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 Formulary Chapter 2: Cardiovascular system - Full Chapter
Notes:
This formulary is used by multiple organisations. There may be some instances where an item is on the formulary for one organisation but not the others. To help distinguish between each organisation, text will be colour coded, i.e. information relating to the Royal Berkshire NHS Foundation Trust will be in blue and Berkshire Healthcare NHS Foundation Trust will be in purple. Please ensure you read all information detailed under a drug.   
 Details...
02.09  Expand sub section  Antiplatelet drugs
Abciximab
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Formulary
Red
Royal Berkshire NHS Foundation Trust >> Formulary Item injection
 
   
Aspirin (antiplatelet)
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item dispersible tablet
 
   
Clopidogrel
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item tablet / oral solution
Approved uses - aspirin allergy; following ACS & after stent insertion in combination with aspirin

 
   
Dipyridamole
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item SR capsules / oral solution - Dipyridamole SR is restricted to patients unable to tolerate aspirin, in patient on aspirin who continue to have TIAs and patients at unusually high risk of thrombotic events
 
   
Dipyridamole (Persantin® Retard)
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Formulary
Green
Royal Berkshire NHS Foundation Trust >> Formulary Item tablets
 
   
Eptifibatide (Integrilin®)
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Formulary
Red
Royal Berkshire NHS Foundation Trust >> Formulary Item injection / infusion
 
   
Prasugrel (Efient®)
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Formulary
Amber
Use in ACS is for one year unless stated otherwise by a cardiologist


Royal Berkshire NHS Foundation Trust >> Formulary Item tablets - in line with NICE TA 317 (replaces NICE TA 182)
 
Link  NICE TA 317: Prasugrel with percutaneous coronary intervention for treating acute coronary syndromes
Link  APC 088: Ticagrelor (Brilique®) or Prasugrel (Efient®) in combination with low dose aspirin for treating ACS
Link  MHRA safety information - Prasugrel (Efient▼): rare but serious hypersensitivity reactions
   
Ticagrelor (Brilique®)
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Formulary
Amber
Use in ACS is for one year unless stated otherwise by a cardiologist

Royal Berkshire NHS Foundation Trust >> Formulary Item tablets in line with NICE TA
236 - treatment
420 - prevention
 
Link  APC 088: Ticagrelor (Brilique®) or Prasugrel (Efient®) in combination with low dose aspirin for treating ACS
Link  NICE TA 420 - Ticagrelor for preventing atherothrombotic events after myocardial infarction
Link  NICE TAG 236: Ticagrelor for the treatment of acute coronary syndromes
   
 ....
 Non Formulary Items
Aspirin  (Flamasacard®)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >>see generic drug
 
Aspirin (antiplatelet)  (Angettes® 75)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >>see generic drug
 
Aspirin (antiplatelet)  (Caprin®)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >>see generic drug
 
Aspirin (antiplatelet)  (Nu-Seals® Aspirin)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >>see generic drug
 
Clopidogrel  (Grepid®)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >>see generic drug
 
Clopidogrel 300mg  (Plavix®)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >>see generic drug
 
Dipyridamole  (Persantin®)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Dipyridamole and Aspirin  (Asasantin® Retard)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
Tirofiban  (Aggrastat®)

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Non Formulary
Green
Royal Berkshire NHS Foundation Trust >> NON - Formulary Item - contact pharmacy for advice
 
  
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
click to search medicines.org.uk
Link to adult BNF
click to search medicines.org.uk
Link to children's BNF
click to search medicines.org.uk
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

Amber

Medicines that should be initiated or recommended by a specialist for continuation in primary care. The specialist must notify the primary care provider that the prescribing responsibility has been transferred. Where applicable, shared care protocols will be agreed and must be adhered to. The shared care protocol must have been agreed by the relevant secondary care trust Drugs and Therapeutics Committee(s)(DTC) and approved by Berkshire West APC.   

Brown

Drugs that have been reviewed and not recommended for prescribing. These drugs are not considered a cost effective use of scarce NHS resources. There may be individual patient specific or clinical reasons why a drug deemed low priority may be suitable for a particular patient. This is for the GP to condsider, weighing up the reasons against his/her allocated CCG budget. Where the decision is made to prescribe a low priority drug, detailed documentation must be included within the patients' notes for audit purposes. *Please note that low priority drug requests are unsuitable for the Case Review Committee and therefore should not be sent to this committee.   

Green

Medicines suitable for routine use and can be prescribed within primary care within their licensed indication in accordance with the BNF or other recognised national formulary. Primary care prescribers take full responsibility for prescribing  

Red

Medicines which should be prescribed by specialists only  

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