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 Formulary Chapter 2: Cardiovascular system - Full Chapter
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02.07  Expand sub section  Sympathomimetics
02.07.01  Expand sub section  Inotropic sympathomimetics
Dobutamine
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Restricted Drug Restricted
Red Hospital

  • Do NOT give as a bolus.

 
   
Dopamine
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Restricted Drug Restricted
Red Hospital

  • Do NOT give as a bolus.

 
   
Dopexamine
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Restricted Drug Restricted
Red Hospital

  • CUHFT: Intensive care units only

  • Non formulary at all other Trusts

 
   
Isoprenaline
(Injection)
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Restricted Drug Restricted
Red Hospital

  • RPH and NWAFT: unlicensedunlicensed - named patient use

  • CUHFT: Non Formulary


Isoprenaline hydrochloride 1mg is equivalent to isoprenaline sulphate 1.125mg (from UCL guide).


 

 
   
02.07.02  Expand sub section  Vasoconstrictor sympathomimetics
Ephedrine
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Restricted Drug Restricted
Red Hospital

  • CUHFT and NWAFT: Formulary

  • RPH: Non formulary

 
   
Midodrine
(Tablet)
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Formulary
Amber SCG


  •  For the management of orthostatic hypotension and neurocardiogenic syncope as per shared care guideline



 
Link  Shared Care Guideline: Midodrine for orthostatic hypotension and neurocardiogenic syncope
   
Noradrenaline / Norepinephrine
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Formulary
Red Hospital

April 2020 - Medicine Supply Notification Noradrenaline 4mg in 4ml ampoule

  • See link below for further information. 
 
Link  Letters sent to healthcare professionals April 2020: Noradrenaline (Norepinephrine) 4mg/4ml concentrate for solution for infusion - temporary supply of a different presentation in market and changes to the instructions
Link  Medicine Supply Notification April 2020: Noradrenaline 4mg in 4ml ampoule
   
Phenylephrine
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Formulary
Red Hospital

 




    • CUHFT and NWAFT: Formulary



 




    • Non formulary at all other Trusts



 

 
   
Metaraminol
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Restricted Drug Restricted
Red Hospital

unlicensedunlicensed. Use is restricted.



  • RPH: Formulary

  • CUHFT: Restricted to use in:

    • Theatres - for hypotension

    • Priapism



  • NWAFT: Restricted to use in:

    • Critical Care

    • Supervision of Critical Care Outreach Team.



 
   
02.07.03  Expand sub section  Cardiopulmonary resuscitation
Adrenaline / Epinephrine
(1 in 10,000, dilute)
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Restricted Drug Restricted
Red Hospital

  • Cardiopulmonary resuscitation

 
   
 ....
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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