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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

Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • Atenolol injection restricted to cardiology and ITU only.
  • 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

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

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

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

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

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

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

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

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

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
click to search medicines.org.uk
Link to adult BNF
click to search medicines.org.uk
Link to children's BNF
click to search medicines.org.uk
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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