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 Formulary Chapter 2: Cardiovascular system - Full Chapter
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Chapter review date:

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02.04  Expand sub section  Beta-adrenoceptor blocking drugs
Atenolol
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First Choice
Green
Tablet, Liquid, (Injection - secondary care only).  
Bisoprolol
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First Choice
Green
Tablets. 
Metoprolol
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Formulary
Green
Tablets, (Injection - secondary care only).
  • Modified release tablet is non formulary.
  • Alternative prescribing option to first line agents.
  •  
       
    Propranolol
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    Formulary
    Green
    Tablets, MR Capsule, Liquid, (Injection - secondary care only).
  • DCHFT: Injection is non formulary.

  • Alternative prescribing option to first line agents.

  •  
       
    Carvedilol
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    Formulary
    Amber
    Tablets.
    Specialist initiation.
  • DCHFT: Restricted Item  Restricted as adjunct for treatment of patients with heart failure. Not for routine post-acute myocardial infarction use.
  •  
       
    Labetalol
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    Formulary
    Amber
    Tablets, (Injection - secondary care only).
    Specialist initiation.
     
       
    Nebivolol
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    Formulary
    Amber
    Tablets.
    Specialist initiation. Usually restricted to patients intolerant of other beta-blockers, bisoprolol usual first line choice. Note for patients requiring a 2.5mg dose, halve 5mg tablets where possible.
  • DCHFT: Restricted Item Restricted for heart failure patients intolerant of other beta-blockers. Must be initiated by consultant cardiologist or heart failure specialists (including Nurse Prescribers).

  •  
       
    Sotalol
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    Formulary
    Amber
    Tablets.
    Specialist initiation. 
       
    Esmolol IV (Brevibloc® )
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    Formulary
    Red
    Injection. 
       
     ....
     Non Formulary Items
    Acebutolol  (Sectral®)

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    Non Formulary
     
    Atenolol and Co-amilozide  (Kalten®)

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    Non Formulary
     
    Atenolol and Nifedipine  (Beta-Adalat®)

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    Non Formulary
     
    Atenolol and Nifedipine  (Tenif®)

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    Non Formulary
     
    Burinex A®

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    Non Formulary
     
    Celiprolol Hydrochloride

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    Non Formulary
     
    Co-amilofruse (furosemide and amiloride)

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    Non Formulary
     
    Co-amilozide

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    Non Formulary
     
    Co-flumactone

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    Non Formulary
     
    Co-tenidone (atenolol and chlortalidone)

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    Non Formulary
     
    Co-triamterzide

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    Non Formulary
     
    Dyazide®

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    Non Formulary
     
    Frusene®

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    Non Formulary
     
    Kalspare®

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    Non Formulary
     
    Lasilactone®

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    Non Formulary
     
    Nadolol  (Corgard®)

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    Non Formulary
     
    Navispare®

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    Non Formulary
     
    Oxprenolol Hydrochloride

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    Non Formulary
     
    Oxprenolol Hydrochloride and Cyclopenthiazide  (Trasidrex®)

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    Non Formulary
     
    Pindolol

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    Non Formulary
     
    Pindolol and Clopamide  (Viskaldix®)

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    Non Formulary
     
    Timolol

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    Non Formulary
     
    Timolol Maleate and Bendroflumethiazide  (Prestim®)

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    Non Formulary
     
    Timolol Maleate and Co-amilozide  (Moducren®)

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    Non Formulary
     
      
    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
    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

    Green

    May be initiated, stabilised and maintained in primary, secondary or tertiary care  

    Amber

    Amber drug - without shared care  

    Amber SCG

    Amber drug - with shared care guideline  

    Red

    For secondary or tertiary care initiation and long-term maintenance of prescribing  

    Black

    Not recommended  

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