netFormulary Bradford Teaching Hospitals NHS
NHS Foundation Trust Formulary  
 Search
 Formulary Chapter 2: Cardiovascular system - Full Chapter
Chapter Links...
 Details...
02.09  Expand sub section  Antiplatelet drugs
Abciximab
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Red
Injection - Restricted for stents only
 
   
Aspirin (antiplatelet)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
Tablets - dispersible and EC, (Suppository - Named patient use)
  • Enteric coated aspirin is second line to dispersible aspirin in line with UKMI Q&A below
  • For recommendation for use of aspirin in pregnant women at high risk of pre-eclampsia see NICE CG107.

     
  • Link  Antiplatelet therapy following stroke and TIA
    Link  NICE CG107 - Hypertension in pregnancy
    Link  UKMI Q&A: Can a person with low dose aspirin take gingko?
       
    Clopidogrel
    View adult BNF View SPC online View childrens BNF  Track Changes
    Formulary
    Green
    Tablet
  • If needed tablets can be dispersed in water.
     
  •    
    Dipyridamole
    View adult BNF View SPC online View childrens BNF  Track Changes
    Formulary
    Green
    Capsule MR
  • Secondary prevention of ischaemic stroke and TIA normally in combination with aspirin for existing patients and those unable to take clopidogrel
  • If needed capsules can be opened and beads mixed with water (do not crush). Flush enteral tubes well as there is potential for blockage.  
  •    
    Eptifibatide
    View adult BNF View SPC online View childrens BNF  Track Changes
    Restricted Drug Restricted  
       
    Prasugrel
    View adult BNF View SPC online View childrens BNF  Track Changes
    Restricted Drug Restricted
    Green Specialist Initiation
    Tablet (position statement from cardiology to add) 
    Link  NICE TA182: Acute coronary syndrome - prasugrel
       
    Ticagrelor
    View adult BNF View SPC online View childrens BNF  Track Changes
    Restricted Drug Restricted
    Green Specialist Initiation
    Position statement from cardiology to add 
    Link  NICE TA236
       
    Tirofiban
    View adult BNF View SPC online View childrens BNF  Track Changes
    Restricted Drug Restricted
    Red
     
       
     ....
     Non Formulary Items
    Clopidogrel 300mg  (Plavix)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
    Dipyridamole and Aspirin  (Asasantin Retard)

    View adult BNF View SPC online View childrens BNF Track Changes
    Non Formulary
    Green
    Capsules
    According to Bradford & Airedale vascular disease guidance 2008
     
      
    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
    Cancer Drugs Fund
    Cancer Drugs Fund
    NHSE
    NHS England
    Homecare
    Homecare
    CCG
    CCG

    Traffic Light Status Information

    Status Description

    Amber

    Medicines suitable to be prescribed in primary care after Specialist* recommendation or initiation. A supporting prescribing guideline may be requested which must have been agreed by the relevant secondary care trust D&TC(s). *Specialist is defined as a clinician who has undertaken an appropriate formal qualification or recognised training programme within the described area of practice.   

    Amber 1

    Medicines that should be initiated by a specialist and prescribed by primary care prescribers only under a shared care protocol, once the patient has been stabilised. Prior agreement must be obtained by the specialist from the primary care provider before prescribing responsibility is transferred. The shared care protocol must have been agreed by the relevant secondary care trust Drugs and Therapeutics Committee(s) (D&TC) * All drugs awaiting the production or approval of a shared care guideline default to RED   

    Cancer Drug Fund

    Cancer Drug Fund   

    Green

    Medicines suitable for routine use and can be prescribed within primary care within their licensed indication, in accordance with nationally recognised formularies, for example the BNF, BNF for Children, Medicines for Children or Palliative Care Formulary. Primary care prescribers take full responsibility for prescribing.  

    Green Specialist Initiation

    These drugs should be initiated only by a hospital or specialist clinician (GPSi) but there is no requirement for additional monitoring over the general requirements for all medicines. Some may require short or medium specialist monitoring of efficacy or dose titration before transferring in Primary care. The GP should have all the information they require to support continued prescribing.   

    Green Specialist Recomendation

      

    Grey

    Grey - Medicines, which the Drug & therapeutics Committee has actively reviewed and does not recommend for use at present following a review of clinical and/or cost effective data. Grey (assessment in progress) - will be reviewed at a future D&T meeting. Grey (awaiting submission) - The D&T are awaiting a submission from an appropriate practitioner. If you wish to make a submission for this medicine to be added to the formulary please email drug.information@bthft.nhs.uk .   

    Non Formulary

    Not recommended for prescribing as initial therapy, but can be continued if patient already stable on treatment   

    Red

    Medicines which should normally be prescribed by specialists only. ** For patients already receiving prescriptions in primary care - continue. No new patients to receive prescriptions in primary care   

    RED ULM

    Unlicensed Medication  

    netFormulary