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Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust
 
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 Formulary Chapter 2: Cardiovascular system - Full Chapter
Notes:

Chapter review date:

Chapter Links...
 Details...
02.05.01  Expand sub section  Vasodilator antihypertensive drugs
Minoxidil (Loniten®)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Amber
Tablets.
Restricted Item Restriction: For renal use only. 
   
Hydralazine IV
View adult BNF View childrens BNF  Track Changes
Formulary
Red
Injection - secondary care only.
  • DCHFT: Tablets stocked and listed as Amber Shared Care Guidelines.
  •  
       
    Sodium Nitroprusside
    View adult BNF View childrens BNF  Track Changes
    Formulary
    Red
    Injection.
  • unlicensedUnlicensed product available from specialist importing companies.

  •  
       
    Ambrisentan (Volibris®)
    View adult BNF View SPC online  Track Changes
    Restricted Drug Restricted
    Red
    High Cost Medicine
    Only to be initiated by approved Tertiary Centres in accordance with NHS England commissioning policies for Pulmonary Hypertension. 
    Link   NHS England A11/P/c: Commissioning Policy: Targeted Therapies for use in Pulmonary Hypertension in Adults
       
    Bosentan (Tracleer®)
    View adult BNF View SPC online View childrens BNF  Track Changes
    Restricted Drug Restricted
    Red
    High Cost Medicine
    Only to be initiated by approved Tertiary Centres in accordance with NHS England commissioning policies for Pulmonary Hypertension. 
    Link   NHS England A11/P/c: Commissioning Policy: Targeted Therapies for use in Pulmonary Hypertension in Adults
       
    Iloprost injection
    View adult BNF View childrens BNF  Track Changes
    Formulary
    Red
    Injection.
  • unlicensedUnlicensed.

  • Restricted Item  Restricted for peripheral vascular and rheumatology use.
  • DCHFT: Restricted Item Specialist use only.
  •  
    Link  NICE review of evidence
       
    Iloprost nebules (Ventavis®)
    View adult BNF View SPC online View childrens BNF  Track Changes
    Restricted Drug Restricted
    Red
    High Cost Medicine
    Only to be initiated by approved Tertiary Centres in accordance with NHS England commissioning policies for Pulmonary Hypertension.
     
    Link   NHS England A11/P/c: Commissioning Policy: Targeted Therapies for use in Pulmonary Hypertension in Adults
       
    Nitric oxide (inhaled)
    (BNFC chapter 2.5.1.2 Pulmonary hypertension)
    View childrens BNF  Track Changes
    Formulary
    Red
    High Cost Medicine
    Commissioned by NHS England (for Pulmonary Arterial Hypertension of the newborn mostly) as per agreed Trust Guidelines. 
       
    Riociguat (Adempas®)
    View adult BNF View SPC online View childrens BNF  Track Changes
    Restricted Drug Restricted
    Red
    High Cost Medicine
    Only to be initiated by approved Tertiary Centres in accordance with NHS England commissioning policies for Pulmonary Hypertension. 
    Link  NHS England A11/P/c: Commissioning Policy: Targeted Therapies for use in Pulmonary Hypertension in Adults
       
    Sildenafil (all brands)
    View adult BNF View SPC online View childrens BNF  Track Changes
    Restricted Drug Restricted
    Red
    High Cost Medicine
    Only to be initiated by approved Tertiary Centres in accordance with NHS England commissioning policies for Pulmonary Hypertension.


    For use in digital ulceration under specialist initiation 
    Link  In Focus Document - PDE5s for other indications
    Link  In Focus Document - PDE5s for Pulmonary Hypertension
    Link  NHS England A11/P/c: Commissioning Policy: Targeted Therapies for use in Pulmonary Hypertension in Adults
       
    Tadalafil (Adcirca®)
    View adult BNF View SPC online View childrens BNF  Track Changes
    Restricted Drug Restricted
    Red
    High Cost Medicine
    Only to be initiated by approved Tertiary Centres in accordance with NHS England commissioning policies for Pulmonary Hypertension. 
    Link  NHS England A11/P/c: Commissioning Policy: Targeted Therapies for use in Pulmonary Hypertension in Adults
       
     ....
     Non Formulary Items
    Diazoxide  (Eudemine®)

    View adult BNF View childrens BNF
    Non Formulary
     
    Macitentan  (Opsumit®)

    View adult BNF View SPC online View childrens BNF Track Changes
    Non Formulary
    High Cost Medicine
    Commisioned by NHS England (for Pulmonary Arterial Hypertension) according to NHS England Policy: A11/PS/b. As per IFR approval.
     
    Sitaxentan Sodium  (Thelin®)

    View adult BNF View childrens BNF
    Non Formulary
     
    Tolazoline

    View adult BNF View childrens BNF
    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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