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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
02.02.03  Expand sub section  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  Expand sub section  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
   
 ....
 Non Formulary Items
Spironolactone  (Aldactone)

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

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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  

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