Oxfordshire Clinical Commissioning Group
Formulary
 
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2 Cardiovascular system
02-05-01 Vasodilator antihypertensive drugs

Hydralazine
Formulary

Use in combination with nitrate for the management of heart failure, see The Management of Heart Failure in Primary Care. 


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Iloprost injection
Formulary

For use by Vascular Surgery for the treatment of limb threatening ischaemia, and by Rheumatology in Raynaud's Syndrome (unlicensed).

Link  Commissioning Policy - Pulmonary hypertension in adults
Link  NICE: Review of evidence
 

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Macitentan Opsumit®
Formulary

For Pulmonary arterial hypertension. Only approved via Specialised centre at Royal Brompton. 

Funded by specialised commissioning - NHS E will not fund at OUH.

APCO May 2018.

Link  National Pulmonary Hypertension commissioning policy
 

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Minoxidil Loniten®
Formulary

Amber Traffic Light  For continuation in primary care following specialist initiation for hypertension.

Black Traffic Light  For androgenic alopecia. Oral tablets are not licensed for this indication and the solution Regaine® is not available on the NHS (APCO July 2018). 


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Sildenafil Revatio®
Formulary

Secondary care use only. 

APCO March 2011.

Link  National Pulmonary Hypertension commissioning policy
Link  NICE Evidence summary: Pulmonary hypertension in neonates - Sildenafil
 

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Sodium nitroprusside
Formulary

Secondary care use only. 


Red
Ambrisentan
Non Formulary

This drug is commissioned by NHS England for pulmonary arterial hypertension as per policy: NHSE A11/P/b.

The OUHFT is not a designated centre.

Link  National Pulmonary Hypertension commissioning policy
 

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Bosentan Tracleer®
Non Formulary

This drug is commissioned by NHS England for digital ulcers and pulmonary arterial hypertension as per policy:


The OUHFT is not a designated centre.


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Iloprost nebules Vantavis®
Non Formulary

For pulmonary arterial hypertension.

Funded by specialised commissioning.


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Riociguat Adempas®
Non Formulary

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Sildenafil
Non Formulary

This drug is commissioned by NHS England for digital ulcers as per policy NHSE A13/P/b. The OUHFT is not a designated centre.

Link  NHSE Clinical Commissioning Policy: Treatment of Digital Ulceration in Systemic Sclerosis
Link  NICE Evidence summary: Sildenafil for digital ulcers
 

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Sitaxentan Sodium Thelin®
Non Formulary

Sitaxentan has been withdrawn from the market because the benefit of treatment does not outweigh the risk of severe hepatotoxicity.


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Tadalafil Adcirca®
Non Formulary

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Tolazoline
Non Formulary

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