netFormulary Coventry and Warwickshire Area Prescribing Committee NHS
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 Formulary Chapter 2: Cardiovascular system - Full Chapter
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02.09  Expand sub section  Antiplatelet drugs
Aspirin 75 mg dispersible tablets
(antiplatelet)
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Formulary
Preferred
 
   
Clopidogrel
(All licensed indications)
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Formulary
Second Line
 
   
Dipyridamole modified release
(All licensed indications)
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Formulary
Second Line
 
   
Prasugrel
(All licensed indications)
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Formulary
Second Line
SI Prevention of atherothrombotic events in patients with acute coronary syndrome undergoing percutaneous coronary intervention
 
Link  NICE TA317: Prasugrel with percutaneous coronary intervention for treating acute coronary syndromes (review of technology appraisal guidance 182)
   
Ticagrelor (Brilique®)
(All licensed indications)
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Formulary
Second Line
SI Prevention of atherothrombotic events in patients with Acute Coronary Syndrome - Use in combination with aspirin for 12 months only  
Link  Ticagrelor - Drug Positioning Statement
Link  NICE TA236: Acute coronary syndromes - ticagrelor
   
Tirofiban
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Formulary
Red SO
Treatment of myocardial infarction
 
   
Abciximab
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Formulary
Red SO
Prevention of ischaemic cardiac complications in patients undergoing percutaneous coronary intervention. Short-term prevention of myocardial infarction in patients with unstable angina not responding to conventional treatment and who are scheduled for percutaneous coronary intervention
 
   
Cangrelor
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Formulary
Red SO
Reduction of thrombotic cardiovascular events in patients with coronary artery disease undergoing percutaneous coronary intervention
 
   
Eptifibatide (Integrilin®)
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Formulary
Red SO
Prevention of early myocardial infarction in unstable angina or non-ST-segment-elevation myocardial infarction
 
   
 ....
 Non Formulary Items
Aspirin ec

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Non Formulary
Non Formulary
 
Clopidogrel hydrogen sulfate

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Non Formulary
Non Formulary
 
Dipyridamole standard release

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Non Formulary
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
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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

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 patient’s 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 – Specialists may simply advise a patient’s 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 patient’s 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.  

Not Recommended / Black

These are specialist drugs that are not recommended for use and also, included on our local blacklist.  

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