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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

02.05.05.01 Angiotensin-converting enzyme inhibitors (ACE inhibitors)

Captopril

Restricted Drug Restricted

12.5mg & 50mg Tablets

No new initiations - for continuing treatment only.

Enalapril

Formulary

2.5mg, 5mg, 10mg & 20mg Tablets

NB: Tablets can be crushed and dispersed to aid swallowing / facilitate tube administration.

 

 

Entry reviewed: March 2024

Lisinopril

Formulary
2.5mg, 5mg, 10mg & 20mg Tablets

Perindopril erbumine

Formulary

2mg, 4mg & 8mg Tablets

N.B. also known as perindopril tert-butylamine

Prescribe generically

Ramipril

Formulary
1.25mg, 2.5mg, 5mg & 10mg Capsules

Captopril
(Oral Solution)

Unlicensed Drug Unlicensed

5mg in 5mL Oral solution
25mg in 5mL Oral Solution


Restricted ItemRestricted to paediatric use only


(>£100 per 100mL bottle)


For adults, tablets will disperse in water over 1 to 5 minutes.

 

Entry reviewed: June 2023

Non formulary items

Perindopril Arginine (Coversyl® Arginine)

DNP
Non Formulary

Prescribe perindopril erbumine 4mg for 5mg perindopril arginine

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

 

Entry checked: July 2025

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.