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 Formulary Chapter 2: Cardiovascular system - Full Chapter
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02.06.03  Expand sub section  Other anitanginal drugs
 note 

 

Nicorandil (Ikorel)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Amber No SCG

  • Restricted to patients whose angina is inadequately controlled by first line anti-anginal therapies, or who have a contraindication or intolerance to first line anti-anginal therapies

 
Link  MHRA Advice: Nicorandil (Ikorel) - now second-line treatment for angina - risk of ulcer complications
Link  MHRA Advice: Nicorandil - risk of gastrointestinal ulceration
Link  NICE CG126: Stable angina management
   
Ivabradine
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Amber No SCG

  • Ivabradine should be initiated by a heart failure specialist with access to a multidisciplinary heart failure team as per NICE TA267

  • Ivabradine is also recommended for stable angina as per NICE CG126

  • A prescribing support document is available.

 
Link  Prescribing Support Document: Ivabradine for Chronic Heart Failure
Link  Prescribing Support Document: Ivabradine for Stable Angina
Link  NICE CG126: Stable angina management
Link  NICE TA267: Ivabradine for chronic heart failure
   
Ranolazine
(MR Tablets)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Amber No SCG

  • Restricted to adjunctive therapy in the treatment of stable angina in patients inadequately controlled or intolerant of first-line antianginal therapies as per NICE CG126

  • A prescribing support document is available.

 
Link  Prescribing Support Document: Ranolazine for Stable Angina
Link  NICE GC126: Stable angina management
   
 ....
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
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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