| 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. |
|||||
| 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 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. |
|||||
| 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. |
|||||
| 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. |
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| atorvastatin | On Formulary | ||||
| bempedoic acid | Nice-approved drug |
NICE TA694 |
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Bempedoic acid
This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only. |
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| bempedoic acid with ezetimibe | On Formulary |
NICE TA694 |
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| bezafibrate | On Formulary | ||||
| ciprofibrate | Off Formulary | ||||
| colesevelam hydrochloride | Restricted | ||||
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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. |
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| colestyramine | On Formulary | ||||
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Colestyramine
Colestyramine is AR in the Black Country formulary, i.e. for prescribing in primary care after specialist recommendation. |
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| evolocumab | Nice-approved drug |
NICE TA394 |
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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. |
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| ezetimibe | On Formulary |
NICE TA385 |
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| fenofibrate | On Formulary | ||||
| fluvastatin | Off Formulary | ||||
| gemfibrozil | Off Formulary | ||||
| icosapent ethyl | Restricted |
NICE TA805 |
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| inclisiran | Restricted |
NICE TA733 |
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Inclisiran
For specialist initiation or recommendation only.
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| lomitapide | Off Formulary | ||||
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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 |
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| nicotinic acid | Off Formulary | ||||
| omega-3-acid ethyl esters | Off Formulary | ||||
| pravastatin sodium | On Formulary | ||||
| rosuvastatin | Restricted | ||||
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ROSUVASTATIN
Lipid Clinic only. This is Green in the Black Country IMOG formulary. |
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| simvastatin | On Formulary | ||||
| simvastatin with ezetimibe | Off Formulary | ||||
| volanesorsen | Restricted |
NICE HST13 |
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| 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 | ||||
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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. |
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| factor IX [Specialist drug] | Off Formulary | ||||
| factor VIII [Specialist drug] | Off Formulary |
NICE TA1051 |
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| factor VIII inhibitor bypassing fraction [Specialist drug] | Off Formulary | ||||
| factor VIIa | Restricted | ||||
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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. |
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| factor XIII [Specialist drug] | Off Formulary | ||||
| fresh frozen plasma | On Formulary | ||||
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Fresh frozen plasma
This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only. |
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| protein C [Specialist drug] | Off Formulary | ||||
| Cardiovascular system / Subarachnoid haemorrhage | |||||
| nimodipine | Restricted | ||||
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NIMODIPINE
This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only. |
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| Cardiovascular system / Heart failure | |||||
| bendroflumethiazide | On Formulary | ||||
| bisoprolol fumarate | On Formulary | ||||
| candesartan cilexetil | Restricted | ||||
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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. |
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| captopril | Restricted | ||||
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CAPTOPRIL
Peadiatrics. This is AR in the Black Country IMOG formulary, i.e. for prescribing in primary care after a specialist recommendation. |
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| chlortalidone | On Formulary | ||||
| co-amilozide | Off Formulary | ||||
| digoxin | On Formulary | ||||
| Solution for injection | |||||
| Digoxin (Non-proprietary) | Restricted | ||||
| enalapril maleate | Off Formulary | ||||
| enoximone | Restricted | ||||
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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. |
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| Solution for injection | |||||
| Perfan (Macure Pharma UK Ltd) | Restricted | ||||
| eplerenone | Restricted | ||||
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EPLERENONE
This is AR in the Black Country IMOG formulary, i.e. for prescribing in primary care after a specialist recommendation. |
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| fosinopril sodium | Off Formulary | ||||
| glyceryl trinitrate | Restricted | ||||
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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. |
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| Transdermal patch | |||||
| Deponit (Forum Health Products Ltd) | Restricted | ||||
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GTN patch
This is AR in the Black Country IMOG formulary, i.e. for prescribing in primary care after a specialist recommendation. |
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| Minitran (Viatris UK Healthcare Ltd) | Restricted | ||||
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GTN patch
This is AR in the Black Country IMOG formulary, i.e. for prescribing in primary care after a specialist recommendation. |
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| Rectal ointment | |||||
| Rectogesic (Grunenthal Ltd) | Restricted | ||||
| hydralazine hydrochloride | On Formulary | ||||
| isosorbide dinitrate | Restricted | ||||
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ISOSORBIDE DINITRATE
Injection only. This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only. |
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| 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 |
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| lisinopril | On Formulary | ||||
| losartan potassium | On Formulary | ||||
| milrinone | Restricted | ||||
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MILRINONE
This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only. |
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| nebivolol | Restricted | ||||
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NEBIVOLOL
This is AR in the Black Country IMOG formulary, i.e. for prescribing in primary care after a specialist recommendation. |
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| 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 |
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| sodium nitroprusside | Restricted | ||||
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SODIUM NITROPRUSSIDE
ITU, Cardiology, This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only. |
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| Powder and solvent for solution for infusion | |||||
| Sodium nitroprusside (Non-proprietary) | Restricted | ||||
| spironolactone | On Formulary | ||||
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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. |
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| valsartan | On Formulary | ||||
| Cardiovascular system / Myocardial ischaemia | |||||
| acebutolol | Off Formulary | ||||
| amlodipine | On Formulary | ||||
| aspirin | On Formulary | ||||
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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 |
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| Gastro-resistant tablet | |||||
| Aspirin (Non-proprietary) | Restricted | ||||
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Aspirin EC
Second-line for patients who use monitored dosage systems |
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| Nu-Seals (Alliance Pharmaceuticals Ltd) | Off Formulary | ||||
| atenolol | On Formulary | ||||
| bisoprolol fumarate | On Formulary | ||||
| bivalirudin | Restricted | ||||
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BIVALIRUDIN
Consultant Cardiologists. This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only. |
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| cangrelor | Restricted | ||||
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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. |
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| carvedilol | Restricted | ||||
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CARVEDILOL
Second-line in Cardiology only, use bisoprolol first line before starting carvedilol. This is Green in the Black Country IMOG formulary. |
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| diltiazem hydrochloride | On Formulary | ||||
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Diltiazem
Prescribe by brand as they are not bio-equivalent |
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| eptifibatide | Restricted | ||||
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Eptifibatide
This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only. |
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| felodipine | On Formulary | ||||
| fondaparinux sodium | Restricted | ||||
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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. |
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| glyceryl trinitrate | Restricted | ||||
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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. |
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| Transdermal patch | |||||
| Deponit (Forum Health Products Ltd) | Restricted | ||||
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GTN patch
This is AR in the Black Country IMOG formulary, i.e. for prescribing in primary care after a specialist recommendation. |
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| Minitran (Viatris UK Healthcare Ltd) | Restricted | ||||
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GTN patch
This is AR in the Black Country IMOG formulary, i.e. for prescribing in primary care after a specialist recommendation. |
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| Rectal ointment | |||||
| Rectogesic (Grunenthal Ltd) | Restricted | ||||
| ivabradine | Nice-approved drug |
NICE TA267 |
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| metoprolol tartrate | On Formulary | ||||
| Solution for injection | |||||
| Betaloc (Recordati Pharmaceuticals Ltd) | Restricted | ||||
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Metoprolol injection
The injection is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only. |
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| nadolol | Off Formulary | ||||
| nicardipine hydrochloride | Restricted | ||||
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Nicardipine
This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only. |
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| nicorandil | Restricted | ||||
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NICORANDIL
Cardiology. This is AR in the Black Country IMOG formulary, i.e. for prescribing in primary care after a specialist recommendation. |
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| nifedipine | On Formulary | ||||
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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 |
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| Modified-release tablet | |||||
| Adalat LA (Bayer Plc) | On Formulary | ||||
| perindopril erbumine with amlodipine | Off Formulary | ||||
| pindolol | Off Formulary | ||||
| propranolol hydrochloride | On Formulary | ||||
| ranolazine | Restricted | ||||
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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. |
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| timolol maleate | Off Formulary | ||||
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Timolol
This is AR in the Black Country formulary, i.e. may be prescribed in primary care after specialist recommendation. |
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| tirofiban | Restricted | ||||
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TIROFIBAN
Cardiology. This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only. |
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| verapamil hydrochloride | On Formulary | ||||
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Verapamil
Tablets are AR (can be prescribed in primary care after specilaist recommendation) for cluster headaches only in the Black Country IMOG formulary. |
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| 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 |
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| 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 | ||||
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CAPTOPRIL
Peadiatrics. This is AR in the Black Country IMOG formulary, i.e. for prescribing in primary care after a specialist recommendation. |
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| clopidogrel | Restricted |
NICE TA210 |
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CLOPIDOGREL
In accordance with NICE guidelines and in patients with stents This is Green in the Black Country IMOG formulary. |
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| dalteparin sodium | Restricted | ||||
| enoxaparin sodium | On Formulary | ||||
| Solution for injection | |||||
| Clexane (Sanofi) | On Formulary | ||||
| Inhixa (Techdow Pharma England Ltd) | On Formulary | ||||
| glyceryl trinitrate | Restricted | ||||
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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. |
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| Transdermal patch | |||||
| Deponit (Forum Health Products Ltd) | Restricted | ||||
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GTN patch
This is AR in the Black Country IMOG formulary, i.e. for prescribing in primary care after a specialist recommendation. |
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| 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. |
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| Rectal ointment | |||||
| Rectogesic (Grunenthal Ltd) | Restricted | ||||
| heparin | On Formulary | ||||
| isosorbide dinitrate | Restricted | ||||
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ISOSORBIDE DINITRATE
Injection only. This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only. |
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| 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 |
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| ramipril | On Formulary | ||||
| streptokinase | Restricted | ||||
| tenecteplase | Restricted |
NICE TA990 |
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TENECTEPLASE
Cardiology. This is Red in the Black Country IMOG formulary, i.e. for hospital prescribing only. |
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| Powder and solvent for solution for injection | |||||
| Metalyse (Boehringer Ingelheim Ltd) | Off Formulary | ||||
| ticagrelor | Nice-approved drug |
NICE TA236 NICE TA420 |
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| trandolapril | Off Formulary | ||||
| valsartan | On Formulary | ||||
| Cardiovascular system / Cardiac arrest | |||||
| adrenaline/epinephrine | On Formulary | ||||
| Solution for injection | |||||
| Adrenaline/epinephrine (Non-proprietary) | On Formulary | ||||
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Adrenaline
For anaphylaxis or acute angioedema. This Red in the Black Country IMOC formulary, i.e. for hospital prescribing only. |
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