Shared Care: Listed Alphabetically
Statement for Requests for Shared Care Agreements for Historic Patients
User guides for responding to Shared care Agreements for LPT Only :
SCA’s are currently listed alphabetically by drug name (or disease). Where a drug doesn’t have it’s own specific request form please use this one Shared Care Request Form.
A programme of review of these shared care agreement documents is currently being undertaken. These are the current shared care agreements. If there are any concerns please contact medicines.info@uhl-tr.nhs.uk. Please do not send patient identifiable information as email may be unsecure.
ADHD (paediatric) Request form
Amiloride (paediatric cardiology)
Antipsychotics (atypical) Request form
Antipsychotics (atypical) in personality disorder Request form
Apomorphine for treatment of Parkinsons’s disease Request form
Aripiprazole long acting injection Request form
Aripiprazole oral Request form
Atomoxetine (adults) Request form
Atomoxetine (paediatric) Request form
Azathioprine (dermatology) Request form
Azathioprine (adult gastroenterology) Request form
Azathioprine (paediatric gastroenterology)
Azathioprine neurology Request form
Azathioprine (rheumatology) Request form
Captopril (paediatric cardiology)
Ciclosporin (dermatology) Request form
Colistin (Historical Cystic Fibrosis Patients Only)
Denosumab (Prolia) for osteoporosis Request form
Denosumab (Xgeva) for prevention of skeletal events with bone metastases
Dexamfetamine (adults) Request form
Dexamfetamine (paediatric) Request form
Enalapril (paediatric cardiology)
Flupenthixol decanoate Request form
Fluphenazine decanoate Request form
Furosemide (paediatric cardiology)
Guanfacine (adult) Request form
Guanfacine (paediatric) Request form
Haloperidol decanoate Request form
Lisdexamfetamine (adults) Request form
Lisdexamfetamine (paediatric) Request form
Lisinopril (paediatric cardiology)
Losartan (paediatric cardiology)
Mercaptopurine (paediatric gastroenterology)
Mercaptopurine (adult gastroenterology) Request form
Mesalazine (paediatric colitis) Request form
Methotrexate oral (rheumatology) Request form
Methotrexate oral (dermatology) Request form
Methotrexate oral (Adult Gastroenterology) Request form
Methylphenidate (adults) Request form
Methylphenidate (paediatric) Request form
Mycophenolate Mofetil Autoimmune conditions
Mycophenolate Mofetil Request form Dermatology
Mycophenolate Mofetil Request form Neurology
Mycophenolate Mofetil Request form Respiratory
Mycophenolate (renal transplant)
Paliperidone palmitate long acting injection Request form
Penicillamine (rheumatology) Request form
Risperidone long acting injection Request form
Spironolactone (paediatric cardiology)
Sulfasalazine oral (rheumatology) Request form
Sulfasalazine oral and rectal (gastroenterology)
Tacrolimus for Historic Renal Transplant Patients
Testosterone (paediatric) Request form
Venlafaxine (high dose) Request form
Zuclopenthixol decanoate Request form