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Birmingham, Sandwell, Solihull and environs APC Formulary
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 Formulary Chapter 2: Cardiovascular system - Full Chapter
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02.03.02  Expand sub section  Drugs for arrhythmias
02.03.02  Expand sub section  Supraventricular arrhythmias
Adenosine injection
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Formulary
Red
 
   
Dronedarone tablets (Multaq®)
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Formulary
Red
To be used in line with NICE guidance 
Link  NICE TA197: Atrial fibrillation - dronedarone
   
02.03.02  Expand sub section  Supraventricular and ventricular arrhythmias
Amiodarone injection
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Formulary
Red
 
   
Amiodarone tablets
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Formulary
Amber
  • Specialist initiation
     
  •    
    Disopyramide capsules
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    Formulary
    Amber
     
       
    Disopyramide injection
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    Formulary
    Red
     
       
    Flecainide injection
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    Formulary
    Red
     
       
    Flecainide tablets
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    Formulary
    Amber
     
       
    Propafenone hydrochloride
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    Formulary
    Amber
     
       
    02.03.02  Expand sub section  Ventricular arrhythmias
    Mexiletine hydrochloride
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    Formulary
    Amber
    unlicensedunlicensed
    Use with local trust approval.
    Available from "special-order" manufacturers or specialist importing companies. 
       
    Lidocaine hydrochloride
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    Formulary
    Red
     
       
     ....
     Non Formulary Items
    Mexiletine 167mg hard capsules  (Namuscla®)

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    Non Formulary
    Black

    £££

    Namuscla® brand of mexiletine is not licensed for treatment of ventricular arrhythmia

     

     
    Moracizine

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    Non Formulary
     
    Procainamide

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    Non Formulary
    Black
     
      
    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
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    Link to children's BNF
    click to search medicines.org.uk
    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

    Prescribing in children

    The APC notes that the informed use of unlicensed medicines or of licensed medicines for unlicensed applications (‘off-label’ use) is often necessary in paediatric practice.

    The APC advises GPs to consider specialist prescribing recommendations for Green and Amber medicines that are not subject to ESCAs or RICaDs in combination with the information provided in the BNFC which goes beyond that of marketing authorisations. The BNFC has been designed for rapid reference and the information presented has been carefully selected to aid decisions on prescribing.

      

    Green

    Medicines which are suitable for initiation and maintenance prescribing by primary and secondary care clinicians. These medicines should be initiated and prescribed within their licensed indications.  

    Amber

    Initiation and maintenance of prescribing by Specialists and transfer to Primary Care prescribing when appropriate, or initiation and maintenance of prescribing in Primary Care following recommendation from a Specialist.

    Some amber medicines require agreement with the local (internal) medicines committee prior to initiation; others may require a framework to support safe transfer and maintenance of care such as a RICaD or ESCA. The Formulary will be annotated to reflect these requirements.   

    Red

    Medicines for initiation and maintenance prescribing by Specialists only  

    Black

    Non-formulary medicines- medicines not recommended for routine primary care prescribing.  

    Grey

    Positive NICE TA and /or awaiting local clarification on place in therapy ; Please contact your Medicines Optimisation team for more information.  

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