netFormulary North of Tyne and Gateshead Area Prescribing Committee NHS
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 Formulary Chapter 2: Cardiovascular system - Full Chapter
02.11  Expand sub section  Antifibrinolytic drugs and haemostatics
Tranexamic Acid
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Formulary
Green
  • Also available as a 500mg in 5ml syrup unlicensedunlicensed.
 
   
Aminocaproic acid
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Unlicensed Drug Unlicensed
Red
  • Approved for the use in paediatric patients undergoing extracorporeal membrane oxygenation (ECMO).
 
   
Aprotinin
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Unlicensed Drug Unlicensed
Red
  • For limited use in cardiothoracic surgery.
 
   
02.11  Expand sub section  Blood-related products
 note 

A range of blood factors including factors VII & VIII are stocked at the RVI for use in the treatment of haemophilia etc.

Beriplex - P/N®
(Dried Prothrombin Complex)
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Formulary
Red
  • Approved for reversing the effects of oral anticoagulants in patients with life or limb threatening bleeding in accordance with a regional protocol.
 
   
Factor VIIa (Recombinant)
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Formulary
Red
High Cost Medicine
 
   
Octanate
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Red
  • Approved for patients with severe Haemophilia A and an inhibitor and in whom there is agreement to undertake immune tolerance induction with a plasma derived product. 
 
   
Octaplas and Octaplas LG
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Red
  • Solution for infusion containing 45-75mg/ml human plasma proteins.
 
   
 ....
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
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Link to adult BNF
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Link to children's BNF
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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

Red

Drugs for hospital use only. The responsibility for initiation and monitoring treatment should rest with an appropriate hospital clinician and the drug should be supplied through the hospital throughout the duration of treatment. In some very exceptional circumstances (e.g. due to distance from the hospital, storage, supply or mobility/transport problems) it may be appropriate for the GP to be asked to prescribe a Red drug. This should be negotiated on an individual patient basis and should only be done with the GP’s prior informed agreement where the roles of the GP and hospital services are clearly defined and agreed. The GP should not feel under pressure to prescribe in these circumstances.   

Amber

Drugs initiated by hospital specialist, but where continuing treatment by GPs may be appropriate under a shared care arrangement. The specialist should send the GP a copy of the shared care agreement to sign. The GP should sign the shared care agreement, or indicate they do not want to be part of such an agreement, and return a copy back to the specialist. Shared care guidelines are available or are being developed for most of the drugs listed as Amber. If no shared care guideline is available, the hospital specialist should provide the patient’s GP with sufficient information and support to allow treatment to be continued and managed safely in primary care.  

Green plus

Drugs normally recommended or initiated by hospital specialist, but where the provision of an information leaflet may be appropriate to facilitate continuing treatment by GPs. Many of these information sheets are in the process of development.  

Green

Drugs where prescribing by GPs is appropriate. Drugs not classified as Red, Amber or Green Plus (formerly blue in North of Tyne) are generally classified as ‘Green’ by default. The Green drugs listed here include those products normally initiated by hospital specialists where there was a need for discussion and debate as to the category in which they should be placed.  

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