netFormulary Leicestershire Health Community NHS
Medicines Formulary  
 Formulary Chapter 4: Central nervous system - Full Chapter
Chapter Links...
04.07.03  Expand sub section  Neuropathic pain
 note  Algorithms for treatment of neuropathic pain, trigeminal neuralgia and post-herpetic pain are included in the guidance at the link below. Drugs available for use within these pathways include tricyclics, gabapentin (generic), pregabalin (prescribe as Lyrica for this indication), duloxetine, lidocaine plasters and capsaicin cream.  
Pregabalin can be prescribed twice daily compared to three times daily for gabapentin however this should make little difference to the majority of patients.  Prescribing pregabalin three times a day is very expensive.
Professionals prescribing pregabalin and gabapentin should be aware that these drugs can lead to dependence and may be misused or diverted.
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
Track Changes
Display tracking information
click to search
Link to adult BNF
click to search
Link to children's BNF
click to search
Link to SPCs
Scottish Medicines Consortium
High Cost Medicine
High Cost Medicine
Cancer Drugs Fund
Cancer Drugs Fund
NHS England

Traffic Light Status Information

Status Description


Drugs not recommended for use in the Leicestershire Health Community because of lack of evidence of clinical effectiveness, cost prioritization or concerns over safety. All new drugs will be black until they have been through the appropriate approval process - then they will appear as a specific entry   


Drugs which should be prescribed only by hospital specialists (clinical review by specialist as appropriate and annually as a minimum).  

Amber SCA

Drugs which would initially be prescribed by a hospital specialist and then by a GP where full agreement to share the care of each specific patient has been reached under a LMSG Shared Care Agreement (SCA). Specific patient monitoring or intervention required.   

Amber Simple

Drugs suitable to be initiated and prescribed in primary care only after specialist assessment and recommendation. A shared care agreement is not required.   


Drugs for which GPs would normally take full responsibility for prescribing and monitoring. Drugs included in this list have been specifically considered by LMSG.   


Drugs not yet reviewed  

Green Conditional

Drugs for which GPs are able to take full responsibility for prescribing and monitoring subject to specified conditions e.g. prescribing in line with agreed LMSG guidance or able to demonstrate suitable competence. See comments under individual entries