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Bedfordshire and Luton Joint Formulary
Bedfordshire Hospitals NHS Foundation Trust
Bedfordshire, Luton and Milton Keynes ICB
Formulary Chapter: 4 - Central nervous system 
Notes:

Any drug not listed on the Formulary should be considered Non-Formulary - Not recommended for prescribing

04.01.01 Hypnotics
04.01.01 Benzodiazepines
04.01.01 Zaleplon, Zolpidem and Zopiclone
04.01.01 Chloral and derivatives

Chloral Hydrate 500mg/5mL
(Oral Solution )

RED
Restricted Drug Restricted

Less suitable for prescribing. Prescribe only where there is no alternative.

Avoid prolonged use and abrupt withdrawal thereafter.

Standard strength liquid is 500mg/5ml as per RCPCH/NPPG guidance http://nppg.org.uk/position-statements/

Non formulary items

Cloral Betaine

 
Non Formulary

Less suitable for prescribing, consider alternatives.

£140 for 30 tablets (June 2019).

04.01.01 Clomethiazole (Chlormethiazole)
04.01.01 Antihistamines
04.01.01 Alcohol
04.01.01 Sodium oxybate
Classifications
May be initiated in any care setting
Specialist to advise therapy and provide first 28 days supply, continuation in Primary Care
Specialist to initiate and stabilise medicine prior to continuation in Primary Care
To be prescribed as per Shared Care Guidance. If no SCG in place status reverts to red.
Red medicines are designated as specialist only medicines which should only be prescribed by a specialist, usually within secondary care (either due to the requirement for specialist knowledge, long-term monitoring requirements, or restrictions that mean medicine supplies are only available to hospitals).
A decision has been made either locally and/or nationally not to routinely commission this preparation. Do not prescribe.
To be purchased over the counter. May be prescribed for chronic, long term conditions or on admission to hospital if essential.