Lancashire Care Trust has agreed to allow Escitalopram (Cipralex) onto their formulary but with heavy restrictions.
This drug is allowed for use by the Trust only when agreed by the Chief Pharmacist; there are also restrictions on where in therapy it is used as several other drugs must have been used first. Lancashire Care Trust does not therefore expect GPs to initiate treatment with this drug.
Action: As previously stated, the use of Escitalopram as a first line antidepressant in Primary Care is not supported by evidence.
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