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 Formulary Chapter 2: Cardiovascular system - Full Chapter
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02.05.05.01  Expand sub section  Angiotensin-converting enzyme inhibitors (ACE inhibitors)
Ramipril
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First Choice
Green

First choice ACE inhibitor in management of heart failure. See The Management of Heart Failure in Primary Care.

 
Lisinopril
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Second Choice
Green

For heart failure, see The Management of Heart Failure in Primary Care. 

 
   
Perindopril Erbumine or Tert-butylamine
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Formulary
Green
 
   
Captopril
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Restricted Drug Restricted
Brown

Restricted for paediatric use.

 
   
Enalapril Maleate
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Restricted Drug Restricted
Brown

Restricted to existing patients. Not to be initiated in new patients.

APCO November 2005.

 
   
 ....
 Non Formulary Items
Captopril and Hydrochlorothiazide  (Capozide®)

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Non Formulary
 
Captopril and Hydrochlorothiazide  (Co-zidocapt®)

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Non Formulary
 
Cilazapril  (Vascace®)

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Non Formulary

Discontinued in 2014.

 
Enalapril and Hydrochlorothiazide  (Innozide®)

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Non Formulary
 
Fosinopril Sodium  (Staril®)

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Non Formulary
 
Imidapril  (Tanatril®)

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Non Formulary
 
Lisinopril and Hydrochlorothiazide  (Carace® Plus)

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Non Formulary
 
Lisinopril and Hydrochlorothiazide  (Lisicostad®)

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Non Formulary
 
Lisinopril and Hydrochlorothiazide  (Zestoretic®)

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Non Formulary
 
Moexipril  (Perdix®)

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Non Formulary
 
Perindopril Arginine  (Coversyl® Arginine )

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Non Formulary
Black

Use equivalent dose of perindopril erbumine (also known as tert-butylamine).

Where:
5mg perindopril arginine ≡ 4mg perindopril erbumine

Recommendation from NHSE as part of Items which should not routinely be prescribed in primary care: Guidance for CCGs.

APCO January 2018.

 
Perindopril Arginine and Indapamide  (Coversyl® Arginine Plus)

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Non Formulary
Black

Use equivalent dose of perindopril erbumine (also known as tert-butylamine).

Where:
5mg perindopril arginine ≡ 4mg perindopril erbumine

In line with Medicines Management and Therapeutics Committee decision.

APCO July 2009.

 
Quinapril  (Accupro®)

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Non Formulary
 
Quinapril and Hydrochlorothiazide

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Non Formulary
 
Ramipril and Felodipine  (Triapin®)

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Non Formulary
 
Trandolapril  (Gopten®)

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Non Formulary
 
Trandolapril and Verapamil  (Tarka®)

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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
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Link to adult BNF
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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

Red

Red: Medicines which should only be prescribed in secondary care by a specialist.  

Amber Continuation

Amber Continuation: Medicines which should be initiated or recommended by a specialist for continuation in primary care. The specialist must notify the GP that the prescribing responsibility has been transferred.   

Amber Shared Care Protocol

Amber Shared Care Protocol: Medicines which are appropriate to be initiated and stabilised by a specialist, once stabilised the medicine may be appropriate for responsibility to be transferred from secondary to primary care with the agreement of a GP and a formal ‘shared care’ agreement. The shared care protocol must be approved by the Area Prescribing Committee Oxfordshire (APCO).   

Green

Green: Medicines which are suitable for initiation and ongoing prescribing within primary care.   

Brown

Brown: Medicines which should only be prescribed in restricted circumstances.  

Black

Black: Medicines which are not recommended for use because of lack of evidence of clinical effectiveness, cost effectiveness or safety.  

OCCG Green

not used  

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