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Other - Cost: £742,331,115.17 Atorvastatin - Cost: £10,372,848.95 Trimbow - Cost: £11,522,429.50 Beclometasone / Formoterol MDI (Fostair) - Cost: £14,394,654.00 Empagliflozin (Jardiance) - Cost: £14,487,160.92 Rivaroxaban - Cost: £19,613,614.42 Edoxaban (Lixiana) - Cost: £21,353,949.75 FreeStyle Libre 2 Sensor  - Cost: £22,377,425.00 Dapagliflozin (Forxiga) - Cost: £27,294,366.44
Formulary Notes (BNF Chapter)
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Important Local Documents (1)
Notes for: Central nervous system
Last edited [10/12/2021 11:31:41]

‘Safety First: Five-Year Report of the National Confidential Inquiry into Suicide and Homicide by People with Mental Illness’ recommends that patients at risk of suicide, including all patients with a recent history of self-harm, who are treated with psychotropic drugs should receive modern, less toxic drugs and/or supplies lasting no more than 2 weeks.

 

Cornwall Joint Formulary Recommended Choices     (...Top)
Displaying 17 Drugs

Key:
First Line Drugs First Line Drugs
Second Line Drugs Second Line Drugs
Specialist advised Specialist advised
Specialist Initiated Drugs Specialist Initiated Drugs
Hospital Only Drugs Hospital Only Drugs
Discouraged Discouraged
No comment available No comment available

NameTariffBNF Sub Paragraph
Zopiclone
7.5 mg tab Pack of 28
£1.46PCT FORMULARY STATUS: First Line Drugs HypnoticsView BNF Article on 'Zopiclone'View SPC on 'Zopiclone'View PIL on 'Zopiclone'
Zopiclone
3.75 mg tab Pack of 28
£1.52PCT FORMULARY STATUS: First Line Drugs HypnoticsView BNF Article on 'Zopiclone'View SPC on 'Zopiclone'View PIL on 'Zopiclone'
Temazepam
10 mg tab Pack of 28
£23.43PCT FORMULARY STATUS: Second Line Drugs Hypnotics
View BNF Article on 'Temazepam'View SPC on 'Temazepam'View PIL on 'Temazepam'
Temazepam
20 mg tab Pack of 28
£24.21PCT FORMULARY STATUS: Second Line Drugs Hypnotics
View BNF Article on 'Temazepam'View SPC on 'Temazepam'View PIL on 'Temazepam'
Quviviq (Daridorexant)
25 mg tablets Pack of 30
£42.00PCT FORMULARY STATUS: Second Line Drugs [Notes:] Insomnia in adults with symptoms lasting for 3 nights or more per week for at least 3 months, and whose daytime functioning is considerably affected, only if cognitive behavioural therapy for insomnia (CBTi) has not worked, is not available, or is unsuitable. Length of treatment should be as short as possible and assessed within 3 months as per NICE TA922 HypnoticsView BNF Article on 'Quviviq'View SPC on 'Quviviq'View PIL on 'Quviviq'
Insomnia in adults with symptoms lasting for 3 nights or more per week for at least 3 months, and whose daytime functioning is considerably affected, only if cognitive behavioural therapy for insomnia (CBTi) has not worked, is not available, or is unsuitable. Length of treatment should be as short as possible and assessed within 3 months as per NICE TA922
Quviviq (Daridorexant)
50 mg tablets Pack of 30
£42.00PCT FORMULARY STATUS: Second Line Drugs [Notes:] Insomnia in adults with symptoms lasting for 3 nights or more per week for at least 3 months, and whose daytime functioning is considerably affected, only if cognitive behavioural therapy for insomnia (CBTi) has not worked, is not available, or is unsuitable. Length of treatment should be as short as possible and assessed within 3 months as per NICE TA922 HypnoticsView BNF Article on 'Quviviq'View SPC on 'Quviviq'View PIL on 'Quviviq'
Insomnia in adults with symptoms lasting for 3 nights or more per week for at least 3 months, and whose daytime functioning is considerably affected, only if cognitive behavioural therapy for insomnia (CBTi) has not worked, is not available, or is unsuitable. Length of treatment should be as short as possible and assessed within 3 months as per NICE TA922
Temazepam
10 mg / 5ml Oral solution S/F Pack of 300
£186.17PCT FORMULARY STATUS: Second Line Drugs Hypnotics
View BNF Article on 'Temazepam'View SPC on 'Temazepam'View PIL on 'Temazepam'
Melatonin
2 mg MR tablets Pack of 30
£3.46PCT FORMULARY STATUS: Specialist Initiated Drugs HypnoticsView BNF Article on 'Melatonin'View SPC on 'Melatonin'View PIL on 'Melatonin'
Melatonin (Adaflex)
1 mg tablets Pack of 30
£10.89PCT FORMULARY STATUS: Specialist Initiated Drugs [Notes:] The tablet can be crushed before intake and mixed with water.
 HypnoticsView BNF Article on 'Melatonin'View SPC on 'Melatonin'View PIL on 'Melatonin'
The tablet can be crushed before intake and mixed with water.
Melatonin (Adaflex)
2 mg tablets Pack of 30
£10.89PCT FORMULARY STATUS: Specialist Initiated Drugs [Notes:] The tablet can be crushed before intake and mixed with water.
 HypnoticsView BNF Article on 'Melatonin'View SPC on 'Melatonin'View PIL on 'Melatonin'
The tablet can be crushed before intake and mixed with water.
Melatonin (Adaflex)
4 mg tablets Pack of 30
£10.89PCT FORMULARY STATUS: Specialist Initiated Drugs [Notes:] The tablet can be crushed before intake and mixed with water.
 HypnoticsView BNF Article on 'Melatonin'View SPC on 'Melatonin'View PIL on 'Melatonin'
The tablet can be crushed before intake and mixed with water.
Melatonin (Adaflex)
5 mg tablets Pack of 30
£10.89PCT FORMULARY STATUS: Specialist Initiated Drugs [Notes:] The tablet can be crushed before intake and mixed with water.
 HypnoticsView BNF Article on 'Melatonin'View SPC on 'Melatonin'View PIL on 'Melatonin'
The tablet can be crushed before intake and mixed with water.
Melatonin (Adaflex)
3 mg tablets Pack of 30
£17.60PCT FORMULARY STATUS: Specialist Initiated Drugs [Notes:] The tablet can be crushed before intake and mixed with water.
 HypnoticsView BNF Article on 'Melatonin'View SPC on 'Melatonin'View PIL on 'Melatonin'
The tablet can be crushed before intake and mixed with water.
Melatonin (Ceyesto)
1 mg/ml oral solution (150ml) Pack of 1
£25.65PCT FORMULARY STATUS: Specialist Initiated Drugs [Notes:] Cost-effective alternative to liquid preparations, where tablets cannot be crushed and dissolved. Please note use is off-label for children under 6 years. HypnoticsView BNF Article on 'Melatonin'View SPC on 'Melatonin'View PIL on 'Melatonin'
Cost-effective alternative to liquid preparations, where tablets cannot be crushed and dissolved. Please note use is off-label for children under 6 years.
Melatonin (Slenyto)
1 mg MR tablets Pack of 60
£41.20PCT FORMULARY STATUS: Specialist Initiated Drugs [Notes:] Treatment of insomnia in children and adolescents aged 2 to 18 years with autism spectrum disorder and / or Smith-Magenis syndrome, where sleep hygiene measures have been insufficient. HypnoticsView BNF Article on 'Melatonin'View SPC on 'Melatonin'View PIL on 'Melatonin'
Treatment of insomnia in children and adolescents aged 2 to 18 years with autism spectrum disorder and / or Smith-Magenis syndrome, where sleep hygiene measures have been insufficient.
Melatonin (Slenyto)
5 mg MR tablets Pack of 30
£103.00PCT FORMULARY STATUS: Specialist Initiated Drugs [Notes:] Treatment of insomnia in children and adolescents aged 2 to 18 years with autism spectrum disorder and / or Smith-Magenis syndrome, where sleep hygiene measures have been insufficient. HypnoticsView BNF Article on 'Melatonin'View SPC on 'Melatonin'View PIL on 'Melatonin'
Treatment of insomnia in children and adolescents aged 2 to 18 years with autism spectrum disorder and / or Smith-Magenis syndrome, where sleep hygiene measures have been insufficient.
Sodium Oxybate (Xyrem)
500 mg/ml oral solution Pack of 180
- PCT FORMULARY STATUS: Hospital Only Drugs HypnoticsView BNF Article on 'Sodium Oxybate'View SPC on 'Sodium Oxybate'View PIL on 'Sodium Oxybate'

 
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