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 Formulary Chapter 4: Central nervous system - Full Chapter
Notes:

Please contact EKHUFT Medicines Information ext. 7236001 or 01233 616001 with any queries. 

NHS
 Details...
04.10.01  Expand sub section  Alcohol dependence
 note  Community alcohol dependence services are provided in East Kent from 1st April 2016 by Turning Point - East Kent (Telephone 01227 826400, 24/7 Helpline, Advice 0300 123 1186). At QEQMH for inpatients please contact the Alcohol and Substance Misuse Team at extension 725-3521 (discharge lounge).
Disulfiram (Antabuse)
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Formulary

Tablets: Not approved for use as specific COVID-19 treatment - see FAQs on Prescribing.

  • Doses in BNF may differ from those in product literature
  • Community initiation should have been by Turning Point - East Kent (Telephone 01227 826400, 24/7 Helpline, Advice 0300 123 1186). At QEQMH for inpatients please contact the Alcohol and Substance Misuse Team at extension 725-3521 (discharge lounge).
 
   
 ....
 Non Formulary Items
Acamprosate Calcium  (Campral EC)

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Non Formulary
  • Any East Kent community initiation should have been by Turning Point - East Kent (Telephone 01227 826400, 24/7 Helpline, Advice 0300 123 1186). At QEQMH for inpatients please contact the Alcohol and Substance Misuse Team at extension 725-3521 (discharge lounge).
  •  
    Nalmefene  (Selincro)

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    Non Formulary
  • Community initiation should have been by Turning Point - East Kent (Telephone 01227 826400, 24/7 Helpline, Advice 0300 123 1186). At QEQMH for inpatients please contact the Alcohol and Substance Misuse Team at extension 725-3521 (discharge lounge).
  • Nalmefene will be supplied to patients already on it upon admission.
  • Link  NICE TA325 Nalmefene for reducing alcohol consumption in people with alcohol dependence
     
    Naltrexone

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    Non Formulary
    Black

    NHS status December 2013 Interim decision not to make available on local NHS for alcohol dependence. (NICE CG115 recommendation considered)


  • Any East Kent NHS community initiation should have been by Turning Point - East Kent (Telephone 01227 826400, 24/7 Helpline, Advice 0300 123 1186). At QEQMH for inpatients please contact the Alcohol and Substance Misuse Team at extension 725-3521 (discharge lounge).
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    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
    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

    Amber

    Requires to be initiated by specialist for repeat GP Prescribing (Purple as per Eclipse East Kent Primary Care Formulary, may be top sliced) If a downloadable EKPG Prescribing Information Sheet exists in the formulary entry for the drug, it, or an URL (shortcut to webpage/document) should be sent to the GP. See also "Hints in how to incorporate documents for medicines information into clinical communications to GPs".  

    Amber 1

    Shared Care (Orange as per Eclipse East Kent Primary Care Formulary). See the Principles of Shared Care Agreements and Shared Care Agreements: Assessment against agreed Principles of Shared Care documents. If a downloadable template document exists in the formulary entry for this drug, it should be sent to the GP (and patient) once patient specific details are incorporated. See "Hints in how to incorporate shared care documents for medicines into clinical communications to GPs".  

    Amber 2

    Shared Care and topsliced (Orange as per Eclipse East Kent Primary Care Formulary) See the Principles of Shared Care Agreements and Shared Care Agreements: Assessment against agreed Principles of Shared Care documents. If a downloadable template document exists in the formulary entry for this drug, it should be sent to the GP (and patient) once patient specific details are incorporated. See "Hints in how to incorporate shared care documents for medicines into clinical communications to GPs".  

    Black

    A decision has been made by either or both the local or national NHS not to routinely commission this preparation for its licensed indications  

    Blue

    No comment on drug in East Kent Primary Care Formulary (Blue as per Eclipse East Kent Primary Care Formulary)  

    Brown

    Exceptional Use Only (Brown as per Eclipse East Kent Primary Care Formulary)   

    Green

    On East Kent Primary Care Formulary (Pink or Green as per Eclipse East Kent Primary Care Formulary)  

    Grey

    Not assessed/Not recommended (As per Eclipse East Kent Primary Care Formulary)  

    Red

    Hospital Only (As per Eclipse East Kent Primary Care Formulary)  

    RedRed

    Known to be commissioned for local NHS patients but only available to them from another provider than EKHUFT  

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