netFormulary Dorset NHS
The Dorset Formulary has been developed in associations with
NHS Dorset Clinical Commissioning Group
Dorset County Hospital NHS Foundation Trust
Dorset Healthcare University NHS Foundation Trust
Poole Hospital NHS Foundation Trust
Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust
 
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 Formulary Chapter 4: Central nervous system - Full Chapter
Notes:

Chapter review date:

Chapter Links...
 Details...
04.09.01  Expand sub section  Dopaminergic drugs used in Parkinsons disease
04.09.01  Expand sub section  Dopamine receptor agonists
Pramipexole
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First Choice
Amber SCG
Tablets.
See shared care guideline for dopamine agonists

Use in accordance with local guidance on drug treatment of Parkinson's Disease and the shared care guideline for dopamine agonists used in Parkinson's Disease.

Includes modified release formulation 
Ropinirole
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First Choice
Amber

Tablets, modified release tablets.

First line in accordance with local guidance on drug treatment of Parkinson's Disease and the shared care guideline for dopamine agonists used in Parkinson's Disease.

 
Rotigotine patches
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Third Choice
Amber SCG
Alternative prescribing option.

Use in accordance with local guidance on drug treatment of Parkinson's Disease and the shared care guideline.

Third line agent where ropinirole and pramipexole are ineffective or not tolerated. May be considered as first line for patients with swallowing difficulties. 
   
Apomorphine injection
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Formulary
Red
Hospital only.

Treatment is managed by the Parkinson's Disease speciality nurses. 
   
04.09.01  Expand sub section  Levodopa
04.09.01  Expand sub section  Monoamine-oxidase-B inhibitors
04.09.01  Expand sub section  Catachol-O-methyltransferase inhibitors to top
04.09.01  Expand sub section  Amantadine
04.09.01  Expand sub section  Mild to moderate dementia in Parkinsons disease
 ....
 Non Formulary Items
Bromocriptine

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Non Formulary
 
Cabergoline

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Non Formulary

Non formulary for Parkinson's Disease

 
Lisuride

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Non Formulary
 
Pergolide

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Non Formulary

Non formulary for Parkinson's Disease.

 
  
Key
note Notes
Section Title Section Title (top level)
Section Title Section Title (sub level)
First Choice Item First Choice item
Non Formulary Item Non Formulary section
Restricted Drug
Restricted Drug
Unlicensed Drug
Unlicensed
Track Changes
Display tracking information
click to search medicines.org.uk
Link to adult BNF
click to search medicines.org.uk
Link to children's BNF
click to search medicines.org.uk
Link to SPCs
Cytotoxic Drug
Cytotoxic Drug
CD
Controlled Drug
High Cost Medicine
High Cost Medicine
Cancer Drugs Fund
Cancer Drugs Fund
NHSE
NHS England
Homecare
Homecare
CCG
CCG

Traffic Light Status Information

Status Description

Green

May be initiated, stabilised and maintained in primary, secondary or tertiary care  

Amber

Amber drug - without shared care  

Amber SCG

Amber drug - with shared care guideline  

Red

For secondary or tertiary care initiation and long-term maintenance of prescribing  

Black

Not recommended  

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