Social Anxiety Disorder

N.B Do not prescribe 25mg, 150mg or 200mg tablets. 50mg tablets can be halved.

Pack Price
28 tablet £0.80
30 tablet
Pack Price
14 tablet
28 tablet £0.99
30 tablet

Women of child-bearing potential must use adequate contraception

High potential for withdrawal symptoms, other SSRIs are preferred

Pack Price
28 tablet £9.31
Pack Price
14 tablet
28 tablet
30 tablet £1.26
Pack Price
30 tablet £1.53
Pack Price
28 tablet
30 tablet
Pack Price
150 ml £9.12

Not licensed for this indication but recommended by NICE CG159

Recommended dose 75mg XL once daily increased at intervals of at least 2 weeks to maximum of 225mg XL daily

Pack Price
30 tablet £6.60
Pack Price
28 capsule £5.25
Pack Price
28 tablet
30 tablet £2.60
Pack Price
14 capsule
28 capsule £2.60
30 capsule
Pack Price
28 tablet
30 tablet £3.90
Pack Price
14 capsule
28 capsule £3.90
30 capsule
Pack Price
30 tablet £33.60
Pack Price
28 capsule £47.11
30 capsule

Patient must be informed of dietary restrictions and drug interactions (see SPC and / or BNF for details)

Pack Price
100 tablet
30 tablet £22.10
Pack Price
30 tablet £13.99
60 tablet

Not licensed for this indication but recommended by NICE CG159

Patient must be informed of dietary restrictions and drug interactions (see SPC and / or BNF for details)

Recommended dose initially 15mg 3 time a day, increased if necessary to 4 times a day after 2 weeks (hospital patients max 30mg 3 times a day), then reduced gradually to lowest possible maintenance dose

Phenelzine 15mg tablets are not available, click here for more information

Pack Price
100 tablet £22.50

Not licensed for this indication but recommended by The Maudsley Prescribing Guidelines in Psychiatry (12th edition)

Recommended dose 300mg on day one, 300mg BD on day 2, 300mg TDS on day 3 then increased in steps of 300mg every 2 - 3 days. Usual dose 300mg TDS - 1.2g TDS, maximum dose 1.6 g TDS

Pack Price
100 capsule £2.18
50 capsule
90 capsule
Pack Price
100 capsule £4.58
40 capsule
50 capsule
90 capsule
Pack Price
100 capsule £3.26
30 capsule
50 capsule
90 capsule
Pack Price
10 tablet
100 tablet £6.30
Pack Price
100 tablet £29.83
Pack Price
1 ml
150 ml
470 ml

Not licensed for this indication but recommended by The Maudsley Prescribing Guidelines in Psychiatry (12th edition)

Recommended dose initially 150mg in 2 - 3 divided doses, increased if necessary at 7 day intervals in steps of 150mg daily. Maximum 600mg daily in 2 - 3 divided doses

Pack Price
56 capsule (4 x 14 capsules) £9.95
Pack Price
56 capsule (4 x 14 capsules) £9.95
84 capsule (6 x 14 capsules) £13.95
Pack Price
56 capsule (4 x 14 capsules) £9.95
Pack Price
84 capsule (6 x 14 capsules) £13.95
Pack Price
56 capsule (4 x 14 capsules) £9.95
Pack Price
84 capsule (6 x 14 capsules) £13.95
Pack Price
56 capsule (4 x 14 capsules) £9.95
Pack Price
56 capsule (4 x 14 capsules) £9.95
Pack Price
100 capsule
14 capsule
56 capsule £1.84
84 capsule
Pack Price
21 capsule
56 capsule
84 capsule £1.91
Pack Price
100 capsule
14 capsule
56 capsule £1.81
Pack Price
21 capsule
56 capsule
84 capsule £2.43
Pack Price
100 capsule
14 capsule
56 capsule £2.17
Pack Price
21 capsule
56 capsule
84 capsule £2.93
Pack Price
56 capsule £2.74
Pack Price
56 capsule £3.54

Restricted to initiation by specialists

The Maudsley Prescribing Guidelines in Psychiatry (12th edition) list as an option if other therapies have failed. It is less well tolerated or has a weaker evidence base than formulary options

Used to augment 1st, 2nd or 3rd line therapies

Only for careful short term use

Recommended dose initially 0.5 mg at night increased if necessary to a maximum of 3 mg daily

Pack Price
100 tablet £30.74
60 tablet
Pack Price
100 tablet £28.39
150 tablet
60 tablet
Pack Price
1 ml
150 ml

Restricted to initiation by specialists

The Maudsley Prescribing Guidelines in Psychiatry (12th edition) list as an option if other therapies have failed. It is less well tolerated or has a weaker evidence base than formulary options

Plasma level reduced by up to 50% by cigarette smoke

Recommended dose initially 10 mg, adjusted as appropriate to 5 - 20 mg 
  
Plasma concentration monitoring form ONLY for diagnosis of acute poisoning  

Pack Price
28 tablet £6.91
Pack Price
28 tablet £15.00
Pack Price
28 tablet £12.10
56 tablet
Pack Price
28 tablet £35.87
56 tablet
Pack Price
28 tablet £26.35
Pack Price
28 tablet £46.50
Pack Price
28 tablet £20.18
Pack Price
28 tablet £34.83
Pack Price
28 tablet £34.81
Pack Price
28 tablet £49.74
Pack Price
28 tablet £37.24
Pack Price
28 tablet £66.76
Pack Price
28 tablet £58.01
Pack Price
28 tablet £96.14

Restricted to initiation by specialists

Not licenced for this indication but Maudsley Prescribing Guidelines in Psychiatry (12th edition) list as an option if other therapies have failed. It is less well tolerated or has a weaker evidence base than formulary options

For performance anxiety only

Pack Price
100 tablet
28 tablet £0.88

Do not offer valproate to girls or young women of childbearing potential. If use cannot be avoided discuss risks and ensure that adequate contraception is being used.

Valproate medicines (Epilim▼, Depakote▼) are contraindicated in women and girls of childbearing potential unless conditions of Pregnancy Prevention Programme are met. Use materials provided by MHRA (see link above)

Restricted to initiation by specialists

Not licenced for this indication but the Maudsley Prescribing Guidelines in Psychiatry (12th edition) list as an option if other therapies have failed. It is less well tolerated or has a weaker evidence base than formulary options
   
KMPT valproate guide
Medicines related to valproate: risk of abnormal pregnancy outcomes

Valproate annual risk acknowledgement form

KMPT guideline for prescribing valproate Dec 2023

Pack Price
100 tablet £5.60
Pack Price
100 tablet £4.21
Pack Price
100 tablet £7.29
Pack Price
100 capsule
Pack Price
100 tablet £11.65
Pack Price
100 tablet £17.47
Pack Price
100 capsule £13.00
Pack Price
100 tablet £29.10
Pack Price
300 ml £9.33
Pack Price
300 ml £4.16
Pack Price
30 sachet £30.00
Pack Price
30 sachet
Pack Price
30 sachet £30.00
Pack Price
100 sachet £21.00
30 sachet £30.00
Pack Price
30 sachet £30.00
Pack Price
100 sachet £41.00
30 sachet £30.00

Do not offer valproate to girls or young women of childbearing potential. If use cannot be avoided discuss risks and ensure that adequate contraception is being used.

Valproate medicines (Epilim▼, Depakote▼) are contraindicated in women and girls of childbearing potential unless conditions of Pregnancy Prevention Programme are met. Use materials provided by MHRA (see link above)

Restricted to initiation by specialists

Not licenced for this indication but the Maudsley Prescribing Guidelines in Psychiatry (12th edition) list as an option if other therapies have failed. It is less well tolerated or has a weaker evidence base than formulary options
   
KMPT valproate guide
Medicines related to valproate: risk of abnormal pregnancy outcomes

Valproate annual risk acknowledgement form

KMPT guideline for prescribing valproate Dec 2023

Pack Price
100 capsule
Pack Price
100 capsule
Pack Price
100 capsule
Pack Price
90 tablet £17.08
Pack Price
90 tablet £34.11