Named patient use only

Pack
28 tablet
Pack
28 tablet (2 x 14 tablets)
Oral solution reserved for paediatric use and those with swallowing difficulties or specific clinical need.
Indicated for all neuropathic pain (except trigeminal neuralgia) - unlicensed but approved by NICE.
Consider nortriptyline / imipramine if sedation a problem.
Step 2 for neuropathic pain.
Pack
28 tablet
Pack
500 tablet
28 tablet
Pack
28 tablet
Pack
150 ml
Pack
150 ml

GREEN - for use in obsessive compulsive disorder only

AMBER - shared care for the treatment of narcolepsy with or without cataplexy

Pack
28 capsule
84 capsule
100 capsule
Pack
28 capsule
84 capsule
100 capsule
Pack
100 capsule
28 capsule
56 capsule
Second line for neuropathic pain except for diabetic neuropathy when it is first line (Licensed for diabetic peripheral neuropathic pain only)
See Painful Diabetic Neuropathy Guidelines

Depalta is currently the most cost effective preferred brand

Pack
56 capsule
28 capsule
Pack
28 capsule
Pack
56 capsule
Pack
28 capsule
84 capsule
Pack
28 capsule
Pack
28 capsule
Pack
28 capsule (4 x 7 capsules)
Pack
28 capsule (4 x 7 capsules)

Third choice for generalised anxiety disorder

Note: escitalopram is the active entantiomer of citalopram

Pack
28 tablet
Pack
28 tablet
Pack
28 tablet
Pack
15 ml

GREEN - depressive disorder and panic attacks

AMBER - shared care for narcolepsy with cataplexy in adults

Orodispersible / oral solution only if swallowing difficulties. Please note: orodispersible is currently more cost effective than oral solution.
Pack
30 capsule
Pack
30 capsule
28 capsule
100 capsule
Pack
30 capsule
Pack
30 capsule
1 capsule
Pack
30 capsule
60 capsule
Pack
28 tablet
Pack
70 ml
Pack
70 ml

Indicated when amitriptyline gives pain relief but patient cannot tolerate side effects

Note: Unlicensed for neuropathic pain

Pack
28 tablet
250 tablet
Pack
28 tablet
500 tablet
84 tablet
100 tablet
Pack
150 ml
Pack
100 tablet
28 tablet
Pack
28 tablet
100 tablet
Orodispersible tablets and oral solution reserved for those with swallowing difficulties or specific clinical need.
First Choice for major depression. Consider if sedation required.
Pack
30 tablet
28 tablet
Pack
28 tablet
30 tablet
Pack
30 tablet
28 tablet
Pack
6 tablet
30 tablet
Pack
30 tablet
Pack
30 tablet
Pack
66 ml
Pack
30 tablet
100 tablet
Pack
30 tablet
60 tablet

Indicated when amitriptyline gives pain relief but patient cannot tolerate side effects

Note: Unlicensed for neuropathic pain

Pack
100 tablet
30 tablet
28 tablet
84 tablet
Pack
100 tablet
25 tablet
30 tablet
28 tablet
84 tablet
Pack
30 tablet
Pack
100 capsule
Pack
100 capsule
Pack
250 ml
Pack
250 ml
Pack
28 tablet
Pack
30 tablet
28 tablet
14 tablet
Pack
30 tablet
Pack
30 tablet
28 tablet
Pack
100 tablet
1 tablet
60 tablet

First line for depression

Pack
28 tablet
Pack
28 tablet
30 tablet
500 tablet
250 tablet
Pack
28 tablet
30 tablet
14 tablet
500 tablet
250 tablet

AMBER - shared care for narcolepsy/cataplexy in adults

GREEN - for all other indications

Pack
56 tablet
60 tablet
28 tablet
Pack
56 tablet
60 tablet
28 tablet
Pack
30 tablet
Pack
28 tablet
30 tablet
Pack
28 tablet
30 tablet
Pack
30 tablet
28 tablet
Pack
28 capsule
Pack
28 capsule
30 capsule
14 capsule
Pack
28 capsule
30 capsule
14 capsule
Pack
28 capsule
30 capsule
Pack
150 ml
Pack
150 ml
Vortioxetine is recommended by NICE as an option for treating major depressive episodes in adults whose condition has responded inadequately to 2 antidepressants. There is no evidence that clearly demonstrates that vortioxetine is superior to other antidepressants in terms of clinical effectiveness.
Pack
28 tablet
Pack
28 tablet
Pack
28 tablet