Lancashire and South Cumbria
Formulary
 
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4 Central nervous system
04-07-03 Neuropathic pain

Amitriptyline
Formulary

Tablets 10mg, 25mg, 50mg
Liquid 25mg/5mL
Sugar Free oral solution 50mg/5mL

Use in line with NICE and LSCMMG guidelines.


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Duloxetine
Formulary

There can be variation in the licensing of different medicines containing the same drug.


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Gabapentin
Formulary

Capsules 100mg, 400mg, 400mg

Link  MHRA: Antiepileptics: risk of suicidal thoughts and behaviour
Link  MHRA: Gabapentin (Neurontin): risk of severe respiratory depression
Link  MHRA: Pregabalin (Lyrica), gabapentin (Neurontin) and risk of abuse and dependence: new scheduling requirements from 1 April

Controlled Drug  Green View adult BNF  View SPC online  View childrens BNF
Ketamine oral solution
Formulary

Liquid 50mg/5mL

For chronic pain - Prescribing retained within NHS commissioned specialist pain services in Lancashire and South Cumbria.

unlicensed Unlicensed


Controlled Drug  Red View adult BNF  View SPC online  View childrens BNF
Lidocaine
Formulary

5% Medicated Plasters

Post Herpetic Neuralgia

Red For off-label indications. 

Any off label use must be on the advice of the acute pain team and must only be prescribed by secondary care.

Link  LSCMMG: Lidocaine 5% Medicated Plasters GREEN RAG
Link  LSCMMG: Lidocaine 5% Medicated Plasters RED RAG

Green View adult BNF  View SPC online  View childrens BNF
Nortriptyline
Formulary

Tablets 10mg, 25mg

Use in line with NICE and LSCMMG guidelines.

unlicensed Unlicensed indication.


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Pregabalin
Formulary

Capsules 25mg, 50mg, 75mg, 100mg, 150mg, 200mg

Use in line with NICE and LSCMMG guidelines.

Link  MHRA: Antiepileptics: risk of suicidal thoughts and behaviour
Link  MHRA: Pregabalin (Lyrica), gabapentin (Neurontin) and risk of abuse and dependence: new scheduling requirements from 1 April
Link  MHRA: Pregabalin (Lyrica): findings of safety study on risks during pregnancy
Link  MHRA: Pregabalin (Lyrica): reports of severe respiratory depression

Controlled Drug  Green View adult BNF  View SPC online  View childrens BNF