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Other - Cost: £717,029,130.31 Sacubitril / Valsartan - Cost: £9,521,188.42 Trimbow - Cost: £12,215,962.00 Beclometasone / Formoterol MDI (Fostair) - Cost: £13,921,253.28 Empagliflozin (Jardiance) - Cost: £15,274,245.90 Tirzepatide (Mounjaro KwikPen) - Cost: £15,688,924.00 FreeStyle Libre 2 Sensor - Cost: £18,041,520.00 Edoxaban (Lixiana) - Cost: £20,448,534.75 Dapagliflozin (Forxiga) - Cost: £30,889,393.13
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Notes for: Central nervous system
Last edited [10/12/2021 11:31:41]

‘Safety First: Five-Year Report of the National Confidential Inquiry into Suicide and Homicide by People with Mental Illness’ recommends that patients at risk of suicide, including all patients with a recent history of self-harm, who are treated with psychotropic drugs should receive modern, less toxic drugs and/or supplies lasting no more than 2 weeks.

 

Last edited [10/02/2025 17:11:11]

Cornwall Joint Formulary Recommended Choices     (...Top)
Displaying 116 Drugs

Key:
First Line Drugs First Line Drugs
Second Line Drugs Second Line Drugs
Specialist advised Specialist advised
Specialist Initiated Drugs Specialist Initiated Drugs
Hospital Only Drugs Hospital Only Drugs
Discouraged Discouraged
No comment available No comment available

NameTariffBNF Sub Paragraph
Carbamazepine
400 mg tab Pack of 56		£5.02PCT FORMULARY STATUS: First Line Drugs Control Of EpilepsyView BNF Article on 'Carbamazepine'View SPC on 'Carbamazepine'View PIL on 'Carbamazepine'
Carbamazepine MR
200 mg Tab MR Pack of 56		£5.20PCT FORMULARY STATUS: First Line Drugs Control Of EpilepsyView BNF Article on 'Carbamazepine MR'View SPC on 'Carbamazepine MR'View PIL on 'Carbamazepine MR'
Sodium Valproate Crushable (Epilim)
100 mg tab Pack of 100		£5.60PCT FORMULARY STATUS: First Line Drugs [Notes:] The CHM recommends that no patients (male or female) under the age of 55 years should be initiated on valproate unless 2 specialists independently consider and document that there is no other effective or tolerated treatment. Please see MHRA website for further information. Control Of EpilepsyView BNF Article on 'Sodium Valproate Crushable'View SPC on 'Sodium Valproate Crushable'View PIL on 'Sodium Valproate Crushable'
The CHM recommends that no patients (male or female) under the age of 55 years should be initiated on valproate unless 2 specialists independently consider and document that there is no other effective or tolerated treatment. Please see MHRA website for further information.
Carbamazepine Liquid (Tegretol)
100 mg / 5ml Pack of 300		£6.12PCT FORMULARY STATUS: First Line Drugs Control Of EpilepsyView BNF Article on 'Carbamazepine Liquid'View SPC on 'Carbamazepine Liquid'View PIL on 'Carbamazepine Liquid'
Sodium Valproate Tablet (Epilim)
200 mg tab EC Pack of 100		£7.70PCT FORMULARY STATUS: First Line Drugs [Notes:] The CHM recommends that no patients (male or female) under the age of 55 years should be initiated on valproate unless 2 specialists independently consider and document that there is no other effective or tolerated treatment. Please see MHRA website for further information. Control Of EpilepsyView BNF Article on 'Sodium Valproate Tablet'View SPC on 'Sodium Valproate Tablet'View PIL on 'Sodium Valproate Tablet'
The CHM recommends that no patients (male or female) under the age of 55 years should be initiated on valproate unless 2 specialists independently consider and document that there is no other effective or tolerated treatment. Please see MHRA website for further information.
Sodium Valproate Solution (Epilim)
200 mg / 5ml SF Pack of 300		£7.78PCT FORMULARY STATUS: First Line Drugs [Notes:] The CHM recommends that no patients (male or female) under the age of 55 years should be initiated on valproate unless 2 specialists independently consider and document that there is no other effective or tolerated treatment. Please see MHRA website for further information. Control Of EpilepsyView BNF Article on 'Sodium Valproate Solution'View SPC on 'Sodium Valproate Solution'View PIL on 'Sodium Valproate Solution'
The CHM recommends that no patients (male or female) under the age of 55 years should be initiated on valproate unless 2 specialists independently consider and document that there is no other effective or tolerated treatment. Please see MHRA website for further information.
Sodium Valproate Solution (Epilim)
200 mg / 5ml Syrup Pack of 300		£9.33PCT FORMULARY STATUS: First Line Drugs [Notes:] The CHM recommends that no patients (male or female) under the age of 55 years should be initiated on valproate unless 2 specialists independently consider and document that there is no other effective or tolerated treatment. Please see MHRA website for further information. Control Of EpilepsyView BNF Article on 'Sodium Valproate Solution'View SPC on 'Sodium Valproate Solution'View PIL on 'Sodium Valproate Solution'
The CHM recommends that no patients (male or female) under the age of 55 years should be initiated on valproate unless 2 specialists independently consider and document that there is no other effective or tolerated treatment. Please see MHRA website for further information.
Carbamazepine MR
400 mg Tab MR Pack of 56		£10.24PCT FORMULARY STATUS: First Line Drugs Control Of EpilepsyView BNF Article on 'Carbamazepine MR'View SPC on 'Carbamazepine MR'View PIL on 'Carbamazepine MR'
Sodium Valproate M/R (Epilim Chrono)
200 mg tab MR Pack of 100		£11.65PCT FORMULARY STATUS: First Line Drugs [Notes:] The CHM recommends that no patients (male or female) under the age of 55 years should be initiated on valproate unless 2 specialists independently consider and document that there is no other effective or tolerated treatment. Please see MHRA website for further information. Control Of EpilepsyView BNF Article on 'Sodium Valproate M/R'View SPC on 'Sodium Valproate M/R'View PIL on 'Sodium Valproate M/R'
The CHM recommends that no patients (male or female) under the age of 55 years should be initiated on valproate unless 2 specialists independently consider and document that there is no other effective or tolerated treatment. Please see MHRA website for further information.
Sodium Valproate M/R (Epilim Chrono)
300 mg tab MR Pack of 100		£17.47PCT FORMULARY STATUS: First Line Drugs [Notes:] The CHM recommends that no patients (male or female) under the age of 55 years should be initiated on valproate unless 2 specialists independently consider and document that there is no other effective or tolerated treatment. Please see MHRA website for further information. Control Of EpilepsyView BNF Article on 'Sodium Valproate M/R'View SPC on 'Sodium Valproate M/R'View PIL on 'Sodium Valproate M/R'
The CHM recommends that no patients (male or female) under the age of 55 years should be initiated on valproate unless 2 specialists independently consider and document that there is no other effective or tolerated treatment. Please see MHRA website for further information.
Sodium Valproate Tablet (Epilim)
500 mg tab EC Pack of 100		£19.25PCT FORMULARY STATUS: First Line Drugs [Notes:] The CHM recommends that no patients (male or female) under the age of 55 years should be initiated on valproate unless 2 specialists independently consider and document that there is no other effective or tolerated treatment. Please see MHRA website for further information. Control Of EpilepsyView BNF Article on 'Sodium Valproate Tablet'View SPC on 'Sodium Valproate Tablet'View PIL on 'Sodium Valproate Tablet'
The CHM recommends that no patients (male or female) under the age of 55 years should be initiated on valproate unless 2 specialists independently consider and document that there is no other effective or tolerated treatment. Please see MHRA website for further information.
Sodium Valproate M/R (Epilim Chrono)
500 mg tab MR Pack of 100		£29.10PCT FORMULARY STATUS: First Line Drugs [Notes:] The CHM recommends that no patients (male or female) under the age of 55 years should be initiated on valproate unless 2 specialists independently consider and document that there is no other effective or tolerated treatment. Please see MHRA website for further information. Control Of EpilepsyView BNF Article on 'Sodium Valproate M/R'View SPC on 'Sodium Valproate M/R'View PIL on 'Sodium Valproate M/R'
The CHM recommends that no patients (male or female) under the age of 55 years should be initiated on valproate unless 2 specialists independently consider and document that there is no other effective or tolerated treatment. Please see MHRA website for further information.
Carbamazepine Suppositories
125 mg supp Pack of 5		£123.60PCT FORMULARY STATUS: First Line Drugs Control Of EpilepsyView BNF Article on 'Carbamazepine Suppositories'View SPC on 'Carbamazepine Suppositories'View PIL on 'Carbamazepine Suppositories'
Carbamazepine Suppositories
250 mg supp Pack of 5		£177.22PCT FORMULARY STATUS: First Line Drugs Control Of EpilepsyView BNF Article on 'Carbamazepine Suppositories'View SPC on 'Carbamazepine Suppositories'View PIL on 'Carbamazepine Suppositories'
Gabapentin
100 mg cap Pack of 100		£1.70PCT FORMULARY STATUS: Second Line Drugs Control Of EpilepsyView BNF Article on 'Gabapentin'View SPC on 'Gabapentin'View PIL on 'Gabapentin'
Gabapentin
300 mg cap Pack of 100		£2.24PCT FORMULARY STATUS: Second Line Drugs Control Of EpilepsyView BNF Article on 'Gabapentin'View SPC on 'Gabapentin'View PIL on 'Gabapentin'
Gabapentin
400 mg cap Pack of 100		£2.90PCT FORMULARY STATUS: Second Line Drugs Control Of EpilepsyView BNF Article on 'Gabapentin'View SPC on 'Gabapentin'View PIL on 'Gabapentin'
Gabapentin
600 mg tab Pack of 100		£5.41PCT FORMULARY STATUS: Second Line Drugs Control Of EpilepsyView BNF Article on 'Gabapentin'View SPC on 'Gabapentin'View PIL on 'Gabapentin'
Phenytoin
100 mg tab Pack of 28		£5.65PCT FORMULARY STATUS: Second Line Drugs Control Of EpilepsyView BNF Article on 'Phenytoin'View SPC on 'Phenytoin'View PIL on 'Phenytoin'
Phenytoin Capsules
50 mg caps Pack of 28		£7.07PCT FORMULARY STATUS: Second Line Drugs Control Of EpilepsyView BNF Article on 'Phenytoin Capsules'View SPC on 'Phenytoin Capsules'View PIL on 'Phenytoin Capsules'
Phenytoin Capsules
100 mg caps Pack of 84		£9.57PCT FORMULARY STATUS: Second Line Drugs Control Of EpilepsyView BNF Article on 'Phenytoin Capsules'View SPC on 'Phenytoin Capsules'View PIL on 'Phenytoin Capsules'
Phenytoin Capsules
25 mg caps Pack of 28		£11.84PCT FORMULARY STATUS: Second Line Drugs Control Of EpilepsyView BNF Article on 'Phenytoin Capsules'View SPC on 'Phenytoin Capsules'View PIL on 'Phenytoin Capsules'
Phenytoin Capsules
300 mg caps Pack of 28		£15.37PCT FORMULARY STATUS: Second Line Drugs Control Of EpilepsyView BNF Article on 'Phenytoin Capsules'View SPC on 'Phenytoin Capsules'View PIL on 'Phenytoin Capsules'
Phenobarbital (Phenobarbitone)
30 mg tab Pack of 28		£0.79PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Phenobarbital (Phenobarbitone)'View SPC on 'Phenobarbital (Phenobarbitone)'View PIL on 'Phenobarbital (Phenobarbitone)'
Pregabalin
25 mg cap Pack of 56		£1.21PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Pregabalin'View SPC on 'Pregabalin'View PIL on 'Pregabalin'
Pregabalin
75 mg cap Pack of 56		£1.38PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Pregabalin'View SPC on 'Pregabalin'View PIL on 'Pregabalin'
Lamotrigine
25 mg tab Pack of 56		£1.75PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Lamotrigine'View SPC on 'Lamotrigine'View PIL on 'Lamotrigine'
Levetiracetam
250 mg tab Pack of 60		£1.85PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Levetiracetam'View SPC on 'Levetiracetam'View PIL on 'Levetiracetam'
Topiramate
25 mg tab Pack of 60		£1.87PCT FORMULARY STATUS: Specialist Initiated Drugs [Notes:] When used for prophylaxis of migraine, topiramate may be specialist-advised. Topiramate is now contraindicated in women of childbearing potential unless the conditions of the pregnancy prevention programme are met. Please see the MHRA website for further details of the new safety measures including the pregnancy prevention programme. Control Of Epilepsy
View BNF Article on 'Topiramate'View SPC on 'Topiramate'View PIL on 'Topiramate'
When used for prophylaxis of migraine, topiramate may be specialist-advised. Topiramate is now contraindicated in women of childbearing potential unless the conditions of the pregnancy prevention programme are met. Please see the MHRA website for further details of the new safety measures including the pregnancy prevention programme.
Pregabalin
100 mg cap Pack of 84		£1.98PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Pregabalin'View SPC on 'Pregabalin'View PIL on 'Pregabalin'
Pregabalin
150 mg cap Pack of 56		£2.07PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Pregabalin'View SPC on 'Pregabalin'View PIL on 'Pregabalin'
Pregabalin
225 mg cap Pack of 56		£2.11PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Pregabalin'View SPC on 'Pregabalin'View PIL on 'Pregabalin'
Lamotrigine
50 mg tab Pack of 56		£2.25PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Lamotrigine'View SPC on 'Lamotrigine'View PIL on 'Lamotrigine'
Pregabalin
300 mg cap Pack of 56		£2.47PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Pregabalin'View SPC on 'Pregabalin'View PIL on 'Pregabalin'
Clobazam (Frisium)
10 mg tab Pack of 30		£2.51PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Clobazam'View SPC on 'Clobazam'View PIL on 'Clobazam'
Sodium Valproate M/R (Episenta Capsules)
150 mg capsules Pack of 30		£2.76PCT FORMULARY STATUS: Specialist Initiated Drugs [Notes:] The CHM recommends that no patients (male or female) under the age of 55 years should be initiated on valproate unless 2 specialists independently consider and document that there is no other effective or tolerated treatment. Please see MHRA website for further information. Control Of EpilepsyView BNF Article on 'Sodium Valproate M/R'View SPC on 'Sodium Valproate M/R'View PIL on 'Sodium Valproate M/R'
The CHM recommends that no patients (male or female) under the age of 55 years should be initiated on valproate unless 2 specialists independently consider and document that there is no other effective or tolerated treatment. Please see MHRA website for further information.
Lamotrigine
100 mg tab Pack of 56		£2.81PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Lamotrigine'View SPC on 'Lamotrigine'View PIL on 'Lamotrigine'
Phenobarbital (Phenobarbitone)
60 mg tab Pack of 28		£2.99PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Phenobarbital (Phenobarbitone)'View SPC on 'Phenobarbital (Phenobarbitone)'View PIL on 'Phenobarbital (Phenobarbitone)'
Topiramate
50 mg tab Pack of 60		£3.06PCT FORMULARY STATUS: Specialist Initiated Drugs [Notes:] When used for prophylaxis of migraine, topiramate may be specialist-advised. Topiramate is now contraindicated in women of childbearing potential unless the conditions of the pregnancy prevention programme are met. Please see the MHRA website for further details of the new safety measures including the pregnancy prevention programme. Control Of Epilepsy
View BNF Article on 'Topiramate'View SPC on 'Topiramate'View PIL on 'Topiramate'
When used for prophylaxis of migraine, topiramate may be specialist-advised. Topiramate is now contraindicated in women of childbearing potential unless the conditions of the pregnancy prevention programme are met. Please see the MHRA website for further details of the new safety measures including the pregnancy prevention programme.
Topiramate
100 mg tab Pack of 60		£3.34PCT FORMULARY STATUS: Specialist Initiated Drugs [Notes:] When used for prophylaxis of migraine, topiramate may be specialist-advised. Topiramate is now contraindicated in women of childbearing potential unless the conditions of the pregnancy prevention programme are met. Please see the MHRA website for further details of the new safety measures including the pregnancy prevention programme. Control Of Epilepsy
View BNF Article on 'Topiramate'View SPC on 'Topiramate'View PIL on 'Topiramate'
When used for prophylaxis of migraine, topiramate may be specialist-advised. Topiramate is now contraindicated in women of childbearing potential unless the conditions of the pregnancy prevention programme are met. Please see the MHRA website for further details of the new safety measures including the pregnancy prevention programme.
Pregabalin
200 mg cap Pack of 84		£3.43PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Pregabalin'View SPC on 'Pregabalin'View PIL on 'Pregabalin'
Levetiracetam
750 mg tab Pack of 60		£3.60PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Levetiracetam'View SPC on 'Levetiracetam'View PIL on 'Levetiracetam'
Sodium Valproate M/R (Episenta Capsules)
300 mg capsules Pack of 30		£4.56PCT FORMULARY STATUS: Specialist Initiated Drugs [Notes:] The CHM recommends that no patients (male or female) under the age of 55 years should be initiated on valproate unless 2 specialists independently consider and document that there is no other effective or tolerated treatment. Please see MHRA website for further information. Control Of EpilepsyView BNF Article on 'Sodium Valproate M/R'View SPC on 'Sodium Valproate M/R'View PIL on 'Sodium Valproate M/R'
The CHM recommends that no patients (male or female) under the age of 55 years should be initiated on valproate unless 2 specialists independently consider and document that there is no other effective or tolerated treatment. Please see MHRA website for further information.
Lamotrigine
200 mg tab Pack of 56		£4.61PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Lamotrigine'View SPC on 'Lamotrigine'View PIL on 'Lamotrigine'
Levetiracetam
500 mg tab Pack of 60		£4.68PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Levetiracetam'View SPC on 'Levetiracetam'View PIL on 'Levetiracetam'
Levetiracetam
1000 mg tab Pack of 60		£4.80PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Levetiracetam'View SPC on 'Levetiracetam'View PIL on 'Levetiracetam'
Rufinamide (Inovelon)
100 mg tab film coated Pack of 10		£5.15PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Rufinamide'View SPC on 'Rufinamide'View PIL on 'Rufinamide'
Levetiracetam
100 mg/ml oral solution Pack of 300		£6.28PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Levetiracetam'View SPC on 'Levetiracetam'View PIL on 'Levetiracetam'
Sodium Valproate Granules (Episenta)
500 mg sachet Pack of 30		£6.30PCT FORMULARY STATUS: Specialist Initiated Drugs [Notes:] The CHM recommends that no patients (male or female) under the age of 55 years should be initiated on valproate unless 2 specialists independently consider and document that there is no other effective or tolerated treatment. Please see MHRA website for further information. Control Of EpilepsyView BNF Article on 'Sodium Valproate Granules'View SPC on 'Sodium Valproate Granules'View PIL on 'Sodium Valproate Granules'
The CHM recommends that no patients (male or female) under the age of 55 years should be initiated on valproate unless 2 specialists independently consider and document that there is no other effective or tolerated treatment. Please see MHRA website for further information.
Pregabalin
50 mg cap Pack of 84		£6.86PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Pregabalin'View SPC on 'Pregabalin'View PIL on 'Pregabalin'
Sodium Valproate M/R (Episenta Capsules)
150 mg cap DC Pack of 100		£7.00PCT FORMULARY STATUS: Specialist Initiated Drugs [Notes:] The CHM recommends that no patients (male or female) under the age of 55 years should be initiated on valproate unless 2 specialists independently consider and document that there is no other effective or tolerated treatment. Please see MHRA website for further information. Control Of Epilepsy
View BNF Article on 'Sodium Valproate M/R'View SPC on 'Sodium Valproate M/R'View PIL on 'Sodium Valproate M/R'
The CHM recommends that no patients (male or female) under the age of 55 years should be initiated on valproate unless 2 specialists independently consider and document that there is no other effective or tolerated treatment. Please see MHRA website for further information.
Lamotrigine Dispersible
25 mg dispersible tab Pack of 56		£8.25PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Lamotrigine Dispersible'View SPC on 'Lamotrigine Dispersible'View PIL on 'Lamotrigine Dispersible'
Zonisamide Capsule (Zonegran)
25 mg cap Pack of 14		£8.74PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Zonisamide Capsule'View SPC on 'Zonisamide Capsule'View PIL on 'Zonisamide Capsule'
Lamotrigine Dispersible
5 mg dispersible tab Pack of 28		£9.13PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Lamotrigine Dispersible'View SPC on 'Lamotrigine Dispersible'View PIL on 'Lamotrigine Dispersible'
Lamotrigine Dispersible (Lamictal Dispersible)
5 mg tab dispersible Pack of 28		£9.38PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Lamotrigine Dispersible'View SPC on 'Lamotrigine Dispersible'View PIL on 'Lamotrigine Dispersible'
Phenobarbital (Phenobarbitone)
15 mg tab Pack of 28		£9.68PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Phenobarbital (Phenobarbitone)'View SPC on 'Phenobarbital (Phenobarbitone)'View PIL on 'Phenobarbital (Phenobarbitone)'
Lacosamide tab (Vimpat)
50 mg tab Pack of 14		£10.81PCT FORMULARY STATUS: Specialist Initiated Drugs [Notes:] Lacosamide contains soya and peanut oil and should not be given to patients with an allergy to either of these components. Control Of EpilepsyView BNF Article on 'Lacosamide tab'View SPC on 'Lacosamide tab'View PIL on 'Lacosamide tab'
Lacosamide contains soya and peanut oil and should not be given to patients with an allergy to either of these components.
Clonazepam
0.5 mg tab Pack of 100		£11.63PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Clonazepam'View SPC on 'Clonazepam'View PIL on 'Clonazepam'
Sodium Valproate Granules (Episenta)
1000 mg sachet Pack of 30		£12.30PCT FORMULARY STATUS: Specialist Initiated Drugs [Notes:] The CHM recommends that no patients (male or female) under the age of 55 years should be initiated on valproate unless 2 specialists independently consider and document that there is no other effective or tolerated treatment. Please see MHRA website for further information. Control Of EpilepsyView BNF Article on 'Sodium Valproate Granules'View SPC on 'Sodium Valproate Granules'View PIL on 'Sodium Valproate Granules'
The CHM recommends that no patients (male or female) under the age of 55 years should be initiated on valproate unless 2 specialists independently consider and document that there is no other effective or tolerated treatment. Please see MHRA website for further information.
Oxcarbazepine tablets
300 mg tab Pack of 50		£12.55PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Oxcarbazepine tablets'View SPC on 'Oxcarbazepine tablets'View PIL on 'Oxcarbazepine tablets'
Topiramate
200 mg tab Pack of 60		£13.42PCT FORMULARY STATUS: Specialist Initiated Drugs [Notes:] When used for prophylaxis of migraine, topiramate may be specialist-advised. Topiramate is now contraindicated in women of childbearing potential unless the conditions of the pregnancy prevention programme are met. Please see the MHRA website for further details of the new safety measures including the pregnancy prevention programme. Control Of Epilepsy
View BNF Article on 'Topiramate'View SPC on 'Topiramate'View PIL on 'Topiramate'
When used for prophylaxis of migraine, topiramate may be specialist-advised. Topiramate is now contraindicated in women of childbearing potential unless the conditions of the pregnancy prevention programme are met. Please see the MHRA website for further details of the new safety measures including the pregnancy prevention programme.
Lamotrigine Dispersible
100 mg dispersible tab Pack of 56		£13.78PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Lamotrigine Dispersible'View SPC on 'Lamotrigine Dispersible'View PIL on 'Lamotrigine Dispersible'
Clonazepam
2 mg tab Pack of 100		£14.43PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Clonazepam'View SPC on 'Clonazepam'View PIL on 'Clonazepam'
Topiramate (Topamax Sprinkle)
15 mg sprinkle cap Pack of 60		£14.79PCT FORMULARY STATUS: Specialist Initiated Drugs [Notes:] When used for prophylaxis of migraine, topiramate may be specialist-advised. Topiramate is now contraindicated in women of childbearing potential unless the conditions of the pregnancy prevention programme are met. Please see the MHRA website for further details of the new safety measures including the pregnancy prevention programme. Control Of EpilepsyView BNF Article on 'Topiramate'View SPC on 'Topiramate'View PIL on 'Topiramate'
When used for prophylaxis of migraine, topiramate may be specialist-advised. Topiramate is now contraindicated in women of childbearing potential unless the conditions of the pregnancy prevention programme are met. Please see the MHRA website for further details of the new safety measures including the pregnancy prevention programme.
Oxcarbazepine tablets
150 mg tab Pack of 50		£16.39PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Oxcarbazepine tablets'View SPC on 'Oxcarbazepine tablets'View PIL on 'Oxcarbazepine tablets'
Valproic acid [as valproate semisodium] (Depakote)
250 mg E/C tab Pack of 90		£17.08PCT FORMULARY STATUS: Specialist Initiated Drugs [Notes:] The CHM recommends that no patients (male or female) under the age of 55 years should be initiated on valproate unless 2 specialists independently consider and document that there is no other effective or tolerated treatment. Please see MHRA website for further information. Control Of EpilepsyView BNF Article on 'Valproic acid [as valproate semisodium]'View SPC on 'Valproic acid [as valproate semisodium]'View PIL on 'Valproic acid [as valproate semisodium]'
The CHM recommends that no patients (male or female) under the age of 55 years should be initiated on valproate unless 2 specialists independently consider and document that there is no other effective or tolerated treatment. Please see MHRA website for further information.
Lamotrigine Dispersible
2 mg dispersible tab Pack of 30		£18.81PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Lamotrigine Dispersible'View SPC on 'Lamotrigine Dispersible'View PIL on 'Lamotrigine Dispersible'
Topiramate (Topamax Sprinkle)
25 mg sprinkle cap Pack of 60		£22.18PCT FORMULARY STATUS: Specialist Initiated Drugs [Notes:] When used for prophylaxis of migraine, topiramate may be specialist-advised. Topiramate is now contraindicated in women of childbearing potential unless the conditions of the pregnancy prevention programme are met. Please see the MHRA website for further details of the new safety measures including the pregnancy prevention programme. Control Of EpilepsyView BNF Article on 'Topiramate'View SPC on 'Topiramate'View PIL on 'Topiramate'
When used for prophylaxis of migraine, topiramate may be specialist-advised. Topiramate is now contraindicated in women of childbearing potential unless the conditions of the pregnancy prevention programme are met. Please see the MHRA website for further details of the new safety measures including the pregnancy prevention programme.
Levetiracetam (Desitrend)
250 mg granules sachets SF Pack of 60		£22.41PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Levetiracetam'View SPC on 'Levetiracetam'View PIL on 'Levetiracetam'
Lamotrigine Dispersible (Lamictal Dispersible)
25 mg tab dispersible Pack of 56		£23.53PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Lamotrigine Dispersible'View SPC on 'Lamotrigine Dispersible'View PIL on 'Lamotrigine Dispersible'
Vigabatrin (Sabril)
500 mg sachets Pack of 50		£24.60PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Vigabatrin'View SPC on 'Vigabatrin'View PIL on 'Vigabatrin'
Levetiracetam (Keppra)
250 mg tab Pack of 60		£28.01PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Levetiracetam'View SPC on 'Levetiracetam'View PIL on 'Levetiracetam'
Valproic acid [as valproate semisodium] (Depakote)
500 mg E/C tab Pack of 90		£34.11PCT FORMULARY STATUS: Specialist Initiated Drugs [Notes:] The CHM recommends that no patients (male or female) under the age of 55 years should be initiated on valproate unless 2 specialists independently consider and document that there is no other effective or tolerated treatment. Please see MHRA website for further information. Control Of EpilepsyView BNF Article on 'Valproic acid [as valproate semisodium]'View SPC on 'Valproic acid [as valproate semisodium]'View PIL on 'Valproic acid [as valproate semisodium]'
The CHM recommends that no patients (male or female) under the age of 55 years should be initiated on valproate unless 2 specialists independently consider and document that there is no other effective or tolerated treatment. Please see MHRA website for further information.
Brivaracetam (Briviact)
10 mg tablets Pack of 14		£34.64PCT FORMULARY STATUS: Specialist Initiated Drugs [Notes:] Brivaracetam is accepted onto the formulary for adjunctive treatment of focal onset seizures, with or without secondary generalisation, in adults, adolescents and children from 4 years of age with epilepsy. It will be initiated by the specialist. Control Of EpilepsyView BNF Article on 'Brivaracetam'View SPC on 'Brivaracetam'View PIL on 'Brivaracetam'
Brivaracetam is accepted onto the formulary for adjunctive treatment of focal onset seizures, with or without secondary generalisation, in adults, adolescents and children from 4 years of age with epilepsy. It will be initiated by the specialist.
Perampanel (Fycompa)
2 mg tablets Pack of 7		£35.00PCT FORMULARY STATUS: Specialist Initiated Drugs [Notes:] adjunctive treatment of partial-onset seizures with or without secondarily generalised seizures in patients with epilepsy aged 12 years and older Control Of EpilepsyView BNF Article on 'Perampanel'View SPC on 'Perampanel'View PIL on 'Perampanel'
adjunctive treatment of partial-onset seizures with or without secondarily generalised seizures in patients with epilepsy aged 12 years and older
Lacosamide Syrup (Vimpat)
15 mg/ml syrup (200ml unit) Pack of 200		£38.61PCT FORMULARY STATUS: Specialist Initiated Drugs [Notes:] Lacosamide contains soya and peanut oil and should not be given to patients with an allergy to either of these components. Control Of EpilepsyView BNF Article on 'Lacosamide Syrup'View SPC on 'Lacosamide Syrup'View PIL on 'Lacosamide Syrup'
Lacosamide contains soya and peanut oil and should not be given to patients with an allergy to either of these components.
Levetiracetam (Desitrend)
500 mg granules sachets SF Pack of 60		£39.46PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Levetiracetam'View SPC on 'Levetiracetam'View PIL on 'Levetiracetam'
Lamotrigine (Lamictal)
50 mg tab Pack of 56		£40.02PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Lamotrigine'View SPC on 'Lamotrigine'View PIL on 'Lamotrigine'
Vigabatrin (Sabril)
500 mg tab Pack of 100		£44.41PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Vigabatrin'View SPC on 'Vigabatrin'View PIL on 'Vigabatrin'
Oxcarbazepine tablets
600 mg tab Pack of 50		£45.60PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Oxcarbazepine tablets'View SPC on 'Oxcarbazepine tablets'View PIL on 'Oxcarbazepine tablets'
Zonisamide Capsule (Zonegran)
50 mg cap Pack of 56		£46.20PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Zonisamide Capsule'View SPC on 'Zonisamide Capsule'View PIL on 'Zonisamide Capsule'
Levetiracetam (Keppra)
500 mg tab Pack of 60		£49.32PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Levetiracetam'View SPC on 'Levetiracetam'View PIL on 'Levetiracetam'
Tiagabine (Gabitril)
5 mg tab Pack of 100		£52.04PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Tiagabine'View SPC on 'Tiagabine'View PIL on 'Tiagabine'
Rufinamide (Inovelon)
200 mg tab film coated Pack of 60		£61.77PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Rufinamide'View SPC on 'Rufinamide'View PIL on 'Rufinamide'
Zonisamide Capsule (Zonegran)
100 mg cap Pack of 56		£62.72PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Zonisamide Capsule'View SPC on 'Zonisamide Capsule'View PIL on 'Zonisamide Capsule'
Lamotrigine (Lamictal)
100 mg tab Pack of 56		£69.04PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Lamotrigine'View SPC on 'Lamotrigine'View PIL on 'Lamotrigine'
Lamotrigine Dispersible (Lamictal Dispersible)
100 mg tab dispersible Pack of 56		£69.04PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Lamotrigine Dispersible'View SPC on 'Lamotrigine Dispersible'View PIL on 'Lamotrigine Dispersible'
Levetiracetam (Desitrend)
1000 mg granules sachets SF Pack of 60		£76.27PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Levetiracetam'View SPC on 'Levetiracetam'View PIL on 'Levetiracetam'
Levetiracetam (Keppra)
750 mg tab (film coated) Pack of 60		£84.02PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Levetiracetam'View SPC on 'Levetiracetam'View PIL on 'Levetiracetam'
Lacosamide tab (Vimpat)
100 mg tab Pack of 56		£86.50PCT FORMULARY STATUS: Specialist Initiated Drugs [Notes:] Lacosamide contains soya and peanut oil and should not be given to patients with an allergy to either of these components. Control Of EpilepsyView BNF Article on 'Lacosamide tab'View SPC on 'Lacosamide tab'View PIL on 'Lacosamide tab'
Lacosamide contains soya and peanut oil and should not be given to patients with an allergy to either of these components.
Cenobamate (Ontozry)
150 mg tablets Pack of 14		£89.18PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Cenobamate'View SPC on 'Cenobamate'View PIL on 'Cenobamate'
Cenobamate (Ontozry)
50 mg tablets Pack of 28		£91.00PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Cenobamate'View SPC on 'Cenobamate'View PIL on 'Cenobamate'
Cenobamate (Ontozry)
200 mg tablets Pack of 14		£91.00PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Cenobamate'View SPC on 'Cenobamate'View PIL on 'Cenobamate'
Levetiracetam (Keppra)
1000 mg tab Pack of 60		£95.34PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Levetiracetam'View SPC on 'Levetiracetam'View PIL on 'Levetiracetam'
Ethosuximide (Epesri )
250 mg caps Pack of 56		£100.41PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Ethosuximide'View SPC on 'Ethosuximide'View PIL on 'Ethosuximide'
Ethosuximide Capsule (Emeside)
250 mg cap Pack of 56		£100.42PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Ethosuximide Capsule'View SPC on 'Ethosuximide Capsule'View PIL on 'Ethosuximide Capsule'
Rufinamide (Inovelon)
400 mg tab film coated Pack of 60		£102.96PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Rufinamide'View SPC on 'Rufinamide'View PIL on 'Rufinamide'
Tiagabine (Gabitril)
10 mg tab Pack of 100		£104.09PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Tiagabine'View SPC on 'Tiagabine'View PIL on 'Tiagabine'
Brivaracetam (Briviact)
10 mg/ml oral solution Pack of 300		£115.83PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Brivaracetam'View SPC on 'Brivaracetam'View PIL on 'Brivaracetam'
Lamotrigine (Lamictal)
200 mg tab Pack of 56		£117.35PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Lamotrigine'View SPC on 'Lamotrigine'View PIL on 'Lamotrigine'
Brivaracetam (Briviact)
25 mg tablets Pack of 56		£129.64PCT FORMULARY STATUS: Specialist Initiated Drugs [Notes:] Brivaracetam is accepted onto the formulary for adjunctive treatment of focal onset seizures, with or without secondary generalisation, in adults, adolescents and children from 4 years of age with epilepsy. It will be initiated by the specialist. Control Of EpilepsyView BNF Article on 'Brivaracetam'View SPC on 'Brivaracetam'View PIL on 'Brivaracetam'
Brivaracetam is accepted onto the formulary for adjunctive treatment of focal onset seizures, with or without secondary generalisation, in adults, adolescents and children from 4 years of age with epilepsy. It will be initiated by the specialist.
Brivaracetam (Briviact)
50 mg tablets Pack of 56		£129.64PCT FORMULARY STATUS: Specialist Initiated Drugs [Notes:] Brivaracetam is accepted onto the formulary for adjunctive treatment of focal onset seizures, with or without secondary generalisation, in adults, adolescents and children from 4 years of age with epilepsy. It will be initiated by the specialist. Control Of EpilepsyView BNF Article on 'Brivaracetam'View SPC on 'Brivaracetam'View PIL on 'Brivaracetam'
Brivaracetam is accepted onto the formulary for adjunctive treatment of focal onset seizures, with or without secondary generalisation, in adults, adolescents and children from 4 years of age with epilepsy. It will be initiated by the specialist.
Brivaracetam (Briviact)
75 mg tablets Pack of 56		£129.64PCT FORMULARY STATUS: Specialist Initiated Drugs [Notes:] Brivaracetam is accepted onto the formulary for adjunctive treatment of focal onset seizures, with or without secondary generalisation, in adults, adolescents and children from 4 years of age with epilepsy. It will be initiated by the specialist. Control Of EpilepsyView BNF Article on 'Brivaracetam'View SPC on 'Brivaracetam'View PIL on 'Brivaracetam'
Brivaracetam is accepted onto the formulary for adjunctive treatment of focal onset seizures, with or without secondary generalisation, in adults, adolescents and children from 4 years of age with epilepsy. It will be initiated by the specialist.
Brivaracetam (Briviact)
100 mg tablets Pack of 56		£129.64PCT FORMULARY STATUS: Specialist Initiated Drugs [Notes:] Brivaracetam is accepted onto the formulary for adjunctive treatment of focal onset seizures, with or without secondary generalisation, in adults, adolescents and children from 4 years of age with epilepsy. It will be initiated by the specialist. Control Of EpilepsyView BNF Article on 'Brivaracetam'View SPC on 'Brivaracetam'View PIL on 'Brivaracetam'
Brivaracetam is accepted onto the formulary for adjunctive treatment of focal onset seizures, with or without secondary generalisation, in adults, adolescents and children from 4 years of age with epilepsy. It will be initiated by the specialist.
Lacosamide tab (Vimpat)
150 mg tab Pack of 56		£129.74PCT FORMULARY STATUS: Specialist Initiated Drugs [Notes:] Lacosamide contains soya and peanut oil and should not be given to patients with an allergy to either of these components. Control Of EpilepsyView BNF Article on 'Lacosamide tab'View SPC on 'Lacosamide tab'View PIL on 'Lacosamide tab'
Lacosamide contains soya and peanut oil and should not be given to patients with an allergy to either of these components.
Eslicarbazepine Acetate (Zebinix)
800 mg tab Pack of 30		£136.00PCT FORMULARY STATUS: Specialist Initiated Drugs [Notes:] For adult patients with highly refractory epilepsy who have been heavily pretreated and remain uncontrolled. Control Of EpilepsyView BNF Article on 'Eslicarbazepine Acetate'View SPC on 'Eslicarbazepine Acetate'View PIL on 'Eslicarbazepine Acetate'
For adult patients with highly refractory epilepsy who have been heavily pretreated and remain uncontrolled.
Perampanel (Fycompa)
4 mg tablets Pack of 28		£140.00PCT FORMULARY STATUS: Specialist Initiated Drugs [Notes:] adjunctive treatment of partial-onset seizures with or without secondarily generalised seizures in patients with epilepsy aged 12 years and older Control Of EpilepsyView BNF Article on 'Perampanel'View SPC on 'Perampanel'View PIL on 'Perampanel'
adjunctive treatment of partial-onset seizures with or without secondarily generalised seizures in patients with epilepsy aged 12 years and older
Perampanel (Fycompa)
6 mg tablets Pack of 28		£140.00PCT FORMULARY STATUS: Specialist Initiated Drugs [Notes:] adjunctive treatment of partial-onset seizures with or without secondarily generalised seizures in patients with epilepsy aged 12 years and older Control Of EpilepsyView BNF Article on 'Perampanel'View SPC on 'Perampanel'View PIL on 'Perampanel'
adjunctive treatment of partial-onset seizures with or without secondarily generalised seizures in patients with epilepsy aged 12 years and older
Perampanel (Fycompa)
8 mg tablets Pack of 28		£140.00PCT FORMULARY STATUS: Specialist Initiated Drugs [Notes:] adjunctive treatment of partial-onset seizures with or without secondarily generalised seizures in patients with epilepsy aged 12 years and older Control Of EpilepsyView BNF Article on 'Perampanel'View SPC on 'Perampanel'View PIL on 'Perampanel'
adjunctive treatment of partial-onset seizures with or without secondarily generalised seizures in patients with epilepsy aged 12 years and older
Perampanel (Fycompa)
10 mg tablets Pack of 28		£140.00PCT FORMULARY STATUS: Specialist Initiated Drugs [Notes:] adjunctive treatment of partial-onset seizures with or without secondarily generalised seizures in patients with epilepsy aged 12 years and older Control Of EpilepsyView BNF Article on 'Perampanel'View SPC on 'Perampanel'View PIL on 'Perampanel'
adjunctive treatment of partial-onset seizures with or without secondarily generalised seizures in patients with epilepsy aged 12 years and older
Perampanel (Fycompa)
12 mg tablets Pack of 28		£140.00PCT FORMULARY STATUS: Specialist Initiated Drugs [Notes:] adjunctive treatment of partial-onset seizures with or without secondarily generalised seizures in patients with epilepsy aged 12 years and older Control Of EpilepsyView BNF Article on 'Perampanel'View SPC on 'Perampanel'View PIL on 'Perampanel'
adjunctive treatment of partial-onset seizures with or without secondarily generalised seizures in patients with epilepsy aged 12 years and older
Lacosamide tab (Vimpat)
200 mg tab Pack of 56		£144.16PCT FORMULARY STATUS: Specialist Initiated Drugs [Notes:] Lacosamide contains soya and peanut oil and should not be given to patients with an allergy to either of these components. Control Of EpilepsyView BNF Article on 'Lacosamide tab'View SPC on 'Lacosamide tab'View PIL on 'Lacosamide tab'
Lacosamide contains soya and peanut oil and should not be given to patients with an allergy to either of these components.
Tiagabine (Gabitril)
15 mg tab Pack of 100		£156.13PCT FORMULARY STATUS: Specialist Initiated Drugs Control Of EpilepsyView BNF Article on 'Tiagabine'View SPC on 'Tiagabine'View PIL on 'Tiagabine'
Lacosamide Infusion (Vimpat)
10 mg/ml (20ml unit) solution for infusion Pack of 1		 - PCT FORMULARY STATUS: Hospital Only Drugs Control Of EpilepsyView BNF Article on 'Lacosamide Infusion'View SPC on 'Lacosamide Infusion'View PIL on 'Lacosamide Infusion'
Pregabalin (Lyrica)
300 mg Cap Pack of 56		£64.40PCT FORMULARY STATUS: Discouraged Control Of EpilepsyView BNF Article on 'Pregabalin'View SPC on 'Pregabalin'View PIL on 'Pregabalin'
Pregabalin (Lyrica)
200 mg Cap Pack of 84		£96.60PCT FORMULARY STATUS: Discouraged Control Of EpilepsyView BNF Article on 'Pregabalin'View SPC on 'Pregabalin'View PIL on 'Pregabalin'

 
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