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 Formulary Chapter 2: Cardiovascular system - Full Chapter
02.04  Expand sub section  Beta-adrenoceptor blocking drugs
Atenolol
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Formulary
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Secondary care notes

  • NMUH approvals:
    • Nil
  • RFL approvals:
    • Atenolol injection restricted to cardiology and ITU only.
  • RNOH approvals
    • Tablets available. Oral syrup available as 5 mg/mL
  • UCLH approvals:
  • WH approvals:
    • Tabs 50 mg, 100 mg; Syrup 25 mg/5 ml
 
   
Bisoprolol
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Formulary
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Secondary care notes

  • NMUH approvals:
    • Nil
  • RFL approvals:
    • Nil
  • RNOH approvals
    • Nil
  • UCLH approvals:
  • WH approvals:
    • Nil
 
   
Carvedilol
(Cardiology)
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Formulary
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Secondary care notes

  • NMUH approvals:
    • Nil
  • RFL approvals:
    • Nil
  • RNOH approvals
    • Nil
  • UCLH approvals:
  • WH approvals:
    • Nil
 
   
Co-tenidone (atenolol and chlortalidone)
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Restricted Drug Restricted
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Secondary care notes

  • RFL approvals
    • Nil
 
   
Esmolol
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Restricted Drug Restricted
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Secondary care notes

  • NMUH approvals:
    • Only 100mg/10ml vials are kept at NMUHT.
  • RFL approvals:
    • Restricted to ITU, cardiology and theatres only.
  • RNOH approvals
    • Nil
  • UCLH approvals:
  • WH approvals:
    • Nil
 
   
Labetalol
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Formulary
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Secondary care notes

  • NMUH approvals:
    • Nil
  • RFL approvals:
    • Nil
  • RNOH approvals
    • Nil
  • UCLH approvals:
  • WH approvals:
    • Nil
 
   
Metoprolol
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Formulary
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Secondary care notes

  • NMUH approvals:
    • Nil
  • RFL approvals:
    • Metoprolol injection restricted to cardiology and ITU only.
  • RNOH approvals
    • Nil
  • UCLH approvals:
  • WH approvals:
    • Nil
 
   
Nebivolol
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Restricted Drug Restricted
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Secondary care notes

  • RFL approvals
    • BGH: 2nd line treatment for patients intolerant of or failed bisoprolol/metoprolol for heart failure
    • Cardiology use only
 
   
Propranolol
(Cardiology)
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Formulary
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Secondary care notes

  • NMUH approvals:
    • Nil
  • RFL approvals:
    • Nil
  • RNOH approvals
    • Nil
  • UCLH approvals:
  • WH approvals:
    • Nil
 
   
Propranolol modified release
(Cardiology)
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Formulary
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Secondary care notes

  • NMUH approvals:
    • Nil
  • RFL approvals:
    • Nil
  • RNOH approvals:
    • Nil
  • UCLH approvals:
  • WH approvals:
    • Nil
 
   
Sotalol
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Formulary
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Secondary care notes

  • NMUH approvals:
    • Nil
  • RFL approvals:
    • Sotalol injection not kept at the RFH.
  • RNOH approvals
    • Nil
  • UCLH approvals:
  • WH approvals:
    • Tablets 40mg, 80mg only
 
   
 ....
 Non Formulary Items
Acebutolol

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Non Formulary
 
Amiloride + cyclopenthiazide  (Navispare)

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Non Formulary
 
Atenolol + Co-amilozide  (Kalten)

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Non Formulary
 
Atenolol + Nifedipine

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Non Formulary
 
Burinex A

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Non Formulary
 
Celiprolol hydrochloride
(Cardiology)

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Non Formulary
 
Co-flumactone

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Non Formulary

Secondary care notes

  • NMUH approvals:
    • Check for MHRA Drug Safety Updates
  • RFL approvals:
    • Not applicable
  • RNOH approvals:
    • Not applicable
  • UCLH approvals:
  • WH approvals:
    • Not applicable
 
Co-triamterzide

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Non Formulary

Secondary care notes

  • RFL approvals
    • Nil
 
Dyazide

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Non Formulary
 
Furosemide + spironolactone.  (Lasilactone)

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Non Formulary

Secondary care notes

  • NMUH approvals:
    • Check for MHRA Drug Safety Updates
  • RFL approvals:
    • Not applicable
  • RNOH approvals:
    • Not applicable
  • UCLH approvals:
  • WH approvals:
    • Not applicable
 
Kalspare

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Non Formulary
 
Nadolol

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Non Formulary
 
Oxprenolol Hydrochloride

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Non Formulary

Secondary care notes

  • NMUH approvals:
    • Not applicable
  • RFL approvals:
    • Not applicable
  • RNOH approvals
    • Not applicable
  • UCLH approvals:
  • WH approvals:
    • Not applicable
 
Oxprenolol Hydrochloride and Cyclopenthiazide  (Trasidrex)

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Non Formulary
 
Oxprenolol Hydrochloride modified release  (Slow-Trasicor)

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Non Formulary
 
Pindolol

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Non Formulary
 
Pindolol and Clopamide  (Viskaldix)

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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
 
Triamterene + furosemide  (Frusene)

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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
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

GP - 1st

Medicines suitable for first-line use within primary care.

Can be initiated within primary care within their licensed indication, in accordance with nationally recognised formularies, for example the BNF, BNF for Children, Medicines for Children or Palliative Care Formulary. Primary care prescribers take full responsibility for prescribing.

  

GP - 2nd

Medicines suitable for second-line use within primary care.

Can be initiated within primary care within their licensed indication, in accordance with nationally recognised formularies, for example the BNF, BNF for Children, Medicines for Children or Palliative Care Formulary. Primary care prescribers take full responsibility for prescribing.

  

GP - Amber

Medicines that should be initiated by a specialist. Prescribing can be transferred to primary care once the patient has been stabilised.

Shared care: For drugs with regular, ongoing need for monitoring and/or assessment of efficacy or toxicity. Prior agreement must be obtained by the specialist from the primary care provider before prescribing responsibility is transferred. The shared care protocol must have been agreed by the relevant secondary care trust Drugs and Therapeutics Committee(s) (DTC) and approved by the North Central London JFC.

Fact sheet: For drugs with some concerns surrounding safety or efficacy but do not require regular monitoring and/or monitoring of effectiveness/toxicity.

  

GP - Red

Medicines which should normally be prescribed by specialists only (hospital only).

For patients already receiving prescriptions in primary care - continue. No new patients to receive prescriptions in primary care.

  

GP - Grey

Medicines on hospital formularies which have not been reviewed for suitability in primary care.  

Black

Medicines not recommended for routine use in primary or secondary care.

Medicines, which the North Central London JFC has actively reviewed and does not recommend for use at present due to limited clinical and/or cost effective data.

  

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