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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
Links:
Hypertension Resources For Health Professionals NICE guideline NG136 Hypertension in adults: diagnosis and management
02.06.03 Other anitanginal drugs

Nicorandil 10mg & 20mg
( Tablets)

GREEN
Formulary
Nicorandil may cause treatment resistant ulcers - in which case it should be stopped - see link to MHRA Drug Safety Update below
BNF BNFc SPC
MHRA Drug Safety Update (January 2016) - Nicorandil (Ikorel): now second-line treatment for angina - risk of ulcer complications

Ivabradine 5mg & 7.5mg
(Tablets)

Amber SPA
Restricted Drug Restricted

Restricted - to be initiated by consultant Cardiologist in accordance with NICE TA267:

Ivabradine should be initiated by a heart failure specialist with access to a multidisciplinary heart failure team. Dose titration and monitoring should be carried out by a heart failure specialist, or in primary care by either a GP with a special interest in heart failure or a heart failure specialist nurse.


Tablets can be split.

BNF BNFc SPC
NICE CG126: Guidance on Stable Angina July 2011 NICE TA267: Chronic heart failure - Ivabradine November 2012

Ranolazine (Ranexa®)

Amber SPA
Formulary
BNF BNFc SPC
NICE CG126: Guidance on Stable Angina July 2011
Classifications
GREEN
May be initiated in any care setting
Amber SPA
Specialist to advise therapy and provide first 28 days supply, continuation in Primary Care
Amber SPIS
Specialist to initiate and stabilise medicine prior to continuation in Primary Care
SCG
To be prescribed as per Shared Care Guidance. If no SCG in place status reverts to red.
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).
DNP
A decision has been made either locally and/or nationally not to routinely commission this preparation. Do not prescribe.
SELF
To be purchased over the counter. May be prescribed for chronic, long term conditions or on admission to hospital if essential.