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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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Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • No restriction stated
  • RNOH:
    • Tablets available. Oral syrup available as 5 mg/mL
  • UCLH:
  • WH:
    • Tabs 50 mg, 100 mg; Syrup 25 mg/5 ml
 
Bisoprolol
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Formulary
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Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • No restriction stated
  • RNOH:
    • No restriction stated
  • UCLH:
  • WH:
    • No restriction stated
 
Carvedilol
(Cardiology)
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Formulary
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NOTE: There is more than one monograph for this medicine, click here to search for formulary status and its use for other indications. 

Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • No restriction stated
  • RNOH:
    • No restriction stated
  • UCLH:
  • WH:
    • No restriction stated
 
Co-tenidone
(Atenolol + Chlortalidone )
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Restricted Drug Restricted
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • No restriction stated
  • RNOH:
    • Non-formulary
  • UCLH:
    • Non-formulary
  • WH:
    • Non-formulary
 
Esmolol
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Restricted Drug Restricted
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Provider notes

  • NMUH:
    • Only 100mg/10ml vials are kept at NMUHT.
  • RFL:
    • Restricted to ITU, cardiology and theatres only.
  • RNOH:
    • No restriction stated
  • UCLH:
  • WH:
    • No restriction stated
 
Labetalol
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Formulary
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Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • Tablets – no restriction
    • Infusion – following local protocol
  • RNOH:
    • No restriction stated
  • UCLH:
  • WH:
    • No restriction stated
 
Metoprolol
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Formulary
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Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • No restriction stated
  • RNOH:
    • No restriction stated
  • UCLH:
  • WH:
    • No restriction stated
 
Nebivolol
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Restricted Drug Restricted
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Cardiology use only
    • Second-line treatment for patients intolerant of or failed bisoprolol/metoprolol for heart failure
  • RNOH:
    • Non-formulary
  • UCLH:
    • Non-formulary
  • WH:
    • Non-formulary
 
Propranolol
(Cardiology)
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Formulary
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NOTE: There is more than one monograph for this medicine, click here to search for formulary status and its use for other indications. 

Immediate release or modified release.

Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • No restriction stated
  • RNOH:
    • No restriction stated
  • UCLH:
  • WH:
    • No restriction stated
 
Sotalol
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Formulary
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Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • No restriction stated
  • RNOH:
    • No restriction stated
  • UCLH:
  • WH:
    • Tablets 40mg, 80mg only
 
 ....
 Non Formulary Items
Acebutolol

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Non Formulary
Amiloride + Cyclopenthiazide

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Non Formulary
Atenolol + Co-amilozide

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Non Formulary
Atenolol + Nifedipine

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Non Formulary
Bumetanide + Amiloride

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Non Formulary
Celiprolol
(Cardiology)

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Non Formulary

NOTE: There is more than one monograph for this medicine, click here to search for formulary status and its use for other indications. 

Co-flumactone
(Spironolactone + Hydroflumethiazide)

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Non Formulary
Co-triamterzide
(Hydrochlorothiazide + Triamterene)

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Non Formulary
Furosemide + Spironolactone

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Non Formulary
Nadolol

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Non Formulary
Oxprenolol hydrochloride

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Non Formulary
Oxprenolol hydrochloride + Cyclopenthiazide

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Non Formulary
Oxprenolol hydrochloride modified release

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Non Formulary
Pindolol

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Non Formulary
Pindolol + Clopamide

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Non Formulary
Timolol

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Non Formulary
Timolol maleate + Bendroflumethiazide

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Non Formulary
Timolol maleate + Co-amilozide

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Non Formulary
Triamterene + Chlortalidone

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Non Formulary
Triamterene + Furosemide

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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
Homecare
Homecare

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.

See link for the complete NCL Red List https://www.ncl-mon.nhs.uk/wp-content/uploads/2017/08/ncl_red_list.pdf

  

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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