Chapters
| Status | Drug name | NICE TAs | Comments |
|---|---|---|---|
 | Amisulpride solution | Consultant initiation only, ESCA | |
| Amisulpride tablets | Consultant initiation only, ESCA | |
| Aripiprazole tablets | Supported by ESCA. The GP should be given a rationale for prescribing rather than first line antipsychotics. Approved for use in Tourette's Syndrome. | |
| Chlorpromazine injection | ESCA | |
| Chlorpromazine syrup | ESCA | |
| Chlorpromazine tablets | ESCA | |
 | Clozapine tablets | Only for emergency use in existing patients when inpatient at UHB | |
| Flupentixol decanoate injection | Hospital only. APC verdict - present status red. Future status amber with a framework in primary care before transfer (commissioning discussion). | |
| Flupentixol tablets | ||
| Fluphenazine decanoate injection | Hospital only. APC verdict - present status red. Future status amber with a framework in primary care before transfer (commissioning discussion). | |
| Haloperidol capsules | ESCA | |
| Haloperidol decanoate injection | Specialist initiation only | |
| Haloperidol injection | ||
| Haloperidol SF liquid | ESCA | |
| Haloperidol tablets | ||
 | Hyoscine patch | Very high relative cost | |
| Hyoscine tablets | Specialist initiation only | |
| Levomepromazine injection | Consultant initiation only | |
| Levomepromazine tablets (Nozinan®) | Consultant initiation only, ESCA | |
| Lithium carbonate M/R tablet (Priadel) | Specialist initation only, ESCA | |
| Lithium citrate liquid priadel | Specialist initiation only, ESCA | |
| Olanzapine orodispersible tablets | Specialist initiation only, ESCA | |
| Olanzapine tablets | Specialist initiation only, ESCA | |
| Paliperidone (Byannli®) | 6 monthly injection | |
| Paliperidone (Trevicta®) |
| |
| Paliperidone (Xeplion®) | APC verdict - present status = RED (Future status = AMBER with a framework in primary care before transfer - commissioning discussion) | |
| Pirenzipine | Unlicensed | |
| Procyclidine SF syrup | Specialist initiation only | |
| Procyclidine tablets | Specialist initiation only | |
| Quetiapine tablets | Specialist initiation only, ESCA | |
| Quetiapine XL tablets | Supported by ESCA. The GP should be given a rationale for prescribing rather than first line antipsychotics. Brand rationalisation - APC preferred brads Biquelle XL, Sondate XL, Zaluron XL | |
| Risperidone injection | APC verdict - present status = RED (Future status = AMBER with a framework in primary care before transfer - commissioning discussion) | |
| Risperidone liquid | ESCA | |
| Risperidone tablets | ESCA | |
| Sulpiride tablets | ESCA | |
| Trifluoperazine SF solution | Specialist initiation only, ESCA | |
| Trifluoperazine tablets | Specialist initiation only, ESCA | |
| Trihexyphenidyl | Specialist initiation only | |
| Valproic acid as semisodium valproate tablets | Specialist initiation only | |
| Zuclopenthixol decanoate injection | APC verdict - present status = RED (Future status = AMBER with a framework in primary care before transfer - commissioning discussion) | |
| Zuclopenthixol tablets | Specialist initiation only, ESCA |
Drug status key
Formulary drugs are allocated a traffic light status. This provides guidance on where clinical and prescribing responsibilities lie in regard to the initiation and maintenance of prescribing.
Grey
Positive NICE TA and/or awaiting local clarification on place in therapy. Please contact your medicines optimisation team for more information.
Red
Initiation and maintenance of prescribing by specialists only.
Amber
Initiation and maintenance of prescribing by specialists and transfer to primary care prescribing when appropriate, or in primary care following a specialists recommendation. Prior to initiation some medicines may require committee agreement or a framework to support safe transfer and maintenance.
Green
Initiation and maintenance of prescribing by specialists, GPs and other qualified clinicians.
Blue
Under review at University Hospitals Birmingham NHS Foundation Trust.
