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
Notes:

Where a formulary entry does not detail a medicine’s indications for use, the medicine can be assumed to be approved for all licensed indications.

Formulary approved "off-label" use is detailed separately.

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 Details...
02.11  Expand sub section  Antifibrinolytic drugs and haemostatics
Tranexamic acid tabs, injection (licensed use)
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Formulary

 

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

Approved off-label indication:

Capillary bleeding. Apply gauze soaked in adrenaline solution to the affected area.

 
   
Etamsylate tabs
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Formulary  
   
Idarucizumab infusion
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Formulary
Red
High Cost Medicine

For the reversal of anticoagulation with dabigatran in life-threatening bleeding &/or need for emergency surgery

Follow local protocol for management of bleeding in patients on direct oral anticoagulants

 
   
Tranexamic acid injection (continuous infusion on ECMO - off-label)
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Formulary
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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Unlicensed 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

Refer to advice from CHM 
   
 ....
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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