific patients it is recommended that these are directed to the service.

Stafford Tel: 01785- 270080

Cannock Tel: 01543-468667


 
 

 
   
Controlled Drug Buprenorphine and Naloxone (Suboxone)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Red

Suboxone_Tab Subling 2mg/0.5mg
Suboxone_Tab Subling 8mg/2mg 
 

From April 1st 2017 there should be no prescribing of medications within primary care for alcohol or substance misuse. New patients should be referred into the One Recovery specialist service.

One Recovery are working to repatriate patients back into their specialist services but if there any queries related to specific patients it is recommended that these are directed to the service.

Stafford Tel: 01785- 270080

Cannock Tel: 01543-468667

 

 
   
Controlled Drug Methadone
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Red

Methadone HCl_Mix 1mg/1ml
 

From April 1st 2017 there should be no prescribing of medications within primary care for alcohol or substance misuse. New patients should be referred into the One Recovery specialist service.

One Recovery are working to repatriate patients back into their specialist services but if there any queries related to specific patients it is recommended that these are directed to the service.

Stafford Tel: 01785- 270080

Cannock Tel: 01543-468667


 

 
   
04.10.03  Expand sub section  Opioid-receptor antagonists
Naltrexone (Nalorex)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted

From April 1st 2017 there should be no prescribing of medications within primary care for alcohol or substance misuse. New patients should be referred into the One Recovery specialist service.

One Recovery are working to repatriate patients back into their specialist services but if there any queries related to specific patients it is recommended that these are directed to the service.

Stafford Tel: 01785- 270080

Cannock Tel: 01543-468667

 
Link  NICE TA115: Drug misuse - naltrexone
   
 ....
 Non Formulary Items
Disulfiram  (Antabuse)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Naltrexone

View adult BNF View SPC online View childrens BNF
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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