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Sunderland Joint Formulary
NHS Sunderland Clinical Commissioning Group
South Tyneside and Sunderland NHS Foundation Trust
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 Formulary Chapter 2: Cardiovascular system - Full Chapter
02.01  Expand sub section  Positive inotropic drugs
02.01.01  Expand sub section  Cardiac glycosides
Digoxin
View adult BNF View SPC online
Formulary Tablets: 62.5 micrograms, 125 micrograms, 250 micrograms
Liquid: 50 micrograms/1ml
Injection: 500 micrograms/2ml 
   
02.01.02  Expand sub section  Phosphodiesterase type-3 inhibitors
Milrinone
View adult BNF View SPC online
Formulary
Red

Amps: 10mg/10ml


Used in critical care at City Hospitals Sunderland

 
   
02.02  Expand sub section  Diuretics
02.02.01  Expand sub section  Thiazides and related diuretics to top
Bendroflumethiazide
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First Choice Tablets: 2.5mg 
Indapamide
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Alternatives Tablets: 2.5mg
MR Tablets: 1.5mg 
   
Metolazone
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Unlicensed Drug Unlicensed
Red
Tablets: 2.5mg, 5mg 
   
02.02.02  Expand sub section  Loop diuretics
Bumetanide
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Formulary Tablets: 1mg, 5mg
Liquid: 1mg/5ml 
   
Furosemide
View adult BNF View SPC online
Formulary Tablets: 20mg, 40mg, 500mg
Liquid: 1mg/1ml, 20mg/5ml, 40mg/5ml
Injection: 20mg/2ml, 50mg/5ml, 250mg/25ml 
   
02.02.03  Expand sub section  Potassium-sparing diuretics and aldosterone antagonists
Amiloride Hydrochloride
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Formulary Tablets: 5mg
Liquid: 5mg/5ml 
   
02.02.03  Expand sub section  Aldosterone antagonists
Eplerenone
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Formulary
Green

Tablets: 25mg, 50mg

 
Link  Chronic Heart Failure in adults
   
Spironolactone
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Formulary
Green +

Liquid: 50mg/5mL*
*Specialist initiation/paediatric use only

 
   
Spironolactone
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Formulary Tablets: 25mg, 50mg, 100mg 
   
02.02.04  Expand sub section  Potassium-sparing diuretics with other diuretics
02.02.05  Expand sub section  Osmotic diuretics to top
Mannitol
View adult BNF View SPC online
Formulary
Red
Intravenous infusion: 10%, 500ml; 20%, 250ml, 500ml 
   
02.02.06  Expand sub section  Mercurial diuretics
02.02.07  Expand sub section  Carbonic anhydrase inhibitors
02.02.08  Expand sub section  Diuretics with potassium
02.03  Expand sub section  Anti-arrhythmic drugs
02.03.01  Expand sub section  Management of arrhythmias to top
02.03.02  Expand sub section  Drugs for arrhythmias
02.03.02  Expand sub section  Supraventricular arrhythmias
Adenosine
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Formulary
Red
Vials: 6mg/2ml 
   
Dronedarone
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Formulary
Amber
Tablets: 400mg 
Link  NICE TA 197: Dronedarone for the treatment of non-permanent atrial fibrillation
   
02.03.02  Expand sub section  Supraventricular and ventricular arrhythmias
Amiodarone
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Formulary
Red

Infusion: 150mg/3ml

Pre-filled syringe: 300,g/10ml

 
   
Amiodarone
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Formulary
Amber
Tablets: 100mg, 200mg 
   
Disopyramide
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Formulary
Green +
Capsules: 100mg, 150mg 
   
Disopyramide
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Formulary
Red
Injection: 50mg/5ml 
   
Flecainide
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Formulary
Red
Injection: 150ml/15ml 
   
Flecainide
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Formulary
Green +
Tablets: 50mg, 100mg 
   
02.03.02  Expand sub section  Ventricular arrhythmias
Lidocaine
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Formulary Injection: 1% (10 mg/1 mL), 2% (20 mg/1 mL)
Hospital use only
 
   
Lidocaine
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Formulary
Red
Infusion: 0.2% (2 mg/1 mL) in dextrose 5%, 500 mL
 
   
Mexiletine
View adult BNF
Formulary
Red

Capsules: 50mg, 167mg (NaMuscla® 167mg equivalent to 200mg mexiletine HCl) 

ONLY APPROVED FOR USE ON THE FORMULARY FOR THE FOLLOWING INDICATIONS. HOSPITAL ONLY DRUG FOR ALL INDICATIONS

* Myotonia in non-dystrophic myotonic disorders

* Neuropathic pain (unlicensed indication)

* Ventricular arrhythmia (unlicensed indication) 
   
02.04  Expand sub section  Beta-adrenoceptor blocking drugs to top
Bisoprolol
View adult BNF View SPC online
First Choice Tablets: 1.25mg, 2.5mg, 3.75mg, 5mg, 7.5mg, 10mg
The 5mg and 10mg tablets should be used where possible due to lower cost. 
Atenolol
View adult BNF View SPC online
Alternatives Tablets: 25mg, 50mg, 100mg
Sugar-free syrup: 25mg/5ml 
   
Carvedilol
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Alternatives Tablets: 3.125mg, 6.25mg, 12.5mg, 25mg 
   
Metoprolol
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Alternatives Tablets: 50mg, 100mg
SR Tablets: 200mg 
   
Metoprolol
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Alternatives
Green +
Oral solution: 50mg/5ml 
   
Metoprolol
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Alternatives
Red
Injection: 5mg/5ml 
   
Esmolol
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Alternatives
Red
Injection: 100mg/10ml
Infusion: 2.5g/250ml 
   
Sotalol
(For use as an anti-arrhythmic only; should only be used with specialist advice)
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Alternatives
Green +
Tablets: 40mg, 80mg, 160mg 
   
Labetalol
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Alternatives Tablets: 50mg, 100mg, 200mg, 400mg 
   
Labetalol
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Alternatives
Red

Injection: 50mg/10ml and 100mg/20ml

 
   
Propranolol
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Alternatives M/R Capsule: 80mg, 160mg 
   
Propranolol
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Alternatives
Red
Ampoule*: 1mg/1ml (unlicensed)
*Hospital use only 
   
02.05  Expand sub section  Drugs affecting the renin-angiotensin system and some other antihypertensive drugs
02.05.01  Expand sub section  Vasodilator antihypertensive drugs
Bosentan
(Tertiary care for pulmonary arterial hypertension only)
View adult BNF View SPC online
Formulary
Red
High Cost Medicine

Tablets: 62.5mg and 125mg

 
   
Hydralazine
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Formulary
Green +
Tablets: 25mg, 50mg 
   
Hydralazine
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Formulary
Red
Ampoules: 20mg 
   
Iloprost injection
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Formulary
Red
High Cost Medicine

Injection for infusion 50micrograms/0.5ml amps


Used in critical care at City Hospitals Sunderland

 
   
Minoxidil
View adult BNF View SPC online
Formulary
Green +
Tablets: 2.5mg, 5mg, 10mg 
   
Sildenafil
(Tertiary care for pulmonary arterial hypertension only)
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Formulary
Red
Tablets: 20mg, 25mg
Oral suspension: 10mg/1ml
 
   
Sildenafil
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Formulary
Red
Liquid: 1mg/1ml*
*Hospital use for paediatric patients 
   
Sodium Nitroprusside
Formulary
Red

Injection for infusion: 50mg vial


Used in critical care at City Hospitals Sunderland

 
   
02.05.02  Expand sub section  Centrally acting antihypertensive drugs
Clonidine hydrochloride
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Formulary
Green +
Tablets: 25 micrograms, 100 micrograms 
   
Clonidine hydrochloride
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Formulary
Red
Ampoules: 150 micrograms/1ml 
   
Methyldopa
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Formulary
Green +
Tablets: 125mg, 250mg, 500mg 
   
Moxonidine
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Formulary
Green +
Tablets: 200 micrograms, 300 micrograms, 400 micrograms 
   
02.05.03  Expand sub section  Adrenergic neurone blocking drugs
02.05.04  Expand sub section  Alpha-adrenoceptor blocking drugs to top
Doxazosin
View adult BNF View SPC online
Formulary Tablets: 1mg, 2mg and 4mg
N.B. 4mg M/R and 8mg M/R are not included in this formulary - plain tablets are less expensive 
   
02.05.04  Expand sub section  Phaeochromocytoma
Phenoxybenzamine Hydrochloride
View adult BNF View SPC online
Formulary
Red
Capsules: 10mg 
   
02.05.05  Expand sub section  Drugs affecting the renin-angiotensin system
Sacubitril and valsartan (Entresto®)
View adult BNF View SPC online
Formulary
Green +
Tablets:
24mg/26mg (containing 24.3mg sacubitril and 25.7mg valsartan as sacubitril valsartan sodium salt complex)

49mg/51mg (containing 48.6mg sacubitril and 51.4mg valsartan as sacubitril valsartan sodium salt complex)

97mg/103mg (containing 97.2mg sacubitril and 102.8mg valsartan as sacubitril valsartan sodium salt complex)
 
Link  NICE TA 388: Sacubitril valsartan for treating symptomatic chronic heart failure with reduced ejection fraction
   
02.05.05  Expand sub section  Heart Failure
02.05.05.01  Expand sub section  Angiotensin-converting enzyme inhibitors (ACE inhibitors)
Lisinopril
View adult BNF View SPC online
First Choice Tablets: 2.5mg, 5mg, 10mg, 20mg 
Ramipril
View adult BNF View SPC online
First Choice Capsules: 1.25mg, 2.5mg, 5mg, 10mg 
Perindopril erbumine
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Alternatives Tablets: 2mg, 4mg, 8mg 
   
Enalapril
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Alternatives Tablets*: 2.5mg, 5mg, 10mg, 20mg
*For existing patients only, no new patients to be started on enalapril 
   
02.05.05.02  Expand sub section  Angiotensin-II receptor antagonists to top
Candesartan
(ARBs are alternatives if ACE inhibitors are unsuitable or patient is intolerant)
View adult BNF View SPC online
First Choice Tablets: 2mg, 4mg, 8mg, 16mg, 32mg 
Losartan
(ARBs are alternatives if ACE inhibitors are unsuitable or patient is intolerant)
View adult BNF View SPC online
First Choice Tablets: 12.5mg, 25mg, 50mg, 100mg
Oral suspension: 12.5mg/5ml 
Irbesartan
(ARBs are alternatives if ACE inhibitors are unsuitable or patient is intolerant)
View adult BNF View SPC online
Alternatives Tablets: 75mg, 150mg, 300mg 
   
Valsartan
(ARBs are alternatives if ACE inhibitors are unsuitable or patient is intolerant)
View adult BNF View SPC online
Alternatives Capsules: 40mg, 80mg, 160mg 
   
02.05.05.03  Expand sub section  Renin inhibitors
Aliskiren
View adult BNF View SPC online
Formulary
Green +
Tablets: 150mg, 300mg 
   
02.06  Expand sub section  Nitrates, calcium-channel blockers, and potassium-channel activators
02.06  Expand sub section  Angina
02.06.01  Expand sub section  Nitrates
Glyceryl Trinitrate
View adult BNF View SPC online
Formulary Spray: 400 micrograms/spray 
   
Glyceryl Trinitrate
View adult BNF View SPC online
Formulary
Red

Ampoules: 5mg/5ml, 10mg/10ml, 50mg/50ml
Injection for infusion: 25 mg/5 mL amps
Patches*: 5mg, 10mg
*Hospital use only e.g. vascular access, tendonitis

 
   
Isosorbide Dinitrate
View adult BNF View SPC online
Formulary
Red

Infusion: 25mg/50ml (0.05%), 50mg/50ml (0.1%)
Amps: 10 mg/10 mL (0.1%) 

 
   
Isosorbide Mononitrate
View adult BNF View SPC online
Formulary Tablets: 10mg, 20mg, 40mg
SR tablets: 60mg
SR tablets are only to be used when the plain tablets are unsuitable 
   
02.06.02  Expand sub section  Calcium-channel blockers to top
Amlodipine
View adult BNF View SPC online
First Choice Tablets: 5mg, 10mg 
Diltiazem
View adult BNF View SPC online
First Choice Tablets: 60mg
SR preparation (twice daily): 60mg, 90mg, 120mg, 180mg
XL preparation (once daily): 120mg, 180mg, 200mg, 240mg, 300mg, 360mg

Must be prescribed by brand 
Nifedipine
View adult BNF View SPC online
Formulary Capsules: 5mg, 10mg
Oral drops: 20mg/ml*
*Hospital use only 
   
Nifedipine modified release
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Formulary Tablets: 10mg, 20mg, 30mg 60mg

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 
   
Felodipine
(Only to be used where amlodipine and lercanidipine have been trialled first)
View adult BNF View SPC online
Alternatives M/R tablets: 2.5mg, 5mg, 10mg 
   
Lercanidipine
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Alternatives Tablets: 10mg, 20mg 
   
Nimodipine
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Alternatives
Red
Tablets: 30mg
Infusion: 0.02% 
   
Verapamil
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Alternatives Tablets: 40mg, 80mg, 120mg
SR Tablets: 120mg, 240mg
Oral solution: 40mg/5ml
MR Capsules: 180mg 
   
Verapamil
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Alternatives
Red
Injection: 5mg/2ml (2.5mg/1ml) 
   
02.06.03  Expand sub section  Other anitanginal drugs
Ivabradine
View adult BNF View SPC online
Formulary Tablets: 5mg, 7.5mg 
Link  NICE CG 126: Guidance on Stable Angina
Link  NICE TA 267: Chronic heart failure - ivabradine
   
Nicorandil
View adult BNF View SPC online
Formulary Tablets: 10mg, 20mg 
   
Ranolazine
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Formulary
Green +
MR Tablets: 375mg, 500mg 
   
02.06.04  Expand sub section  Peripheral vasodilators and related drugs
Naftidrofuryl
View adult BNF View SPC online
Formulary
Green +
Capsules: 100mg 
   
02.07  Expand sub section  Sympathomimetics
02.07.01  Expand sub section  Inotropic sympathomimetics
Dobutamine
View adult BNF View SPC online
Formulary
Red
Injection: 250mg/20ml and 250mg/50ml; pre-filled syringe in 5% dextrose 
   
Dopamine
View adult BNF View SPC online
Formulary
Red
Injection: 200mg/5ml ampoule and prefilled syringe in 5% dextrose 
   
Dopexamine
View adult BNF View SPC online
Formulary
Red

Injection for infusion: 50mg/5ml (Dopacard)


Used in critical care at City Hospitals Sunderland

 
   
Isoprenaline
View adult BNF View SPC online
Formulary
Red

Injection for infusion:2.25mg/2ml vial


Used in critical care at City Hospitals Sunderland

 
   
02.07.02  Expand sub section  Vasoconstrictor sympathomimetics to top
Ephedrine
View adult BNF View SPC online
Formulary
Red

Injection:30mg/1ml amps
Prefilled syringe: 30mg/10ml


Used in critical care at City Hospitals Sunderland

 
   
Metaraminol
View adult BNF View SPC online
Formulary
Red

Ampoules: 2.5mg/5ml and 10mg/1ml

 
   
Midodrine
View adult BNF View SPC online
Formulary
Green +
Tablets: 2.5mg, 5mg 
   
Noradrenaline
View adult BNF View SPC online
Formulary
Red

Injection for infusion amps: 4mg/4ml


Used in critical care at City Hospitals Sunderland

 
   
Phenylephrine
View adult BNF View SPC online
Formulary
Red

Ampoules: 10mg/1ml
unlicensed unlicensed Prefilled syringe: 3 mg/ 30 mL

 
   
02.07.03  Expand sub section  Cardiopulmonary resuscitation
Adrenaline / Epinephrine
View adult BNF View SPC online
Formulary Ampoules: 1mg/1ml (1 in 1,000), 1mg/10ml (1 in 10,000)
Pre-filled syringe: 1mg/10ml (1 in 10,000) 
   
02.08  Expand sub section  Anticoagulants and protamine
Idarucizumab (Praxbind®)
View adult BNF View SPC online
Formulary
Red
2.5g/50ml solution for injection/infusion

Limited to haematology use and kept under the control of haematology (location = ED) 
   
02.08.01  Expand sub section  Parenteral anticoagulants
Argatroban monohydrate
View adult BNF View SPC online
Formulary
Red

Infusion vial: 250mg/2.5 mL 

 
   
Epoprostenol
View adult BNF View SPC online
Formulary
Red

Infusion vial: 500 micrograms

 
   
02.08.01  Expand sub section  Heparin
Heparin
View adult BNF View SPC online
Formulary

Injection (ampoule); 1,000 units/1ml, 5,000 units/1ml, 5,000 units/5ml, 10,000 units/10ml, 20,000 units/20ml

 
   
Heparin
View adult BNF View SPC online
Formulary
Red

unlicensed unlicensed Heparin 500 Units in sodium chloride 0.9% 500 mL infusion bag

 
   
02.08.01  Expand sub section  Low molecular weight heparins to top
Enoxaparin (Inhixa®)
View adult BNF View SPC online
First Choice

Injection (pre-filled syringe): 20mg/0.2ml, 40mg/0.4ml, 60mg/0.6ml, 80mg/0.8ml, 100mg/1ml, 300mg/3ml, 120mg/0.8ml, 150mg/1ml

 
Dalteparin
View adult BNF View SPC online
Alternatives

Injection: (pre-filled syringe): 2,500 units/0.2ml, 5,000 units/0.2ml, 7,500 units/0.3ml, 10,000/0.4ml, 12,500 units/0.5ml, 15,000 units/0.6ml, 18,000 units/0.72ml

 
   
02.08.01  Expand sub section  Heparinoids
Danaparoid sodium
View adult BNF View SPC online
Formulary
Red
Injection (ampoule): 750 units/0.6ml 
   
02.08.01  Expand sub section  Hirudins
Bivalirudin
View adult BNF View SPC online
Formulary
Red
Injection: 250 mg 
Link  NICE CG 94: Unstable angina and NSTEMI
Link  NICE TA 230 : Bivalirudin for the treatment of STEMI, 2011
   
02.08.01  Expand sub section  Heparin flushes
Heparin (for flushing)
View adult BNF View SPC online
Alternatives Injection: 50 units/5ml, 200 units/2ml 
   
02.08.01  Expand sub section  Fondaparinux
Fondaparinux
View adult BNF View SPC online
Formulary
Red
Injection (pre-filled syringe): 2.5mg/0.5ml 
   
02.08.02  Expand sub section  Oral anticoagulants to top
Apixaban
(An option in a managed pathway)
View adult BNF View SPC online
Formulary Tablets: 2.5mg, 5mg 
Link  NICE TA 245: Venous thromboembolism - apixaban (hip and knee surgery
Link  NICE TA 275: Stroke and systemic embolism (prevention, non-valvular atrial fibrillation) - apixaban
Link  NICE TA 341: Apixaban for the treatment and secondary prevention of deep vein thrombosis and/or pulmonary embolism
   
Dabigatran
(An option in a managed pathway)
View adult BNF View SPC online
Formulary Capsules: 75mg, 110mg, 150mg 
Link  NICE TA 157: Venous thromboembolism - dabigatran
Link  NICE TA 249: Dabigatran for Stroke prevention in AF
Link  NICE TA 327: Dabigatran etexilate for the treatment and secondary prevention of deep vein thrombosis and/or pulmonary embolism
   
Edoxaban
(An option in a managed pathway)
View adult BNF View SPC online
Formulary

Tablets: 15mg, 30mg, 60mg

 
Link  NICE TA 354: Edoxaban for treating and for preventing deep vein thrombosis and pulmonary embolism
Link  NICE TA 355: Edoxaban for preventing stroke and systemic embolism in people with non-valvular atrial fibrillation
   
Rivaroxaban
(An option in a managed pathway)
View adult BNF View SPC online
Formulary

Tablets: 2.5mg, 10mg, 15mg, 20mg

 
Link  NICE TA 256: Rivaroxaban for AF
Link  NICE TA 261: Rivaroxaban for treatment of DVT
Link  NICE TA 287: Rivaroxaban for treating PE and preventing recurrent venous thromboembolism
Link  NICE TA 335: Rivaroxaban for preventing adverse outcomes after acute management of acute coronary syndrome
Link  NICE TA 607: Rivaroxaban for preventing atherothrombotic events in people with coronary or peripheral artery disease
   
Warfarin
View adult BNF View SPC online
Formulary Tablets: 500mcg, 1mg, 3mg, 5mg 
   
02.08.03  Expand sub section  Protamine sulphate
Protamine Sulphate
View adult BNF View SPC online
Formulary
Red
Injection: 50mg/5ml
 
   
02.09  Expand sub section  Antiplatelet drugs
Aspirin
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Formulary

Dispersible tablets: 75mg, 300mg (loading dose)

 
   
Aspirin
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Formulary
Green +

Suppository: 150mg, 300mg
For use in patients following stroke

 
   
Clopidogrel
View adult BNF View SPC online
Formulary Tablets: 75mg, 300mg (loading dose) 
Link  NICE TA 210: Clopidogrel and modified-release dipyridamole for the prevention of occlusive vascular events
   
Dipyridamole
View adult BNF View SPC online
Formulary
Green +
SR capsules: 200mg
Sugar-free suspension: 50mg/5ml 
   
Prasugrel
View adult BNF View SPC online
Formulary
Green +
Tablets: 5mg, 10mg 
Link  NICE TA 317: Prasugrel with percutaneous coronary intervention for treating acute coronary syndromes (review of technology appraisal guidance 182)
   
Ticagrelor
View adult BNF View SPC online
Formulary
Green +

Tablets: 60mg, 90mg

Orodispersible tablet: 90mg


Ticagrelor in combination with low-dose aspirin is recommended for up to 12 months as a treatment option in adults with acute coronary syndromes. However, selected patients at high risk may be offered ticagrelor 60mg bd for up to a maximum of three years by the initiating specialist in secondary care. This will be communicated to practices in the patients discharge letter.

 
Link  NICE TA 236: Ticagrelor for the treatment of acute coronary syndromes
Link  NICE TA 420: Ticagrelor for preventing atherothrombotic events after myocardial infarction
   
Tirofiban
View adult BNF View SPC online
Formulary
Red
Infusion: 12.5mg/250ml 
   
Abciximab
View adult BNF View SPC online
Formulary
Red
Vial: 10mg/5ml 
   
02.10  Expand sub section  Stable angina, acute coronary syndromes, and fibrinolysis
02.10.01  Expand sub section  Management of stable angina and acute coronary syndromes
02.10.02  Expand sub section  Fibrinolytic drugs to top
Alteplase
View adult BNF View SPC online
Formulary
Red
Vials: 10mg, 20mg, 50mg 
Link  NICE TA 264: Ischaemic stroke (acute) - alteplase
   
Streptokinase
View adult BNF View SPC online
Formulary
Red
Vials: 250,000 unit, 1.5 million-unit (MU) 
   
Tenecteplase
View adult BNF View SPC online
Formulary
Red
Vials: 40mg, 50mg 
   
Urokinase
View adult BNF View SPC online
Formulary
Red
Vials: 10,000 units, 25,000 units, 50,000 units, 100,000 units, 250,000 units, 500,000 units 
   
02.11  Expand sub section  Antifibrinolytic drugs and haemostatics
Tranexamic Acid
View adult BNF View SPC online
Formulary Tablets: 500mg
Injection: 500mg/5ml

For mouthwash: dissolve tablets in water as per hospital instruction 
   
02.12  Expand sub section  Lipid-regulating drugs
Alirocumab (Praluent®)
View adult BNF View SPC online
Formulary
Red

Solution for injection (pre-filled pen): 75mg/ml, 150mg/ml

To be used in line with NICE TA393
N.B. Supply currently only available via secondary care. No prescribing in primary care.

 
Link  NICE TA 393: Alirocumab for treating primary hypercholesterolaemia and mixed dyslipidaemia
   
Evolocumab (Repatha®)
View adult BNF View SPC online
Formulary
Red

Solution for injection (pre-filled syringe): 140mg/ml
Solution for injection (pre-filled pen): 140mg/ml

To be used in line with NICE TA394
N.B. Supply currently only available via secondary care. No prescribing in primary care.

 
Link  NICE TA 394: Evolocumab for treating primary hypercholesterolaemia and mixed dyslipidaemia
   
02.12  Expand sub section  Ezetimibe
Ezetimibe
View adult BNF View SPC online
Formulary Tablets: 10mg 
Link  NICE TA 385: Hypercholesterolaemia - ezetimibe
   
02.12  Expand sub section  Fibrates
Fenofibrate
View adult BNF View SPC online
Formulary Capsules: 67mg, 200mg, 267mg
Tablets: 160mg 
   
02.12  Expand sub section  Statins to top
Atorvastatin
View adult BNF View SPC online
First Choice Tablets: 10mg, 20mg, 40mg, 80mg
Chewable tablets: 10mg, 20mg - to be used when solid dosage forms cannot be used 
Pravastatin
View adult BNF View SPC online
Alternatives Tablets: 10mg, 20mg, 40mg 
   
Simvastatin
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Alternatives Tablets: 10mg, 20mg, 40mg 
   
Rosuvastatin
(Only to be used in accordance with SLiMS guidelines)
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Alternatives Tablets: 5mg, 10mg, 20mg, 40mg 
   
02.13  Expand sub section  Local sclerosants
Sodium Tetradecyl Sulphate
Formulary
Red
Injection: 0.2%, 5ml ampoule
Injection: 0.5%, 2ml ampoule
Injection: 1%, 2ml ampoule
Injection: 3%, 2ml, 5ml ampoule 
   
 ....
 Non Formulary Items
Acebutolol  (Sectral®)

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Acenocoumarol  (Sinthrome®)

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Ambrisentan

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High Cost Medicine
 
Amlodipine and Valsartan  (Exforge®)

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Aprotinin  (Trasylol®)

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Atenolol and Co-amilozide  (Kalten®)

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Atenolol and Nifedipine  (Beta-Adalat®)

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Atenolol and Nifedipine  (Tenif®)

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Atorvastatin and Ezetemibe  (Atozet®)

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Atorvastatin and Ezetemibe  (Atozet®)

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Azilsartan

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Bemiparin

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Bezafibrate

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Bezafibrate  (Bezalip®)

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Bezafibrate  (Bezalip® Mono)

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Burinex A®

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Burinex K®

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Cangrelor

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Canusal®

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Captopril

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Captopril  (Capoten®)

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Captopril and Hydrochlorothiazide  (Capozide®)

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Captopril and Hydrochlorothiazide  (Co-zidocapt®)

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Catridecacog  (NovoThirteen®)

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High Cost Medicine
 
Celiprolol Hydrochloride

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Centyl K®

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Chlorothiazide

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Chlortalidone

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Cilazapril  (Vascace®)

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Cilostazol  (Pletal®)

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Ciprofibrate  (Modalim®)

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Co-amilofruse (furosemide and amiloride)

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Co-amilozide

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Co-flumactone

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Co-tenidone (atenolol and chlortalidone)

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Co-triamterzide

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Cozaar- Comp®

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Cyclopenthiazide  (Navidrex®)

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Diazoxide  (Eudemine®)

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Digitoxin

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Dipyridamole and Aspirin

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Diumide-K Continus®

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Dyazide®

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Enalapril and Hydrochlorothiazide  (Innozide®)

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Enalapril Meleate  (Innovace®)

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Enoximone  (Perfan®)

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Eprosartan  (Teveten®)

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Eptifibatide  (Integrilin®)

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Etamsylate  (Dicynene®)

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Ethanolamine Oleate

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Factor IX, recombinant  (Rixubis®)

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Factor VIII + von Willebrand factor  (Voncento®)

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Fluvastatin  (Lescol®)

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Fluvastatin  (Lescol® XL)

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Fosinopril

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Fosinopril Sodium  (Staril®)

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Frusene®

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Gemifibrozil

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Gemifibrozil  (Lopid®)

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Guanethidine Monosulphate  (Ismelin®)

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Hepsal®

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Human fibrinogen & thrombin  (Raplixa® )

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Imidapril  (Tanatril®)

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Indoramin  (Baratol®)

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Indoramin  (Doralese®)

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Inositol Nicotinate  (Hexopal®)

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Isradipine  (Prescal®)

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Kalspare®

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Lacidipine  (Motens®)

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Lasikal®

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Lasilactone®

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Lepirudin

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Lisinopril and Hydrochlorothiazide  (Carace® Plus)

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Lisinopril and Hydrochlorothiazide  (Lisicostad®)

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Lisinopril and Hydrochlorothiazide  (Zestoretic®)

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Lomitapide  (Lojuxta®▼)

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Macitentan  (Opsumit®
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Minioxidil  (Loniten®)

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Moexipril  (Perdix®)

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Moracizine

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Moxisylyte  (Opilon®)

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Nadolol  (Corgard®)

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Navispare®

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Nebivolol  (Nebilet®)

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Neo-NaClex-K®

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Nicardipine  (Cardene®)

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Nisoldipine  (Syscor® MR)

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Olmesartan  (Sevikar®)

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Oxprenolol Hydrochloride

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Oxprenolol Hydrochloride  (Slow-Trasicor®)

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Oxprenolol Hydrochloride  (Trasicor®)

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Oxprenolol Hydrochloride and Cyclopenthiazide  (Trasidrex®)

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Pentoxifylline  (Trental®)

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Perindopril Arginine  (Coversyl® Arginine)

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Phenindione

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Phentolamine  (Rogitine®, Regitin®)

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Pindolol

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Pindolol  (Visken®)

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Pindolol and Clopamide  (Viskaldix®)

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Prazosin

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Prazosin  (Hypovase®)

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Procainamide

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Propafenone

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Propranolol Hydrochloride  (Half-Inderal® LA)

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Propranolol Hydrochloride  (Inderal® LA)

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Quinapril  (Accupro®)

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Quinapril and Hydrochlorothiazide

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Ramipril and Felodipine  (Triapin®)

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Rasitro®

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Reteplase  (Rapilysin®)

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Riociguat  (Adempas®)

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High Cost Medicine
 
Sevikar HCT®

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Simoctocog alfa  (Nuwiq)

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Simvastatin and Ezetimibe  (Inegy®)

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Sitaxentan Sodium  (Thelin®)

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Tadalafil  (Adcirca®)

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Telmisartan

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Terazosin

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Terazosin  (Hytin®)

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Timolol

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Timolol Maleate and Bendroflumethiazide  (Prestim®)

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Timolol Maleate and Co-amilozide  (Moducren®)

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Tinzaparin

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Tolazoline

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Torasemide

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Trandolapril  (Gopten®)

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Trandolapril and Verapamil  (Tarka®)

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Triamterene  (Dytac®)

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Vorapaxar  (Zontivity®)

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Xipamide  (Diurexan®)

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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 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
CCG
CCG

Traffic Light Status Information

Status Description

Red

Drugs for hospital use or use by a specialist within specialist centre only. Initiation and monitoring of treatment should remain under the total responsibility of the appropriate hospital clinician or specialist. These drugs should only be prescribed under the direct supervision of that clinician or specialist and are not suitable for shared care arrangements. The drug should be supplied via the hospital or specialist centre for the duration of treatment.   

Amber

These are specialist drugs which must be initiated by secondary care specialist prescribers, but with the potential to transfer prescribing to primary care within written and agreed shared care protocols and according to the agreed process for transfer of care. For these drugs, in order to ensure patient safety, some aspects of care must remain with the specialist due to their complexity e.g. monitoring of disease or drug response. Other more routine aspects can be transferred to the GP e.g. monitoring of adverse effects and supply of the medicine. The specific responsibilities of the specialist and GP are defined in the shared care agreement for each drug. Shared care agreements are still under development for some amber drugs. Until these are available, it would be expected that any shared care request from secondary care to a GP would be accompanied by written information which defines prescribing and monitoring responsibilities. The hospital specialist should also provide the GP with enough information and support to allow the safe transfer and ongoing management of prescribing into primary care.   

Green +

Drugs which should usually be initiated in secondary care, or by a specialist clinician, but can be safely maintained in primary care with very little or no monitoring required. In some cases there may be a further restriction for use outlined - these will be defined in each case.  

Green

These are defined as new and established drugs, which may be prescribed, initiated, changed or maintained on FP10 by the GP and, if appropriate, discontinued without recourse to secondary care. N.B. DRUGS NOT IDENTIFIED IN THE FORMULARY BY A RED, AMBER OR GREEN+ SYMBOL ARE CLASSIFIED AS GREEN.   

netFormulary