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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

02.05.04 Alpha-adrenoceptor blocking drugs

Doxazosin

Formulary

1mg, 2mg & 4mg Tablets 

Non formulary items

Prazosin

DNP
Non Formulary

500microgram Tablets
1mg Tablets

Doxazosin 4mg, 8mg (MR Tablets)

DNP
Non Formulary

Switch to immediate release tablets which can be given once daily.

In line with NHS England » Items which should not routinely be prescribed in primary care: policy guidance

No good evidence of additional benefit over immediate release doxazosin. Both formulations provide effective blood pressure control (doxazosin is recommended only as a fourth-line antihypertensive) and are effective at controlling the symptoms of BPH and improving maximum urinary flow rate.12 The long half-life of immediate release doxazosin allows once daily dosing.

 

Entry checked: July 2025

02.05.04 Phaeochromocytoma
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.