Medway Community Healthcare Medway NHS Trust Foundation Trust
Medway Clinical Commissioning Group Swale Clinical Commissioning Group

4. Nervous system - guidance

To access BNF Formulary section click on the link under BNF Section/s

To access the Guidance Document click on the highlighted text under the Title column

Use documents past their review date with Caution

BNF Section/s Title Issuing Body  Date of Issue Update Due
4.2.1

Antiepileptic Drugs   -Guidance for prescribing antiepileptic drugs

MHRA

Drug Safety Update

Nov 2017
4.2.1 Antiepileptic drugs: - Updated advice on switching between different manufacturers’ products

 

MHRA

Drug Safety Update

Nov 2017 -
4.3.6 / 4.1

Antipsychotics - Reviewing Antipsychotics prescribed for Behavioral and Psychological Symptoms of Dementia(BPSD) in Primary Care

Kent & Medway CCG

Mar 2022  Mar 2024
4.2.1 /4.3 /4.7.1
Benzodiazepine - Do NOT Use the ‘treatment agreement’ in appendix 5. Please use the K&M Treatment agreement Mar/Apr 22 listed below. Benzodiazepine prescribing guidance in Primary Care
Medway CCG Oct 2018  -
4.2.1 /4.3 /4.7.1  Benzodiazepines & Controlled Drugs - Controlled drugs/benzodiazepine prescribing patient treatment
agreement
Kent & Medway CCG Apr 2022 Apr 2024
 4.6.2 Botulinum toxin - Botulinum toxin type A and calcitonin gene-related peptide inhibitors for preventing migraine in adults NHS Kent & Medway  Aug 2022 Aug 2024
4.4.1  Botulinum toxin - Botulinum toxin type A for facial lines Kent & Medway PRGC Feb 2015
4.4.1 Botulinum toxin - Botulinum toxin for spasticity in adults Kent & Medway PRGC May 2016
4.2.1 Brivaracetam - Brivaracetam Prescribing 
Kent & Medway CCG Dec 2021
Dec 2023
4.2.1 Cenobamate - Cenobamate for treating focal onset seizures in epilepsy TA753
NICE Dec 2021 -
4.2.1 Cenobamate - Cenobamate Prescribing Guidance NHS Kent & Medway ICB Aug 2022 Aug 2024
4.4.1  Chloral Hydrate - Position Statement for - Off label use of Chloral Hydrate in the Management of Intrusive Movement and Motor Disorders in Children and Young People  Kent & Medway CCG  Apr 2022 Apr 2024
4.7.1 Chloral Hydrate - Chloral hydrate, cloral betaine (Welldorm): restriction of paediatric indication

MHRA

Drug Safety Update

Oct 2021 -
4.7.1 Daridorexant - Daridorexant Prescribing Guidance

Kent & Medway ICB

Mar 2024  
4.7.1 Daridorexant - Daridorexant for treating long-term insomnia TA922 

NICE

Oct 2023  
4.1 Dementia - Dementia Medication Prescribing Guideline V6.2

Kent & Medway ICB
& KMPT

Oct 2023 Oct 2025
4.5.1 Domperidone: risks of cardiac side effects

MHRA

Drug Safety Update

Dec 2014 -
4.6.2

Eptinezumab (Vyepti®)
ICB commissioned - approval via Blueteq

High-Cost Drugs    
4.6.2

Eptinezumab (Vyepti®) - Eptinezumab for preventing migraine TA871

NICE Mar 2023 -
4.6.2

Erenumab (Aimovig®
ICB commissioned approval via Blueteq

High-Cost Drugs    
4.6.2 Erenumab (Aimovig®) - Erenumab for preventing migraine TA682  NICE  Mar 2021  -  
4.6.2 Fremanezumab (Ajovy®)
ICB commissioned approval via Blueteq
High-Cost Drugs    
4.6.2 Fremanezumab (Ajovy®) - Fremanezumab for preventing migraine TA764 NICE Feb 2022  
4.6.2 Galcanezumab (Emgality®)
ICB commissioned approval via Blueteq
High-Cost Drugs    
4.6.2 Galcanezumab (Emgality®) - Galcanezumab for preventing migraine TA659 November 2020 NICE Nov 2020  
4.3.4 / 4.3.6 KMPT Formulary - -  -
4.6.3 Lidocaine Plasters -Position Statement Prescribing Lidocaine Plasters 5% (700mg) Kent & Medway CCG Sep 2021
Sep 2023
 4.7.1 Melatonin - Melatonin for Jet lag Kent & Medway PRGC Mar 2021
4.7.1 Melatonin -Guideline on the Use of Melatonin for the Management of Sleep Disorders in Children, Adolescents, and Adults       Version 1.1 Kent & Medway ICB Dec 2023 Dec 2025
4.7.1 Melatonin - Melatonin Prescribing Checklist

Kent & Medway ICB

Apr 2024 Apr 2026
4.5.1 Metoclopramide: risk of neurological adverse effects

MHRA

Drug Safety Update

Aug 2013 -
4.6.2 Migraine/Headaches - Management of Adults with Headaches and Migraines in Primary Care
Kent & Medway ICB Aug 2022 Aug 2024
4.6.2 Migraine -Adult Chronic & Episodic Migraine Referral Form
Kent & Medway ICB Aug 2022 Aug 2024
4.6.1.2 Morphine - Actimorph Patient Information 1mg/2.5mg/5mg/10mg/20mg/30mg  - Jan 2023 -
4.6   /
4.6.1.2
Morphine - Position Statement on prescribing Liquid Morphine Sulfate in Kent & Medway Kent & Medway ICB Oct 2023 Oct 2025
4.6   /
4.6.1.2
Morphine - Morphine Liquid Appropriate Use Guidance Kent & Medway ICB Oct 2023 Oct 2025
4.6 Opioids - Kent and Medway CCG Position Statement on Opioid Prescribing Kent & Medway CCG Apr 2022 Apr 2024
4.6 Opioids - Guidance to Support the Safe and Effective, Initiation and Review of Opioids Kent & Medway ICB Feb 2023 Feb 2025
         
4.6  Opioids -Opioid Tapering Resource Pack Chronic non-cancer pain in adults Kent & Medway CCG Apr 2022 Apr 2024
4.2.1 Perampanel - Perampanel Prescribing Guidance
Kent & Medway ICB Aug 2022 Aug 2024
4.6.2 Rimegepant - Rimegepant Prescribing Guideline for Primary Care Version 1.1 Kent & Medway ICB Jun 2024 Jun 2026
4.6.2 Rimegepant - Rimegepant for preventing migraine TA906 NICE Jul 23 -
4.6.2 Rimegepant - Rimegepant for treating migraine NICE Guidance TA919 NICE Oct 23 _
4.2.1 Sodium Valproate - Sodium Valproate pathway for GP reviews and referral to specialists 2019  MFT Drug & Therapeutic Committee/ Medway & Swale CCG  Jan 2020

4.6.2

4.2.1

Topiramate - Topiramate – Implementing MHRA Safety Measures in Kent & Medway  V1.2 Kent & Medway ICB Nov 2024 -

4.3.3

4.2.1

Valproate - Valproate Medicines Pregnancy Prevention Programme 

MHRA

Drug Safety Update

May 2018  -

4.3.3

4.2.1

Valproate - Valproate medicines and serious harms in pregnancy: new Annual Risk Acknowledgement Form and clinical guidance from professional bodies to support compliance with the Pregnancy Prevention Programme

MHRA

Drug Safety Update

April 19  -

 

 

 

 

 

 

  • First Line Choice
  • On Formulary
  • Specialist Initiation Only
  • Hospital Only
  • KMPT Initiation Only
  •