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Search Results : Dystonic reactions (Procyclidine hydrochloride - Dystonic reactions)

Records returned : 1 (on 05 Dec 2025 at 16:46:30).

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Icon Key

NFD1

Non formulary

NFD2

Not assessed for formulary status. Apply to APC / DTC before use.

Controlled drug. Prescribing and/or storage requirements may apply

Restrictions apply

Safety Alert

Unlicensed - no UK marketing license in place

Off Label

Not licensed for this indication.

NHSE

Treatment commissioned by NHS England

CDF

Cancer Drugs Fund

ICB

Treatment commissioned by the ICB

BlueTeq form to be completed

NICE

Link to the NICE website

Low carbon device

SPC

View the treatment summary for {padindicationname} on https://www.medicines.org.uk

Status Key

Red

Specialist ONLY drugs - treatment initiated and continued by specialist clinicians

Amber

Prescribing initiated and stabilised by specialist but has potential to transfer to primary care under a formal shared care agreement

Green

GPs (or non-medical prescribers in primary care) are able to take full responsibility for initiation and continuation of prescribing.

Green (see narrative)

GPs (or non-medical prescribers in primary care) are able to take full responsibility for initiation and continuation of prescribing. Please refer to the narrative on the Drug Profile page where additional information may be conveyed as to the place in therapy or restrictions for use that have been locally agreed.

Non Formulary

Not recommended for use in any health setting across the Surrey Heartlands Integrated Care System

Blue

Prescribing initiated and stabilised by specialist but has potential to transfer to primary care WITHOUT a formal shared care agreement. Please note that in some circumstances a specialist may recommend that prescribing can be started in primary care.

See narrative

See narrative - may be applied in instances where a traffic light status has not yet been agreed but an entry to the formulary has been made to clarify interim arrangements.

Drug

Indication

Status

Restrictions/Comments

Formulary Status

Links

1. Procyclidine hydrochloride

Drug:

Procyclidine hydrochloride

Indication :

Dystonic reactions

Status :

Red

Formulations :

Injection

Restrictions / Comments:

Important

Procyclidine injection has been discontinued. There may be supplies available until mid-February 2026.
See link for details: https://www.sps.nhs.uk/shortages/discontinuation-of-procyclidine-10mg-2ml-solution-for-injection-ampoules/
Updated advice is expected from the NPIS by the end of 2025. Benztropine (unlicensed in the UK) may be considered as an alternative. A formulary entry for benztropine will be created once agreed for use by Surrey Heartands Acute Trusts.

https://www.toxbase.org/

Formulary Status :

Primary Care

ASPH

RSFT

SASH

SABP

Links :

SPC