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Research article:

Clinical management following self-harm in a UK-wide primary care cohort

Reference:

Matthew J Carr, Darren M Ashcroft, Evan Kontopantelis, David While, Yvonne Awenat, Jayne Cooper, Carolyn Chew-Graham, Nav Kapur, Roger T Webb(2016) Clinical management following self-harm in a UK-wide primary care cohort. Journal of Affective Disorders, doi:

Link to article
Abstract
Background: Little is known about the clinical management of patients in primary care following self-harm. Methods: A descriptive cohort study using data from 684 UK general practices that contributed to the Clinical Practice Research Datalink (CPRD) during 2001-2013. We identified 49,970 patients with a self-harm episode, 41,500 of whom had one complete year of follow-up. Results: Among those with complete follow-up, 26,065 (62.8%, 62.3-63.3) were prescribed psychotropic medication and 6,318 (15.2%, 14.9-15.6) were referred to mental health services; 4,105 (9.9%, CI 9.6-10.2) were medicated without an antecedent psychiatric diagnosis or referral, and 4,506 (10.9%, CI 10.6-11.2) had a diagnosis but were not subsequently medicated or referred. Patients registered at practices in the most deprived localities were 27.1% (CI 21.5-32.2) less likely to be referred than those in the least deprived. Despite a specifically flagged NICE ‘Do not do’ recommendation in 2011 against prescribing tricyclic antidepressants following self-harm because of their potentially lethal toxicity in overdose, 8.8% (CI 7.8-9.8) of individuals were issued a prescription in the subsequent year. The percentage prescribed Citalopram, an SSRI antidepressant with higher toxicity in overdose, fell sharply during 2012/2013 in the aftermath of a Medicines and Healthcare products Regulatory Agency (MHRA) safety alert issued in 2011. Conclusions: A relatively small percentage of these vulnerable patients are referred to mental health services, and reduced likelihood of referral in more deprived localities reflects a marked health inequality. National clinical guidelines have not yet been effective in reducing rates of tricyclic antidepressant prescribing for this high-risk group.
Author for correspondence
Matthew J Carr
Email for correspondence
matthew.carr@manchester.ac.uk

Code list: res36: Lithium and other mood stabilisers

207 codes in list

Code Coding system Description Entity type List name
03664020 Multilex Priadel 400mg modified-release tablets (DE Pharmaceuticals) drug res36: Lithium and other mood stabilisers
03668020 Multilex Priadel 400mg modified-release tablets (Necessity Supplies Ltd) drug res36: Lithium and other mood stabilisers
04694020 Multilex Carbamazepine 100mg tablets (Phoenix Healthcare Distribution Ltd) drug res36: Lithium and other mood stabilisers
04698020 Multilex Tegretol 200mg tablets (Lexon (UK) Ltd) drug res36: Lithium and other mood stabilisers
04704020 Multilex Carbamazepine 400mg tablets (Sigma Pharmaceuticals Plc) drug res36: Lithium and other mood stabilisers
04705020 Multilex Tegretol 400mg tablets (Lexon (UK) Ltd) drug res36: Lithium and other mood stabilisers
04714020 Multilex Tegretol Prolonged Release 200mg tablets (DE Pharmaceuticals) drug res36: Lithium and other mood stabilisers
04715020 Multilex Tegretol Prolonged Release 200mg tablets (Sigma Pharmaceuticals Plc) drug res36: Lithium and other mood stabilisers
04730020 Multilex Tegretol Prolonged Release 400mg tablets (Stephar (U.K.) Ltd) drug res36: Lithium and other mood stabilisers
04733020 Multilex Tegretol Prolonged Release 400mg tablets (Necessity Supplies Ltd) drug res36: Lithium and other mood stabilisers
04813020 Multilex Epilim Chrono 200 tablets (Lexon (UK) Ltd) drug res36: Lithium and other mood stabilisers
04815020 Multilex Epilim Chrono 200 tablets (DE Pharmaceuticals) drug res36: Lithium and other mood stabilisers
04817020 Multilex Epilim Chrono 300 tablets (Waymade Healthcare Plc) drug res36: Lithium and other mood stabilisers
04819020 Multilex Sodium valproate 300mg modified-release tablets (Sigma Pharmaceuticals Plc) drug res36: Lithium and other mood stabilisers
04822020 Multilex Epilim Chrono 300 tablets (DE Pharmaceuticals) drug res36: Lithium and other mood stabilisers
04823020 Multilex Sodium valproate 500mg modified-release tablets (Alliance Healthcare (Distribution) Ltd) drug res36: Lithium and other mood stabilisers
04827020 Multilex Epilim Chrono 500 tablets (Lexon (UK) Ltd) drug res36: Lithium and other mood stabilisers
04887020 Multilex Lamictal 25mg tablets (DE Pharmaceuticals) drug res36: Lithium and other mood stabilisers
04890020 Multilex Lamotrigine 25mg tablets (Bristol Laboratories Ltd) drug res36: Lithium and other mood stabilisers
04891020 Multilex Lamictal 25mg tablets (Lexon (UK) Ltd) drug res36: Lithium and other mood stabilisers
04913020 Multilex Lamotrigine 25mg dispersible tablets sugar free (Tillomed Laboratories Ltd) drug res36: Lithium and other mood stabilisers
36907020 Multilex Valproic acid 500mg/5ml oral solution drug res36: Lithium and other mood stabilisers
39721020 Multilex Sodium valproate 500mg/5ml oral suspension drug res36: Lithium and other mood stabilisers
39821020 Multilex Lamotrigine 25mg tablets (Accord Healthcare Ltd) drug res36: Lithium and other mood stabilisers
47267020 Multilex Lithium citrate 509mg/5ml oral solution (Cubic Pharmaceuticals Ltd) drug res36: Lithium and other mood stabilisers
48541020 Multilex Camcolit 250 tablets (Norgine Pharmaceuticals Ltd) drug res36: Lithium and other mood stabilisers
48990020 Multilex Carbamazepine 100mg Tablet (Berk Pharmaceuticals Ltd) drug res36: Lithium and other mood stabilisers
48995020 Multilex Carbamazepine 100mg tablets (A A H Pharmaceuticals Ltd) drug res36: Lithium and other mood stabilisers
48996020 Multilex Carbamazepine 200mg tablets (A A H Pharmaceuticals Ltd) drug res36: Lithium and other mood stabilisers
48997020 Multilex Carbamazepine 400mg tablets (A A H Pharmaceuticals Ltd) drug res36: Lithium and other mood stabilisers
50224020 Multilex Liskonum 450mg modified-release tablets (GlaxoSmithKline UK Ltd) drug res36: Lithium and other mood stabilisers
51251020 Multilex Priadel 200mg modified-release tablets (Sanofi) drug res36: Lithium and other mood stabilisers
51252020 Multilex Priadel 400mg modified-release tablets (Sanofi) drug res36: Lithium and other mood stabilisers
52411020 Multilex Sodium valproate 200mg gastro-resistant tablets (A A H Pharmaceuticals Ltd) drug res36: Lithium and other mood stabilisers
52412020 Multilex Sodium valproate 500mg gastro-resistant tablets (A A H Pharmaceuticals Ltd) drug res36: Lithium and other mood stabilisers
52413020 Multilex Sodium valproate 200mg/5ml oral solution sugar free (A A H Pharmaceuticals Ltd) drug res36: Lithium and other mood stabilisers
52842020 Multilex Camcolit 400 modified-release tablets (Norgine Pharmaceuticals Ltd) drug res36: Lithium and other mood stabilisers
54482020 Multilex Valproate sodium 200mg Gastro-resistant tablet (IVAX Pharmaceuticals UK Ltd) drug res36: Lithium and other mood stabilisers
54483020 Multilex Valproate sodium 500mg Gastro-resistant tablet (IVAX Pharmaceuticals UK Ltd) drug res36: Lithium and other mood stabilisers
54569020 Multilex Tegretol 100mg tablets (Novartis Pharmaceuticals UK Ltd) drug res36: Lithium and other mood stabilisers
54570020 Multilex Tegretol 200mg tablets (Novartis Pharmaceuticals UK Ltd) drug res36: Lithium and other mood stabilisers
54571020 Multilex Tegretol 400mg tablets (Novartis Pharmaceuticals UK Ltd) drug res36: Lithium and other mood stabilisers
54576020 Multilex Tegretol 100mg/5ml liquid (Novartis Pharmaceuticals UK Ltd) drug res36: Lithium and other mood stabilisers
54680020 Multilex Carbamazepine 100mg tablets (Teva UK Ltd) drug res36: Lithium and other mood stabilisers
54682020 Multilex Carbamazepine 400mg tablets (Teva UK Ltd) drug res36: Lithium and other mood stabilisers
55618020 Multilex Sodium valproate 500mg Gastro-resistant tablet (C P Pharmaceuticals Ltd) drug res36: Lithium and other mood stabilisers
56048020 Multilex Lithium carbonate 400mg Modified-release tablet (Approved Prescription Services Ltd) drug res36: Lithium and other mood stabilisers
56309020 Multilex Sodium valproate 200mg/5ml Oral solution (IVAX Pharmaceuticals UK Ltd) drug res36: Lithium and other mood stabilisers
56310020 Multilex Sodium valproate 200mg gastro-resistant tablets (IVAX Pharmaceuticals UK Ltd) drug res36: Lithium and other mood stabilisers
56314020 Multilex Sodium valproate 100mg tablets (Generics (UK) Ltd) drug res36: Lithium and other mood stabilisers
56315020 Multilex Sodium valproate 200mg gastro-resistant tablets (Generics (UK) Ltd) drug res36: Lithium and other mood stabilisers
57138020 Multilex Lithium citrate 1.018g/5ml oral solution drug res36: Lithium and other mood stabilisers
57186020 Multilex Li-Liquid 509mg/5ml oral solution (Rosemont Pharmaceuticals Ltd) drug res36: Lithium and other mood stabilisers
57187020 Multilex Li-Liquid 1.018g/5ml oral solution (Rosemont Pharmaceuticals Ltd) drug res36: Lithium and other mood stabilisers
57489020 Multilex Valproic acid 250mg gastro-resistant tablets drug res36: Lithium and other mood stabilisers
57490020 Multilex Valproic acid 500mg gastro-resistant tablets drug res36: Lithium and other mood stabilisers
57877020 Multilex Litarex 564mg modified-release tablets (Actavis UK Ltd) drug res36: Lithium and other mood stabilisers
59346020 Multilex Carbamazepine 200mg Modified-release tablet (Lagap) drug res36: Lithium and other mood stabilisers
59347020 Multilex Carbamazepine 400mg Modified-release tablet (Lagap) drug res36: Lithium and other mood stabilisers
59550020 Multilex Epimaz Retard 200mg tablets (IVAX Pharmaceuticals UK Ltd) drug res36: Lithium and other mood stabilisers
59758020 Multilex Carbamazepine 100mg tablets drug res36: Lithium and other mood stabilisers
59759020 Multilex Carbamazepine 200mg tablets drug res36: Lithium and other mood stabilisers
59760020 Multilex Carbamazepine 400mg tablets drug res36: Lithium and other mood stabilisers
59953020 Multilex Sodium valproate 200mg Tablet (Sterwin Medicines) drug res36: Lithium and other mood stabilisers
59954020 Multilex Sodium valproate 200mg/5ml Oral solution (Sterwin Medicines) drug res36: Lithium and other mood stabilisers
59989020 Multilex Sodium valproate 500mg gastro-resistant tablets (Teva UK Ltd) drug res36: Lithium and other mood stabilisers
59990020 Multilex Sodium valproate 200mg gastro-resistant tablets (Teva UK Ltd) drug res36: Lithium and other mood stabilisers
60261020 Multilex Carbamazepine 100mg tablets (Generics (UK) Ltd) drug res36: Lithium and other mood stabilisers
60388020 Multilex Carbamazepine 100mg/5ml oral suspension sugar free drug res36: Lithium and other mood stabilisers
61212020 Multilex Carbamazepine 100mg Tablet (IVAX Pharmaceuticals UK Ltd) drug res36: Lithium and other mood stabilisers
61213020 Multilex Carbamazepine 200mg Tablet (IVAX Pharmaceuticals UK Ltd) drug res36: Lithium and other mood stabilisers
61899020 Multilex Carbamazepine 200mg modified-release tablets (A A H Pharmaceuticals Ltd) drug res36: Lithium and other mood stabilisers
61900020 Multilex Carbamazepine 400mg modified-release tablets (A A H Pharmaceuticals Ltd) drug res36: Lithium and other mood stabilisers
62263020 Multilex Carbamazepine 200mg Modified-release tablet (Generics (UK) Ltd) drug res36: Lithium and other mood stabilisers
62264020 Multilex Carbamazepine 400mg Modified-release tablet (Generics (UK) Ltd) drug res36: Lithium and other mood stabilisers
63440020 Multilex Sodium valproate 200mg/5ml oral solution sugar free (Zentiva) drug res36: Lithium and other mood stabilisers
63548020 Multilex Carbamazepine sr 200mg Tablet (IVAX Pharmaceuticals UK Ltd) drug res36: Lithium and other mood stabilisers
63552020 Multilex Carbamazepine sr 400mg Tablet (IVAX Pharmaceuticals UK Ltd) drug res36: Lithium and other mood stabilisers
64015020 Multilex Lithium carbonate 200mg modified-release tablets drug res36: Lithium and other mood stabilisers
64016020 Multilex Lithium carbonate 250mg tablets drug res36: Lithium and other mood stabilisers
64017020 Multilex Lithium carbonate 300mg Modified-release tablet drug res36: Lithium and other mood stabilisers
64020020 Multilex Lithium carbonate 400mg modified-release tablets drug res36: Lithium and other mood stabilisers
64023020 Multilex Lithium carbonate 450mg modified-release tablets drug res36: Lithium and other mood stabilisers
64026020 Multilex Phasal 300mg Tablet (Lagap) drug res36: Lithium and other mood stabilisers
64029020 Multilex Lithium citrate 564mg modified-release tablets drug res36: Lithium and other mood stabilisers
64030020 Multilex Lithium citrate 520mg/5ml oral solution sugar free drug res36: Lithium and other mood stabilisers
64031020 Multilex Lithium citrate 509mg/5ml oral solution drug res36: Lithium and other mood stabilisers
64728020 Multilex Sodium valproate 200mg/5ml Oral solution (Hillcross Pharmaceuticals Ltd) drug res36: Lithium and other mood stabilisers
66059020 Multilex Lamotrigine 50mg tablets drug res36: Lithium and other mood stabilisers
66060020 Multilex Lamotrigine 100mg tablets drug res36: Lithium and other mood stabilisers
66061020 Multilex Lamotrigine 25mg tablets drug res36: Lithium and other mood stabilisers
66209020 Multilex Lamictal 50mg tablets (GlaxoSmithKline UK Ltd) drug res36: Lithium and other mood stabilisers
66210020 Multilex Lamictal 100mg tablets (GlaxoSmithKline UK Ltd) drug res36: Lithium and other mood stabilisers
66211020 Multilex Lamictal 25mg tablets (GlaxoSmithKline UK Ltd) drug res36: Lithium and other mood stabilisers
66876020 Multilex Sodium valproate CR 500mg Tablet (Hillcross Pharmaceuticals Ltd) drug res36: Lithium and other mood stabilisers
69070020 Multilex Sodium valproate 200mg gastro-resistant tablets drug res36: Lithium and other mood stabilisers
69071020 Multilex Sodium valproate 500mg gastro-resistant tablets drug res36: Lithium and other mood stabilisers
69210020 Multilex Sodium valproate 100mg tablets drug res36: Lithium and other mood stabilisers
69211020 Multilex Sodium valproate 200mg/5ml oral solution sugar free drug res36: Lithium and other mood stabilisers
69212020 Multilex Sodium valproate 200mg/5ml oral solution drug res36: Lithium and other mood stabilisers
69791020 Multilex Epilim ec 200mg Gastro-resistant tablet (Sanofi) drug res36: Lithium and other mood stabilisers
69792020 Multilex Epilim ec 500mg Gastro-resistant tablet (Sanofi) drug res36: Lithium and other mood stabilisers
69793020 Multilex Epilim 100mg crushable tablets (Sanofi) drug res36: Lithium and other mood stabilisers
69796020 Multilex Epilim 200mg/5ml syrup (Sanofi) drug res36: Lithium and other mood stabilisers
69797020 Multilex Epilim 200mg/5ml liquid (Sanofi) drug res36: Lithium and other mood stabilisers
69798020 Multilex Epilim Intravenous 400mg powder and solvent for solution for injection vials (Sanofi) drug res36: Lithium and other mood stabilisers
70804020 Multilex Lamotrigine 25mg tablets (Actavis UK Ltd) drug res36: Lithium and other mood stabilisers
70807020 Multilex Lamotrigine 50mg tablets (Actavis UK Ltd) drug res36: Lithium and other mood stabilisers
70810020 Multilex Lamotrigine 100mg tablets (Actavis UK Ltd) drug res36: Lithium and other mood stabilisers
70875020 Multilex Lamotrigine 50mg tablets (IVAX Pharmaceuticals UK Ltd) drug res36: Lithium and other mood stabilisers
70915020 Multilex Lamotrigine 25mg tablets (Fannin UK Ltd) drug res36: Lithium and other mood stabilisers
70972020 Multilex Depakote 250mg gastro-resistant tablets (Sanofi) drug res36: Lithium and other mood stabilisers
70973020 Multilex Depakote 500mg gastro-resistant tablets (Sanofi) drug res36: Lithium and other mood stabilisers
70981020 Multilex Lamotrigine 25mg tablets (Generics (UK) Ltd) drug res36: Lithium and other mood stabilisers
71034020 Multilex Lamotrigine 25mg tablets (A A H Pharmaceuticals Ltd) drug res36: Lithium and other mood stabilisers
71050020 Multilex Lamotrigine 25mg dispersible tablets sugar free (A A H Pharmaceuticals Ltd) drug res36: Lithium and other mood stabilisers
71155020 Multilex Lamotrigine 25mg tablets (Teva UK Ltd) drug res36: Lithium and other mood stabilisers
71158020 Multilex Lamotrigine 50mg tablets (Teva UK Ltd) drug res36: Lithium and other mood stabilisers
71163020 Multilex Lamotrigine 100mg tablets (Teva UK Ltd) drug res36: Lithium and other mood stabilisers
71403020 Multilex Lamotrigine 25mg tablets (Arrow Generics Ltd) drug res36: Lithium and other mood stabilisers
71421020 Multilex Lamotrigine 25mg dispersible tablets sugar free (Arrow Generics Ltd) drug res36: Lithium and other mood stabilisers
72634020 Multilex Carbamazepine 200mg modified-release tablets drug res36: Lithium and other mood stabilisers
72635020 Multilex Carbamazepine 400mg modified-release tablets drug res36: Lithium and other mood stabilisers
72792020 Multilex Tegretol retard 200mg Modified-release tablet (Novartis Pharmaceuticals UK Ltd) drug res36: Lithium and other mood stabilisers
72793020 Multilex Tegretol retard 400mg Modified-release tablet (Novartis Pharmaceuticals UK Ltd) drug res36: Lithium and other mood stabilisers
72796020 Multilex Tegretol 100mg Chewtabs (Novartis Pharmaceuticals UK Ltd) drug res36: Lithium and other mood stabilisers
72797020 Multilex Tegretol 200mg Chewtabs (Novartis Pharmaceuticals UK Ltd) drug res36: Lithium and other mood stabilisers
72800020 Multilex Carbamazepine 100mg chewable tablets sugar free drug res36: Lithium and other mood stabilisers
72801020 Multilex Carbamazepine 200mg chewable tablets sugar free drug res36: Lithium and other mood stabilisers
73096020 Multilex Sodium valproate 500mg gastro-resistant tablets (Zentiva) drug res36: Lithium and other mood stabilisers
73193020 Multilex Priadel 520mg/5ml liquid (Sanofi) drug res36: Lithium and other mood stabilisers
74140020 Multilex Sodium valproate 400mg powder and solvent for solution for injection vials drug res36: Lithium and other mood stabilisers
74431020 Multilex Lamotrigine 5mg dispersible tablets sugar free (Actavis UK Ltd) drug res36: Lithium and other mood stabilisers
74729020 Multilex Carbamazepine 500mg/5ml Oral suspension (Martindale Pharmaceuticals Ltd) drug res36: Lithium and other mood stabilisers
74923020 Multilex Epilim Chrono 200 tablets (Sanofi) drug res36: Lithium and other mood stabilisers
74924020 Multilex Epilim Chrono 300 tablets (Sanofi) drug res36: Lithium and other mood stabilisers
74925020 Multilex Epilim Chrono 500 tablets (Sanofi) drug res36: Lithium and other mood stabilisers
74928020 Multilex Sodium valproate with valproic acid 200mg modified release tablets drug res36: Lithium and other mood stabilisers
74929020 Multilex Sodium valproate with valproic acid 300mg modified release tablets drug res36: Lithium and other mood stabilisers
74930020 Multilex Sodium valproate with valproic acid 500mg modified release tablets drug res36: Lithium and other mood stabilisers
75210020 Multilex Epimaz 100mg tablets (IVAX Pharmaceuticals UK Ltd) drug res36: Lithium and other mood stabilisers
75211020 Multilex Epimaz 200mg tablets (Teva UK Ltd) drug res36: Lithium and other mood stabilisers
75212020 Multilex Epimaz 400mg tablets (Teva UK Ltd) drug res36: Lithium and other mood stabilisers
75353020 Multilex Orlept 200mg gastro-resistant tablets (Wockhardt UK Ltd) drug res36: Lithium and other mood stabilisers
75354020 Multilex Orlept 500mg gastro-resistant tablets (Wockhardt UK Ltd) drug res36: Lithium and other mood stabilisers
75355020 Multilex Orlept SF 200mg/5ml liquid (Wockhardt UK Ltd) drug res36: Lithium and other mood stabilisers
75593020 Multilex Tegretol 125mg suppositories (Novartis Pharmaceuticals UK Ltd) drug res36: Lithium and other mood stabilisers
75594020 Multilex Tegretol 250mg suppositories (Novartis Pharmaceuticals UK Ltd) drug res36: Lithium and other mood stabilisers
75597020 Multilex Carbamazepine 125mg suppositories drug res36: Lithium and other mood stabilisers
75598020 Multilex Carbamazepine 250mg suppositories drug res36: Lithium and other mood stabilisers
75675020 Multilex Lamictal 5mg dispersible tablets (GlaxoSmithKline UK Ltd) drug res36: Lithium and other mood stabilisers
75676020 Multilex Lamictal 25mg dispersible tablets (GlaxoSmithKline UK Ltd) drug res36: Lithium and other mood stabilisers
75677020 Multilex Lamictal 100mg dispersible tablets (GlaxoSmithKline UK Ltd) drug res36: Lithium and other mood stabilisers
75707020 Multilex Lamotrigine 5mg dispersible tablets sugar free drug res36: Lithium and other mood stabilisers
75708020 Multilex Lamotrigine 25mg dispersible tablets sugar free drug res36: Lithium and other mood stabilisers
75709020 Multilex Lamotrigine 100mg dispersible tablets sugar free drug res36: Lithium and other mood stabilisers
76250020 Multilex Lithonate 400mg modified-release tablets (Teva UK Ltd) drug res36: Lithium and other mood stabilisers
76811020 Multilex Sodium valproate 300mg modified-release tablets drug res36: Lithium and other mood stabilisers
77435020 Multilex Carbagen SR 200mg tablets (Generics (UK) Ltd) drug res36: Lithium and other mood stabilisers
77436020 Multilex Carbagen SR 400mg tablets (Generics (UK) Ltd) drug res36: Lithium and other mood stabilisers
78712020 Multilex Sodium valproate 200mg gastro-resistant tablets (Wockhardt UK Ltd) drug res36: Lithium and other mood stabilisers
78980020 Multilex Lamictal 200mg tablets (GlaxoSmithKline UK Ltd) drug res36: Lithium and other mood stabilisers
78981020 Multilex Lamictal 2mg dispersible tablets (GlaxoSmithKline UK Ltd) drug res36: Lithium and other mood stabilisers
79266020 Multilex Lamotrigine 200mg tablets drug res36: Lithium and other mood stabilisers
79267020 Multilex Lamotrigine 2mg dispersible tablets sugar free drug res36: Lithium and other mood stabilisers
81319020 Multilex Sodium valproate 500mg modified-release tablets drug res36: Lithium and other mood stabilisers
83786020 Multilex Teril Retard 200mg tablets (Taro Pharmaceuticals (UK) Ltd) drug res36: Lithium and other mood stabilisers
83787020 Multilex Teril Retard 400mg tablets (Taro Pharmaceuticals (UK) Ltd) drug res36: Lithium and other mood stabilisers
86374020 Multilex Timonil retard 400mg Modified-release tablet (C P Pharmaceuticals Ltd) drug res36: Lithium and other mood stabilisers
86465020 Multilex Epival CR 500mg tablets (Chanelle Medical UK Ltd) drug res36: Lithium and other mood stabilisers
86467020 Multilex Epival CR 300mg tablets (Chanelle Medical UK Ltd) drug res36: Lithium and other mood stabilisers
90775020 Multilex Lamotrigine 50mg dispersible tablets sugar free drug res36: Lithium and other mood stabilisers
92741020 Multilex Sodium valproate 300mg/3ml solution for injection ampoules drug res36: Lithium and other mood stabilisers
92847020 Multilex Lithium carbonate 200mg/5ml oral suspension drug res36: Lithium and other mood stabilisers
93457020 Multilex Sodium valproate 150mg modified-release capsules drug res36: Lithium and other mood stabilisers
93459020 Multilex Sodium valproate 300mg modified-release capsules drug res36: Lithium and other mood stabilisers
93461020 Multilex Sodium valproate 500mg modified-release granules sachets sugar free drug res36: Lithium and other mood stabilisers
93463020 Multilex Sodium valproate 1g modified-release granules sachets sugar free drug res36: Lithium and other mood stabilisers
93465020 Multilex Episenta 150mg modified-release capsules (Desitin Pharma Ltd) drug res36: Lithium and other mood stabilisers
93467020 Multilex Episenta 300mg modified-release capsules (Desitin Pharma Ltd) drug res36: Lithium and other mood stabilisers
93469020 Multilex Episenta 500mg modified-release granules sachets (Desitin Pharma Ltd) drug res36: Lithium and other mood stabilisers
93471020 Multilex Episenta 1000mg modified-release granules sachets (Desitin Pharma Ltd) drug res36: Lithium and other mood stabilisers
94162020 Multilex Carbamazepine 500mg/5ml oral suspension drug res36: Lithium and other mood stabilisers
94601020 Multilex Sodium valproate 1g/10ml solution for injection ampoules drug res36: Lithium and other mood stabilisers
95189020 Multilex Sodium valproate with valproic acid 100mg modified release granules drug res36: Lithium and other mood stabilisers
95191020 Multilex Sodium valproate with valproic acid 250mg modified release granules drug res36: Lithium and other mood stabilisers
95193020 Multilex Sodium valproate with valproic acid 500mg modified release granules drug res36: Lithium and other mood stabilisers
95195020 Multilex Sodium valproate with valproic acid 750mg modified release granules drug res36: Lithium and other mood stabilisers
95197020 Multilex Sodium valproate with valproic acid 1000mg modified release granules drug res36: Lithium and other mood stabilisers
95245020 Multilex Sodium valproate oral solution drug res36: Lithium and other mood stabilisers
95356020 Multilex Sodium valproate with valproic acid 50mg modified release granules drug res36: Lithium and other mood stabilisers
95358020 Multilex Epilim Chronosphere MR 50mg granules sachets (Sanofi) drug res36: Lithium and other mood stabilisers
95360020 Multilex Epilim Chronosphere MR 100mg granules sachets (Sanofi) drug res36: Lithium and other mood stabilisers
95362020 Multilex Epilim Chronosphere MR 250mg granules sachets (Sanofi) drug res36: Lithium and other mood stabilisers
95364020 Multilex Epilim Chronosphere MR 500mg granules sachets (Sanofi) drug res36: Lithium and other mood stabilisers
95366020 Multilex Epilim Chronosphere MR 750mg granules sachets (Sanofi) drug res36: Lithium and other mood stabilisers
95813020 Multilex Epilim 200 gastro-resistant tablets (Sanofi) drug res36: Lithium and other mood stabilisers
95815020 Multilex Epilim 500 gastro-resistant tablets (Sanofi) drug res36: Lithium and other mood stabilisers
96128020 Multilex Sodium valproate 200mg modified-release tablets drug res36: Lithium and other mood stabilisers
97038020 Multilex Epilim Chronosphere MR 1000mg granules sachets (Sanofi) drug res36: Lithium and other mood stabilisers
98807020 Multilex Sodium valproate 50mg modified-release granules sachets sugar free drug res36: Lithium and other mood stabilisers
98809020 Multilex Sodium valproate 100mg modified-release granules sachets sugar free drug res36: Lithium and other mood stabilisers
98811020 Multilex Sodium valproate 250mg modified-release granules sachets sugar free drug res36: Lithium and other mood stabilisers
98813020 Multilex Sodium valproate 750mg modified-release granules sachets sugar free drug res36: Lithium and other mood stabilisers
99349020 Multilex Lamotrigine 50mg Suppository drug res36: Lithium and other mood stabilisers
99731020 Multilex Tegretol Prolonged Release 200mg tablets (Novartis Pharmaceuticals UK Ltd) drug res36: Lithium and other mood stabilisers
99733020 Multilex Tegretol Prolonged Release 400mg tablets (Novartis Pharmaceuticals UK Ltd) drug res36: Lithium and other mood stabilisers

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