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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

04.06 Drugs used in nausea and vertigo
04.06 Vomiting during pregnancy
04.06 Postoperative nausea and vomiting
04.06 Motion sickness
04.06 Other vestibular disorders
04.06 Cytotoxic chemotherapy
04.06 Palliative care
04.06 Migraine
04.06 Antihistamines
04.06 Phenothiazines and related drugs

Chlorpromazine Hydrochloride

Formulary
25mg, 50mg & 100mg Tablets
100mg/5mL Syrup

Chlorpromazine Hydrochloride

RED
Formulary
50mg in 2mL Injection

Droperidol 2.5mg/1mL (Xomolix®)
(Injection)

RED
Restricted Drug Restricted

Approved for off-label intramuscular injection of 5mg dose for the Emergency Department only. Prescribing to be by ED consultants or registrars.

Prochlorperazine

Formulary
  • Tablets 5mg
  • Buccal tablets 3mg 

Nov 2022: Stemetil 5mg/5mL syrup has been discontinued due to excess levels of a nitrosamine compound following lab tests

 

Entry reviewed: December 2024

Prochlorperazine Injection 12.5mg/mL

RED
Formulary

Injection 12.5mg/mL 

 

Entry reviewed: December 2024

Trifluoperazine

Formulary

1mg & 5mg Tablets
5mg/5mL Solution

04.06 Domperidone and metoclopramide
04.06 5HT3 antagonists
04.06 Neurokinin receptor antagonist
04.06 Cannabinoid
04.06 Hyoscine
04.06 Other drugs for Ménière's disease
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.