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 Formulary Chapter 2: Cardiovascular system - Full Chapter
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02.06  Expand sub section  Nitrates, calcium-channel blockers, and potassium-channel activators
Adrenaline / Epinephrine
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Formulary
Green
 
 
Atropine
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Formulary
Red
 
 
Bivalirudin (Angiox®)
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Formulary
Red
 
Link  NICE CG94: Unstable angina and NSTEMI; early management
 
Cangrelor
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Formulary
Red
 
 
Eptifibatide
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Formulary
Red
 
 
Nicorandil (Ikorel®)
(Tablets)
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Formulary
Amber Recommended

Specialist initiation

 
Link  NICE CG126: Stable angina: management
 
Ranolazine (Ranexa®)
(Tablets)
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Formulary

Use current status at Place/Trust

Sandwell

Amber Initiation Supported by RICaD

RICaD Ranolazine-Sandwell only

Wolverhampton

Amber Initiation

Walsall

Amber Initiation

Dudley

Amber Initiation

 

 
Link  NICE CG126: Stable angina: management
 
Tirofiban (Aggrastat®)
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Formulary
Red
 
 
02.06  Expand sub section  Angina
 note 
02.06.01  Expand sub section  Nitrates
Glyceryl Trinitrate Injection
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Formulary
Red

Secondary Care use only

 
 
Glyceryl Trinitrate Sublingual tablets
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Formulary
Green
 
 
Glyceryl Trinitrate Transdermal Patches
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Formulary
Amber Recommended
 
 
Glyceryl Trinitrate 400mcg/ dose Spray
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Formulary
Green




 
 
Glyceryl trinitrate buccal
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Formulary
Red
 
 
Isosorbide Dinitrate
(Oral)
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Formulary
Red
 
 
Isosorbide Mononitrate
(Modified Release Tablets)
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Formulary
Green

Brand prescribe modified release preparations

Follow Optimise Rx advice for new initiations

 

 
 
Isosorbide Mononitrate
(Tablets)
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Formulary
Green
 
 
02.06.02  Expand sub section  Calcium-channel blockers
Amlodipine
(Tablets)
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Formulary
Green
 
 
Diltiazem
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Formulary
Green
 
 
Felodipine
(Tablets)
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Formulary
Green
High Cost Medicine
 
 
Lercanidipine
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Formulary
Green
  •  Tablets
 
 
Nicardipine (Cardene®)
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Formulary
Red
 
 
Nifedipine
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Formulary
Green
 
 
Nimodipine (Nimotop®)
(Tablets)
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Formulary
Red
 
 
Verapamil
(Tablets, MR tablets/capsules)
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Formulary
Green

Brand prescribe modified release preparations

Follow Optimise Rx advice for new initations


 
Link  UKMI Q&A: What is the evidence for verapamil for prevention of cluster headache?
 
02.06.03  Expand sub section  Other anitanginal drugs to top
Ivabradine
(Tablets)
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Formulary
Amber Initiation

For use on the advice of a specialist in line with NICE TA267 

 

 
Link  NICE CG126: Stable angina: management
Link  NICE TA267: Ivabradine for treating chronic heart failure
 
02.06.04  Expand sub section  Peripheral vasodilators and related drugs
Naftidrofuryl Oxalate
(Capsules)
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Formulary
Amber Recommended
 
Link  NICE TA223: Cilostazol, naftidrofuryl oxalate, pentoxifylline and inositol nicotinate for the treatment of intermittent claudication in people with peripheral arterial disease
 
02.06.04  Expand sub section  Other preparations used in peripheral vascular disease
 ....
 Non Formulary Items
Amlodipine and Valsartan  (Exforge®)

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Non Formulary
Cilostazol  (Pletal®)

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Non Formulary
Black
Inositol Nicotinate  (Hexopal®)

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Non Formulary
Black
Isradipine  (Prescal®)

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Non Formulary
Black
Lacidipine  (Motens®)

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Non Formulary
Black
Moxisylyte  (Opilon®)

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Non Formulary
Black
Naftidrofuryl Oxalate  (Praxilene®)

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Non Formulary
Nisoldipine  (Syscor® MR)

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Non Formulary
Oxerutins  (Paroven®)

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Non Formulary
Black
Pentoxifylline  (Trental®)

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Non Formulary
Black
Perhexiline
(Tablets)

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Non Formulary
Black
Perhexiline
(tablets)

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Non Formulary
Black
  
Key
Restricted Drug Restricted Drug
Unlicensed Drug Unlicensed
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Link to adult BNF
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Link to children's BNF
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Link to SPCs
Cytotoxic Drug
Cytotoxic Drug
CD
Controlled Drug
High Cost Medicine
High Cost Medicine
Cancer Drugs Fund
Cancer Drugs Fund
NHSE
NHS England
Homecare
Homecare
ICB
ICB
Green Low Carbon

Low carbon footprint

Amber Medium Carbon

Medium carbon footprint

Red High carbon footprint

High carbon footprint

Status Description

Green

Medicines which are suitable for initiation and maintenance prescribing by primary and secondary care clinicians. These medicines should be initiated and prescribed within their licensed indications  

Amber Initiation

Amber Specialist Initiation: Initiation and maintenance of prescribing by Specialists and transfer to Primary Care prescribing when appropriate. This may be supported by a RICaD, annotated within the formulary entry.  

Amber SC

Amber Shared Care: Initiation and maintenance of prescribing by Specialists and transfer to Primary Care prescribing, in accordance with an ESCA, annotated within the formulary entry.  

Amber Recommended

Amber Specialist Recommendation: Initiation and maintenance of prescribing in Primary Care following recommendation from a specialist.  

Red

Medicines for initiation and maintenance prescribing by Specialists (hospital or GPs with Special Interest) only  

Grey

Positive NICE TA and /or awaiting local clarification on place in therapy; Please contact your Medicines Optimisation team for more information.  

Black

Non-formulary Medicines which APC/Trust DTC has actively reviewed and do not recommend for use.  

Multiple

Check Notes as varies across the area  

netFormulary