Agency (MHRA) via Send a letter and the shared care agreement form to the GP to obtain consent to share prescribing and monitoring responsibilities Advise GP of any dosage adjustments required, when to refer back, and when and how to stop treatment Ensure clear arrangements for back up, advice and support General Practitioner responsibilities Prescribe the recommended drug once notified by the specialist after agreeing to the treatment programme. Prescribe by brand for sustained release preparations. Ensure that the treatment is not continued if the patient fails to attend the specialist clinic for over a year Check that patient is being monitored as specified in specialist responsibility Report to and seek advice from the specialist on any aspect of patient care that is of concern to the GP and may affect treatment Refer back to the specialist if the condition deteriorates patient’s Monitor the patient for side effects and report all suspected adverse drug reactions to the specialist and to the MHRA via Stop the treatment if advised by the specialist Patient's role Ask the specialist or GP anything he or she does not understand about the treatment Try to put into practice any behavioural or psychological programmes and report back to the specialist about their effectiveness Report any adverse effects to the specialist or GP Attend agreed review appointments
Agency (MHRA) via Send a letter and the shared care agreement form to the GP to obtain consent to share prescribing and monitoring responsibilities Advise GP of any dosage adjustments required, when to refer back, and when and how to stop treatment Ensure clear arrangements for back up, advice and support General Practitioner responsibilities Prescribe the recommended drug once notified by the specialist after agreeing to the treatment programme. Prescribe by brand for sustained release preparations. Ensure that the treatment is not continued if the patient fails to attend the specialist clinic for over a year Check that patient is being monitored as specified in specialist responsibility Report to and seek advice from the specialist on any aspect of patient care that is of concern to the GP and may affect treatment Refer back to the specialist if the patient’s condition deteriorates Monitor the patient for side effects and report all suspected adverse drug reactions to the specialist and to the MHRA via Stop the treatment if advised by the specialist Patient's role Ask the specialist or GP anything he or she does not understand about the treatment Try to put into practice any behavioural or psychological programmes and report back to the specialist about their effectiveness Report any adverse effects to the specialist or GP Attend agreed review appointments
ESCA_ADHD_Adult.docx