Medicine Recommendations

Schizophrenia (New Patients)

The colour classification was determined as part of the collaborative work between LCFT and Medicines Management leads. Local pathways and patient safety were taken into consideration.

Contraception

MHRA Drug Safety Update - Intrauterine contraception: uterine perforation—updated information on risk factors

MHRA Drug Safety Update - Levonorgestrel-releasing intrauterine systems: prescribe by brand name

Use outside of the license of post-herpetic neuralgia for the treatment of localised neuropathic pain with predominance of allodynia and/or hyperalgesia and dysesthesias unresponsive to other neuropathic agents

Post Herpetic Neuralgia (as per LSCMMG Guidelines)

Treatment of primary premature ejaculation in adult men

 Moderate to severe irritable bowel syndrome with constipation

*FOR WEST LANCASHIRE ONLY* - Green for Second line option for the symptomatic treatment of moderate to severe irritable bowel syndrome with constipation (IBS-C) in adults

Type 2 diabetes

For the treatment of pneumonia or complicated skin and soft tissue infections on the recommendation of a microbiologist when used for up to 14-days

**Please refer to attached prescriber information sheet for more detail prior to prescribing**

Treating moderate to severe symptoms of uterine fibroids (NICE TA996)

NICE TA996 - Linzagolix for treating moderate to severe symptoms of uterine fibroids

Add-on treatment for refractory hypothyroidism despite adequate replacement with levothyroxine – new patients.

Liothyronine for the treatment of acute conditions where thyroid replacement is needed rapidly, for a limited period and/or where a drug with shorter half-life is required.

Resistant depression

**This entry is under review**

Liothyronine monotherapy for the management of chronic hypothyroidism – primary and secondary care

Add-on treatment for refractory hypothyroidism – existing patients.

Liothyronine therapy commenced in the private sector

Type 2 diabetes mellitus (NICE NG28)

NICE NG28 - Type 2 diabetes in adults: management

NICE TA664 - For managing overweight and obesity

ADHD in adults

ADHD in children and young adults

Mania, bipolar disorder and recurrent depression