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Bedfordshire and Luton Joint Formulary
Bedfordshire Hospitals NHS Foundation Trust
Bedfordshire, Luton and Milton Keynes ICB
Formulary Chapter: 2 - Cardiovascular system 
Notes:

Any drug not listed on the Formulary should be considered Non-Formulary - Not recommended for prescribing

02.05.01 Vasodilator antihypertensive drugs

Hydralazine

Formulary
25mg Tablets

Hydralazine

RED
Formulary
20mg Injection

Iloprost injection

RED
Restricted Drug Restricted

High Cost Medicine for tertiary specialist centres only.

Bedford Hospital is a tertiary specialist centre for vascular patients.

N.B. Can prescribe at the L&D if tertiary centre approved. No stock is kept at L&D.

Sildenafil (Revatio®)

RED
Restricted Drug Restricted
20mg tablets

High Cost Drug for pulmonary hypertension. Can ONLY be initiated in a tertiary centre (specialist pulmonary centre). Can prescribe for continuing treatment.

N.B. Some patients may be on 25mg or 50mg tablets (other brands or generic). This is off-label use.
Non formulary items

Iloprost nebules (Ventavis®)

 
Non Formulary

High Cost Medicine for tertiary specialist centres only.

N.B. There are no funding arrangements for our locality. No stock is kept.

Macitentan (Opsumit®)

 
Non Formulary

High Cost Medicine for tertiary specialist centres only.

N.B. There are no funding arrangements for our locality. No stock is kept.

Classifications
May be initiated in any care setting
Specialist to advise therapy and provide first 28 days supply, continuation in Primary Care
Specialist to initiate and stabilise medicine prior to continuation in Primary Care
To be prescribed as per Shared Care Guidance. If no SCG in place status reverts to red.
Red medicines are designated as specialist only medicines which should only be prescribed by a specialist, usually within secondary care (either due to the requirement for specialist knowledge, long-term monitoring requirements, or restrictions that mean medicine supplies are only available to hospitals).
A decision has been made either locally and/or nationally not to routinely commission this preparation. Do not prescribe.
To be purchased over the counter. May be prescribed for chronic, long term conditions or on admission to hospital if essential.