netFormulary Coventry and Warwickshire Area Prescribing Committee NHS
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 Formulary Chapter 2: Cardiovascular system - Full Chapter
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02.08.01  Expand sub section  Parenteral anticoagulants
Argatroban
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Red SO
Anticoagulation in patients with heparin-induced thrombocytopenia type II who require parenteral antithrombotic therapy
 
   
02.08.01  Expand sub section  Heparin
02.08.01  Expand sub section  Low molecular weight heparins
Dalteparin
(Unlicensed indication)
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Formulary
Amber SC
Prophylaxis and treatment of thrombosis and embolism in pregnancy - see links below
 
   
Dalteparin
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Green SA
In most scenarios (e.g. DVT prophylaxis in surgical settings)
LMWHs are within tariff and therefore acute provider should supply
 
   
Dalteparin
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Red SO
Surgical prophylaxis
 
   
Enoxaparin
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Red SO
Surgical prophylaxis
 
   
Enoxaparin
(Unlicensed indication)
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Amber SC
Prophylaxis and treatment thrombosis and embolism in pregnancy - see links below 
   
Enoxaparin
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Green SA
In most scenarios (e.g. DVT prophylaxis in surgical settings)
LMWHs are within tariff and therefore acute provider should supply
 
   
Tinzaparin
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Green SA
In most scenarios (e.g. DVT prophylaxis in surgical settings)
LMWHs are within tariff and therefore acute provider should supply
 
   
Tinzaparin
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Formulary
Red SO
Surgical prophylaxis
 
   
Tinzaparin
(Unlicensed indication)
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Formulary
Amber SC
Prophylaxis and treatment of thrombosis and embolism in pregnancy - see links below 
   
02.08.01  Expand sub section  Heparinoids
Danaparoid
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Red SO
Prevention of deep vein thrombosis in general or orthopaedic surgery.Treatment of thrombo-embolic disorders in history of heparin-induced thrombocytopenia
 
   
02.08.01  Expand sub section  Hirudins to top
Bivalirudin
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Red SO
Anticoagulation in patients undergoing percutaneous coronary intervention and treatment of unstable angina/non-ST segment elevation myocardial infarction
 
Link  NICE CG94: Unstable angina and NSTEMI
Link  NICE TA230 : Bivalirudin for the treatment of STEMI, 2011
   
02.08.01  Expand sub section  Heparin flushes
02.08.01  Expand sub section  Epoprostenol
Epoprostenol (prostacyclin)
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Red SO
Inhibition of platelet aggregation during renal dialysis and treatment of primary pulmonary hypertension resistant to other treatments
 
   
02.08.01  Expand sub section  Fondaparinux
Fondaparinux sodium
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Red SO
Prophylaxis and treatment of venous thromboembolic events, treatment of unstable angina and ST-segment and non-ST-segment elevation myocardial infarction
 
   
 ....
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
SMC
Scottish Medicines Consortium
Cytotoxic Drug
Cytotoxic Drug
CD
Controlled Drug
High Cost Medicine
High Cost Medicine
Blueteq
High Cost Drug Approval System

Traffic Light Status Information

Status Description

Preferred

Clinicians are free to prescribe these drugs. They are regarded as cost effective choices which have evidence to support their use.  

Second Line

These drugs should only be prescribed in the scenarios described in the formulary after preferred drug(s) have been ruled out.  

Non Formulary

Non-formulary choice - the vast majority of a patientís needs should be met by use of formulary preferred choices and second line options when appropriate. Therefore the Clinician should only use a non-formularly drug if this can be justified and it is recommended that all such instances are recorded in the patient record.  

Green SA

Specialist Advised Ė Specialists may simply advise a patientís GP to initiate these drugs themselves after they have made an initial assessment. Note: SA drugs can be initiated by the specialist according to patient need and also depending on local commissioning arrangements which may mandate, through the contract between provider and commissioner, that all SA drugs are treated as SI.  

Green SI

Specialist Initiation - These drugs must be initiated, i.e. the first dose prescribed, by the specialist and then may be continued when appropriate by the patientís GP following communication from the specialist.  

Amber SC

Shared Care - Responsibility for prescribing may be transferred from secondary to primary care with the agreement of an individual GP and when agreed shared care arrangements have been established. The specialist MUST stabilize the patient before asking for care to be transferred. Only specialists should initiate these drugs. Prescribing should be transferred to GPs according to an Shared Care Agreement [SCA]   

Red SO

Specialist Only - These drugs are deemed to be not appropriate for prescribing by GPs. Specialists should not ask GPs to prescribe these drugs.   

Black BL

Black Listed Medicines - These drugs are considered inappropriate for prescribing in Coventry & Warwickshire as they are either not cost-effective or of proven benefit or both.   

Not Recommended

Not Recommended - These are specialist drugs that are not recommended for use.  

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