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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
04.11  Expand sub section  Drugs for dementia
Donepezil (Aricept®)
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Formulary
Amber E

Donepezil HCl Tablet 5mg
Donepezil HCl Tablet 10mg
Donepezil HCl_Orodisper Tablet 5mg
Donepezil HCl_Orodisper Tablet 10mg

See link below for ESCA. Please use the ESCA under the title Agreements - South Staffordshire CCG Locality

 
Link  Essential Shared Care Agreements (ESCA’s) - MPFT
   
Galantamine (Reminyl®)
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Formulary
Amber E

Galantamine_Tablet 8mg
Galantamine_Tablet 12mg

See link below for ESCA. Please use the ESCA under the title Agreements - South Staffordshire CCG Locality

 
Link  Essential Shared Care Agreements (ESCA’s) - MPFT
   
Galantamine M/R capsules (Galzemic XL capsules® )
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Formulary
Amber E

Galantamine XL 8mg Capsules
Galamtamine XL 16mg capsules
Galantamine XL 24mg capsules

Please prescribe by brand name GALZEMIC XL as this is most cost effective option.

See link below for ESCA. Please use the ESCA under the title Agreements - South Staffordshire CCG Locality

 
Link  Essential Shared Care Agreements (ESCA’s) - MPFT
Link  Information from NICE
   
Memantine (Ebixa®)
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Formulary
Amber E

Memantine HCl_Tablet 10mg
Memantine HCl_Tablet 20mg

See link below for ESCA. Please use the ESCA under the title Agreements - South Staffordshire CCG Locality

 
Link  Essential Shared Care Agreements (ESCA’s) - MPFT
   
Rivastigmine (Alzest®)
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Formulary
Amber E

Rivastigmine_Cap 1.5mg
Rivastigmine_Cap 3mg
Rivastigmine_Cap 4.5mg
Rivastigmine_Cap 6mg
Rivastigmine_Oral Soln 2mg/1ml
Rivastigmine_Oral Soln 2mg/1ml S/F
Rivastigmine_Skin Patch 4.6mg/24hrs
Rivastigmine_Skin Patch 9.5mg/24hrs
Rivastigmine_Skin Patch 13.3mg/24hrs

Patches should only be used in patients with swallowing difficulties and should be prescribed as Alzest which is more cost effective in primary care.

See link below for ESCA. Please use the ESCA under the title Agreements - South Staffordshire CCG Locality

 
Link  Essential Shared Care Agreements (ESCA’s) - MPFT
   
 ....
 Non Formulary Items
Galantamine  (Galsya XL)

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Non Formulary This brand is non formulary as more cost effective to prescribe Gatalin XL brand of galatamine modified release
 
Galantamine  (Reminyl® XL)

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Non Formulary This brand is non formulary as more cost effective to prescribe Gatalin XL brand of galatamine modified release
 
  
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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