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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
04.09.03 Torsion dystonias and other involuntary movements
NICE NG71: Parkinson’s disease in adults

Botulinum Toxin Type A 100 units (Botox ®)
(Injection)

RED
Restricted Drug Restricted

To be prescribed in accordance with BLMK APC guidance only.

Restriction - for consultant initiation only
Must be prescribed by both GENERIC and BRAND name

BNF BNFc SPC
BLMK APC Botulinum Toxin A Guidelines – For Multiple Conditions including hyperhidrosis

Botulinum Toxin Type A 300units, 500units (Dysport®)
(Injection)

RED
Restricted Drug Restricted

To be prescribed in accordance with BLMK APC guidance only, as below.

Restriction - for consultant initiation only
Must be prescribed by both GENERIC and BRAND name

BNF BNFc SPC
BLMK APC Botulinum Toxin A Guidelines – For Multiple Conditions including hyperhidrosis
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.