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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
02.04  Expand sub section  Beta-adrenoceptor blocking drugs
Bisoprolol
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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
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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 
   
 ....
 Non Formulary Items
Acebutolol  (Sectral®)

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Non Formulary
 
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
 
Burinex A

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Non Formulary
 
Celiprolol Hydrochloride

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Non Formulary
 
Co-amilofruse (furosemide and amiloride)

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Non Formulary
 
Co-amilozide

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Non Formulary
 
Co-flumactone

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Non Formulary
 
Co-tenidone (atenolol and chlortalidone)

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Non Formulary
 
Co-triamterzide

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Non Formulary
 
Dyazide

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Non Formulary
 
Frusene

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Non Formulary
 
Kalspare

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Non Formulary
 
Lasilactone

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Non Formulary
 
Nadolol  (Corgard)

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Non Formulary
 
Navispare

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Non Formulary
 
Nebivolol  (Nebilet)

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Non Formulary
 
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
 
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
 
Propranolol Hydrochloride  (Half-Inderal® LA)

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Non Formulary
 
Propranolol Hydrochloride  (Inderal® LA)

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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
 
  
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.   

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