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Cardiovascular system
Cardiovascular system / Patent ductus arteriosus
  alprostadil Restricted
ALPROSTADIL

Urology in accordance with DoH guidelines.

For cardiovascular use and patent ductus arteriosus this is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

For use in erectile dysfunction this is AI in the Black Country formulary, i.e. may be prescribed in primary care after specialist initiation. Please see individual brands.

  dinoprostone Restricted
DINOPROSTONE

This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

  ibuprofen Restricted
IBUPROFEN

Please prescribe generically. The injection and any use for dysmenorrhoea is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

  Orodispersible tablet
Nurofen Meltlets (Reckitt Benckiser Healthcare (UK) Ltd) Off Formulary
  Modified-release tablet
Brufen Retard (Viatris UK Healthcare Ltd) Off Formulary
  Chewable capsule
Nurofen (Reckitt Benckiser Healthcare (UK) Ltd) Off Formulary
  Effervescent granules
Brufen (Viatris UK Healthcare Ltd) Off Formulary
  Oral suspension
Nurofen (Reckitt Benckiser Healthcare (UK) Ltd) Off Formulary
  Oral tablet
Brufen (Viatris UK Healthcare Ltd) Off Formulary
Feminax Express (Bayer Plc) Off Formulary
Nurofen Migraine Pain (Reckitt Benckiser Healthcare (UK) Ltd) Off Formulary
  Oral capsule
Nurofen Express (Reckitt Benckiser Healthcare (UK) Ltd) Off Formulary
Cardiovascular system / Arrhythmias
  acebutolol Off Formulary
  adenosine On Formulary
Adenosine

This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

  amiodarone hydrochloride On Formulary
Amiodarone

This is AI in the Black Country IMOG formulary, i.e. for prescribing in primary care after a specialist initiation. This decision is pending an IMOG decision.

  atenolol On Formulary
  atropine sulfate On Formulary
  Solution for injection
Atropine sulfate (Non-proprietary) Restricted
Atropine sulfate

This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

  digoxin On Formulary
  Solution for injection
Digoxin (Non-proprietary) Restricted
  disopyramide Off Formulary
  dronedarone Nice-approved drug NICE TA197
DRONEDARONE

Dronedarone will be made available in the Trust for patients who meet the NICE criteria.

This is AI in the Black Country IMOG formulary, i.e. for prescribing in primary care after a specialist initiation. This decision is pending an IMOG decision.

  esmolol hydrochloride Off Formulary
  flecainide acetate Restricted
FLECAINIDE ACETATE

Cardiology.

The injection is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

The tablets are AR in the Black Country IMOG formulary, i.e. for prescribing in primary care after a specialist recommendation.

  lidocaine hydrochloride On Formulary
  Solution for injection
Lidocaine hydrochloride (Non-proprietary) Restricted
Lidocaine

For cardiovascular use this is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

  Ointment
Lidocaine hydrochloride (Non-proprietary) On Formulary
  Spray
Stud 100 (Pound International Ltd) Off Formulary
  Cutaneous cream
Vagisil medicated (Combe International Ltd) Off Formulary
  metoprolol tartrate On Formulary
  Solution for injection
Betaloc (Recordati Pharmaceuticals Ltd) Restricted
Metoprolol injection

The injection is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

  mexiletine Restricted NICE TA748
Mexiletine

This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

 

This is for use by Consultant Cardiologists only. Any other use is non-formulary and not funded.

  nadolol Off Formulary
  propafenone hydrochloride Restricted
PROPAFENONE HYDROCHLORIDE

Cardiology.

This is AI in the Black Country IMOG formulary, i.e. can be prescribed in primary care after specialist initiation.

  propranolol hydrochloride On Formulary
  sotalol hydrochloride Restricted
SOTALOL HYDROCHLORIDE

Cardiology.

This is AR in the Black Country IMOG formulary, i.e. for prescribing in primary care after a specialist recommendation.

  verapamil hydrochloride On Formulary
Verapamil

Tablets are AR (can be prescribed in primary care after specilaist recommendation) for cluster headaches only in the Black Country IMOG formulary.

  Modified-release tablet
Half Securon (Viatris UK Healthcare Ltd) Off Formulary
Securon SR (Viatris UK Healthcare Ltd) Off Formulary
Verapress MR (Dexcel-Pharma Ltd) Off Formulary
  Solution for injection
Securon (Viatris UK Healthcare Ltd) Off Formulary
  vernakalant Off Formulary
Cardiovascular system / Hypertension
  acebutolol Off Formulary
  aliskiren Restricted
ALISKIREN

This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only in nephrology.

  amiloride hydrochloride On Formulary
  amlodipine On Formulary
  amlodipine with valsartan Off Formulary
  atenolol On Formulary
  azilsartan medoxomil Off Formulary
  bendroflumethiazide On Formulary
  bisoprolol fumarate On Formulary
  candesartan cilexetil Restricted
CANDESARTAN CILEXETIL

For patients with heart failure - use losartan first-line.

This is Green in the Black Country IMOG formulary.

For the unlicensed indication of migraine prophylaxis this is AR (can be prescribed in primary care after specialist recommendation) in the Black Country IMOG formulary.

  captopril Restricted
CAPTOPRIL

Peadiatrics.

This is AR in the Black Country IMOG formulary, i.e. for prescribing in primary care after a specialist recommendation.

  carvedilol Restricted
CARVEDILOL

Second-line in Cardiology only, use bisoprolol first line before starting carvedilol.

This is Green in the Black Country IMOG formulary.

  celiprolol hydrochloride Off Formulary
  chlortalidone On Formulary
  clonidine hydrochloride On Formulary
CLONIDINE HYDROCHLORIDE

Patches - Pain clinic & Injection - ITU/NNU

  co-amilozide Off Formulary
  co-tenidone Off Formulary
  diltiazem hydrochloride On Formulary
Diltiazem

Prescribe by brand as they are not bio-equivalent

  doxazosin On Formulary
  Modified-release tablet
Cardura XL (Viatris UK Healthcare Ltd) Off Formulary
Doxadura XL (Dexcel-Pharma Ltd) Off Formulary
Raporsin XL (Accord-UK Ltd) Off Formulary
  enalapril maleate Off Formulary
  enalapril with hydrochlorothiazide Off Formulary
  eprosartan Off Formulary
  esmolol hydrochloride Off Formulary
  felodipine On Formulary
  fosinopril sodium Off Formulary
  furosemide On Formulary
  hydralazine hydrochloride On Formulary
  hydrochlorothiazide Off Formulary
  imidapril hydrochloride Off Formulary
  indapamide Restricted
INDAPAMIDE

For treatment continuation. Initiation by specialist consultants only.

This is Green in the Black Country IMOG formulary.

  irbesartan Off Formulary
IRBESARTAN

Diabetic nephropathy and only when prescribed generically

  irbesartan with hydrochlorothiazide Off Formulary
  labetalol hydrochloride On Formulary
  lacidipine Off Formulary
  lercanidipine hydrochloride On Formulary
  lisinopril On Formulary
  lisinopril with hydrochlorothiazide Off Formulary
  losartan potassium On Formulary
  losartan with hydrochlorothiazide Off Formulary
  methyldopa On Formulary
Methyldopa

This is AR in the Black Country IMOG formulary, i.e. for prescribing in primary care after a specialist recommendation.

  metolazone On Formulary
Metolazone

This is AR in the Black Country IMOG formulary, i.e. for prescribing in primary care after a specialist recommendation. It may be used by the Community heart failure team.

  metoprolol tartrate On Formulary
  Solution for injection
Betaloc (Recordati Pharmaceuticals Ltd) Restricted
Metoprolol injection

The injection is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

  minoxidil Restricted
MINOXIDIL

Cardiology, Hypertension.

This is AR in the Black Country IMOG formulary, i.e. for prescribing in primary care after a specialist recommendation.

  moxonidine Restricted
MOXONIDINE

Cardiology, Hypertension.

This is Green in the Black Country IMOG formulary.

  nadolol Off Formulary
  nebivolol Restricted
NEBIVOLOL

This is AR in the Black Country IMOG formulary, i.e. for prescribing in primary care after a specialist recommendation.

  nicardipine hydrochloride Restricted
Nicardipine

This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

  nifedipine On Formulary
Nifedipine

Off-label use of the immediate release preparation for postponement of premature labour is Red in the Black Country formulary, i.e. for hospital prescribing only

  Modified-release tablet
Adalat LA (Bayer Plc) On Formulary
  olmesartan medoxomil Off Formulary
  olmesartan with amlodipine Off Formulary
  olmesartan with amlodipine and hydrochlorothiazide Off Formulary
  perindopril arginine Off Formulary
  perindopril arginine with indapamide Off Formulary
  perindopril erbumine On Formulary
  perindopril erbumine with amlodipine Off Formulary
  pindolol Off Formulary
  prazosin Off Formulary
  propranolol hydrochloride On Formulary
  quinapril Off Formulary
  quinapril with hydrochlorothiazide Off Formulary
  ramipril On Formulary
  ramipril with felodipine Off Formulary
  spironolactone On Formulary
Spironolactone

Off-label use for acne and hair disorder is Red in the Black Country IMOG formulary, i.e.for hospital prescribing only by Dermatologists.

  telmisartan Off Formulary
  telmisartan with hydrochlorothiazide Off Formulary
  terazosin Off Formulary
  timolol maleate Off Formulary
Timolol

This is AR in the Black Country formulary, i.e. may be prescribed in primary care after specialist recommendation.

  timolol with bendroflumethiazide Off Formulary
  torasemide Off Formulary
  trandolapril Off Formulary
  triamterene with chlortalidone Off Formulary
  valsartan On Formulary
  valsartan with hydrochlorothiazide Off Formulary
  verapamil hydrochloride On Formulary
Verapamil

Tablets are AR (can be prescribed in primary care after specilaist recommendation) for cluster headaches only in the Black Country IMOG formulary.

  Modified-release tablet
Half Securon (Viatris UK Healthcare Ltd) Off Formulary
Securon SR (Viatris UK Healthcare Ltd) Off Formulary
Verapress MR (Dexcel-Pharma Ltd) Off Formulary
  Solution for injection
Securon (Viatris UK Healthcare Ltd) Off Formulary
  xipamide Off Formulary
Cardiovascular system / Portal hypertension
  propranolol hydrochloride On Formulary
Cardiovascular system / Pulmonary hypertension
  ambrisentan Off Formulary
Ambrisentan

F\or use in tertiary centres only. All other use in non-formulary.

  bosentan Restricted
Bosentan

This is for use in tertiary centres only. All other use is non-formulary.

This is commissioned by NHSE for the treatment of digital ulceration in systemic sclerosis and a Blueteq form must be completed before prescribing. Please contact the Pharmacy High-Cost Drugs team if any assistance is required.

  epoprostenol Restricted
EPOPROSTENOL

ITU/NNU, Rheumatology.

This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

  iloprost Restricted
ILOPROST

Cardiology, Vascular Surgery and Rheumatology.

This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

  macitentan Restricted
Macitentan

This is for tertiary care centres only. All other use is non-formulary.

  sildenafil Off Formulary
  tadalafil Off Formulary
Tadalafil

Please prescribe generically.

  treprostinil Off Formulary
Cardiovascular system / Hypertension associated with phaeochromocytoma
  phenoxybenzamine hydrochloride Restricted
Phenoxybenzamine

This is AR in the Black Country IMOG formulary, i.e. for prescribing in primary care after a specialist recommendation.

  propranolol hydrochloride On Formulary
Cardiovascular system / Hypertensive crises
  hydralazine hydrochloride On Formulary
  labetalol hydrochloride On Formulary
  sodium nitroprusside Restricted
SODIUM NITROPRUSSIDE

ITU, Cardiology,

This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

  Powder and solvent for solution for infusion
Sodium nitroprusside (Non-proprietary) Restricted
Cardiovascular system / Hypotension and shock
  dobutamine Restricted
DOBUTAMINE

Cardiology, ITU/NNU, Theatres.

This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

  Solution for infusion
Dobutamine (Non-proprietary) Restricted
  dopamine hydrochloride Restricted
DOPAMINE HYDROCHLORIDE

Cardiology, ITU/NNU, Theatres.

This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

  Solution for infusion
Dopamine hydrochloride (Non-proprietary) Restricted
  ephedrine hydrochloride Restricted
Ephedrine hydrochloride

For cardiovascular and respiratory use this is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

  metaraminol Restricted
  midodrine hydrochloride Restricted
Midodrine

The is SC in the Black Country IMOC formulary, i.e. can be prescribed in primary care after specialist initiation.

  noradrenaline/norepinephrine Restricted
NORADRENALINE ACID TARTRATE/NOREPINEPHRINE BITARTRATE

ITU/ NNU, Theatres.

This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

  Solution for infusion
Noradrenaline/norepinephrine (Non-proprietary) Restricted
  phenylephrine hydrochloride Restricted
PHENYLEPHRINE HYDROCHLORIDE

Restricted uses - ITU/ NNU, Theatres, Cardiology.

This (including eye drops) is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

  Solution for injection
Phenylephrine hydrochloride (Non-proprietary) Restricted
  sodium nitroprusside Restricted
SODIUM NITROPRUSSIDE

ITU, Cardiology,

This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

  Powder and solvent for solution for infusion
Sodium nitroprusside (Non-proprietary) Restricted
Cardiovascular system / Vascular disease
  cilostazol Off Formulary NICE TA223
  iloprost Restricted
  inositol nicotinate Off Formulary NICE TA223
  naftidrofuryl oxalate Nice-approved drug NICE TA223
NAFTIDROFURYL OXALATE

Naftidrofuryl will be made available in the Trust for patients who meet the NICE criteria.

This is AR in the Black Country IMOG formulary, i.e. for prescribing in primary care after a specialist recommendation.

  nifedipine On Formulary
Nifedipine

Off-label use of the immediate release preparation for postponement of premature labour is Red in the Black Country formulary, i.e. for hospital prescribing only

  Modified-release tablet
Adalat LA (Bayer Plc) On Formulary
  oxerutins Off Formulary
  pentoxifylline Off Formulary NICE TA223
  prazosin Off Formulary
Cardiovascular system / Vein malformations
  sodium tetradecyl sulfate Restricted
SODIUM TETRADECYL SULPHATE

Sclerotherapy.

This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

Cardiovascular system / Cardiac diagnostic procedures and surgeries
  dobutamine Restricted
DOBUTAMINE

Cardiology, ITU/NNU, Theatres.

This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

  Solution for infusion
Dobutamine (Non-proprietary) Restricted
Cardiovascular system / Blocked catheters and lines
  epoprostenol Restricted
EPOPROSTENOL

ITU/NNU, Rheumatology.

This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

  heparin On Formulary
  urokinase Restricted
UROKINASE

The 25,000 unit injection is available for unblocking lines.

This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

Cardiovascular system / Thromboembolism
  acenocoumarol Restricted
  alteplase Restricted NICE TA264
  Powder and solvent for solution for injection
Actilyse (Boehringer Ingelheim Ltd) Restricted
  Powder and solvent for solution for infusion
Actilyse (Boehringer Ingelheim Ltd) Restricted
  apixaban On Formulary NICE TA245
NICE TA275
NICE TA341
APIXABAN

Apixaban is an option for the prevention of venous thromboembolism in adults having elective total hip replacement surgery or elective total knee replacement surgery according to the restrictions or treatment of atrial fibrillation in patients or treatment of deep vein thrombosis or secondary prevention of deep vein thrombosis.

Rivaroxaban is preferred over dabigatran or apixban. Edoxaban is first line for atrial fibrillation.

  argatroban monohydrate Restricted
Argatroban

This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

  aspirin On Formulary
ASPIRIN

Dispersible tablets and suppositories for use in the Trust only.

Enteric coated tablets are for second-line use and for blister packs.

Gastro-resistant tablets are available for the PGD for patients at moderate or high risk of pre-eclampsia ONLY

  Gastro-resistant tablet
Aspirin (Non-proprietary) Restricted
Aspirin EC

Second-line for patients who use monitored dosage systems

Nu-Seals (Alliance Pharmaceuticals Ltd) Off Formulary
  bivalirudin Restricted
BIVALIRUDIN

Consultant Cardiologists.

This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

  clopidogrel Restricted NICE TA210
CLOPIDOGREL

In accordance with NICE guidelines and in patients with stents

For use prior to primary angioplasty the 300mg tablets may be given on recommendation by the cardiology team and the 75mg tablets for pre-admission before elective angioplasty by the specialist cardiac nurses.

This is Green in the Black Country IMOG formulary.

  dabigatran etexilate On Formulary NICE TA157
NICE TA249
NICE TA327
DABIGATRAN ETEXILATE

Dabigatran is an option for the prevention of venous thromboembolism in adults having elective total hip replacement surgery or elective total knee replacement surgery according to the restrictions or treatment of atrial fibrillation in patients or treatment of deep vein thrombosis or secondary prevention of deep vein thrombosis.

Rivaroxaban is preferred over dabigatran or apixban. Edoxaban is first line for atrial fibrillation.

  dalteparin sodium Restricted
  danaparoid sodium Restricted
DANAPAROID SODIUM

On advice of Consultant Haematologists only,

This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

  dipyridamole Restricted NICE TA210
DIPYRIDAMOLE

Neurology, Elderly care ----use only syrup for neurology, elderly care - plain tablets not on formulary.

This is AR in the Black Country IMOG formulary, i.e. for prescribing in primary care after a specialist recommendation.

  edoxaban On Formulary NICE TA354
NICE TA355
EDOXABAN

Edoxaban is the first-line drug for the treatment of AF.

  enoxaparin sodium On Formulary
  Solution for injection
Clexane (Sanofi) On Formulary
Inhixa (Techdow Pharma England Ltd) On Formulary
  fondaparinux sodium Restricted
FONDAPARINUX SODIUM

For acute coronary syndromes and vaccine-associated thrombosis and thrombocytopenia (VATT) only. Any other use is non-formulary.

This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

  heparin On Formulary
  phenindione Restricted
  prasugrel Restricted NICE TA317
  rivaroxaban On Formulary NICE TA170
NICE TA256
NICE TA261
NICE TA287
NICE TA335
NICE TA607
RIVAROXABAN

Rivaroxaban is an option for the prevention of venous thromboembolism in adults having elective total hip replacement surgery or elective total knee replacement surgery according to the restrictions or treatment of atrial fibrillation in patients or treatment of deep vein thrombosis or secondary prevention of deep vein thrombosis.

Rivaroxaban is preferred over dabigatran or apixban. Edoxaban is first line for atrial fibrillation.

  streptokinase Restricted
  tinzaparin sodium Off Formulary
  urokinase Restricted
UROKINASE

The 25,000 unit injection is available for unblocking lines.

This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

  warfarin sodium On Formulary
  Oral suspension
Warfarin sodium (Non-proprietary) Off Formulary
Cardiovascular system / Reversal of anticoagulation
  andexanet alfa Restricted NICE TA697
Cardiovascular system / Oedema
  amiloride hydrochloride On Formulary
  amiloride with bumetanide Off Formulary
  bumetanide On Formulary
  chlortalidone On Formulary
  co-amilofruse Off Formulary
  diamorphine hydrochloride Off Formulary
  furosemide On Formulary
  furosemide with triamterene Off Formulary
  mannitol Restricted NICE TA266
MANNITOL

Glaucoma, cerebral oedema, Poisons Unit.

This is Red in the Black Country IMOC formulary, i.e. for hospital prescribing only.

  metolazone On Formulary
Metolazone

This is AR in the Black Country IMOG formulary, i.e. for prescribing in primary care after a specialist recommendation. It may be used by the Community heart failure team.

  spironolactone with furosemide Off Formulary
  torasemide Off Formulary
  triamterene Off Formulary
  triamterene with chlortalidone Off Formulary
  xipamide Off Formulary
Cardiovascular system / Ascites
  chlortalidone Off Formulary
  co-amilozide Off Formulary
  spironolactone On Formulary
Spironolactone

Off-label use for acne and hair disorder is Red in the Black Country IMOG formulary, i.e.for hospital prescribing only by Dermatologists.

Cardiovascular system / Hyperlipidaemia
  acipimox Off Formulary
  alirocumab Nice-approved drug NICE TA393
ALIROCUMAB

Blueteq form must be completed where available for this drug and required indication. Please contact the Pharmacy High Cost Drug team if any support needed.

https://www.blueteq-secure.co.uk/Trust/default.aspx

This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

  atorvastatin On Formulary
  bempedoic acid Nice-approved drug NICE TA694
Bempedoic acid

This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

  bempedoic acid with ezetimibe On Formulary NICE TA694
  bezafibrate On Formulary
  ciprofibrate Off Formulary
  colesevelam hydrochloride Restricted
Colesevelam

Colesevelam is allowed for the treatment of bile acid diarrhoea while supply problems continue with colestyramine.

Colesevelam is AR in the Black Country formulary, i.e. for prescribing in primary care after specialist recommendation.

  colestyramine On Formulary
Colestyramine

Colestyramine is AR in the Black Country formulary, i.e. for prescribing in primary care after specialist recommendation.

  evolocumab Nice-approved drug NICE TA394
Evolocumab

Blueteq form must be completed where available for this drug and required indication. Please contact the Pharmacy High Cost Drug team if any support needed.

https://www.blueteq-secure.co.uk/Trust/default.aspx

This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

  ezetimibe On Formulary NICE TA385
  fenofibrate On Formulary
  fluvastatin Off Formulary
  gemfibrozil Off Formulary
  icosapent ethyl Restricted NICE TA805
  inclisiran Restricted NICE TA733
Inclisiran

For specialist initiation or recommendation only.

 

  lomitapide Off Formulary
Lomitapide

This is commssioned by NHSE for the indications below and a Blueteq form must be completed before prescribing. Please contact the Pharmacy High-Cost Drugs team if any assistance is required.

Treating homozygous familial hypercholesterolaemia in adults 

  nicotinic acid Off Formulary
  omega-3-acid ethyl esters Off Formulary
  pravastatin sodium On Formulary
  rosuvastatin Restricted
ROSUVASTATIN

Lipid Clinic only.

This is Green in the Black Country IMOG formulary.

  simvastatin On Formulary
  simvastatin with ezetimibe Off Formulary
  volanesorsen Restricted NICE HST13
Cardiovascular system / Bleeding disorders
  tranexamic acid On Formulary
  Solution for injection
Tranexamic acid (Non-proprietary) Restricted
Cyklokapron (Pfizer Ltd) Off Formulary
Cardiovascular system / Coagulation factor deficiencies
  dried prothrombin complex Restricted
DRIED PROTHROMBIN COMPLEX

Beriplex should not be issued without discussing with the National PNH Consultant Haematologist on working hours 01132068625 or out-of-hours 07920535918.

If prescribing please refer to Trust guideline.

Available from ED Resus and Out of Hours at Midland Metropolitan University Hospital.

  factor IX [Specialist drug] Off Formulary
  factor VIII [Specialist drug] Off Formulary NICE TA1051
  factor VIII inhibitor bypassing fraction [Specialist drug] Off Formulary
  factor VIIa Restricted
FACTOR VIIa (RECOMBINANT)

Available from the Emergency Cupboard at City and Sandwell pharmacies by the usual means out of hours.

This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

  factor XIII [Specialist drug] Off Formulary
  fresh frozen plasma On Formulary
Fresh frozen plasma

This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

  protein C [Specialist drug] Off Formulary
Cardiovascular system / Subarachnoid haemorrhage
  nimodipine Restricted
NIMODIPINE

This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

Cardiovascular system / Heart failure
  bendroflumethiazide On Formulary
  bisoprolol fumarate On Formulary
  candesartan cilexetil Restricted
CANDESARTAN CILEXETIL

For patients with heart failure - use losartan first-line.

This is Green in the Black Country IMOG formulary.

For the unlicensed indication of migraine prophylaxis this is AR (can be prescribed in primary care after specialist recommendation) in the Black Country IMOG formulary.

  captopril Restricted
CAPTOPRIL

Peadiatrics.

This is AR in the Black Country IMOG formulary, i.e. for prescribing in primary care after a specialist recommendation.

  chlortalidone On Formulary
  co-amilozide Off Formulary
  digoxin On Formulary
  Solution for injection
Digoxin (Non-proprietary) Restricted
  enalapril maleate Off Formulary
  enoximone Restricted
ENOXIMONE

For Cardiology, Critical Care and Neo-natal use only.

This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

  Solution for injection
Perfan (Macure Pharma UK Ltd) Restricted
  eplerenone Restricted
EPLERENONE

This is AR in the Black Country IMOG formulary, i.e. for prescribing in primary care after a specialist recommendation.

  fosinopril sodium Off Formulary
  glyceryl trinitrate Restricted
GLYCERYL TRINITRATE

Ointment for anal fissures only.

The injection is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

The patches are AR in the Black Country IMOG formulary, i.e. for prescribing in primary care after a specialist recommendation.

Sublingual use is Green in the Black Country IMOG formulary.

  Transdermal patch
Deponit (Forum Health Products Ltd) Restricted
GTN patch

This is AR in the Black Country IMOG formulary, i.e. for prescribing in primary care after a specialist recommendation.

Minitran (Viatris UK Healthcare Ltd) Restricted
GTN patch

This is AR in the Black Country IMOG formulary, i.e. for prescribing in primary care after a specialist recommendation.

  Rectal ointment
Rectogesic (Grunenthal Ltd) Restricted
  hydralazine hydrochloride On Formulary
  isosorbide dinitrate Restricted
ISOSORBIDE DINITRATE

Injection only.

This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

  Modified-release tablet
Isoket Retard (Forum Health Products Ltd) On Formulary
  Solution for injection
Isoket (Forum Health Products Ltd) Off Formulary
  isosorbide mononitrate On Formulary
  Modified-release tablet
Imdur (TopRidge Pharma (Ireland) Ltd) Off Formulary
Ismo Retard (Esteve Pharmaceuticals Ltd) Off Formulary
Isotard XL (Evolan Pharma AB) Off Formulary
  Modified-release capsule
Elantan LA (Forum Health Products Ltd) Off Formulary
Isodur XL (Galen Ltd) Off Formulary
  ivabradine Nice-approved drug NICE TA267
  lisinopril On Formulary
  losartan potassium On Formulary
  milrinone Restricted
MILRINONE

This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

  nebivolol Restricted
NEBIVOLOL

This is AR in the Black Country IMOG formulary, i.e. for prescribing in primary care after a specialist recommendation.

  perindopril arginine Off Formulary
  perindopril erbumine On Formulary
  prazosin Off Formulary
  quinapril Off Formulary
  ramipril On Formulary
  sacubitril with valsartan Nice-approved drug NICE TA388
  sodium nitroprusside Restricted
SODIUM NITROPRUSSIDE

ITU, Cardiology,

This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

  Powder and solvent for solution for infusion
Sodium nitroprusside (Non-proprietary) Restricted
  spironolactone On Formulary
Spironolactone

Off-label use for acne and hair disorder is Red in the Black Country IMOG formulary, i.e.for hospital prescribing only by Dermatologists.

  valsartan On Formulary
Cardiovascular system / Myocardial ischaemia
  acebutolol Off Formulary
  amlodipine On Formulary
  aspirin On Formulary
ASPIRIN

Dispersible tablets and suppositories for use in the Trust only.

Enteric coated tablets are for second-line use and for blister packs.

Gastro-resistant tablets are available for the PGD for patients at moderate or high risk of pre-eclampsia ONLY

  Gastro-resistant tablet
Aspirin (Non-proprietary) Restricted
Aspirin EC

Second-line for patients who use monitored dosage systems

Nu-Seals (Alliance Pharmaceuticals Ltd) Off Formulary
  atenolol On Formulary
  bisoprolol fumarate On Formulary
  bivalirudin Restricted
BIVALIRUDIN

Consultant Cardiologists.

This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

  cangrelor Restricted
CANGRELOR

Consultant cardiologists only in patients unable to take oral treatment. 

This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

  carvedilol Restricted
CARVEDILOL

Second-line in Cardiology only, use bisoprolol first line before starting carvedilol.

This is Green in the Black Country IMOG formulary.

  diltiazem hydrochloride On Formulary
Diltiazem

Prescribe by brand as they are not bio-equivalent

  eptifibatide Restricted
Eptifibatide

This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

  felodipine On Formulary
  fondaparinux sodium Restricted
FONDAPARINUX SODIUM

For acute coronary syndromes and vaccine-associated thrombosis and thrombocytopenia (VATT) only. Any other use is non-formulary.

This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

  glyceryl trinitrate Restricted
GLYCERYL TRINITRATE

Ointment for anal fissures only.

The injection is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

The patches are AR in the Black Country IMOG formulary, i.e. for prescribing in primary care after a specialist recommendation.

Sublingual use is Green in the Black Country IMOG formulary.

  Transdermal patch
Deponit (Forum Health Products Ltd) Restricted
GTN patch

This is AR in the Black Country IMOG formulary, i.e. for prescribing in primary care after a specialist recommendation.

Minitran (Viatris UK Healthcare Ltd) Restricted
GTN patch

This is AR in the Black Country IMOG formulary, i.e. for prescribing in primary care after a specialist recommendation.

  Rectal ointment
Rectogesic (Grunenthal Ltd) Restricted
  ivabradine Nice-approved drug NICE TA267
  metoprolol tartrate On Formulary
  Solution for injection
Betaloc (Recordati Pharmaceuticals Ltd) Restricted
Metoprolol injection

The injection is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

  nadolol Off Formulary
  nicardipine hydrochloride Restricted
Nicardipine

This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

  nicorandil Restricted
NICORANDIL

Cardiology. 

This is AR in the Black Country IMOG formulary, i.e. for prescribing in primary care after a specialist recommendation.

  nifedipine On Formulary
Nifedipine

Off-label use of the immediate release preparation for postponement of premature labour is Red in the Black Country formulary, i.e. for hospital prescribing only

  Modified-release tablet
Adalat LA (Bayer Plc) On Formulary
  perindopril erbumine with amlodipine Off Formulary
  pindolol Off Formulary
  propranolol hydrochloride On Formulary
  ranolazine Restricted
RANOLAZINE

For use according to NICE Chest Pain Pathway

This is AI in the Black Country formulary, i.e. may be prescribed in primary care after specialist initiation, and there is a RICaD to support its use for Sandwell patients. No RICaD is required for BSol patients.

  timolol maleate Off Formulary
Timolol

This is AR in the Black Country formulary, i.e. may be prescribed in primary care after specialist recommendation.

  tirofiban Restricted
TIROFIBAN

Cardiology.

This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

  verapamil hydrochloride On Formulary
Verapamil

Tablets are AR (can be prescribed in primary care after specilaist recommendation) for cluster headaches only in the Black Country IMOG formulary.

  Modified-release tablet
Half Securon (Viatris UK Healthcare Ltd) Off Formulary
Securon SR (Viatris UK Healthcare Ltd) Off Formulary
Verapress MR (Dexcel-Pharma Ltd) Off Formulary
  Solution for injection
Securon (Viatris UK Healthcare Ltd) Off Formulary
Cardiovascular system / Acute coronary syndromes
  alteplase Restricted NICE TA264
  Powder and solvent for solution for injection
Actilyse (Boehringer Ingelheim Ltd) Restricted
  Powder and solvent for solution for infusion
Actilyse (Boehringer Ingelheim Ltd) Restricted
  captopril Restricted
CAPTOPRIL

Peadiatrics.

This is AR in the Black Country IMOG formulary, i.e. for prescribing in primary care after a specialist recommendation.

  clopidogrel Restricted NICE TA210
CLOPIDOGREL

In accordance with NICE guidelines and in patients with stents

For use prior to primary angioplasty the 300mg tablets may be given on recommendation by the cardiology team and the 75mg tablets for pre-admission before elective angioplasty by the specialist cardiac nurses.

This is Green in the Black Country IMOG formulary.

  dalteparin sodium Restricted
  enoxaparin sodium On Formulary
  Solution for injection
Clexane (Sanofi) On Formulary
Inhixa (Techdow Pharma England Ltd) On Formulary
  glyceryl trinitrate Restricted
GLYCERYL TRINITRATE

Ointment for anal fissures only.

The injection is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

The patches are AR in the Black Country IMOG formulary, i.e. for prescribing in primary care after a specialist recommendation.

Sublingual use is Green in the Black Country IMOG formulary.

  Transdermal patch
Deponit (Forum Health Products Ltd) Restricted
GTN patch

This is AR in the Black Country IMOG formulary, i.e. for prescribing in primary care after a specialist recommendation.

Minitran (Viatris UK Healthcare Ltd) Restricted
GTN patch

This is AR in the Black Country IMOG formulary, i.e. for prescribing in primary care after a specialist recommendation.

  Rectal ointment
Rectogesic (Grunenthal Ltd) Restricted
  heparin On Formulary
  isosorbide dinitrate Restricted
ISOSORBIDE DINITRATE

Injection only.

This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

  Modified-release tablet
Isoket Retard (Forum Health Products Ltd) On Formulary
  Solution for injection
Isoket (Forum Health Products Ltd) Off Formulary
  isosorbide mononitrate On Formulary
  Modified-release tablet
Imdur (TopRidge Pharma (Ireland) Ltd) Off Formulary
Ismo Retard (Esteve Pharmaceuticals Ltd) Off Formulary
Isotard XL (Evolan Pharma AB) Off Formulary
  Modified-release capsule
Elantan LA (Forum Health Products Ltd) Off Formulary
Isodur XL (Galen Ltd) Off Formulary
  lisinopril On Formulary
  perindopril arginine Off Formulary
  perindopril erbumine On Formulary
  prasugrel Restricted NICE TA317
  ramipril On Formulary
  streptokinase Restricted
  tenecteplase Restricted NICE TA990
TENECTEPLASE

Cardiology.

This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only.

  Powder and solvent for solution for injection
Metalyse (Boehringer Ingelheim Ltd) Off Formulary
  ticagrelor Nice-approved drug NICE TA236
NICE TA420
  trandolapril Off Formulary
  valsartan On Formulary
Cardiovascular system / Cardiac arrest
  adrenaline/epinephrine On Formulary
  Solution for injection
Adrenaline/epinephrine (Non-proprietary) On Formulary
Adrenaline

For anaphylaxis or acute angioedema. This Red in the Black Country IMOC formulary, i.e. for hospital prescribing only.