nhs forth valley formulary 11 - Community Pharmacy

Forth Valley Formulary Eleventh Edition 2012/13Chapter/Section/Drug Primary Care AcuteCHPsMentalHealthSpecialtiesServices2.7 Sympathomimetics2.7.1 Inotropic SympathomimeticsDobutamineDopamineDopexamine2.7.2 Vasoconstrictor sympathomimeticsNoradrenaline [Norepinephrine]2.7.3 Cardiopulmonary resuscitationAdrenaline[Epinephrine] 2.8 Anticoagulants and Protamine2.8.1 Parenteral anticoagulantsHeparinEnoxaparinFondaparinux sodium inj. (to be used with guidance)2.8.2 Oral anticoagulantsWarfarin PhenindioneRivaroxaban – refer to full guidance Rivaroxaban for Stroke Prevention in Atrial Fibrillation2.8.3 Protamine 2.9 Antiplatelet DrugsAspirin Clopidogrel Dipyridamole Retard (Persantin Retard®)EptafibatideTicagrelor - Specialist initiation only Comment Ticagrelor - For clopidogrel intolerant patients and patients who have had stent thromobsis orcontinuation of treatment in line with recommendation from the initiating Health BoardTirofiban2.10 FibrinolyticsStreptokinase (For Life ThreateningP.E. )Alteplase ( For Ischaemic Stroke)Tenecteplase ( For ST Elevation M.I. )2.11 AntifibrinolyticsTranexamic Acid Etamsylate [Ethamsylate]2.12 Lipid-regulating DrugsCommentCommentEnsure that statins and ezetimibe are prescribed in accordance with Forth Valley Lipid LoweringGuidelines (Appendix 5)Bezafibrate Fenofibrate (Lipantil®) Atorvastatin (2 nd Line) Chewable Atorvastatin tablets not to be prescribedPravastatin Rosuvastatin Simvastatin (1 st Line) Ezetimibe (limited indications, see Forth Valley Guideline Appendix 5)Omacor® Page 16