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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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Formulary
Red

Specialist prescribing only.

 
   
Dopamine Hydrochloride
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Formulary
Red

Specialist prescribing only.

 
   
Dopexamine (Dopacard®)
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Formulary
Red

Specialist prescribing only.

 

 
   
Isoprenaline
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Unlicensed Drug Unlicensed
Red

Specialist prescribing only.

Available from ‘special-order’ manufacturers or specialist importing companies.

 

 
   
02.07.02  Expand sub section  Vasoconstrictor sympathomimetics
Ephedrine
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Formulary
Red

Specialist prescribing only.

 
   
Metaraminol
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Formulary
Red

Specialist prescribing only.

 
   
Midodrine (Bramox®)
Formulary
Amber Continuation

Suitable for continuation in primary care following specialist initiation, in line with local amber continuation guideline.

Licensed product is now available. Limited evidence of effectiveness of midodrine and need for ongoing monitoring by the GP.

APCO July 2017.

 
Link  NICE Evidence Summary: Orthostatic hypotension - midodrine
   
Noradrenaline / Norepinephrine
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Formulary
Red

Specialist prescribing only.

 

 
   
Phenylephrine
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Formulary
Red

Specialist prescribing only.

 
   
02.07.03  Expand sub section  Cardiopulmonary resuscitation
Adrenaline / Epinephrine 1 in 10,000 (dilute)
(CPR)
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Formulary
Green
 
   
 ....
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
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Link to adult BNF
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Link to children's BNF
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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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