netFormulary NHS
Birmingham, Sandwell, Solihull and environs APC Formulary
Maintained by Midlands and Lancashire Commissioning Support Unit
 Search
 Formulary Chapter 2: Cardiovascular system - Full Chapter
Chapter Links...
 Details...
02.12  Expand sub section  Lipid-regulating drugs
02.12  Expand sub section  Statins
Atorvastatin tablets
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
   
Fluvastatin capsules
View adult BNF View SPC online View childrens BNF
Formulary
Amber Recommended
 
   
Pravastatin tablets
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
   
Rosuvastatin tablets
View adult BNF View SPC online View childrens BNF
Formulary
Amber Recommended
 
   
Simvastatin tablets
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
   
02.12  Expand sub section  Bile acid sequestrants
Colestyramine sachets
View adult BNF View SPC online View childrens BNF
First Choice
Amber Recommended

Jaundice and Primary Biliary Cholangitis (PBC)

 
Colestipol (Colestid®)
View adult BNF View SPC online View childrens BNF
Second Choice
Amber Initiation
  • Supported by a RICaD (in development)
 
   
Colesevelam (Cholestagel®)
View adult BNF View SPC online View childrens BNF
Third Choice
Amber Initiation
  • Supported by a RICaD (in development)
 
   
02.12  Expand sub section  Ezetimibe
Ezetimibe (Ezetrol®)
View adult BNF View SPC online View childrens BNF
Formulary
Green
in line with NICE 
Link  NICE TA385: Hypercholesterolaemia - ezetimibe
   
02.12  Expand sub section  Fibrates to top
Bezafibrate
View adult BNF View SPC online View childrens BNF
Formulary
Green
  • immediate release formulation
  • modified release formulation 
  •    
    Fenofibrate
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green
  • tablets
  • capsules 
  •    
    02.12  Expand sub section  Nicotinic acid group
    02.12  Expand sub section  Omega-3 fatty acid compounds
    02.12  Expand sub section  PCSK9 inhibitors
    Alirocumab (Praluent®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Red
    High Cost Medicine
    To be used in line with NICE TA393 
    Link  NICE TA393: Alirocumab for treating primary hypercholesterolaemia and mixed dyslipidaemia
       
    Evolocumab (Repatha®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Red
    High Cost Medicine
    To be used in line with NICE TA 394 
    Link  NICE TA394: Evolocumab for treating primary hypercholesterolaemia and mixed dyslipidaemia
       
    02.12  Expand sub section  Other lipid modifying agents
     ....
     Non Formulary Items
    Acipimox  (Olbetam®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Ciprofibrate

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Black
     
    Colestyramine  (Questran®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Colestyramine  (Questran® Light)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Fluvastatin M/R  (Lescol® XL)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Black
     
    Gemifibrozil

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Gemifibrozil  (Lopid®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Lomitapide  (Lojuxta®▼)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Nicotinic Acid

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Black
     
    Nicotinic acid/ laropiprant  (Tredaptive ®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Black
     
    Omega-3-Acid Ethyl Esters  (Omacor®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Black
    Link  Birmingham and Solihull CCG Policy for items which should not be prescribed in primary care
    Link  NHS Clinical Commissioners Items which should not routinely be prescribed in primary care: Guidance for CCGs
    Link  Patient Information Leaflet
    Link  UKMI Q&A: Review of evidence for dyslexia
     
    Omega-3-Marine Triglycerides  (Maxepa®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Black
    Link  Birmingham and Solihull CCG Policy for items which should not be prescribed in primary care
    Link  NHS Clinical Commissioners Items which should not routinely be prescribed in primary care: Guidance for CCGs
    Link  Patient Information Leaflet
     
    Pravastatin Sodium  (Lipostat®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Simvastatin  (Zocor®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Simvastatin and Ezetimibe  (Inegy®)

    View adult BNF View SPC online View childrens BNF
    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
    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
    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 suitable for routine use within primary care. Initiation and maintenance of prescribing by Specialists, GPs and other qualified clinicians.   

    Amber Initiation

    Amber Specialist Initiation: Initiation and maintenance of prescribing by Specialists and transfer to Primary Care prescribing when appropriate. This may be supported by a RICaD, annotated within the formulary entry.  

    Amber Recommended

    Amber Specialist Recommendation: Initiation and maintenance of prescribing in Primary Care following recommendation from a Specialist.  

    Amber SC

    Amber Shared Care: Initiation and maintenance of prescribing by Specialists and transfer to Primary Care prescribing, in accordance with an ESCA, annotated within the formulary entry.  

    Red

    Medicines for initiation and maintenance prescribing by Specialists only.  

    Black

    Non-formulary Medicines which APC/Trust DTC has actively reviewed and do not recommend for use.  

    Grey

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

    The term 'Specialist' refers to Consultants, General Practitioners and Independant Prescribers with a Specialist Interest.  

    netFormulary