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 Formulary Chapter 2: Cardiovascular system - Full Chapter
Notes:

Chapter complete - updated July 18

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02.04  Expand sub section  Beta-adrenoceptor blocking drugs
 note 

Beta-adrenoceptor blocking drugs (beta-blockers) block the beta-adrenoceptors in the heart, peripheral vasculature, bronchi, pancreas, and liver. Many beta-blockers are now available and in general they are all equally effective. There are, however, differences between them, which may affect choice in treating particular diseases or individual patients.

Atenolol
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Formulary
  • Available as:
    • Tablets 25mg, 50mg & 100mg £/28 tablets (all strengths)
    • Oral solution 25mg/5mL ££/300mL
    • Injection 5mg/10mL ££/10 ampoules
 
   
Bisoprolol
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Formulary
  • Available as tablets 1.25mg, 2.5mg, 3.75mg, 5mg & 10mg £/28 tablets
 
   
Carvedilol
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Formulary
  • Available as tablets 3.125mg, 12.5mg & 25mg £/28 tablets
 
   
Labetalol
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Formulary
  • Available as:
    • Tablets 100mg £/56 tablets & 200mg ££/56 tablets 
    • Injection 100mg/20mL £££/5 ampoules
 
   
Metoprolol
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Formulary
  • Available as:
    • Tablets 50mg & 100mg £/28 tablets
    • Injection 5mg/5mL ££/5 ampoules
 
   
Nebivolol
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Formulary
  • Available as tablets 5mg £/28 tablets
 
   
Propranolol
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Formulary
  • Available as:
    • Tablets 10mg (28), 40mg (28) & 80mg (56) £ (for all strengths)
    • MR capsule 80mg & 160mg £/28 tablets
    • Injection 1mg/1mL ££/10 ampoules
    • Oral solution 5mg/5mL & 50mg/5mL ££/150mL bottle (both strengths)
 
   
Sotalol
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Formulary
Green SI
  • Available as tablets 40mg & 80mg £/28 tablets (both strengths)
 
   
 ....
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
click to search medicines.org.uk
Link to adult BNF
click to search medicines.org.uk
Link to children's BNF
click to search medicines.org.uk
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

Red SO

SPECIALIST ONLY - These drugs are deemed to be not appropriate for prescribing by GPs. Specialists should not ask GPs to prescribe these drugs.   

Green SI

SPECIALIST INITIATED - These drugs must be initiated, i.e. the first dose prescribed, by the specialist and then may be continued when appropriate by the patients GP following communication from the specialist.   

Green SA

SPECIALIST ADVISED Specialists may simply advise a patients GP to initiate these drugs themselves after they have made an initial assessment.   

Amber SC

SHARED CARE - Responsibility for prescribing may be transferred from secondary to primary care with the agreement of an individual GP and when agreed shared care arrangements have been established. The specialist MUST stabilize the patient before asking for care to be transferred. Only specialists should initiate these drugs. Prescribing should be transferred to GPs according to an Shared Care Agreement [SCA]   

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