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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02.09  Expand sub section  Antiplatelet drugs
Abciximab injection

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Formulary
Red
USE UNDER SPECIALIST SUPERVISION ONLY
Use as per NICE CG94: ACS and NSTEMI (see link below at end of section)
   
Aspirin (antiplatelet) tabs

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Formulary
   
Clopidogrel tabs

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Formulary Use as per NICE CG94: ACS and NSTEMI (see link below at end of section)
Use as per NICE TA210: Prevention of occlusive vascular events (see link below at end of section)
   
Dipyridamole tabs, m/r caps, oral suspension

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Formulary Use as per NICE TA210: Prevention of occlusive vascular events (see link below at end of section)
   
Eptifibatide injection

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Formulary
Red
USE UNDER SPECIALIST SUPERVISION ONLY
Use as per NICE CG94: ACS and NSTEMI (see link below at end of section)
   
Prasugrel tabs

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Formulary

Link  NICE TA317: Prasugrel with PCI for ACS (review of TA182)    
Ticagrelor tabs

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Formulary
Amber 1

Link  NICE TA236: Acute coronary syndromes - ticagrelor
Link  NICE TA420: Ticagrelor for preventing atherothrombotic events after myocardial infarction    
Tirofiban injection

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Formulary
Red
USE UNDER SPECIALIST SUPERVISION ONLY
Use as per NICE CG94: ACS and NSTEMI (see link below at end of section)

Use for reduction of cardiovascular events in patients with STEMI intended for primary PCI
   
Aspirin suppositories
(Unlicensed product)

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Restricted Drug Unlicensed Where treatment is imperative and oral treatment is not possible
   
Ticlopidine tabs

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Restricted Drug Unlicensed Intolerance to aspirin or clopidogrel. Dose: 250 mg bd
   
 ....
Key
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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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Track Changes
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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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