Stroke Specialist formulary list
The following medicines are approved for prescribing by or on the recommendation of a prescribing stroke specialist:
| TAF SECTION | MEDICINE | SUMMARY OF RESTRICTED INDICATION | CATEGORY | PROTOCOL |
|
|
Aspirin 75mg and clopidogrel 75mg in combination for at least 1 month (unlicensed use ‘off-label’) | In clinically significant and symptomatic carotid disease, post non-cardioembolic ischaemic stroke or TIA. |  |
NHS Tayside treatment protocol for stroke patients |
| 2.10 | Alteplase injection |
Ischaemic Stroke. First line treatment (when strict patient criteria met). |
|
For Ninewells hospital patients - Management of Acute Stroke Presenting within 4½ Hours of Onset of Symptoms Protocol or for Perth Royal Infirmary patients - PRI Stroke Thrombolysis Protocol |
|
2.12
|
Atorvastatin 80mg daily | Ischaemic stroke or TIA directly attributable to significant carotid artery disease or other known significant macrovascular disease. |
 |
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| 10.2 | Baclofen | Relief of spasticity of voluntary muscle associated with neurological damage including stroke. |
|
See SIGN 118 Management of patients with stroke: Rehabilitation, prevention and management of complications, and discharge planning. |
| Tizanidine | Treatment of spasticity associated with stroke (unlicensed use ‘off-label’). |
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| Botulinum toxin type A (Botox®) | Focal spasticity, including the treatment of wrist and hand disability due to upper limb spasticity associated with stroke in adults. |
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Only prescribed by and administered by the consultant from the Centre for Brain Injury Rehabilitation |
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May be prescribed by Hospital Specialists only |
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May be prescribed in General Practice under the direction of a Specialist |
