SHARED CARE GUIDELINES (SCG)
July 2015
For any drug listed, the status will be red if using for an unlicensed indication unless that
indication is specifically mentioned below. Expired SCGs may be used at the
discretion/risk of the responsible prescriber.
Drugs marked ** differ from the GMMMG overarching RAG list.
If in doubt contact your adviser or the enquiry line at STOCCG.Pxenquiries@nhs.net
Drug (proprietary
examples)
Acamprosate
Indications & Rationale
Guideline
(Adult)
Guideline
(Paediatric)
Maintenance of alcohol abstinence
Acamprosate Version
2 December 2013.pdf
Expiry Dec 15
Amisulpiride (oral)
For licensed indications and NICE
approved unlicensed indications
NB RED for dementia and non-NICE
approved unlicensed indications
SCG antipsychotic
SCG-antipsychotics-i
augmentation of antidepressants
Version 1 April 2014.pdf
n-schizophrenia-and-psychosis-in-c
March 2017
Antibiotics –
nebulised
Red for new cystic
fibrosis patients and
children
Antipsychotic
injections(Schizophrenia)
Apomorphine
injection
Expiry Jun 2015
Colistimethate - Colomycin®,
Colomycin SCP. Sep
13.pdf
Expiry Sept 15
Promixin®, &
Tobramycin - Tobi® Podhaler
Only for those patients under the care of
a community psychiatric nurse.
Red as no SCP
provided to SCCG
Red as no SCP
agreed by SCCG
Parkinson’s disease
Apomorphine
Oct2011.pdf
Aripirazole ( oral)
For licensed indications and NICE
approved unlicensed indications
NB RED for dementia and non-NICE
approved unlicensed indications
SCG antipsychotic
SCG-antipsychotics-i
augmentation of antidepressants
Version 1 April 2014.pdf
n-schizophrenia-and-psychosis-in-c
Expiry April 2015
Red as no SCP
approved by
SCCG
Aripiprazole
(depot injections)
Atomoxetine
Expiry Jun 2015
ADHD (Adults and children over 6)
Specialist to initiate and only request
SCP when patient is on a stable dose >3
months
Atomoxetine_in_child
Methylphenidate_an
_and_adolescent_ADHD_May_2012.p
d_atomoxetine_in_Adult_ADHD_Version_2_May_2012.pdf
Expired
Expired
Atypical
antipsychotics (oral)
except clozapine
which is RED
Licensed indications (including
Aripiprazole) and NICE approved
unlicensed indications(i.e. psychotic
depression or anxiety in bipolar disorder)
SCG antipsychotic
SCG-antipsychotics-in
augmentation of antidepressants
-schizophrenia-and-psychosis-in-c
Version 1 April 2014.pdf
Expiry April 2015
Azathioprine
Autoimmune disease (licensed) or for
maintenance therapy in
inflammatory bowel diseases
(unlicensed)
or
severe refractory eczema (unlicensed)
or
Rheumatoid Arthritis -
Expiry Jun 15
Shared Care is
not supported
for other
indications
SCP Azathioprine
and Mercaptopurine.v1 Apr 14.pdf
Expiry April 16
Red as no SCP
Azathioprine in
Rheumatology May 15.pdf
Expiry May 17
Carbamazepine
Bipolar disorder
Green for all other indications
Ciclosporin
Licensed indications
Rheumatoid Arthritis
Other licensed indications
Transplant rejection
Atopic dermatitis or psoriasis
Nephrotic syndrome
NB Unlicensed use in ulcerative colitis is
RED
Cinacalcet
Red as no SCP
provided to SCCG
Ciclosporin
Rheumatology l.pdf
Expiry May 17
All other
indications Red
as no SCP
provided to SCCG
Primary hyperparathyroidism
NB For secondary hyperparathyroidism
the drug is RED
Cinacalcet primary
hyperparathyroidism - GMMMG .pdf
Expiry May 17
Citalopram
For anxiety, major depression, OCD or
Body dysmorphic disorder
Colistimethate Colomycin®,
For non Cystic Fibrosis patients
Red as no SCP
provided to
SCCG
Colomycin SCP. Sep
13.pdf
Expiry Sept 15
Denosumab
For osteoporosis Men or in in post
menopausal women-Use 60mg/ml
For oncology (120mg/ml)
Red status applies
GMMMG-Denosumab
18-6-15.pdf
Expiry June 2017
Red as no SCP
provided to
SCCG
Dexamphetamine
ADHD (Adults and Children over 6)
amber once patient stabilised (≥ 3
months)
Red as no SCP
provided to SCCG
Methylphenidate &
dexamfetamine_for_child_and_ad
Expired
Disease Modifying
agents in Rheumatic
disease (DMARDs)
Azathioprine
Azathioprine in
Rheumatology May 15.pdf
Expiry May 17
Ciclosporin
Ciclosporin
Rheumatology l.pdf
Expiry May 17
Gold Injections
Sodium
Aurothiomalate .pdf
Expiry May 17
Disease Modifying
agents in Rheumatic
disease (DMARDs)
Hydroxychloroquine
Hydroxychloroquine
Final.pdf
Expiry May 17
Leflunomide
Leflunomide v2 Jun
15.pdf
Expiry May17
Methotrexate (oral)
Methotrexate PO
Final.pdf
Expiry May 17
Penicillamine
Penicillamine
Final.pdf
Expiry May 17
Sulfasalazine
Sulfasalazine
final.pdf
Expiry May 2017
Disulfiram
Patients must be stable > 3 months
before care is shared is commenced
Disulfiram Version 1
December 2013..pdf
Expiry Dec 2015
Red as no SCP
provided to
SCCG
Domperidone
For all GI indications
Dornase alfa
Cystic Fibrosis Drug is funded &
commissioned by NHS England not
CCGs so not locally funded.
For anxiety, major depression, OCD or
Body dysmorphic disorder
Red as no SCP
with SCCG
Antipsychotic depot injection
(Schizophrenia)
Only for those patients who are stable
and if SCP available
For Prostate cancer
Red as no SCP
provided to SCCG
Fluoxetine
Flupentoxol
Decanoate
Flutamide
Fluvoxamine
For anxiety, OCD or Body dysmorphic
disorder
Gold Injections
Rheumatology
Red as no SCP
provided to
SCCG
Red as no SCP
provided to SCCG
Red as no SCP
provided to
SCCG
Sodium
Aurothiomalate .pdf
Expiry May17
Gonadorelin
analoguesGoserelin/
Leuprorelin/
Triptorelin
Goseralin for Breast Ca
All drugs licensed for Prostate cancer
Pre-op management prior to endometrial
ablation/ fibroid surgery
Red for precocious puberty, male
hypersexuality or unlicensed indications
Growth hormone
For use in children as per NICE guidance
Growth hormone-
For primary and secondary hypopituitarism
Haloperidol (oral)
For non dementia patients
(Depot injection)
Red as no SCP
provided to SCCG
LHRH analogues for
prostate cancer GMMMG pdf.pdf
Expiry Feb 17
Red as no SCP
provided to SCCG
National shared
care SCP to be
provided by the
consultant
Red as no SCP
provided to SCCG
Red as no SCP
provided to SCCG
Red as no SCP
provided to
SCCG
Histrelin
Palliative treatment of advanced prostate
cancer as per IPNTS recommendations
Red as no SCP
provided to
SCCG
Hydroxycarbamide
Essential thrombocythaemia or
polycythaemia with high risk of
complications
Red as no SCP
provided to
SCCG In
development at
GM level
Hydroxycarbamide
Sickle cell disease
Red as no SCP
provided to
SCCG In
development at
GM level
Hydroxychloroquine
Also listed in DMARDS
Red for
chemotherapy
Hydroxychloroquine
Final.pdf
Expiry May 17
Ibandronic acid
Breast cancer
Ibandronate in
metastatic breast cancer - GMMMG.pdf
Expiry May 2017
Ketamine
Palliative Care use is unlicensed
Use for Chronic Pain Management is
RED
Lanreotide
/Octreotide
Licensed indications only
Leflunomide
Also listed in DMARDs
Can be used
under the
direction of a
palliative care
specialist
without a formal
shared care
Red as no SCP
provided to
SCCG
Leflunomide.pdf
Expiry May 17
Leuporelin
Prostate cancer
LHRH analogues for
prostate cancer GMMMG pdf.pdf
Expiry Feb 17
Pre-op management prior to endometrial
ablation/ fibroid surgery
Red for precocious puberty, male
hypersexuality or unlicensed indications
Red as no SCP
provided to
SCCG
Lisdexamfetamine **
Lithium
Licensed use where methylphenidate is
not tolerated or fails to achieve a positive
outcome once patient stable >3months
Use in adults is
unlicensed but
may be
considered
when all other
treatments have
failed.
isdexamfetamine-V109-2013.pdf
Use under 18 limited within SCG
Lithium SCG ADULTS
Pennine Lithium SCG
Version 2 November 2012.pdf
Age 12 to 18 Aug 2012.pdf
Lithium SCG over 65
Version 2 November 2012.pdf
Low molecular
weight heparins
If in doubt about
status seek advice
from Medicines
Management
Melatonin
Dependent on indication this is green or
red for new patients. Existing
arrangements remain in place for
patients already under shared care.
Paediatric patients e.g. sleep disorders,
Blacklisted
ADHD once patient is stabilised using the
licensed product (Circadin®). Doses
>6mg are RED
GMMMG SCP for
Melatonin (Circadin) GMMMG.pdf
Expiry Jan 17
Use of licensed product in adults is not
permitted
Mercaptopurine
Inflammatory bowel diseases Unlicensed but in BNF
RED for chemotherapy
SCP Azathioprine
and Mercaptopurine.v1 Apr 14.pdf
Expiry April 16
Methotrexate
Oral for Rheumatic Disease
Methotrexate PO
Final.pdf
Expiry May 17
Parenteral preps
Inflammatory Bowel disease (Unlicensed
indication but in the BNF), Psoriasis
Methylphenidate
Chemotherapy is RED
Shared care should only be accepted
once the patient is stabilised (> 3
months) by Pennine Mental Health Team
Red as no SCP
agreed SCCG
Methylphenidate_an
Methylphenidate &
d_atomoxetine_in_Adult_ADHD_Version_2_May_2012.pdf
dexamfetamine_for_child_and_ad
Expired
Expired
Modafinil
Sleepiness associated with narcolepsy
NB: For Postural Hypotension, idiopathic
sleepiness or excessive sleepiness
associated with sleep apnoea or shift
work disorder (unlicensed) are all
designated RED by GMMMG
Modafinil for
sleepiness associated with narcolepsy.pdf
SCP Modafanil SHH
2014.doc
Expiry April 16
Mycophenolate
mofetil
RED of any indication without a shared
care.
Mycophenolate
mofetil Final.pdf
Expiry May 17
Octreotide/
Lanreotide
Licensed indications
Olanzapine
For licensed indications and NICE
approved unlicensed indications
NB RED for dementia (new patients) &
non-NICE approved unlicensed
indications
Paliperidone
Penicillamine
For licensed indications and NICE
approved unlicensed indications
NB RED for dementia (new patients) &
non-NICE approved unlicensed
indications
Rheumatoid arthritis
Red as no SCP
provided to
SCCG
SCG antipsychotic
SCG-antipsychotics-i
augmentation of antidepressants
Version 1 April 2014.pdf
n-schizophrenia-and-psychosis-in-c
Expiry Apr 2015
Expiry Jun 2015
Red as no SCP
provided to
SCCG
Penicillamine
Final.pdf
Expiry May 17
Pipotiazine
Antipsychotic depot injection
(Schizophrenia) Only for those patients
who are stable and if SCP available;
Rheumatology
DMARDS
Rheumatoid arthritis- see under DMARD
or individual drug
Riluzole
For Motor Neurone Disease
Red as no SCP
agrees with
SCCG
Riluzole In Motor
Neurone Disease.pdf
Expiry Apr 16
Risperidone
For licensed indications and NICE
approved unlicensed indications
NB RED for dementia (new patients) &
non-NICE approved unlicensed
indications
SCG antipsychotic
SCG-antipsychotics-i
augmentation of antidepressants
Version 1 April 2014.pdf
n-schizophrenia-and-psychosis-in-c
Expiry Apr 2015
Expiry Jun 2015
Risperidone consta
Antipsychotic depot injection
(Schizophrenia) Only for those patients
who are stable and if SCP available;
Red as no SCP
agrees with
SCCG
Quetiapine
For licensed indications and NICE
approved unlicensed indications
NB RED for dementia (new patients) &
non-NICE approved unlicensed
indications
SCG antipsychotic
SCG-antipsychotics-i
augmentation of antidepressants
Version 1 April 2014.pdf
n-schizophrenia-and-psychosis-in-c
sertraline
For anxiety, major depression, OCD or
Body dysmorphic disorder
Sirolimus
Licensed indications
Sodiun
aurothiomalate (gold
injection)
Rheumatology
Expiry Apr 2015
Expiry Jun 2015
Red as no SCP
provided to
SCCG
Red as no SCP
provided to
SCCG
Sodium
Aurothiomalate .pdf
Expiry May 17
Sulfasalazine
Rheumatoid conditions
GI indications
Sulfasalazine
final.pdf
Expiry May 17
Sulipride
Tacrolimus
For licensed indications and NICE
approved unlicensed indications
NB RED for dementia (new patients) &
non-NICE approved unlicensed
indications
Licensed indications
Transgender
Hormone therapy
Only when NHS funded
Valproate
Amber only in Bipolar disorder Green for
other licensed indications
Zuclopenthixol
acetate
Zuclopenthixol
decanoate
RED
Antipsychotic depot injection
(Schizophrenia) Only for those patients
who are stable and if SCP available;
SCG-antipsychotics-i
n-schizophrenia-and-psychosis-in-c
Expiry Jun 2015
Red as no SCP
provided to
SCCG
NHSE
(as per NHSE
Shared care
arrangements)
Red as no SCP
provided to
SCCG
Red as no SCP
agrees with
SCCG