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

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

Relevant Resources:

• Anticholinergic drugs / burden - PrescQipp review
  - Modified anticholinergic risk scales (mARS)
  - Drugs on the ACB scale 
• How can nausea and vomiting be treated during pregnancy - SPS
• Medicines and suicide medication review tool - DHcFT
• Reducing the risk of overdoses - Patient information leaflet
• Stopping over medication of people with learning disabilities - NHS England advice
• Live well with pain - professional tools
• Ten footsteps programme - patient tool
• JUCD Adult Headache Primary Care Pathway

 See the Opioid Resources page for further information.