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
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 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

Specialist or hospital prescribing only. The responsibility for prescribing, monitoring, dose adjustment and review should remain with the specialist or hospital. 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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