North East and North Cumbria
ICS Formulary
 
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4 Central nervous system
04-10-02 Nicotine dependence

Bupropion Hydrochloride
Formulary
  • RAG status as per local commissioning arrangements
  • MHRA Drug Safety Update (Nov 2020): Bupropion (Zyban): risk of serotonin syndrome with use with other serotonergic drugs
  • Resistant depression Red

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Nicotine
Formulary
  • The following nicotine replacement treatments are approved:
    • Nicotine gum -  2mg & 4mg sugar-free chewing gum (Nicorette® is the gum of choice).
    • Nicotine 16 hour patch - 10mg, 15mg, and 25mg/16 hour patches (Nicorette® Invisi). 
    • Nicotine 24 hour patch - 7mg & 14mg, and 21mg /24 hour patches (Nicotinell® is the patch of choice as potential savings to be made).
    • Nicotine lozenges - 2mg and 4mg lozenges (Niquitin® is the lozenge of choice), 1.5mg and 4mg mini lozenges (NiQuitin® Minis Lozenges).
    • Nicotine 2mg sublingual tablets.
    • Nicotine inhalator -  15mg cartridges for use in inhalator.
    • Nicotine oromucosal spray - Nicorette® Quickmist 1mg per dose.

  • North Cumbria - Smoking Cessation is commissioned separately through community pharmacies and should not be prescribed on FP10's
  • Newcastle/Gateshead - Local Authority smoking cessation programme should be used. NRT should not routinely be prescribed on FP10

 


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Varenicline
Formulary
  • Only approved for use in accordance with NICE guidance. 
  • RAG status as per local commissioning arrangements.
Link  NICE TA123: Varenicline

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