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Bedfordshire and Luton Joint Formulary
Bedford Hospital NHS Trust
Bedfordshire CCG
Luton & Dunstable University Hospital NHS Foundation Trust
Luton CCG
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 Formulary Chapter 2: Cardiovascular system - Full Chapter
Notes:

Any drug not listed on the Formulary should be considered Non-Formulary - Not recommended for prescribing

 Details...
02.05.01  Expand sub section  Vasodilator antihypertensive drugs
Hydralazine
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Formulary
Red
20mg Injection 
   
Hydralazine
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Formulary
Green
25mg Tablets
 
   
Iloprost injection
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Restricted Drug Restricted
Red
High Cost Medicine

High Cost Medicine for tertiary specialist centres only.

Bedford Hospital is a tertiary specialist centre for vascular patients.

N.B. Can prescribe at the L&D if tertiary centre approved. No stock is kept at L&D.

 
   
Sildenafil (Revatio)
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Restricted Drug Restricted
Red
High Cost Medicine
20mg tablets

High Cost Drug for pulmonary hypertension. Can ONLY be initiated in a tertiary centre (specialist pulmonary centre). Can prescribe for continuing treatment.

N.B. Some patients may be on 25mg or 50mg tablets (other brands or generic). This is off-label use. 
Link  MHRA DSU Nov 2018: Sildenafil (Revatio and Viagra): reports of persistent pulmonary hypertension of the newborn (PPHN) following in-utero exposure in a clinical trial on intrauterine growth restriction
   
 ....
 Non Formulary Items
Ambrisentan

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Non Formulary
High Cost Medicine
 
Bosentan  (Tracleer)

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Non Formulary
High Cost Medicine
 
Iloprost nebules  (Vantavis)

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Non Formulary

High Cost Medicine for tertiary specialist centres only.

N.B. There are no funding arrangements for our locality. No stock is kept.

 
Macitentan  (Opsumit
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Non Formulary
High Cost Medicine

High Cost Medicine for tertiary specialist centres only.

N.B. There are no funding arrangements for our locality. No stock is kept.

 
Minoxidil 5mg
(Tablets)

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Non Formulary
 
Riociguat  (Adempas)

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Non Formulary
High Cost Medicine
 
Sitaxentan Sodium  (Thelin)

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Non Formulary
 
Sodium Nitroprusside

Non Formulary

DISCONTINUED

 
Tadalafil  (Adcirca)

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Non Formulary
 
Tolazoline

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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
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Link to adult BNF
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Link to children's BNF
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Link to SPCs
SMC
Scottish Medicines Consortium
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

RED - Hospital only to be prescribed by a specialist and supplied from secondary care ONLY throughout treatment  

Amber

Amber medicines are considered suitable for GP prescribing following specialist initiation.  

Green

These medicines are appropriate for initiation in both primary and secondary care. Prescribing is appropriate within licensed or local recommendations   

Amber SCG

Shared Care - these medicines require specialist initiation and stabilisation. Ongoing division of responsibility for drug and disease monitoring between specialist and GP by a Shared Care Guideline (SCG). If no SCG in place status reverts to red.   

Black

A decision has been made by either or both the local or national NHS not to routinely commission this preparation for its licensed indications. Do not prescribe.   

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