Lancashire and South Cumbria
Formulary
 
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4 Central nervous system
04-08-01 Control of epilepsy

Brivaracetam Briviact®
Formulary

Tablets 10mg, 25mg, 50mg, 75mg, 100mg
Oral solution 10mg/1ml

Adjunctive therapy in the treatment of partial-onset seizures with or without secondary generalisation.

Link  LSCMMG: Brivaracetam (Briviact) NMR
Link  MHRA: Antiepileptic drugs in pregnancy: updated advice following comprehensive safety review
Link  MHRA: Antiepileptic drugs: updated advice on switching between different manufacturers products
Link  MHRA: Antiepileptics: risk of suicidal thoughts and behaviour

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Cannabidiol  Epidyolex®
Formulary

Oral solution 100mg/mL

Link  MHRA: Antiepileptic drugs in pregnancy: updated advice following comprehensive safety review
Link  MHRA: Antiepileptic drugs: updated advice on switching between different manufacturers products
Link  MHRA: Antiepileptics: risk of suicidal thoughts and behaviour
Link  NHSE: Cannabis-based products for medicinal use (CBPMs)
Link  NICE TA614: Cannabidiol with clobazam for treating seizures associated with Dravet syndrome
Link  NICE TA615: Cannabidiol with clobazam for treating seizures associated with LennoxGastaut syndrome
Link  NICE TA873: Cannabidiol for treating seizures caused by tuberous sclerosis complex

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Fenfluramine  Fintepla®
Formulary

Oral solution 2.2 mg/mL 

Fenfluramine is recommended as an option for treating seizures associated with
Lennox–Gastaut syndrome (LGS), as an add-on to other antiseizure medicines, for
people 2 years and over. It is recommended only if:
• the frequency of drop seizures is checked every 6 months, and fenfluramine is stopped
• if the frequency is not reduced by at least 30% compared with the 6 months before
starting treatment
 
Fenfluramine will be available for LGS via the Innovative Medicines Fund (IMF).
Link  MHRA: Antiepileptic drugs in pregnancy: updated advice following comprehensive safety review
Link  MHRA: Antiepileptic drugs: updated advice on switching between different manufacturers products
Link  MHRA: Antiepileptics: risk of suicidal thoughts and behaviour
Link  NICE TA10653: Fenfluramine for treating seizures associated with LennoxGastaut syndrome in people 2 years and over [ID1651]
Link  NICE TA808: Fenfluramine for treating seizures associated with Dravet syndrome

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