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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
02.08 Anticoagulants and protamine

Idarucizumab (Praxbind®)

RED
Restricted Drug Restricted

Restricted - Prescribing on the recommendation of a consultant Haematologist only, for rapid reversal of dabigatran in life-threatening or uncontrolled bleeding or for emergency surgery/urgent procedures.

Idarucizumab injection is commissioned (as with other antidotes), in line with Royal College of Emergency Medicine and National Poisons Information Service Guideline on Antidotes.

It is not suitable for use in over-anticoagulation caused by rivaroxaban, apixaban or edoxaban.

Currently one dose (2 vials) held in the Emergency Department fridge (antidote tray).

One further dose (2 vials) is also kept in the Pharmacy Emergency Drug Cupboard fridge.

BNF BNFc SPC
JPC: Position Statement – High Cost Drugs Excluded from the National Tariff – Idarucizumab Injection Trust Guideline: Reversal of anticoagulation and management of bleeding in adult patients on either warfarin, nonVitamin K oral anticoagulants (NOACs) or heparin
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.