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 Formulary Chapter 4: Central nervous system - Full Chapter
04.09.01  Expand sub section  Dopaminergic drugs used in Parkinsons disease
04.09.01  Expand sub section  Dopamine receptor agonists
Apomorphine
(injection)
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Formulary
Red
High Cost Medicine

Consultant initiated in severe disease

 
   
Bromocriptine
(tablet/capsule)
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Formulary
Amber Recommended

Not a first line option in Parkinson’s disease

 
   
Cabergoline
(tablet)
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Formulary
Amber Recommended

Not a first line option in Parkinson’s disease

 
   
Pergolide
(tablet)
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Blue
 
   
Pramipexole
(tablet)
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Amber Recommended

Check base/salt equivalence

 
   
Ropinirole
(tablet/modified release tablet)
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Amber Recommended

An initial choice, particularly in younger patients.

 
   
Rotigotine
(patch)
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Formulary
Amber Recommended

Initiated/recommended by specialists only.

A replacement for oral dopamine agonists in patients with inadequate control of nocturnal/early morning symptoms.

In patients with inadequate compliance of complex regimens (cognitive problems, unable to swallow oral medication, motor problems).

As sole treatment in emergency situations when patients are unable to swallow oral drugs

 
   
04.09.01  Expand sub section  Levodopa
04.09.01  Expand sub section  Monoamine-oxidase-B inhibitors
04.09.01  Expand sub section  Catachol-O-methyltransferase inhibitors to top
04.09.01  Expand sub section  Amantadine
 ....
 Non Formulary Items
Lisuride

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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
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Link to adult BNF
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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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