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 Formulary Chapter 2: Cardiovascular system - Full Chapter
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02.09  Expand sub section  Antiplatelet drugs
Aspirin (antiplatelet)
(Dispersible Tablets)
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First Choice
Green
 
Aspirin e/c
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Second Choice
Green
 
 
Clopidogrel
(Tablets)
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Formulary
Green
 
Link  CG94: Unstable angina and NSTEMI: The early management of unstable angina and non-ST-segment-elevation myocardial infarction
Link  TA210: clopidogrel and m/r dipyridamole in the prevention of occlusive vascular events
Link  TA80: Clopidogrel in the treatment of non-ST-segment-elevation acute coronary syndrome
 
Dipyridamole MR (Persantin Retard®)
(Capsules)
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Formulary
Amber Recommended

With specialist initiation

 
 
Dipyridamole
(Tablets)
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Formulary
Amber Recommended

With specialist initiation

 
 
Prasugrel (Efient®)
(Tablets)
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Formulary
Amber Initiation

In line with NICE

 
Link  NICE TA182: Prasugrel for the treatment of acute coronary syndromes with percutaneous cornonary intervention
Link  NICE TA317: Prasugrel with percutaneous coronary intervention for treating acute coronary syndromes
 
Ticagrelor (Brilique®)
(Tablets)
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Formulary
Amber Initiation
 
Link  NICE TA420: Ticagrelor for preventing atherothrombotic events after myocardial infarction
 
Tirofiban (Aggrastat®)
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Formulary
Red
 
 
 ....
 Non Formulary Items
Abciximab

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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
Clopidogrel  (Grepid®)

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Non Formulary
Clopidogrel 300mg  (Plavix)

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Non Formulary
Dipyridamole  (Persantin®)
(Injection)

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Non Formulary
Dipyridamole and Aspirin  (Asasantin® Retard)
(Capsules)

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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  

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