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 - Currently under review July 2020 June 2023
Resource to support Opioid Tapering in Chronic Non-Cancer Pain in Adults June 2023 May 2026
Opioid Prescribing Quality Improvement Toolkit for Primary Care November 2023 N/A
Clinical system searches to support QI opioid toolkit June 2023 N/A
Repeat prescribing minimum standards for opioids August 2023 July 2026
Let's Live Well With Pain Course implementation and facilitation guides - Health Innovation East Midlands N/A N/A
Improving the management of non cancer pain – reducing harm from opioids - Health Innovation East Midlands N/A N/A
 Pain Management information and resources for patients - Joined Up Care Derbyshire  N/A  N/A
 Persistent Pain Signposting resource - Joined Up Care Derbyshire  August 2023  July 2026

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

Appendices Last Updated Review Date
Appendix 2 - What to Discuss with the Patient When Considering Opioid Treatment July 2020 June 2023
Appendix 3 - Ten Footsteps Patient Information Leaflet July 2020
June 2023
Appendix 4 - About Pain Patient Information Leaflet July 2020
June 2023
Appendix 5 - Thinking About Opioid Treatment for Pain Patient Information Leaflet July 2020
June 2023
 Appendix 6 - Pain Diary July 2020
June 2023
Appendix 7 - Opioid Management Plan: Treatment Agreement July 2020
June 2023
Appendix 8 - Taking Opioids for Pain Patient Information Leaflet July 2020
June 2023
 Appendix 9 - Driving and Pain Patient Information Leaflet  July 2020  June 2023
 Appendix 10 - Letter Inviting Patients for Review  July 2020  June 2023
 Appendix 11 - Letter suggesting Drug Holiday  July 2020  June 2023
 Appendix 12 - Letter suggesting review of Tramadol due to Serotonin Syndrome Risk  July 2020  June 2023
 Appendix 13 - Opioid Policy - New Patients  July 2020  June 2023
 Appendix 14 - Opioid Policy - Issuing Prescriptions  July 2020  June 2023
 Appendix 15 - Approximate Equi-analgesic Potencies of Opioids  July 2020  June 2023
 Appendix 16 - CQC and NHSE Checklist for Safer Use of Oxycodone Medicines  July 2020  June 2023
 Appendix 17 - CQC and NHSE Checklist for Safer Use of Fentanyl and Buprenorphine CD Transdermal Patches  July 2020  June 2023
 Appendix 18 - MHRA Fentanyl Skin Patches Patient Information Leaflet  July 2020  June 2023
 Appendix 19 - Preparation for Dose Reduction  July 2020  June 2023

 

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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