nhs forth valley formulary 11 - Community Pharmacy

Forth Valley Formulary Eleventh Edition 2012/13Chapter/Section/Drug Primary Care AcuteCHPsMentalHealthSpecialtiesServices4 Central Nervous System4.1 Hypnotics & AnxiolyticsComment All sedative hypnotics and anxiolytic products are licensed for short term use only and should bereserved for short courses to alleviate acute conditions after causal factors have been established.Refer to Guidance on Benzodiazepine Prescribing: Management of Dependence in Primary Care4.1.1 HypnoticsZopiclone (1 st Line) Temazepam (2 nd Line) 4.1.2 AnxiolyticsDiazepam (1 st Line) Chlordiazepoxide (use in alcohol detoxification)Comment Refer to Alcohol Dependence -In-patient Management of Alcohol Withdrawal ,Alcohol Dependence-Community Management of Alcohol Withdrawal &Alcohol Dependence- Maintenance of AbstinenceCommentLorazepam Lorazepam - Short term use only.Shorter acting compounds may be preferred in patients with hepatic impairment but they carry agreater risk of withdrawal symptoms.Propranolol (see section 2.4) 4.2 Drugs in psychoses and related disorders4.2.1 Antipsychotic DrugsComment:Refer to Prescribing Guidelines• Emergency Sedation Prescribing Guideline• Monitoring Guidance for Patients Receiving Atypical Antipsychotic Therapy• Integrated Care Pathway for SchizophreniaChlorpromazine (1 st Line in Primary Care)Haloperidol ( Baseline ECG Required ) Levomepromazine [Methotrimeprazine] (Palliative Care)Trifluoperazine Zuclopenthixol Dihydrochloride (Clopixol® tabs)Zuclopenthixol Acetate (Clopixol Acuphase®)Amisulpride Aripiprazole Clozapine Comment Clozapine used for treatment resistant schizophrenia only.Quetiapine Risperidone 4.2.2 Antipsychotic Depot InjectionsFlupentixol Decanoate Inj Fluphenazine Decanoate Inj Haloperidol Decanoate Inj Olanzapine (See protocol for IM use) Paliperidone Inj Pipotiazine Palmitate Inj Risperidone Zuclopenthixol Decanoate Inj Page 19