netFormulary NHS
South Staffordshire Joint Formulary
Cannock Chase Clinical Commissioning Group
East Staffordshire Clinical Commissioning Group
South East Staffordshire and Seisdon Peninsula Clinical Commissioning Group
Stafford and Surrounds Clinical Commissioning Group
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 Formulary Chapter 2: Cardiovascular system - Full Chapter
02.01  Positive inotropic drugs
02.01.01  Cardiac glycosides
Digoxin
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First Choice
Green
Digoxin 62.5microgram Tablet
Digoxin 125microgram Tablet
Digoxin 250microgram Tablet
Digoxin 50microgram/mL Elixir

Levels can be useful to assess toxicity, but need taking at least 6 hours post dose (best to give at night)
In A.F. patients, the pulse rate can be used to guide dosing.
 
Digibind
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Restricted Drug Restricted
Red
 
   
Digifab
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Restricted Drug Restricted
Red
 
   
02.01.02  Phosphodiesterase type-3 inhibitors
Enoximone
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Restricted Drug Restricted
Red
 
   
02.02  Diuretics
02.02.01  Thiazides and related diuretics to top
Indapamide
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First Choice
Green

Indapamide 2.5mg Tablet


No reason to use MR Indapamide.

 
Bendroflumethiazide
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Second Choice
Green

Bendroflumethiazide 2.5mg Tablet

2.5mg dose (Higher doses not indicated in hypertension). NICE Guidance recommends Indapamide (Greater Evidence Base).

 
   
Chlortalidone
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Second Choice
Green

Chlortalidone 50mg Tablet

Very Expensive.

 
   
Metolazone
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Unlicensed Drug Unlicensed
Amber

Metolazone 2.5mg Tablet
Metolazone 5mg Tablet
 

Unlicensed special. Only to be prescribed in primary care following specialist initiation.

 
   
02.02.02  Loop diuretics
Furosemide
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First Choice
Green

Furosemide 20mg/5ml S/F Oral Solution
Furosemide 40mg/5ml S/F Oral Solution
Furosemide 20mg Tablet
Furosemide 40mg Tablet

Monitor Potassium Levels - Risk of Hypokalaemia

 
Bumetanide
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Second Choice
Green

Bumetanide 1mg Tablet
Bumetanide 5mg Tablet
Bumetanide 1mg/5ml S/F Oral Solution Expensive Item

Monitor Potassium Levels - Risk of Hypokalaemia

 
   
02.02.03  Potassium-sparing diuretics and aldosterone antagonists
Amiloride Hydrochloride
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Formulary
Green

Amiloride 5mg Tablet

This item is expensive. If combining this drug with a loop diuretic consider combination preparation co-amilofruse.

 
   
02.02.03  Aldosterone antagonists
Spironolactone
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First Choice
Green

Spironolactone 25mg Tablet
Spironolactone 50mg Tablet
Spironolactone 100mg Tablet

Spironolactone has been shown to reduce symptoms and mortality in patients with Grade III or Grade IV heart failure. Careful monitoring of U&E's is required.

 
Eplerenone
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Formulary
Amber

Eplerenone 25mg Tablet
Eplerenone 50mg Tablet

For patients with left ventricular dysfunction following myocardial infarction (start therapy within 3-14 days of the event, as per BNF).
Careful monitoring of U&E's is required
Consider changing to spironolactione once stable.

Once patient in stabilised prescribing can continue in primary care.  A RICad or prescribing supporting information will be provided

 
Link  NICE NG106: Chronic heart failure in adults: diagnosis and management
   
02.02.04  Potassium-sparing diuretics with other diuretics
Co-amilofruse
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Formulary
Green

Co-Amilofruse 2.5mg/20mg Tablet
Co-Amilofruse 5mg/40mg Tablet

 
   
02.02.05  Osmotic diuretics to top
02.02.06  Mercurial diuretics
02.02.07  Carbonic anhydrase inhibitors
02.02.08  Diuretics with potassium
02.03  Anti-arrhythmic drugs
02.03.01  Management of arrhythmias to top
02.03.02  Drugs for arrhythmias
Diltiazem
(Also 2.6.2)
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Formulary
Green

Use Post M.I. if beta blockers contraindicated.

To avoid confusion between different formulations of Diltiazem, prescribers should specify the Brand to be dispensed - as per BNF.

Drug discontinuations
Slozem® 120mg, 180mg, 240mg and 300mg capsules* –discontinued from December 2019 (stock should run out by end of Feb 2020).

 
   
Mexiletine
(See prescribing restrictions)
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Formulary
Red
NHS England

Licensed preparation: Namuscla® 167mg hard capsules is reserved for non-dystrophic myotonia and it is not licensed for ventricular arrhythmia. This is an NHS England specialised commissioning medicine.

unlicensed Unlicensed preparation: Mexiletine 50mg, 100mg and 200mg capsules are unlicensed and only available from ’special-order’ manufacturers or specialist importing companies. For treatment of life-threatening ventricular arrhythmias (using the unlicensed preparations ONLY).

Restriction: Initiation under direction of cardiologist

 
   
Sotalol
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Formulary
Amber

Sotalol HCl 40mg Tablet
Sotalol HCl 80mg Tablet
Sotalol HCl 160mg Tablet

Offer either a standard beta-blocker (that is, a beta-blocker other than sotalol) or a rate-limiting calcium-channel blocker as initial monotherapy to people with atrial fibrillation who need drug treatment as part of a rate control strategy - NICE CG180.

 
   
Verapamil
(Also 2.6.2)
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Formulary
Green
Verapamil HCl Capsule 120mg M/R
Verapamil HCl Capsule 180mg M/R
Verapamil HCl Capsule 240mg M/R
Verapamil HCl Tablet 40mg
Verapamil HCl Tablet 80mg
Verapamil HCl Tablet 120mg
Verapamil HCl Tablet 160mg
Verapamil HCl Tablet 240mg M/R

Use Post M.I. if beta blockers contraindicated. 
   
02.03.02  Supraventricular arrhythmias
Dronedarone (Multaq®)
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Formulary
Red
 
Link  NICE TA197: Dronedarone for the treatment of non-permanent atrial fibrillation
   
02.03.02  Supraventricular and ventricular arrhythmias
Amiodarone
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Formulary
Amber

Amiodarone HCl Tablet 100mg
Amiodarone HCl Tablet 200mg

Only initiated in hospital.

Beware of potential problems and recognise who is responsible for spotting them e.g. Micro Corneal deposits Photosensitivity Thyroid, Liver, Lung Disorders (Check every 6 months).

NICE CG180 (Atrial fibrillation): Do not offer amiodarone for long-term rate control.

 
   
Disopyramide
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Formulary
Amber
Disopyramide Capsule 100mg
Disopyramide Capsule 150mg 
   
Flecainide
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Formulary
Amber
Flecainide Acetate Tablet 50mg
Flecainide Acetate Tablet 100mg 
   
Propafenone
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Formulary
Amber
Propafenone HCl Tablet 150mg
Propafenone HCl Tablet 300mg
 
   
02.04  Beta-adrenoceptor blocking drugs
Atenolol
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Formulary
Green
Atenolol Tablet 25mg
Atenolol Tablet 50mg
Atenolol Tablet 100mg
Atenolol Oral Solution 25mg/5ml SF

25mg - 50mg dose ONLY needed in hypertension
100mg is useful in Angina patients.
 
   
Bisoprolol
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Formulary
Green

Bisoprolol Fumarate Tablet 1.25mg
Bisoprolol Fumarate Tablet 2.5mg
Bisoprolol Fumarate Tablet 3.75mg
Bisoprolol Fumarate Tablet 5mg
Bisoprolol Fumarate Tablet 7.5mg
Bisoprolol Fumarate Tablet 10mg

 
   
Carvedilol
(Heart Failure ONLY)
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Formulary
Green
Carvedilol Tablet 3.125mg
Carvedilol Tablet 6.25mg
Carvedilol Tablet 12.5mg
Carvedilol Tablet 25mg

 
   
Metoprolol Tartrate
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Formulary
Green
Metoprolol Tartrate Tablet 50mg
Metoprolol Tartrate Tablet 100mg
 
   
Propranolol Hydrochloride
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Formulary
Green

Propranolol HCl Tablet 10mg
Propranolol HCl Tablet 40mg
Propranolol HCl Tablet 80mg
Propranolol HCl Tablet 160mg
Propranolol MR Capsule 80mg
Propranolol MR Capsule 160mg
Propranolol Oral Solution 5mg/5ml
Propranolol Oral Solution 10mg/5ml
Propranolol Oral Solution 40mg/5ml
Propranolol Oral Solution 50mg/5ml


Prescribe MR capsules generically as more cost-effective(Applicable in Primary care only)





 
   
Labetalol
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Formulary
Amber
Labetalol HCl Tablet 50mg
Labetalol HCl Tablet 100mg
Labetalol HCl Tablet 200mg
Labetalol HCl Tablet 400mg
 
   
02.05  Drugs affecting the renin-angiotensin system and some other antihypertensive drugs to top
02.05.01  Vasodilator antihypertensive drugs
02.05.02  Centrally acting antihypertensive drugs
Methyldopa
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Formulary
Green
Methyldopa Tablet 125mg
Methyldopa Tablet 250mg
Methyldopa Tablet 500mg

If methyldopa was used during pregnancy stop within 2 days of birth.NICE CG107 
   
Moxonidine
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Formulary
Amber
Moxonidine Tablet 200mcg
Moxonidine Tablet 300mcg
Moxonidine Tablet 400mcg


Adjunctive treatment. 
   
02.05.03  Adrenergic neurone blocking drugs
02.05.04  Alpha-adrenoceptor blocking drugs
Prazosin
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Second Choice
Green
Prazosin HCl Tablet 500mcg
Prazosin HCl Tablet 1mg
Prazosin HCl Tablet 2mg (Very Expensive Special)
Prazosin HCl Tablet 5mg (Very Expensive Special)
 
   
Doxazosin
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Formulary
Green

Doxazosin Mesilate Tablet 1mg
Doxazosin Mesilate Tablet 2mg
Doxazosin Mesilate Tablet 4mg


**Not MR Preparation**. NHS England have advised there should be no prescribing. Patients can be converted to the normal release tablets.

ONLY use when other classes of antihypertensives have been tried, or are contraindicated.

 
Link  UKMI Q&A: Switching from doxazosin XL tablets to doxazosin standard release tablets
   
02.05.05  Drugs affecting the renin-angiotensin system to top
Sacubitril valsartan (Entresto)
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Formulary
Amber

This drug requires a RICaD.

For Burton hospital patients please follow the link below to the RICaD.

The provision for other hospitals may be different and would need to refer to the respective formulary but this RICaD could be used for clinical information.

 
Link  Link to RICaDs
Link  NICE TA388 - Sacubitril valsartan for treating symptomatic chronic heart failure with reduced ejection fraction
   
02.05.05.01  Angiotensin-converting enzyme inhibitors (ACE inhibitors)
Ramipril
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Formulary
Green

Ramipril Cap 1.25mg
Ramipril Cap 2.5mg
Ramipril Cap 5mg
Ramipril Cap 10mg
Ramipril Tab 1.25mg
Ramipril Tab 2.5mg
Ramipril Tab 5mg
Ramipril Tab 10mg
Ramipril Oral Soln 2.5mg/5ml

 
   
Lisinopril
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Formulary
Green
Lisinopril Tablet 2.5mg
Lisinopril Tablet 5mg
Lisinopril Tablet 10mg
Lisinopril Tablet 20mg
 
   
Perindopril erbumine
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Formulary
Green

Perindopril Erbumine Tablet 2mg
Perindopril Erbumine Tablet 4mg
Perindopril Erbumine Tablet 8mg


Do not prescribe Perindopril arginine - this is the branded Coversyl version- see NHS england advice below

NHS England Guidance for CCGs

  • prescribers in primary care should not initiate perindopril arginine for any new patient.
  • prescribers should be supported in deprescribing perindopril arginine in all patients and, where appropriate, ensure the availability of relevant services to facilitate this change.
 
   
Enalapril
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Formulary
Green
Enalapril Maleate Tablet 2.5mg
Enalapril Maleate Tablet 5mg
Enalapril Maleate Tablet 10mg
Enalapril Maleate Tablet 20mg

For existing patients ONLY. 
   
02.05.05.02  Angiotensin-II receptor antagonists
Candesartan
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Formulary
Green
Candesartan Cilexetil Tablet 2mg
Candesartan Cilexetil Tablet 4mg
Candesartan Cilexetil Tablet 8mg
Candesartan Cilexetil Tablet 16mg
Candesartan Cilexetil Tablet 32mg 
   
Irbesartan
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Formulary
Green
Irbesartan_Tab 75mg
Irbesartan_Tab 150mg
Irbesartan_Tab 300mg
 
   
Losartan
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Formulary
Green
Losartan Potassium Tablet 12.5mg
Losartan Potassium Tablet 25mg
Losartan Potassium Tablet 50mg
Losartan Potassium Tablet 100mg
 
   
Valsartan
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Formulary
Green
Valsartan Capsule 40mg
Valsartan Capsule 80mg
Valsartan Capsule 160mg
Valsartan Tablet 40mg
Valsartan Tablet 80mg
Valsartan Tablet 160mg
Valsartan Tablet 320mg
 
   
02.05.05.03  Renin inhibitors
02.06  Nitrates, calcium-channel blockers, and potassium-channel activators
02.06.01  Nitrates to top
Isosorbide Mononitrate (Monomil® XL)
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First Choice
Green
Isosorbide Mononitrate Tablet 60mg MR (Monomil) 
Glyceryl Trinitrate
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Formulary
Green

Glyceryl Trinitrate Aerosol Spray 400mcg 200D 
Glyceryl Trinitrate Tablet 500mcg

For the infrequent user it is more cost effective to have the spray.
AVOID patches as very expensive, offer a few advantages and should be removed overnight.
AVOID Suscard Buccal as very expensive.

 
   
Isosorbide Mononitrate
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Formulary
Green
Isosorbide Mononitrate Tablet 10mg
Isosorbide Mononitrate Tablet 20mg
 
   
02.06.02  Calcium-channel blockers
Amlodipine
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Formulary
Green
Amlodipine Tablet 5mg
Amlodipine Tablet 10mg
 
   
Diltiazem (sustained release)
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Formulary
Green

To avoid confusion between different formulations of Diltiazem, prescribers should specify the Brand to be dispensed - as per BNF.

Drug discontinuations
Slozem® 120mg, 180mg, 240mg and 300mg capsules* –discontinued from December 2019 (stock should run out by end of Feb 2020).

 
   
Felodipine SR
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Formulary
Green
Felodipine Tablet 2.5mg M/R
Felodipine Tablet 5mg M/R
Felodipine Tablet 10mg M/R 
   
Nifedipine SR
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Formulary
Green

Different versions of modified-release preparations may not have the same clinical effect. To avoid confusion between these different formulations of nifedipine, prescribers should specify the brand to be dispensed. Modified-release formulations may not be suitable for dose titration in hepatic disease. (As per BNF)

Drug discontinuations
Adalat 5mg immediate release capsules* –discontinued from February 2019.
Adalat 10mg immediate release capsules* – discontinued after March 2019
Adalat Retard 10mg modified release tablets – discontinued after November 2018
Adalat Retard 20mg modified release tablets – discontinued August 2018
Adalat LA 20mg*, 30mg and 60mg prolonged release – discontinued

*Bayer is the main supplier of these products.

 
Link  Specialist Pharmacy Services (SPS): What are the reported incidences of ankle oedema with a different calcium channel blocker?
   
02.06.03  Other anitanginal drugs
Nicorandil (Ikorel®)
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Formulary
Green
Nicorandil Tablet 10mg
Nicorandil Tablet 20mg
 
   
Ivabradine
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Formulary
Amber
Ivabradine Tablet 5mg
Ivabradine Tablet 7.5mg



 
Link  MHRA Drug Safety Update: Guidance on Ivabradine (Procoralan) in the symptomatic treatment of angina: risk of cardiac side effects
Link  MHRA Drug Safety Update: Ivabradine: carefully monitor for bradycardia
Link  NICE CG126: Stable angina: management
Link  NICE TA267: Ivabradine for treating chronic heart failure
   
Ranolazine (Ranexa®)
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Formulary
Amber
Ranolazine Tablet 375mg M/R
Ranolazine Tablet 500mg M/R
Ranolazine Tablet 750mg M/R
 
Link  NICE CG126: Stable angina: management
   
02.06.04  Peripheral vasodilators and related drugs
Naftidrofuryl Oxalate
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Formulary
Green
Naftidrofuryl Oxalate Capsule 100mg

Cilostazol, pentoxifylline and inositol nicotinate are not recommended for the treatment of intermittent claudication in people with peripheral arterial disease. NICE TA 223 
Link  NICE TA223: Cilostazol, naftidrofuryl oxalate, pentoxifylline and inositol nicotinate for the treatment of intermittent claudication in people with peripheral arterial disease
   
02.07  Sympathomimetics
02.07.01  Inotropic sympathomimetics to top
02.07.02  Vasoconstrictor sympathomimetics
02.07.03  Cardiopulmonary resuscitation
02.08  Anticoagulants and protamine
 note 

MHRA Guidance warfarin and other anticoagulants monitoring of patients during the COVID 19 pandemic

02.08.01  Parenteral anticoagulants
Fondaparinux
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Restricted Drug Restricted
Red
 
   
Heparin
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Restricted Drug Restricted
Red
Heparin sodium 1000 units/ml injection ampoule
Heparin sodium 5000 units/5ml injection ampoule
Heparin sodium 20000 units/20ml injection ampoule
Heparin sodium 10000 units/10ml injection ampoule

Heparin 5000 units/ml injection vials
Heparin sodium 25000 units/ml injection ampoule
Heparin calcium 5000 units/0.2ml injection ampoule

All heparin infusion bags

These are all hospital only prescribing only the heparin flushes listed below are allowed in primary care 
   
Heparin unfractionated flushes
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Formulary
Amber
heparin sodium 50 units/5ml patency solution ampoules
heparin sodium 50 units/5ml i.v flush solution ampoules

heparin sodium 200 units/2ml patency solution ampoules
heparin sodium 200 units/2ml i.v flush solution ampoules

These are flushes for maintaining patency of peripheral venous catheters- note there are two strengths so confirm with original specialist which is needed. 
   
02.08.01  Low molecular weight heparins to top
Enoxaparin (Clexane®)
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First Choice
Amber
Please prescribe by brand Clexane® to avoid confusion as bio-similar product (Inhixa®) will be launched September 2017

Enoxaparin Injection 100mg/ml 0.2ml Pfs
Enoxaparin Injection 100mg/ml 0.4ml Pfs
Enoxaparin Injection 100mg/ml 0.6ml Pfs
Enoxaparin Injection 100mg/ml 0.8ml Pfs
Enoxaparin Injection 100mg/ml 1ml Pfs

Enoxaparin Injection 150mg/ml 0.8ml Pfs
Enoxaparin Injection 150mg/ml 1ml Pfs


 
02.08.01  Heparinoids
02.08.01  Hirudins
02.08.01  Epoprostenol
02.08.02  Oral anticoagulants
 note 

Warfarin and other anticoagulants – monitoring of patients during the COVID-19 pandemic

Direct-acting oral anticoagulants (DOACs): reminder of bleeding risk, including availability of reversal agents
Clinicians to remain vigilant for signs and symptoms of bleeding complications during treatment with DOACs (apixaban, dabigatran, edoxaban, rivaroxaban), especially in patients with increased bleeding risks. Specific reversal agents are available for dabigatran (Praxbind▼, idarucizumab), and apixaban and rivaroxaban (Ondexxya▼, andexanet alfa).

Apixaban (Eliquis®)
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Formulary
Green
Apixaban Tablet 2.5mg
Apixaban Tablet 5mg


 
Link  NICE TA245: Apixaban for the prevention of venous thromboembolism after total hip or knee replacement in adults
Link  NICE TA275: Apixaban for preventing stroke and systemic embolism in people with nonvalvular atrial fibrillation
Link  NICE TA341: Apixaban for the treatment and secondary prevention of deep vein thrombosis and/or pulmonary embolism
   
Dabigatran (Pradaxa®)
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Formulary
Green

Dabigatran Etexilate Capsule 75mg
Dabigatran Etexilate Capsule 110mg
Dabigatran Etexilate Capsule 150mg 
 

If used for DVT or PE it needs to have an intial 5 days of parenteral anticoagulation prescribed.

 
Link  NICE TA157: Dabigatran etexilate for the prevention of venous thromboembolism after hip or knee replacement surgery in adults
Link  NICE TA249: Dabigatran etexilate for the prevention of stroke and systemic embolism in atrial fibrillation
Link  NICE TA327: Dabigatran etexilate for the treatment and secondary prevention of deep vein thrombosis and/or pulmonary embolism
   
Edoxaban (Lixiana®)
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Formulary
Green

Edoxaban 15mg tablets
Edoxaban 30mg tablets
Edoxaban 60mg tablets

Edoxaban is not licensed in VTE.

If used for DVT or PE it needs to have an intial 5 days of parenteral anticoagulation prescribed.

 
Link  NICE TA354: Edoxaban for treating and for preventing deep vein thrombosis and pulmonary embolism
Link  NICE TA355: Edoxaban for preventing stroke and systemic embolism in people with non-valvular atrial fibrillation
   
RivaroxabanBlack Triangle (Xarelto®)
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Formulary
Green

Rivaroxaban Tablet 10mg
Rivaroxaban Tablet 15mg
Rivaroxaban Tablet 20mg



 
Link  NICE TA256: Rivaroxaban for the prevention of stroke and systemic embolism in people with atrial fibrillation
Link  NICE TA261: Rivaroxaban for the treatment of deep vein thrombosis and prevention of recurrent deep vein thrombosis and pulmonary embolism
Link  NICE TA287: Rivaroxaban for treating PE and preventing recurrent venous thromboembolism
Link  NICE TA335 : Rivaroxaban for preventing adverse outcomes after Acute management of Acute coronary syndrome
   
RivaroxabanBlack Triangle (Xarelto®)
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Formulary
Red

Rivaroxaban Tablet 2.5mg

  • for preventing atherothrombotic events in people with coronary or peripheral artery disease
  • The recommended dosage for rivaroxaban is 2.5 mg taken orally twice daily in combination with a daily dose of 75 to 100 mg aspirin taken orally

Restriction: In line with NICE Guidance

MHRA/CHM advice: Direct-acting oral anticoagulants (DOACs): increased risk of recurrent thrombotic events in patients with antiphospholipid syndrome (June 2019)

 


 
 

 
Link  NICE TA607: Rivaroxaban for preventing atherothrombotic events in people with coronary or peripheral artery disease
   
Warfarin
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Formulary
Green
Warfarin Sodium Tablet 1mg
Warfarin Sodium Tablet 3mg
Warfarin Sodium Tablet 5mg

 
   
02.08.02  Atrial Fibrillation to top
02.08.02  VTE Prophylaxis
02.08.03  Protamine sulphate
02.09  Antiplatelet drugs
Aspirin
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Formulary
Green
Aspirin Dispersible Tablet 75mg


Use of low dose aspirin for the primary prevention of heart attacks and strokes in people without cardiovascular disease including diabetic patients is no longer recommended as the increased risk of bleeding outweighs any vascular benefits.

Prescribing of antiplatelets for secondary prevention should be in line with NICE Guidelines.

Patients with mild to moderate dyspeptic symptoms taking aspirin should be prescribed a PPI or H2 antagonist before switching to clopidogrel (which may also cause gastro-intestinal adverse effects).
 
Link  British and Irish Hypertension Society Statement - Use of Aspirin in Primary CVD Prevention
Link  UKMI Q&A (SPS): Is there evidence to support the use of EC coated aspirin to reduce GI side effects?
   
Clopidogrel
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Formulary
Green
Clopidogrel Tablet 75mg

The MHRA has updated its advice on the interaction between PPI's and clopidogrel. It now recommends that use of either omeprazole or esomeprazole with clopidogrel should be discouraged. This does not include lansoprazole.

 
Link  NICE TA210: Clopidogrel and modified-release dipyridamole for the prevention of occlusive vascular events
Link  MHRA Drug Safety Update: Clopidogrel and proton pump inhibitors: interaction—updated advice
Link  MHRA Drug Safety Update: Clopidogrel: risk of acquired haemophilia
   
Cangrelor
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Red

Not Recommended by NICE for reducing atherothrombotic events in people undergoing percutaneous coronary intervention or awaiting surgery requiring interruption of anti-platlet therapy

 
Link  NICE TA351 : Cangrelor for reducing atherothrombotic events in people undergoing percutaneous coronary intervention or awaiting surgery requiring interruption of anti-platelet therapy (terminatedappraisal)
   
Dipyridamole
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green

Dipyridamole M/R Capsule 200mg
Dipyridamole Oral Suspension 50mg/5ml SF

There is a difference in indication between the modified-release preparation of dipyridamole and the standard-release tablets and liquid.

National recommendations for secondary prevention of occlusive vascular events recommend the use of modified-release dipyridamole, according to the licensed indications.

 
Link  NICE TA210: Clopidogrel and modified-release dipyridamole for the prevention of occlusive vascular events
   
Prasugrel (Efient®)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Amber
Prasugrel Tablet 5mg
Prasugrel Tablet 10mg

 
Link  NICE TA317: Prasugrel with percutaneous coronary intervention for treating acute coronary syndromes
Link  MHRA Drug Safety Update: Prasugrel (Efient): increased risk of bleeding
   
Ticagrelor (Brilique®)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Amber
Ticagrelor Tablet 90mg

Ticagrelor can now be used up to a maximum of 3 years as per NICE TA420.
Duration needs to be specified by initiating specialist.

 
Link  NICE TA236: Ticagrelor for the treatment of acute coronary syndromes
Link  NICE TA420:Ticagrelor for preventing atherothrombotic ardial infarction
   
Tirofiban (Aggrastat®)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Red
 
   
Abciximab (Reopro®)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Red

   DISCONTINUED

 
Link  NICE TA47: Guidance on the use of glycoprotein IIb/IIIa inhibitors in the treatment of acute coronary syndromes
Link  ReoPro: Indefinate supply shortage
   
Eptifibatide (Integrilin®)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Red
 
   
02.10  Stable angina, acute coronary syndromes, and fibrinolysis
02.10.01  Management of stable angina and acute coronary syndromes to top
02.10.02  Fibrinolytic drugs
Alteplase
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Red
 
Link  NICE TA264 - Alteplase for treating acute ischaemic stroke
   
Reteplase (Rapilysin®)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Red
 
   
Streptokinase (Streptase®)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Red
 
   
Tenecteplase (Metalyse®)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Red
 
   
02.11  Antifibrinolytic drugs and haemostatics
Tranexamic Acid
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
Tranexamic Acid Tablet 500mg 
   
02.11  Blood-related products
02.12  Lipid-regulating drugs
Alirocumab (Praluent®)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Red
High Cost Medicine
CCG
BlueTeq

Restriction: In line with NICE Guidance only

 
Link  TA393 Alirocumab for treating primary hypercholesterolaemia and mixed dyslipidaemia
   
Evolocumab (Repatha®)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Red
High Cost Medicine
CCG
BlueTeq

Restriction: In line with NICE Guidance only

 
Link  TA394 Evolocumab for treating primary hypercholesterolaemia and mixed dyslipidaemia
   
02.12  Statins to top
Atorvastatin
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
Atorvastatin Tablet 10mg
Atorvastatin Tablet 20mg
Atorvastatin Tablet 40mg
Atorvastatin Tablet 80mg
 
Link  NICE CG181 - Lipid modification: cardiovascular risk assessment and the modification of blood lipids for the primary and secondary prevention of cardiovascular disease
   
Simvastatin
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
Simvastatin Tablet 10mg
Simvastatin Tablet 20mg
Simvastatin Tablet 40mg
Simvastatin Tablet 80mg
 
   
Pravastatin
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Formulary
Green
Pravastatin Sodium Tablet 10mg
Pravastatin Sodium Tablet 20mg
Pravastatin Sodium Tablet 40mg
 
   
Rosuvastatin
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green

Rosuvastatin Calcium Tablet 5mg
Rosuvastatin Calcium Tablet 10mg
Rosuvastatin Calcium Tablet 20mg
Rosuvastatin Calcium Tablet 40mg 
 

 
   
02.12  Bile acid sequestrants
Colestyramine
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Amber

4g oral powder sachets

 
   
02.12  Ezetimibe
Ezetimibe (Ezetrol®)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
Ezetimibe Tablet 10mg

Very limited indications refer to NICE Guidelines.
Reserved for non-familial hypercholesterolaemia in patients that are contra-indicated to statins or are statin intolerant
 
Link  NICE TA385: Ezetimibe for treating primary heterozygous - familial and non-familial hypercholesterolaemia
   
02.12  Fibrates
Fenofibrate
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green

Fenofibrate Capsule 67mg (Micronised)
Fenofibrate Capsule 200mg (Micronised)
Fenofibrate Capsule 267mg (Micronised)
Fenofibrate Tablet 160mg (Micronised)

Healthcare professionals should not prescribe them to newly diagnosed patients as first-line treatment, except for those with severe hypertriglyceridaemia or those who cannot take statins.

 
Link  MHRA Drug safety update: Fibrates not recommended as first-line treatment
   
02.13  Local sclerosants
 ....
 Non Formulary Items
Acebutolol  (Sectral®)

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Non Formulary
 
Acenocoumarol  (Sinthrome®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Adenosine  (Adenocor®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Adrenaline / Epinephrine

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Aliskiren  (Rasilez®)

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Non Formulary Not commissioned for prescribing.
NICE state there is insufficient evidence of its effectiveness to determine its suitability for use in resistant hypertension.

For hypertension, a generic ACE inhibitor.
For resistant hypertension, follow the NICE CG127
 
Amiodarone Hydrochloride  (Cordarone® X)

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Non Formulary
 
Amlodipine  (Istin®)

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Non Formulary
 
Amlodipine and Valsartan  (Exforge®)

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Non Formulary
 
Antithrombin III  (Kybemin®)

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Non Formulary This is an NHS England Specialised Commissioning Drug for Blood related products as per BCSH Guidelines
 
Aprotinin  (Trasylol®)

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Non Formulary
 
Aspirin  (Flamasacard®)

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Non Formulary
 
Aspirin (antiplatelet)  (Angettes® 75)

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Non Formulary
 
Aspirin (antiplatelet)  (Caprin®)

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Non Formulary
 
Aspirin (antiplatelet)  (Nu-Seals® Aspirin)

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Non Formulary
 
aspirin and dipyramidole

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Non Formulary combination product no longer available has been discontinued
 
Atenolol and Co-amilozide  (Kalten®)

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Non Formulary
 
Atenolol and Nifedipine  (Beta-Adalat®)

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Non Formulary
 
Atenolol and Nifedipine  (Tenif®)

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Non Formulary
 
Atovastatin  (Lipitor®)

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Non Formulary
  • Prescribe generically
 
Azilsartan

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Non Formulary
 
Bemiparin

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Non Formulary
 
Bezafibrate  (Bezalip®)

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Non Formulary
 
Bezafibrate  (Bezalip® Mono)

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Non Formulary
 
Bosentan

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Non Formulary This is an NHS England Specialised Commissioning Drug for Pulmonary Arterial Hypertension

This is an NHS England Specialised Commissioning Drug for Digital Ulcers

 
Bumetanide 1mg & Amiloride 5mg

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Non Formulary
 
Burinex K®

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Non Formulary
 
Captopril  (Capoten®)

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Non Formulary
 
Captopril and Hydrochlorothiazide  (Capozide®)

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Non Formulary
 
Captopril and Hydrochlorothiazide  (Co-zidocapt®)

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Non Formulary
 
Celiprolol Hydrochloride

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Non Formulary
 
Centyl K®

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Non Formulary
 
Cilazapril  (Vascace®)

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Non Formulary
 
Cilostazol  (Pletal®)

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Non Formulary
 
Ciprofibrate  (Modalim®)

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Non Formulary
 
Clopidogrel  (Grepid®)

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Non Formulary
 
Clopidogrel  (Plavix®)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
  • 75mg and 300mg tablets
  • Prescribe generically
 
CoaguChek®test strips

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
  • CoaguChek XS PT
  • CoaguChek PT
  • CoaguChek XS PT Test PST

The CCG’s currently have no locally commissioned services to support the use of patient self-INR testing within South Staffordshire

 
Co-amilozide

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Non Formulary
 
Co-flumactone

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Non Formulary
 
Colesevelam  (Cholestagel®)

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Non Formulary
 
Colestipol  (Colestid®)

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Non Formulary
 
Colestyramine  (Questran®)

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Non Formulary
 
Colestyramine  (Questran® Light)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
 
Co-tenidone (atenolol and chlortalidone)

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Non Formulary
 
Co-triamterzide

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Non Formulary
 
Cozaar- Comp®

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Cyclopenthiazide  (Navidrex®)

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Non Formulary
 
Dalteparin

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Non Formulary
 
Diazoxide  (Eudemine®)

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Non Formulary
 
Digitoxin

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Non Formulary
 
Digoxin  (Lanoxin®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Digoxin  (Lanoxin-PG®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Dipyridamole  (Persantin®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Dipyridamole  (Persantin® Retard)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Disopyramide  (Rythmodan®)

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Non Formulary
 
Disopyramide  (Rythmodan® Retard)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Diumide-K Continus®

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Dopamine Hydrochloride  (Select-A-jet® Dopamine)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Dopexamine

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Non Formulary
 
Dopexamine  (Dopacard®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Drotrecogin Alfa (Activated)  (Xigris®)

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Non Formulary
 
Dyazide®

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Non Formulary
 
Enalapril and Hydrochlorothiazide  (Innozide®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Enalapril Meleate  (Innovace®)

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Non Formulary
 
Eprosartan  (Teveten®)

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Non Formulary
 
Esmolol

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Non Formulary
 
Etamsylate  (Dicynene®)

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Non Formulary
 
Ethanolamine Oleate

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Non Formulary
 
Factor IX

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary This is an NHS England Specialised Commissioning Drug As per BCSH Guidelines
 
Factor VIIa

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary This is an NHS England Specialised Commissioning Drug for Blood related products as per BCSH Guidelines
 
Factor VIII Fraction, Dried

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Non Formulary This is an NHS England Specialised Commissioning Drug for Blood related products as per BCSH Guidelines
 
Factor VIII Inhibitor Bypassing Fraction

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary This is an NHS England Specialised Commissioning Drug for Blood related products as per BCSH Guidelines
 
Factor XIII Fraction, Dried

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary This is an NHS England Specialised Commissioning Drug for Blood related products as per BCSH Guidelines
 
Felodipine  (Plendil®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Fenofibrate  (Lipantil®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Fenofibrate  (Supralip® 160)

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Non Formulary
 
Flecainide Acetate  (Tambocor®)

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Non Formulary
 
Fluvastatin  (Lescol®)

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Non Formulary
 
Fluvastatin  (Lescol® XL)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Fosinopril

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Non Formulary
 
Fosinopril Sodium  (Staril®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Fresh Frozen Plasma

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Frusene®

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Furosemide  (Lasix®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Gemifibrozil

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Non Formulary
 
Gemifibrozil  (Lopid®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Glyceryl Trinitrate  (Coro-Nitro® Pump Spray)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Glyceryl Trinitrate  (Deponit®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Glyceryl Trinitrate  (Glytrin® Spray)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Glyceryl Trinitrate  (GTN® 300 mcg)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Glyceryl Trinitrate  (Minitran®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Glyceryl Trinitrate  (Nitrocine®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Glyceryl Trinitrate  (Nitro-Dur®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Glyceryl Trinitrate  (Nitrolingual® Pumpspray)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Glyceryl Trinitrate  (Nitromin®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Glyceryl Trinitrate  (Nitronal®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Glyceryl Trinitrate  (Percutol®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Glyceryl Trinitrate  (Suscard®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Glyceryl Trinitrate  (Sustac®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Glyceryl Trinitrate  (Transiderm-Nitro®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Glyceryl Trinitrate  (Trintek®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Guanethidine Monosulphate  (Ismelin®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Hydralazine

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
 
Hydralazine Hydrochloride  (Apresoline®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Hydrochlorothiazide

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Iloprost

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Non Formulary This is an NHS England Specialised Commissioning Drug for Pulmonary Arterial Hypertension
 
Iloprost nebules  (Vantavis®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Imidapril  (Tanatril®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Indapamide  (Natrilix®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Indapamide  (Natrilix-SR®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Indoramin  (Baratol®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Indoramin  (Doralese®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Inositol Nicotinate  (Hexopal®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Isosorbide Dinitrate

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Isosorbide Dinitrate

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Isosorbide Dinitrate  (Angitak®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Isosorbide Dinitrate  (Codocard® Retard)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Isosorbide Dinitrate  (Isoket®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Isosorbide Dinitrate  (Isoket® Retard)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Isosorbide Mononitrate  (Elantan®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Isosorbide Mononitrate  (Elantan® LA)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Isosorbide Mononitrate  (Imdur®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Isosorbide Mononitrate  (Isib® 60XL)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Isosorbide Mononitrate  (Ismo®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Isosorbide Mononitrate  (Ismo® Retard)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Isosorbide Mononitrate  (Isodur®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Isosorbide Mononitrate  (Isotard®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Isosorbide Mononitrate  (Modisal®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Isosorbide Mononitrate  (Modisal® XL)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Isosorbide Mononitrate  (Monomax®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Isosorbide Mononitrate  (Monosorb® XL)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Isosorbide Mononitrate  (Monosorb® XL 60)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Isosorbide Mononitrate  (Zemon®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Isosorbide Mononitrate MR

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Isradipine  (Prescal®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Kalspare®

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Lacidipine  (Motens®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Lasikal®

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Lasilactone®

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Lepirudin

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Lercanidipine

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Lisinopril  (Carace®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Lisinopril  (Zestril®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Lisinopril and Hydrochlorothiazide  (Carace® Plus)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Lisinopril and Hydrochlorothiazide  (Lisicostad®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Lisinopril and Hydrochlorothiazide  (Zestoretic®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Lomitapide

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Non Formulary This is a Specialised Drug which would not be routinely commissioned by CCGs for Homozygous familial hypercholesterolemia. This would go through a South Staffs CCGs Individual Funding Request (IFR)
 
Mannitol

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
 
Metaraminol

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Methyldopa  (Aldomet®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Metoprolol Tartrate  (Betaloc®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Metoprolol Tartrate  (Betaloc-SA®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Metoprolol Tartrate  (Lopresor®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Metoprolol Tartrate  (Lopresor® SR)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Milrinone  (Primacor®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Minioxidil  (Loniten®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Minoxidil

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Moexipril  (Perdix®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Moracizine

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Moxisylyte  (Opilon®)

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Non Formulary
 
Moxonidine  (Physiotens®)

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Non Formulary
 
Nadolol  (Corgard®)

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Non Formulary
 
Naftidrofuryl Oxalate  (Praxilene®)

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Non Formulary
 
Navispare®

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Non Formulary
 
Nebivolol  (Nebilet®)

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Non Formulary
 
Neo-NaClex-K®

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Non Formulary
 
Nicardipine  (Cardene®)

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Non Formulary
 
Nifedipine  (Adalat®)

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Non Formulary
 
Nifedipine  (Adalat® LA)

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Non Formulary
 
Nifedipine  (Adalat® Retard)

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Non Formulary
 
Nifedipine  (Adipine® MR)

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Non Formulary
 
Nifedipine  (Adipine® XL)

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Non Formulary
 
Nifedipine  (Cardilate® MR)

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Non Formulary
 
Nifedipine  (Cardilate® SR)

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Non Formulary
 
Nifedipine  (Coracten® XL)

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Non Formulary
 
Nifedipine  (Fortipine® LA 40)

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Non Formulary
 
Nifedipine  (Hypolar® Retard 20)

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Non Formulary
 
Nifedipine  (Nifedipress® MR)

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Non Formulary
 
Nifedipine  (Nifopress® Retard)

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Non Formulary
 
Nifedipine  (Tensipine® MR)

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Non Formulary
 
Nisoldipine  (Syscor® MR)

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Non Formulary
 
Olmesartan  (Sevikar®)

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Non Formulary
 
omega-3 acid ethyl esters  (DUALITIS)

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Non Formulary

NICE recommendation is that patients should eat a Mediterranean style diet (more bread, fruit, vegetables and fish; less meat; and replace butter and cheese with products based on plant oils).

 

Omega-3 and other fish oils are available as over-the-counter products to patients to purchase

 
omega-3 acid ethyl esters  (Omacor)

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Non Formulary

NICE recommendation is that patients should eat a Mediterranean style diet (more bread, fruit, vegetables and fish; less meat; and replace butter and cheese with products based on plant oils).

 

Omega-3 and other fish oils are available as over-the-counter products to patients to purchase

 
omega-3 acid ethyl esters  (OMEGA 3)

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Non Formulary

NICE recommendation is that patients should eat a Mediterranean style diet (more bread, fruit, vegetables and fish; less meat; and replace butter and cheese with products based on plant oils).

 

Omega-3 and other fish oils are available as over-the-counter products to patients to purchase

 
omega-3 acid ethyl esters  (prestylon)

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Non Formulary

NICE recommendation is that patients should eat a Mediterranean style diet (more bread, fruit, vegetables and fish; less meat; and replace butter and cheese with products based on plant oils).

 

Omega-3 and other fish oils are available as over-the-counter products to patients to purchase

 
omega-3 acid ethyl esters  (teromag)

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Non Formulary

NICE recommendation is that patients should eat a Mediterranean style diet (more bread, fruit, vegetables and fish; less meat; and replace butter and cheese with products based on plant oils).

 

Omega-3 and other fish oils are available as over-the-counter products to patients to purchase

 
Oxprenolol Hydrochloride

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Non Formulary
 
Oxprenolol Hydrochloride  (Slow-Trasicor®)

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Non Formulary
 
Oxprenolol Hydrochloride  (Trasicor®)

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Non Formulary
 
Oxprenolol Hydrochloride and Cyclopenthiazide  (Trasidrex®)

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Non Formulary
 
Pentoxifylline  (Trental®)

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Non Formulary
 
Perindopril Arginine  (Coversyl® Arginine)

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Non Formulary

NHS England Guidance for CCGs4:

  • prescribers in primary care should not initiate perindopril arginine for any new patient.
  • prescribers should be supported in deprescribing perindopril arginine in all patients and, where appropriate, ensure the availability of relevant services to facilitate this change.

patients should be changed to perindopril erbumine

 
Perindopril Erbumine  (Coversyl®)

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Non Formulary

prescribe generically as perindopril erbumine

 
Phenindione

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Non Formulary
High Cost Medicine
 
Pindolol

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Non Formulary
 
Pindolol  (Visken®)

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Non Formulary
 
Pindolol and Clopamide  (Viskaldix®)

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Non Formulary
 
Pravastatin Sodium  (Lipostat®)

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Non Formulary
 
Prazosin  (Hypovase®)

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Non Formulary
 
Propafenone  (Arthmol®)

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Non Formulary
 
Propranolol Hydrochloride  (Half-Inderal® LA)

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Non Formulary
 
Propranolol Hydrochloride  (Inderal®)

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Non Formulary
 
Propranolol Hydrochloride  (Inderal® LA)

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Non Formulary
 
Protamine Sulphate  (Prosulf®)

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Non Formulary
 
Protein C Concentrate  (Ceprotin®)

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Non Formulary This is an NHS England Specialised Commissioning Drug as per the BCSH Guidelines for Blood Related products
 
Quinapril  (Accupro®)

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Non Formulary
 
Quinapril and Hydrochlorothiazide

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Non Formulary
 
Ramapril  (Tritace®)

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Non Formulary
 
Ramipril and Felodipine  (Triapin®)

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Non Formulary
 
Rasitro®

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Non Formulary
 
Sevikar HCT®

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Non Formulary
 
Sildenafil  (Revatio®)

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Non Formulary This is an NHS England Specialised Commissioning Drug for Pulmonary Arterial Hypertension
 
Simvastatin  (Zocor®)

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Non Formulary
 
Simvastatin and Ezetimibe  (Inegy®)

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Non Formulary
 
Sitaxentan Sodium  (Thelin®)

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Non Formulary
 
Sotalol Hydrochloride  (Beta-Cardone®)

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Non Formulary
 
Sotalol Hydrochloride  (Sotacor®)

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Non Formulary
 
Spironolactone  (Aldactone®)

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Non Formulary Brand is non formulary as less cost effective. Please prescribe generically
 
Tadalafil  (Adcirca®)

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Non Formulary
 
Telmisartan

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Non Formulary
 
Terazosin

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Non Formulary
 
Terazosin  (Hytin®)

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Non Formulary
 
Timolol

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Non Formulary
 
Timolol Maleate and Bendroflumethiazide  (Prestim®)

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Non Formulary
 
Timolol Maleate and Co-amilozide  (Moducren®)

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Non Formulary
 
Tinzaparin

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Non Formulary
 
Tolazoline

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Non Formulary
 
Torasemide

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Non Formulary
 
Trandolapril  (Gopten®)

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Non Formulary
 
Trandolapril and Verapamil  (Tarka®)

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Non Formulary
 
Tranexamic Acid  (Cyklokapron®)

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Non Formulary
 
Triamterene  (Dytac®)

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Non Formulary
 
Verapamil

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Non Formulary
Link  UKMI Q&A: Evidence for verapamil for cluster headache
 
Verapamil Hydrochloride  (Cordilox®)

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Non Formulary
 
Verapamil Hydrochloride  (Half Sucuron® SR)

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Non Formulary
 
Verapamil Hydrochloride  (Securon®)

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Non Formulary
 
Verapamil Hydrochloride  (Sucuron® SR)

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Non Formulary
 
Verapamil Hydrochloride  (Univer®)

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Non Formulary
 
Verapamil Hydrochloride  (Verapress® MR)

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Non Formulary
 
Verapamil Hydrochloride  (Vertab® SR 240)

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Non Formulary
 
Xipamide  (Diurexan®)

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Non Formulary
 
  
Key
note Notes
Section Title Section Title (top level)
Section Title Section Title (sub level)
First Choice Item First Choice item
Non Formulary Item Non Formulary section
Restricted Drug
Restricted Drug
Unlicensed Drug
Unlicensed
Track Changes
Display tracking information
click to search medicines.org.uk
Link to adult BNF
click to search medicines.org.uk
Link to children's BNF
click to search medicines.org.uk
Link to SPCs
SMC
Scottish Medicines Consortium
Cytotoxic Drug
Cytotoxic Drug
CD
Controlled Drug
High Cost Medicine
High Cost Medicine
Cancer Drugs Fund
Cancer Drugs Fund
NHSE
NHS England
Homecare
Homecare
CCG
CCG

Traffic Light Status Information

Status Description

Red

Drugs which require special consideration. These are drugs for Consultant Prescribing ONLY. They should not be prescribed in Primary Care.  

Amber

Drugs that should be initiated by a Specialist but are suitable for continuation in Primary Care. For some drugs there may be a Ricad in place to aid the transition to primary care.  

Amber E

Drugs that should be initiated by a Specialist but are suitable for continuation in Primary Care but also require and ESCA (Shared Care Agreement)   

Green

Suitable first-line drugs for implementation in Primary Care  

On Formulary

South Staffs Formulary Choice  

netFormulary