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 Formulary Chapter 2: Cardiovascular system - Full Chapter
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02.04  Expand sub section  Beta-adrenoceptor blocking drugs
Bisoprolol
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First Choice
Green

  • First line choice of beta blocker in hypertension.

 
Atenolol
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Formulary
Green
 
   
Metoprolol
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Formulary
Green

June 2020 - Intermittent supply issues with Metoprolol 50mg and 100mg tablets

  • Aurobindo-Milpharm, the sole supplier in the UK, have a long-term shortage affecting metoprolol 50mg and 100mg tablets; caused by some manufacturers discontinuing the products and others having supply difficulties.
  • They currently have limited stock available; supply is likely to be intermittent for several months.
  • See link to shortage memo below for further information. 
 
Link  June 2020: Shortage of metoprolol 50mg and 100mg tablets (published 27th April)
   
Propranolol
(Tablet, Capsule MR, Liquid, Injection)
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Formulary
Green

  • NWAFT, CPFT and Primary Care: Injection non formulary

 
   
Carvedilol
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Restricted Drug Restricted
Green

  • Management of Heart Failure

  • When initiated in secondary care- Restricted to Consultant Cardiologist only

 
   
Labetalol
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Restricted Drug Restricted
Advice
  •  RPH: Restricted to use in Donor Care.
  • Formulary at all other Trusts and in Primary Care when 1st line formulary choices are unsuitable.
  • Labetalol tablets are licensed for use in pregnancy for the treatment of hypertension. Please see link below for further information. 

 

 
Link  UKTIS - Use of labetalol in pregnancy
   
Nebivolol
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Restricted Drug Restricted
Advice

  • CUHFT and RPH: Restricted those patients intolerant of other beta blockers (e.g. due to Raynauld's disease) as is highly specific.

  • Non formulary at all other Trusts


 

 
   
Sotalol
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Restricted Drug Restricted
Amber No SCG
  • For treatment of ARRHYTHMIAS ONLY (including ventricular tachyarrhythmias and symptomatic non-sustained ventricular tachyarrhythmias).  
  •    
    Esmolol
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    Restricted Drug Restricted
    Red Hospital

    • NWAFT and RPH: Formulary

    • CUHFT: Restricted to intensive care and resuscitation areas following European Resuscitation Guidelines.

     
       
     ....
     Non Formulary Items
    Acebutolol  (Sectral)

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    Non Formulary
    Grey

     




      • For existing patients already stabilised on acebutolol only.



     




      • Do not use for new patients.



     

     
    Celiprolol Hydrochloride

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    Non Formulary
    Grey
     
    Co-flumactone

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    Non Formulary
    Grey
     
    Co-tenidone
    (atenolol / chlortalidone)

    View adult BNF View SPC online View childrens BNF Track Changes
    Non Formulary
    Grey
     
    Dyazide

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    Non Formulary
    Grey
     
    Frusene

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    Non Formulary
    Grey
     
    Kalspare

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    Non Formulary
    Grey
     
    Lasilactone

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    Non Formulary
    Grey
     
    Metoprolol Tartrate  (Lopresor SR)

    View adult BNF View SPC online View childrens BNF Track Changes
    Non Formulary
    Grey
     
    Nadolol  (Corgard)

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    Non Formulary
    Grey
     
    Oxprenolol Hydrochloride

    View adult BNF View SPC online View childrens BNF Track Changes
    Non Formulary
    Grey
     
    Oxprenolol Hydrochloride  (Trasicor)

    View adult BNF View SPC online View childrens BNF Track Changes
    Non Formulary
    Grey
     
    Oxprenolol Hydrochloride and Cyclopenthiazide  (Trasidrex)

    View adult BNF View SPC online View childrens BNF Track Changes
    Non Formulary
    Grey
     
    Pindolol

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    Non Formulary
    Grey
     
    Pindolol  (Visken)

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    Non Formulary
    Grey
     
    Pindolol and Clopamide  (Viskaldix)

    View adult BNF View SPC online View childrens BNF Track Changes
    Non Formulary
    Grey
     
    Timolol

    View adult BNF View SPC online View childrens BNF Track Changes
    Non Formulary
    Grey
     
    Timolol Maleate and Bendroflumethiazide  (Prestim)

    View adult BNF View SPC online View childrens BNF Track Changes
    Non Formulary
    Grey
     
    Timolol Maleate and Co-amilozide  (Moducren)

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    Non Formulary
    Grey
     
      
    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

    OTC

    Available Over the Counter. Consider Self Care   

    Green

    Formulary - Can be prescribed in both secondary and primary care.   

    Advice

    Formulary - Specialist Advice, secondary care advice provided for primary care initiation.  

    Amber No SCG

    Formulary - Specialist initiation without shared care guidance.  

    Amber SCG

    Formulary - Specialist initiation with shared care guidance.  

    Red Hospital

    Restricted - Hospital only, not to be prescribed in primary care.  

    Switch

    Not recommended for prescribing. Switch to alternative cost-effective option.   

    Black

    Not recommended for prescribing in primary or secondary care.  

    Grey

    Not recommended as no formal application made for addition to the formulary. Contact relevant pharmacy team for further information.   

    Non Formulary

    Non-Formulary (category under review).  

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