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 Formulary Chapter 4: Central nervous system - Full Chapter
04.07.04.01  Expand sub section  Treatment of the acute migraine attack
04.07.04.01  Expand sub section  Analgesics
04.07.04.01  Expand sub section  5HT1 agonists
Sumatriptan
(Tablets, Pre-filled syringe, Nasal Spray)
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First Choice
OTC

  • First line formulary choice in Primary Care (Prescribe generically)

  • Trusts: For the management of migraine, only supply as an inpatient / outpatient in exceptional circumstances, where treatment is required and the patient does not have their own supply.

  • CUHFT: Tablets are only formulation on formulary

  • Can be purchased from a Community Pharmacist (infrequent use and no comorbidities or interacting medications)


 
Zolmitriptan
(Tablets, Orodispersible tablets )
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Restricted Drug Restricted
Green

  • Second line formulary choice in Primary Care (Prescribe generically)

  • Trusts (excluding NWAFT): For the management of migraine, only supply as an inpatient / outpatient in exceptional circumstances, where treatment is required and the patient does not have their own supply.

  • NWAFT: Non-formulary


 


 

 
   
Rizatriptan
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Restricted Drug Restricted
Red Hospital

  • RPH: Formulary

  • Non-formulary at all other Trusts and in Primary Care

 
   
04.07.04.01  Expand sub section  Ergot alkaloids
 ....
 Non Formulary Items
Almotriptan  (Almogran®)

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Non Formulary
Grey
 
Eletriptan  (Relpax®)

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Non Formulary
Grey
 
Frovatriptan  (Migard®)

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Non Formulary
Grey
 
Naratriptan  (Naramig®)

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Non Formulary
Grey
 
  
Key
note Notes
Section Title Section Title (top level)
Section Title Section Title (sub level)
First Choice Item First Choice item
Non Formulary Item Non Formulary section
Restricted Drug
Restricted Drug
Unlicensed Drug
Unlicensed
Track Changes
Display tracking information
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Link to adult BNF
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Link to children's BNF
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Link to SPCs
SMC
Scottish Medicines Consortium
Cytotoxic Drug
Cytotoxic Drug
CD
Controlled Drug
High Cost Medicine
High Cost Medicine
Cancer Drugs Fund
Cancer Drugs Fund
NHSE
NHS England
Homecare
Homecare
CCG
CCG

Traffic Light Status Information

Status Description

OTC

Available Over the Counter. Consider Self Care   

Green

Formulary - Can be prescribed in both secondary and primary care.   

Advice

Formulary - Specialist Advice, secondary care advice provided for primary care initiation.  

Amber No SCG

Formulary - Specialist initiation without shared care guidance.  

Amber SCG

Formulary - Specialist initiation with shared care guidance.  

Red Hospital

Restricted - Hospital only, not to be prescribed in primary care.  

Switch

Not recommended for prescribing. Switch to alternative cost-effective option.   

Black

Not recommended for prescribing in primary or secondary care.  

Grey

Not recommended as no formal application made for addition to the formulary. Contact relevant pharmacy team for further information.   

Non Formulary

Non-Formulary (category under review).  

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