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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
04.09.03 Drugs used in essential tremor, chorea, tics, and related disorders
NICE NG71: Parkinson’s disease in adults

Riluzole 50mg
(Tablets)

SCG
Restricted Drug Restricted

Riluzole tablets should be prescribed generically

To be initiated by Consultant neurologists only in accordance with NICE TA20.

BNF BNFc SPC
JPC: SHARED CARE GUIDELINE FOR THE USE OF RILUZOLE IN THE TREATMENT OF MOTOR NEURONE DISEASE NICE TA20: Motor neurone disease - riluzole

Riluzole 5mg/mL (Teglutik®)
(Oral suspension)

SCG
Restricted Drug Restricted
Restricted: Only for use in patients with swallowing difficulties- SALT assessment required)

To be initiated by Consultant neurologists only in accordance with NICE TA20.
BNF BNFc SPC
JPC SHARED CARE GUIDELINE FOR THE USE OF RILUZOLE IN THE TREATMENT OF MOTOR NEURONE DISEASE (2017) NICE TA20: Motor neurone disease - riluzole

Tetrabenazine

GREEN
Formulary
25mg Tablets
BNF BNFc SPC

Botulinum Toxin Type A (Xeomin®)

RED
Restricted Drug Restricted

FOR ALL PRESCRIBING - Blueteq or High Cost Drug Form required - see link from Formulary Homepage.

Restricted prescribing in accordance with the following NICE TA:

BNF BNFc SPC
NICE TA 605 Xeomin (botulinum neurotoxin type A) for treating chronic sialorrhoea
04.09.03 Torsion dystonias and other involuntary movements
Classifications
GREEN
May be initiated in any care setting
Amber SPA
Specialist to advise therapy and provide first 28 days supply, continuation in Primary Care
Amber SPIS
Specialist to initiate and stabilise medicine prior to continuation in Primary Care
SCG
To be prescribed as per Shared Care Guidance. If no SCG in place status reverts to red.
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).
DNP
A decision has been made either locally and/or nationally not to routinely commission this preparation. Do not prescribe.
SELF
To be purchased over the counter. May be prescribed for chronic, long term conditions or on admission to hospital if essential.