University Hospitals Birmingham NHS Foundation Trust

Chapters

StatusDrug nameNICE TAsComments
Status: AmberAgomelatine

Specialist initiation only, RICaD

Status: GreenAmitriptyline SF solution
Status: GreenAmitriptyline tablets

Very high relative cost

Status: RedBupropion

Specialist initiation only (off label use)

Status: GreenCitalopram oral drops

Not recommended routinely due to QT ptolongation risk

Status: GreenCitalopram tablets

Not recommended routinely due to QT ptolongation risk

Status: GreenClomipramine capsules

Specialist initiation only

Status: AmberDuloxetine capsules (Cymbalta)

Specialist initiation only

Status: GreenFluoxetine capsules
Status: GreenFluoxetine liquid
Status: AmberImipramine tablets

Specialist initiation only

Status: GreenLofepramine suspension

Specialist initiation only

Status: GreenLofepramine tablets

Specialist initiation only

Status: AmberMirtazapine orodispersible tablets

Palliative care team initiation

Status: AmberMirtazapine tablets

Palliative care team initiation

Status: AmberMoclobemide tablets

Specialist initiation only

Status: GreenParoxetine tablets
Status: GreenPregabalin

For generalised anxiety disorder

Status: GreenSertraline tablets
Status: GreenTrazodone capsules

Specialist initiation only

Status: GreenTrazodone SF liquid

Specialist initiation only

Status: GreenTrazodone tablets

Specialist initiation only

Status: RedTryptophan tablets

Specialist initiation only

Status: GreenVenlafaxine M/R capsules

Specialist initiation only

Status: GreenVenlafaxine tablets

Specialist initiation only

Status: AmberVortioxetine (Brintellix)

Specialist initiation only and RICaD

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

Grey

Positive NICE TA and/or awaiting local clarification on place in therapy. Please contact your medicines optimisation team for more information.

Red

Red

Initiation and maintenance of prescribing by specialists only.

Amber

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

Green

Initiation and maintenance of prescribing by specialists, GPs and other qualified clinicians.

Blue

Blue

Under review at University Hospitals Birmingham NHS Foundation Trust.

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