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Southampton Joint Formulary
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 Formulary Chapter 4: Central nervous system - Full Chapter
04.07.04.01  Expand sub section  Treatment of the acute migraine attack
 link Link    NICE CG150: Headaches in over 12s: diagnosis and management
04.07.04.01  Expand sub section  Analgesics
04.07.04.01  Expand sub section  5HT1 agonists
Sumatriptan
(tablet/injection/nasal spray)
View adult BNF View SPC online View childrens BNF 		First Choice
Green

50mg tablet - first line oral triptan

Injection for migraine, if oral or nasal preparations fail, or cluster headache

 
   
Almotriptan
(tablet)
View adult BNF View SPC online View childrens BNF 		Second Choice
Green

Second line oral triptan

 
   
Zolmitriptan
(nasal spray)
View adult BNF View SPC online View childrens BNF 		Second Choice
Green

Useful if patients vomit

 
   
 ....
 Non Formulary Items
Eletriptan  (Relpax®)

View adult BNF View SPC online View childrens BNF 		Non Formulary
 
Frovatriptan

View adult BNF View SPC online View childrens BNF 		Non Formulary
 
Naratriptan  (Naramig®)

View adult BNF View SPC online View childrens BNF 		Non Formulary
 
Rizatriptan  (Maxalt®)

View adult BNF View SPC online View childrens BNF 		Non Formulary
 
  
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

Traffic Light Status Information

Status Description

Green

 Suitable for prescribing by all in both primary and secondary care.  

Amber Recommended

 Specialist recommended but suitable for continuation in primary care.  

Amber Initiation

 Specialist initiated but suitable for continuation in primary care.  

Amber SCG

 Specialist initiated and for continuation in primary care under a locally approved shared care guideline.  

Red

 Suitable for prescribing in specialist settings (secondary care) only.   

Red Specialist Centre

 Secondary care medicines to be used under specialised commissioning arrangements only.  

Blue

 For primary care, either via FP10 or supplied through specialist services. These products may be stocked by hospital pharmacies only for supply to primary care units/wards or for continuing supplies for patients admitted on therapy.  

Black

 Not recommended for use.  

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