BNF 4 CNS

Formulary Last Updated
Central Nervous System April 2024

Prescribing Guidelines for BNF 4 CNS

Prescribing Guideline Last Updated Review Date
Antipsychotics - Clozapine (GP information) April 2022 March 2025
Antipsychotics - Prescribing and Management for mental health conditions October 2022 September 2025
Chloral Hydrate position statement February 2022 January 2025
Dementia - management in primary care February 2022 January 2025
Dementia - managing behavioural problems April 2023 March 2026
Depression and the use of antidepressants October 2022 September 2025
Domperidone - off licence use June 2023 May 2026
Insomnia - Daridorexant Prescribing Guideline July 2024 June 2027
Insomnia - Melatonin for the treatment of sleep disorders in children March 2022 February 2025
Metoclopramide use in gastro-paresis May 2023 April 2026
Midazolam - management of convulsive seizures in the community August 2023 July 2026
Pain - Deprescribing and safer prescribing of strong opioids in non malignant pain October 2021 September 2025
Pain - Nefopam (position statement) October 2021 September 2025
Pain - neuropathic pain in primary care April 2023 March 2026
Pain - non-malignant chronic pain in primary care October 2021 September 2025
Pain - opioids - choice of strong opioids for cancer pain October 2021 September 2025
Sativex - for severe spasticity in multiple sclerosis September 2022 August 2025
Smoking cessation - NRT formulary February 2023 January 2026

Other Information

 

Opioid Resources

The Opioid Resource Pack brings together a number of resources clinicians can use to support the appropriate use and review of opioids used for chronic pain. The information included refers to the management of adult patients although some principles may also apply to use in older children.

The information in the resource pack does not apply to palliative care and end of life care where use of opioids should follow the World Health Organisation (WHO) pain ladder and relevant guidance.

Document Last Updated  Review Date

JAPC Opioid Resource Pack

Jul 2024 Jun 2027

Resource to support Opioid Tapering in Chronic Non-Cancer Pain in Adults

Jun 2023  May 2026

Opioid Prescribing Quality Improvement Toolkit for Primary Care 

Nov 2023  N/A

Clinical system searches to support QI opioid toolkit 

Jun 2023  N/A

Repeat prescribing minimum standards for opioids

Aug 2023  Jul 2026

Let's Live Well With Pain Course implementation and facilitation guides

N/A  N/A

Improving the management of non cancer pain – reducing harm from opioids

N/A  N/A

Pain Management information and resources for patients

N/A  N/A

Persistent Pain Signposting resource 

Aug 2023  Jul 2026







The following appendices are taken from the JAPC Opioid Resource Pack to allow clinicians easier access to patient information resources

Quick Links to Appendices

Last Updated Review Date
Appendix 1 - Faye’s Story Jul 2024  Jun 2027
Appendix 2 - Sean’s Story Jul 2024  Jun 2027
Appendix 3 - What to Discuss with the Patient When Considering Opioid Treatment Jul 2024 Jun 2027
Appendix 4 - Ten Footsteps Patient Information Leaflet Jul 2024
Jun 2027
Appendix 5 - About Pain Patient Information Leaflet Jul 2024
Jun 2027
Appendix 6 - Summary of NICE Guidance related to Pain Relief and Opioids Jul 2024
Jun 2027
Appendix 7 - Thinking about Opioid Treatment for Pain Patient Information Leaflet Jul 2024
Jun 2027
Appendix 8 - Pain Diary Jul 2024
Jun 2027
Appendix 9 - NICE Aid: Before Starting Medicines Associated with Dependence/Withdrawal Jul 2024
Jun 2027
Appendix 10 - Opioids and the Risk of Addiction Patient Information Leaflet Jul 2024 Jun 2027
Appendix 11 - Opioid Management Plan: Treatment Agreement Jul 2024 Jun 2027
Appendix 12 - Taking Opioids for Pain Patient Information Leaflet Jul 2024 Jun 2027
Appendix 13 - Driving and Pain Patient Information Leaflet Jul 2024 Jun 2027
Appendix 14 - Useful SNOMED Codes Jul 2024 Jun 2027
Appendix 15 - NICE Aid: Reviewing Medicines Associated with Dependence or Withdrawal symptoms Jul 2024 Jun 2027
Appendix 16 - Stopping Your Medicine – Opioids Used for Persistent Pain Patient Information Leaflet Jul 2024 Jun 2027
Appendix 17 - Letter Inviting Patients for Review Jul 2024 Jun 2027
Appendix 18 - Letter Suggesting Drug Holiday Jul 2024 Jun 2027
Appendix 19 - Letter Suggesting Review of Tramadol Due to Serotonin Syndrome Risk Jul 2024 Jun 2027
Appendix 20 - Letter Suggesting Review of Oxycodone and Amitriptyline Jul 2024 Jun 2027
Appendix 21 - Opioid Policy - New Patients Jul 2024  Jun 2027
Appendix 22 - Opioid Policy - Issuing Prescriptions Jul 2024  Jun 2027
Appendix 23 - Practice Procedure for Lost/Stolen Controlled Drug Prescriptions Jul 2024  Jun 2027
Appendix 24 - Practice Procedure: Patients Where Dependence/Diversion of Controlled Drugs is Identified Jul 2024  Jun 2027
Appendix 25 - Reporting of Controlled Drug Incidents via cdreporting.co.uk  Jul 2024  Jun 2027
Appendix 26 - Approximate Equi-analgesic Potencies of Opioids  Jul 2024 Jun 2027
Appendix 27 - CQC & NHSE Checklist: Safer use of Fentanyl & Buprenorphine CD Transdermal Patches  Jul 2024  Jun 2027
Appendix 28 - MHRA Fentanyl Skin Patches Patient Information Leaflet  Jul 2024  Jun 2027
Appendix 29 - CQC and NHSE Checklist for safer use of Oxycodone Medicines  Jul 2024  Jun 2027
Appendix 30 - Preparation for Dose Reduction  Jul 2024  Jun 2027
Appendix 31 - Structured Medication Reviews including opioids  Jul 2024  Jun 2027
Appendix 32 - Case Study: Seeking Stronger Opioids  Jul 2024  Jun 2027
Appendix 33 - Case Study: Chronic pain consultation  Jul 2024  Jun 2027
Appendix 34 - Pain Self-Management Strategies  Jul 2024  Jun 2027

 

ADHD Resources 

For ADHD shared care and resources please see the Shared Care Guideline page

Relevant Resources:

 

 


 

Derby and Derbyshire ICB

Derby and Derbyshire ICB

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