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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02.11  Expand sub section  Antifibrinolytic drugs and haemostatics
Tranexamic acid tabs, injection

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Formulary
   
Adrenaline solution 1mg/ml (1 in 1000)

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Red
Approved off-label indication:
Capillary bleeding. Apply gauze soaked in adrenaline solution to the affected area.
   
Etamsylate tabs

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Tranexamic acid injection

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Red
Approved off-label indication:
For use in accordance with the ECMO guideline for adults in critical care. For continuous administration by infusion.
   
Tranexamic acid mouthwash 5%

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Restricted Drug Unlicensed Prescribing restricted to Haematology or ENT advice only
   
02.11  Expand sub section  Blood-related products
Aprotinin injection

Restricted Drug Restricted
Red
USE UNDER CONSULTANT SPECIALIST CARDIAC ANAESTHETIST SUPERVISION ONLY

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 ....
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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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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