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Bedfordshire and Luton Joint Formulary
Bedfordshire Hospitals NHS Foundation Trust
Bedfordshire, Luton and Milton Keynes ICB
Formulary Chapter: 10 - Musculoskeletal and joint diseases 
Notes:

Any drug not listed on the Formulary should be considered Non-Formulary - Not recommended for prescribing
10.02.02 Skeletal muscle relaxants
10.02.02 Other muscle relaxants
10.02.02 Nocturnal leg cramps
Non formulary items

Quinine 200mg, 300mg (Tablets )

 
Non Formulary

No longer recommended.

NOTE (from BNF): Not suitable for routine treatment of nocturnal leg cramp due to potential for toxicity. Only consider using if cramps are very painful/frequent and when treatable causes of cramps are excluded. Monitor closely for adverse effects as well as for benefit.

BNF BNFc SPC
MHRA Drug Safety Update - November 17: Quinine: Reminder of dose-dependent QT-prolonging effects;updated medicines interactions
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.