Chapter 2 - Cardiovascular system

Formulary List for Walsall Healthcare NHS Trust (asper categories of the BNF)

BNF Chapter 2 Cardiovascular Formulary-Status Key
Indicates that the drug is available as part of a shared care agreement
Indicates that the drug is available, by prior approval, to patients that meet NICE criteria
Indicates that the drug is only available from hospital(s)
traffic light pic Medicines with positive NICE TAs added to the formulary but awaiting local clarification on their place in therapy
Drug name Drugs shown in black are first line choices

Drugs shown in orange are second line choices

Chapter 2

Cardiovascular system

Hospital Formulary

Status

Joint Walsall Formulary

NICE clinical guidance or technology appraisal

Type of drug

Name of drug

 

document STEMI V1 (136 KB)

document Non-ST Elevation Acute Coronary Syndromes (179 KB)

 

POSITIVE INOTROPIC DRUGS

       

Cardiac Glycoside

Digoxin antibody fragments

Digoxin

Digifab

 

 

NICE CG108

DIURETICS

       

Thiazide Diiuretics

Bendroflumethiazide

Metolazone (unlicensed)

Indapamide tablet

Indapamide MR tablet

Chlortalidone

 

default Hypertension ( 2013-03-27 10:33:09) (180 KB)

NICE CG127

Loop  diuretics

Bumetanide

Furosemide

 

 

NICE CG108

Potassium-sparing diuretics

Amiloride

 

 

NICE CG127

Potassium-sparing diuretics with other diuretics

Ideally should be prescribed separately. Potassium-sparing diuretics are not usually necessary in the routine treatment of hypertension, unless hypokalaemia develops.

 

   

Aldosterone antagonists

Spironolactone

Eplerenone

 

 

NICE CG127

NICE CG172

Osmotic

Manninol

 

   

Carbonic anhydrase inhibitors

Acetazolamide – weak diuretic – little used for diuretic effects

 

   

Diuretics with potassium

Ideally should be prescribed separately.

NeoNaClex

Diumide-K- Continus

 

 

   

ANTI-ARRHYTHMICS

       

 

Supraventricular arrhythmias

Adenosine -6mg/2mL injection on formulary)

 

 

NICE TA197

Dronedarone – on formulary; restricted use

 

 

 

Supraventicular and ventricular arrhythmias

Amiodarone

Disopyramide M/R

Flecainide

Propafenone

Verapamil

Mexiletine

Procainamide

 

 

NICE CG108

BETA BLOCKERS

 

Atenolol

Bisoprolol

Carvedilol

Esmolol (infusion)

Labetalol

Metoprolol

Nebivolol

Sotalol

 

 

 

 

 

 

 

 

 

NICE CG107

NICE CG36

NICE CG180

Aebutolol

Celiprolol

Co-tenidone

Propranolol

Oxprenolol

Pindolol

Timolol

HYPERTENSION AND HEART FAILURE

default Hypertension ( 2013-03-27 10:33:09) (180 KB)

document Secondary Care Heart Failure Service Guidelines (127 KB)

 

Vasodilator antihypertensives

 

Hydralazine

 

 

NICE CG108

NICE CG107

Iloprost infusion- under specialist supervision (NAMED PATIENT)

 

Centrally-acting antihypertensives

Methyldopa

Clonidine

Moxonidine

 

 

 

Alpha-adrenoreceptor blocking drugs

Doxazosin 

Doxazosin MR

 

 

Prazosin

Indoramin

Terazosin

 

 

DRUGS AFFECTING RENIN-AGNIOTENSIN SYSTEM

   
Angiotensin receptor neprilysin inhibitor

Entresto (sacubitil/valsartan)

Hospital initiation   NICE TA388

Angiotensin- converting enzyme inhibitors

Enalapril

Lisinopril

Ramipril

Perindopril

Captopril

 

 

 

 

 

  
 

NICE CG172

NICE CG107  

Cilazapril

Fosinopril

Imidapril

Quinapril

Trandolapril

Angiotensin-II receptor antagonists

 

Candesartan

Losartan

 

 

Eprosartan

Irbesartan

Olmesartan

Telmisartan

Valsartan

Renin Inhibitors

Aliskiren

 

NITRATES, CALCIUM CGANNEL BLOCKERS AND OTHER ANTIANGINAL DRUGS

   

Nitrates

Glyceryl Trinitrate

Isosorbide Dinitrate

Isosorbide Mononitrate

 

document Chest Pain of recent onset (516 KB)

document Rapid Access Chest Pain Clinic Protocol (192 KB)

NICE CG95

Calcium-channel blockers

 

Amlodipine

Felodipine

Nifedipine

Diltiazem

Nimodipine

Verapamil

 

 

 

 

 

 

  

NICE CG126

NICE CG48

NICE CG107

NICE CG108

Lacadipine

Isradipine

Lercandipine

Nicardipine

Other anti-anginal drugs

 

Nicorandil

Ivabradine

 

 

NICE CG126

NICE TA267

Ranolazine

 

 

Peripheral Vasodilators

Nafitrofuryl Oxalate

NICE Care Pathway-Lower Limb Peripheral Arterial Disease

NICE TA223

Cilostazol

Inositol

Moxisylyte

Pentoxifylline

See NICE 

SYMPATHOMIMETICS

       

Inotropic

Dobutamine

Dopexamine

Dopamine

 

 

Vasoconstrictor sympathomimetics

Ephedrine Hydrochloride

Metaraminol

Noradrenaline/ Norepinephrine

Phenylephrine Hydrochloride

Adrenaline

 

   

ANTICOAGULANTS AND PROTAMINE

       

Low molecular weight heparins

Enoxaparin

 

   

Parenteral Anticoagulants

Heparin

Epoprostenol

Fondaparinux

Danaparoid

Lepirudin

 

 

NICE CG144

NICE CG94

NICE NG89

NICE CG71

NICE CG68

Oral Anticoagulants

 

Warfarin

Acenocoumarol (Nicoumalone)

Phenindione

 

document AF Treatment Pathway (103 KB)

document (233 KB) document Arrhythmia+algorithms2014 (234 KB)

document Cardiac Arrhythmia (60 KB)

NOAC pathway v1.4

NICE TA249

NICE TA245

NICE TA256

NICE TA170

NICE TA157

NICE TA261

NICE TA287

NICE CG68

NICE TA275

NICE TA 354

NICE TA 355

Dabigatran 

Rivaroxaban

Apixaban

Edoxaban

ANTIPLATELETS

Aspirin

Clopidogrel

Prasugrel

Dipyridamole SR

Tirofiban

Ticagrelor

 

document (94 KB) document Antiplatelet Prescribing Guideline 2014 V2 (90 KB)

default Antiplatelet PAD TIA (2013-03-27 10:45:39) (53 KB)

default Aspirin (2013-03-27 10:45:39) (11 KB)

NICE Stroke Pathway

Lower Limb Perpheral Arterial Disease NICE Pathway

NICE TA210

NICE TA317

NICE TA236

NICE CG68

NICE CG172

NICE CG94

FIBRINOLYSIS

Alteplase

Streptokinase

Urokinase

 

 

 

NICE TA264

NICE TA52

ANTIFIBRINOLYTIC DRUGS AND HAEMOSTATICS

Tranxeamic acid

 

   

LIPID REGULATING DRUGS

 

Simvastatin

Pravastatin

Atorvastatin

 

 

 

Lipid Management

Cardiovascular disease prevention NICE Pathway

NICE TA94

NICE CG181

NICE CG172

NICE TA393

NICE TA394

Rosuvastatin

Fluvastatin

Colestyramine

Ezetimbe

Bezafibrate

Gemfibrozil

Alirocumab

Evolocumab 

specialist initiation