Discharge letters should be printed and signed and the TRAK IDL should be sent to pharmacy at REH.

Short term leave prescriptions should be completed on HEPMA and if you have a clinical pharmacist they should be paged. The pharmacist will clinically verify the prescription and send to pharmacy on your behalf. If you don't have a clinical pharmacist these should be sent to REH pharmacy.

Please note the Green 'Send to Pharmacy' button on HEPMA is not functional, all this does is generate a PDF. It has NOT been sent to pharmacy.

* Prescriptions with controlled drugs need printed and signed in ink*

Clozapine is an antipsychotic mainly used in treatment resistant schizophrenia.

Initiation

For patients starting on clozapine they need to have undergone a full 'work up' (see handbook), be registered with the national monitoring service (CPMS), prescribed the escalation protocol on HEPMA and have the paper titration chart (which can be found below) signed and sent to pharmacy.

Repeat (Also used for Pirenzipine, Risperidal Consta, Self-Administration, Unlicensed medicines, Cytotoxics)

For inpatients established on clozapine a repeat prescription is required (\MHREPEAT). To do this you must first prescribe the clozapine on HEPMA and prescribe this on the discharge tab and complete. Then on TRAK use \MHREPEAT and select the note type as 'immediate discharge letter'. This should source the prescribed clozapine from HEPMA. The repeat prescription should be printed, signed and sent to pharmacy at REH. Dose changes must be communicated to pharmacy by updating the HEPMA discharge tab and re-printing the repeat prescription and sending to pharmacy.

Pharmacy can only legally dispense clozapine up to the validity of their current blood result.