nhs forth valley formulary 11 - Community Pharmacy

Forth Valley Formulary Eleventh Edition 2012/13Chapter/Section/Drug Primary Care AcuteCHPsMentalHealthSpecialtiesServices2 Cardiovascular SystemComment For Hypertension guidance, Please refer to NICE Hypertension Guidancehttp://guidance.nice.org.uk/CG127 and the British Hypertension Society www.bhsoc.org2.1 Positive inotropic drugsDigoxin Digibind®2.2 Diuretics2.2.1 Thiazides and related diureticsBendroflumethiazide [Bendrofluazide]Indapamide Metolazone 2.2.2 Loop DiureticsFurosemide [Frusemide] (1 st Line) Bumetanide (2 nd Line) Comment Although the efficacy of bumetanide is the same as furosemide, it is much more expensive toprescribe in Primary Care. It should therefore be used 2nd line.2.2.3 Potassium-sparing diureticsAmiloride Spironolactone (1 st Line) Eplerenone (2 nd Line) 2.2.4 Potassium-sparing diuretics with other diureticsCo-amilofruse Comment Please specify strength of Co-amilofruse.2.2.5 Osmotic DiureticsMannitolCommentDiuretics should be prescribed separately except for patients with poor compliance,where combination products may be indicated.Potassium containing diuretic combinations: The majority of patients do not require potassiumsupplementation. For those patients who may require potassium supplements, potassium-sparingdiuretics should be used. Potassium containing diuretics do not contain adequate amounts ofpotassium to match the patients' requirements and are therefore not advised for use.2.3 Anti-arrhythmic DrugsVerapamil (see section 2.6)Cardiology recommendationAmiodaroneCardiology recommendationDronedarone (Multaq®)Cardiology recommendationPropafenoneCardiology recommendationLidocaine [Lignocaine]DisopyramideCardiology recommendationAdenosineFlecainideCardiology recommendation2.4 Beta-BlockersBisoprolol (1 st Line) Nebivolol (2 nd Line)Cardiology RecommendationPropranolol (see section 4.1.2) Atenolol CarvedilolCardiology RecommendationEsmolol (I.V. for arrythmia)LabetalolCardiology RecommendationMetoprolol Page 14