netFormulary South East London Joint Medicines Formulary NHS
Guy's and St Thomas' NHS Foundation Trust
Kings College Hospital NHS Foundation Trust
Lewisham and Greenwich NHS Trust
 
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 Formulary Chapter 2: Cardiovascular system - Full Chapter
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02.04  Expand sub section  Beta-adrenoceptor blocking drugs
Acebutolol tabs

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Formulary
   
Atenolol tabs, oral solution, injection

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Formulary
   
Bisoprolol tabs

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Formulary
   
Carvedilol tabs

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Restricted Drug Restricted
Amber 1
Treatment of NYHA class IV heart failure
   
Labetalol tabs, injection

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Formulary Injection = Red Traffic Light (hospital only)
   
Metoprolol tabs, injection

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Formulary Injection = Red Traffic Light (hospital only)

Also approved for off-label use as an intravenous infusion:
  • ICU only via local Trust protocol
  • Restricted to use where betablockers licensed for infusion are unavailable
  •    
    Propranolol tabs, MR caps, oral solution, injection

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    Formulary
       
    Esmolol injection

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    Restricted Drug Restricted
    Red
    USE UNDER SPECIALIST SUPERVISION ONLY
       
    Nadolol tabs

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    Formulary
    Red
    CONGENITAL CARDIOLOGY CLINIC USE ONLY
    Treatment of catecholaminergic polymorphic ventricular tachycardia (CPVT), Long QT syndrome and refractory ventricular arrhythmias
       
    Nebivolol tabs

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    Formulary
       
    Sotalol tabs

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    Formulary
    Amber 1
    INITIATION BY SPECIALIST ONLY
       
    Co-tenidone tabs

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    Formulary
       
    Oxprenolol tabs

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    Formulary
       
     ....
    Key
    note Notes First Choice Item First Choice item
    Section Title Section Title (top level) Non Formulary Item Non Formulary section
    Section Title Section Title (sub level)
    Cytotoxic Drug
    Cytotoxic Drug
    Restricted Drug
    Restricted Drug
    CD
    Controlled Drug
    Unlicensed Drug
    Unlicensed
    High Cost Medicine
    High Cost Medicine
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    Link to SPCs
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    Link to adult BNF
    Track Changes
    Display tracking information
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    Cancer Drugs Fund
    Cancer Drugs Fund
       

     

    Traffic Light Status Information

    Status Description
      Red   Specialist Prescribing only. The responsibility for prescribing, monitoring, dose adjustment and review should remain with the specialist. In very exceptional circumstances a specialist may discuss individual patient need for a RED drug to be prescribed by a GP and the GP should consider informing the Medicines Management team before a decision is made to prescribe for individual patients.   
      Amber 1   Treatment can be initiated in primary care after a recommendation from an appropriate specialist  
      Amber 2   Specialist initiation followed by maintenance prescribing in primary care  
      Amber 3   Specialist initiation with ongoing monitoring required. After dose stabilisation GPs can be requested to take over prescribing responsibilities using the approved APC shared care documentation  
      Green   Specialist and non-specialist initiation  
      Grey   Not recommended for prescribing  

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