netFormulary Portsmouth and South East Hampshire NHS
Prescribing Formulary  
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 Formulary Chapter 2: Cardiovascular system - Full Chapter
02.12  Expand sub section  Lipid-regulating drugs
Alirocumab (Praluent)
(Injection)
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Formulary
Red

Primary hypercholesterolaemia or mixed dyslipidaemia

 
Link  NICE TA393: Alirocumab for treating primary hypercholesterolaemia and mixed dyslipidaemia
   
Evolocumab (Repatha )
(Injection)
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Formulary
Red

primary hypercholesterolaemia or mixed dyslipidaemia

 
Link  NICE TA394: Evolocumab for treating primary hypercholesterolaemia and mixed dyslipidaemia
   
02.12  Expand sub section  Bile acid sequestrants
Colestyramine (Questran)
(Powder in sachets)
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Formulary
Green

Contains sucrose

 
   
Colestyramine (Questran Light)
(Pwder in sachets)
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Formulary
Green

Sugar-free

 
   
Colesevelam  (Cholestagel)
(tablets)
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Restricted Drug Restricted
Amber Recommended

Symptomatic bile salt salt malabsorption with severe diarrhoea - second line after cholestyramine. Consultant gastroenterologist only.

 
   
02.12  Expand sub section  Ezetimibe
Ezetimibe (Ezetrol)
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Third Choice
Green

Third-line treatment of primary (heterozygous-familial and non-familial) hypercholesterolaemia where;



  • Known statin intolerance 

  • Contraindication to statin.

 
Link  NICE TA385: Ezetimibe for treating primary heterozygous-familial and non-familial hypercholesterolaemia
   
02.12  Expand sub section  Fibrates
Fenofibrate
(Capsules)
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Second Choice
Green

Mixed dyslipidaemia unresponsive to statins

 
   
Bezafibrate
(Modified release tablets)
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Formulary
Green

Prescribe generically

 
   
02.12  Expand sub section  Statins to top
Atorvastatin
(Tablets)
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First Choice
Green

Prescribe generically, avoid chewable tablets

 
Pravastatin
(Tablets)
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Second Choice
Green

Prescribe generically

 
   
Simvastatin
(Tablets)
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Second Choice
Green

Prescribe generically

 
   
Rosuvastatin
(Tablets)
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Third Choice

Third-line only if other statins cannot be tolerated

 
   
02.12  Expand sub section  Nicotinic acid group
Acipimox (Olbetam)
(Capsules)
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Restricted Drug Restricted
Amber Recommended

Restricted Item Information on restriction - Mixed dyslipidaemia unresponsive to statins and intolerant of fibrates

 
   
02.12  Expand sub section  Omega-3 fatty acid compounds
Omega-3-Marine Triglycerides (Maxepa)
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Restricted Drug Restricted
Red

Restricted Item Information on restriction - Dermatology only - polymorphic light eruption.


Not for hypertriglyceridaemia or secondary prevention following myocardial infarction.

 
   
Omega-3-Acid Ethyl Esters (Omacor)
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Restricted Drug Restricted
Red

Restricted Item Information on restriction - Dermatology only - polymorphic light eruption.


Not for hypertriglyceridaemia or secondary prevention following myocardial infarction.


 


 

 
   
 ....
 Non Formulary Items
Atorvastatin and Ezetimibe  (Atozet)

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Non Formulary
 
Bezafibrate  (Bezalip®)

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Non Formulary
 
Bezafibrate  (Bezalip® Mono)

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Non Formulary
 
Ciprofibrate  (Modalim®)

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Non Formulary
 
Colestipol  (Colestid)

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Non Formulary
 
Fenofibrate  (Lipantil®)

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Non Formulary
 
Fenofibrate  (Supralip® 160)

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Non Formulary
 
Fluvastatin  (Lescol®)

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Non Formulary
 
Fluvastatin  (Lescol® XL)

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Non Formulary
 
Gemfibrozil  (Lopid)

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Non Formulary
 
Lomitapide  (Lojuxta▼)

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Non Formulary
High Cost Medicine
 
Nicotinic Acid  (Niaspan)

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Non Formulary
 
Nicotinic acid/ laropiprant  (Tredaptive )

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Non Formulary
 
Pravastatin Sodium  (Lipostat®)

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Non Formulary
 
Simvastatin  (Zocor®)

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Non Formulary
 
Simvastatin and Ezetimibe  (Inegy)

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Non Formulary
 
  
Key
note Notes
Section Title Section Title (top level)
Section Title Section Title (sub level)
First Choice Item First Choice item
Non Formulary Item Non Formulary section
Restricted Drug
Restricted Drug
Unlicensed Drug
Unlicensed
Track Changes
Display tracking information
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Link to adult BNF
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Link to children's BNF
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Link to SPCs
SMC
Scottish Medicines Consortium
Cytotoxic Drug
Cytotoxic Drug
CD
Controlled Drug
High Cost Medicine
High Cost Medicine
Cancer Drugs Fund
Cancer Drugs Fund
NHSE
NHS England
Homecare
Homecare
CCG
CCG

Traffic Light Status Information

Status Description

Green

Primary and Secondary Care (unrestricted) may be prescribed by GPs, hospital doctors or other qualified prescribers in primary and secondary care  

Amber Initiation

Amber Initiated: first prescription from specialist, on going supplies from primary care (or when stabilised on therapy).  

Amber Recommended

Amber recommended: first prescription may be supplied by primary care under the advice of a specialist.  

Amber with Shared Care

For initiation within a specialist service followed by ongoing prescribing in primary care according to published shared care guidance  

Red

For initiation and ongoing prescribing in secondary care only. Medicines in this category may be further restricted to use by specific hospital departments only.  

Blue

For prescribing in primary care only  

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