SHARED CARE GUIDELINES (SCG) APPROVED FOR USE WITHIN STOCKPORT CCG
NOVEMBER 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 as to a drugs status, or if intending to decline shared care please contact your
adviser or the enquiry line at STOCCG.Pxenquiries@nhs.net.
Please note high cost is NOT a reason to decline shared care.
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/or 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
Expired
Colistimethate - Colomycin®,
Colomycin SCP. Sep
13.pdf
Expired
Promixin®, &
Tobramycin - Tobi® Podhaler
Red as no SCP
provided to SCCG
Antipsychotic
injections(Schizophrenia)
Only for those patients under the care of
a community psychiatric nurse.
Red as no SCP
currently agreed.
In development
with Pennine MH
Apomorphine
injection
Parkinson’s disease
Apomorphine
Oct2011.pdf
Expired but under
development via
GMMMG
Aripirazole ( oral)
For licensed indications and NICE
approved unlicensed indications
NB RED for dementia and non-NICE
approved unlicensed indications
SCG-antipsychotics-i
n-schizophrenia-and-psychosis-in-children-a
SCG antipsychotic
augmentation of antidepressants
Versionbut
1 April 2014.pdf
Expired
March 2017
under
development via
GMMMG
Aripiprazole
(depot injections)
Only for use in stable patients or if under
the care of a CPN
Atomoxetine
ADHD (Adults and children over 6)
Specialist to initiate and only request
SCP when patient is on a stable dose >3
months
Atypical
antipsychotics (oral)
except clozapine
which is RED
Licensed indications (including
Aripiprazole) and/or NICE approved
unlicensed indications(i.e. psychotic
depression or anxiety in bipolar disorder)
Red as no SCP
currently agreed.
In development
with Pennine MH
ADHD-Atomoxetine-G
Methylphenidate_an
MMMG-SCP-16-7-15-v1-1.pdf
d_atomoxetine_in_Adult_ADHD_Version_2_May_2012.pdf
October 17
Expired
SCG antipsychotic
SCG-antipsychotics-in
augmentation of antidepressants
-schizophrenia-and-psychosis-in-c
Version 1 April 2014.pdf
Expired
Azathioprine
Autoimmune disease (licensed) or for
maintenance therapy in
inflammatory bowel diseases
(unlicensed)
Expired
SCP Azathioprine
and Mercaptopurine.v1 Apr 14.pdf
Expiry April 16
or
Dermatology including severe refractory
eczema (unlicensed) and post-transplant
Red as no SCP
approved by
SCCG
Rheumatoid Arthritis
Azathioprine in
Rheumatology May 15.pdf
Expiry May 17
Interstitial Lung disease
Carbamazepine
Bipolar disorder
Green for all other indications
Ciclosporin
Licensed indications
Rheumatoid Arthritis- Capimmune is
the approved brand
Other licensed indications
Transplant rejection- brand specific
Atopic dermatitis or psoriasis
NB Unlicensed use in ulcerative colitis is
RED
Red as no SCP
provided to SCCG
Ciclosporin
Rheumatology l.pdf
Expiry May 17
All other
indications Red
as no SCP
provided to SCCG
GMMMG SCG
in Development
Uncomplicated Nephrotic syndrome
Cinacalcet
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
GMMMG SCG
in Development
Red as no SCP
provided to
SCCG
Colomycin SCP. Sep
13.pdf
Expiry Sept 15
For Cystic Fibrosis
Denosumab
(Prolia®)
For osteoporosis Men or in in post
menopausal women-Use 60mg/ml only
For oncology (120mg/ml)
Red status applies
Dexamphetamine
ADHD (Adults and Children over 6)
amber once patient stabilised (≥ 3
months)
SHH SCG
Denosumab.pdf
Expiry Jul 2017
Red as no SCP
provided to SCCG
ADHD-Dexamfetamine
-GMMMG-SCP-16-7-15-v1-1.pdf
Expiry July 2017
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
Hydroxychloroquine
Hydroxychloroquine
Final.pdf
Expiry May 17
Leflunomide
Leflunomide v2 Jun
15.pdf
Expiry May17
Methotrexate (oral)
Methotrexate PO
Final.pdf
Expiry May 17
Disease Modifying
agents in Rheumatic
disease (DMARDs)
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
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
Fluoxetine
Flupentixol
Decanoate
Antipsychotic depot injection
(Schizophrenia)
Only for those patients who are stable or
under CPN care and if SCG available
Red as no SCP
provided to
SCCG
Red as no SCP
with SCCG
as
NHSE fund
GMMMG SCG
in Development
Red as no SCP
provided to SCCG
Red as no SCP
provided to SCCG
Fluphenazine
Decanoate
Fluvoxamine
For anxiety, OCD or Body dysmorphic
disorder
Gold Injections
Rheumatology
Red as no SCP
provided to
SCCG
Sodium
Aurothiomalate .pdf
Expiry May17
Gonadorelin
analoguesGoserelin/
Leuprorelin (
Prostap is the locally
supported brand /
Triptorelin
Goserelin for Breast Cancer
Red as no SCP
provided to SCCG
All
All drugs licensed for Prostate Cancer
LHRH analogues for
prostate cancer GMMMG pdf.pdf
Expiry Feb 17
Pre-op management prior to endometrial
ablation/ fibroid surgery
precocious puberty, male hypersexuality
or unlicensed indications
Red as no SCP
provided to SCCG
Growth hormone
For use in children as per NICE guidance
Growth hormone-
For primary and secondary hypopituitarism
National SCG to
be provided by
the consultant
GMMMG-SCP-GrowthHormone-in-adults-GMMMG-approved-16-7-15-v1-2.pdf
Expiry Jul 2017
Haloperidol (oral)
For non dementia patients. Red for new
patients with Dementia
(Depot injection)
Hydroxycarbamide
Antipsychotic depot injection
(Schizophrenia)
Only for those patients who are stable or
under CPN care and if SCG available
Essential thrombocythaemia or
polycythaemia with high risk of
complications
Red for chemotherapy
Red as no SCP
provided to SCCG
Red as no SCP
provided to
SCCG
Hydroxycarbamide in
MPD - GMMMG approved 16-7-15.pdf
Expiry July 2017
Hydroxycarbamide
Sickle cell disease
Hydroxycarbamide for
sickle cell disease - GMMMG approved 16-7-15.pdf
Expiry July 2017
Hydroxychloroquine
Also listed in DMARDS
Hydroxychloroquine
Final.pdf
Expiry May 17
Ibandronic acid
Breast cancer
Ibandronate in
metastatic breast cancer - GMMMG.pdf
Expiry May 2017
Use for Chronic Pain Management is
RED
Can be used
under the
direction of a
palliative care
specialist without
a formal shared
care
Lanreotide
/Octreotide
Licensed indications only
Acromegaly
Red as no SCP
provided to SCCG
Leflunomide
Also listed in DMARDs
Ketamine
Palliative Care use is unlicensed
Leflunomide v2 Jun
15.pdf
Expiry May 17
Leuporelin- locally
preferred LHRH.
Prescribe as
Prostap®
Prostate cancer
Prostap® supported by local
urologists.Viaduct health can provide
details of purchase arrangement
LHRH analogues for
prostate cancer GMMMG pdf.pdf
Expiry Feb 17
Pre-op management prior to endometrial
ablation/ fibroid surgery
Red as no SCP
provided to SCCG
Red for precocious puberty, male
hypersexuality or unlicensed indications
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.
ADHD-Lisdexamfetami
ne-GMMMG-SCP16-7-15-v1-1.pdf
Expiry July 2017
Use under 18 limited within SCG
Lithium SCG ADULTS
Version 2 November 2012.pdf
Expired
Lithium SCG over 65
Version 2 November 2012.pdf
Expired
Low molecular
weight heparins
Dependent on indication this is green or
red for new patients. Existing
arrangements remain in place for
patients already under shared care.
If in doubt about status seek advice from
Medicines Optimisation
Melatonin (Circadin®
brand only)
Paediatric patients e.g. sleep disorders,
ADHD once patient is stabilised using the
licensed product (Circadin® brand only)
Doses >6mg are RED
For service users with LD or CAMHS
graduates, age 18-55, where behavioural
interventions fail
For adults 55 yrs and over
Melatonin
unlicensed products
Mercaptopurine
GMMMG SCP for
Melatonin (Circadin) GMMMG.pdf
Red as no SCP
agreed SCCG
Expiry Jan 17
Use is blacklisted
Use is blacklisted
Use is
blacklisted
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
Methylphenidate
Modafinil
For Inflammatory Bowel disease (In BNF
but Unlicensed) or for Psoriasis or
Parenteral preps ( metoject®) for any
indication
Chemotherapy use 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
ADHD-Methylphenidat
Methylphenidate_an
e-GMMMG-SCP-16-7-15-v1-1.pdf
d_atomoxetine_in_Adult_ADHD_Version_2_May_2012.pdf
Expiry Jul 2017
Expired
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
Rheumatology
Mycophenolate
mofetil Final.pdf
Expiry May 17
Dermatology, Immunosuppression, Post
transplant or unlicensed indications
Red as no SCP
provided to SCCG
Octreotide/
Lanreotide
Licensed indications - Acromegaly
Red as no SCP
provided to SCCG
Olanzapine
For licensed indications and NICE
approved unlicensed indications
NB RED for dementia (new patients) &
non-NICE approved unlicensed
indications.
Do not use MR preps without seeking
Meds Optimisation advice.
For licensed indications and NICE
approved unlicensed indications
NB RED for dementia (new patients) &
non-NICE approved unlicensed
indications
Rheumatoid arthritis
Paliperidone
Penicillamine
SCG antipsychotic
SCG-antipsychotics-i
augmentation of antidepressants
Version 1 April 2014.pdf
n-schizophrenia-and-psychosis-in-c
Expired
Red as no SCP
currently agreed.
In development
with Pennine MH
Penicillamine
Final.pdf
Expiry May 17
Expired
Pipotiazine
Antipsychotic depot injection
(Schizophrenia) Only for those patients
who are stable or under the care of a
CPN if SCP available;
Quetiapine
Avoid use of MR
preparations
For licensed indications and NICE
approved unlicensed indications
NB RED for dementia (new patients only)
& non-NICE approved unlicensed
indications
Rheumatology
DMARDS
Rheumatoid arthritis- see under DMARD
or individual drug
Riluzole
For Motor Neurone Disease
Red as no SCP
agrees with
SCCG
SCG antipsychotic
SCG-antipsychotics-i
augmentation of antidepressants
Version 1 April 2014.pdf
n-schizophrenia-and-psychosis-in-c
Expired
Expired
Riluzole In Motor
Neurone Disease.pdf
Expiry Apr 16
Risperidone
Risperidone consta
For licensed indications and NICE
approved unlicensed indications
NB RED for dementia (new patients only)
& non-NICE approved unlicensed
indications
Antipsychotic depot injection
(Schizophrenia) Only for those patients
who are stable or under a CPN if SCG
available;
Sertraline
For anxiety, major depression, OCD or
Body dysmorphic disorder
Sirolimus
Licensed indications
Sodiun
aurothiomalate (gold
injection)
Rheumatology – Also listed under
DMARDs
SCG antipsychotic
SCG-antipsychotics-i
augmentation of antidepressants
Version 1 April 2014.pdf
n-schizophrenia-and-psychosis-in-c
Expired
Red as no SCP
currently agreed.
In development
with Pennine MH
Red as no SCP
provided to
SCCG
Red as no SCP
provided to SCCG
Sodium
Aurothiomalate .pdf
Expiry May 17
Sodium Valproate
Mania -See valproate
Epilepsy is green for adults & children
Sulfasalazine
Rheumatoid conditions
GI indications
Red as no SCP
provided to SCCG
Sulfasalazine
final.pdf
Expiry May 17
Sulipride
Tacrolimus
For licensed indications & NICE
approved unlicensed indications
NB RED for dementia (new patients) &
non-NICE approved unlicensed
indications
Licensed indications
Expired
Red as no SCP
provided to SCCG
Transgender
Hormone therapy
Only when the procedure was NHS
funded
Triptorelin
For Breast Cancer
NHSE
(as per NHSE
Shared care
arrangements)
Red as no SCP
provided to SCCG
All
For Prostate Cancer
LHRH analogues for
prostate cancer GMMMG pdf.pdf
Expiry Feb 17
Pre-op management prior to endometrial
ablation/ fibroid surgery
Red as no SCP
provided to SCCG
precocious puberty, male hypersexuality
or unlicensed indications
Valproate or valproic
acid
Amber only in Bipolar disorder
Red as no SCP
provided to SCCG
Green for other licensed indications
Zuclopenthixol
acetate
RED- for acute use only. No to be
prescribed in primary care
Zuclopenthixol
decanoate
Antipsychotic depot injection
(Schizophrenia) Only for those patients
who are stable or under a CPN and if
SCP available;
Red as no SCP
agrees with
SCCG