netFormulary NHS
NHS Bath and North East Somerset, Swindon and Wiltshire CCG
Royal United Hospitals Bath NHS Foundation Trust
Great Western Hospitals NHS Foundation Trust
Salisbury NHS Foundation Trust
 Search
 Formulary Chapter 2: Cardiovascular system - Full Chapter
Notes:
 

Cardiology-related Prescribing Guidance

Please see our Prescribing Guidelines page for all prescribing guidance relating to this chapter.

Cardiology-related Shared Care Agreements

Please see our Shared Care Agreements page for all shared care agreements (SCAs) relating to this chapter.

 

 Details...
02.06.02  Expand sub section  Calcium-channel blockers
 note 

NICE NG136 - Hypertension in adults: diagnosis and treatment Visual Summary

Amlodipine
(Tablet)
View adult BNF View SPC online
Formulary
traffic lightGreen
  • Tablets 5mg, 10mg
  • Amlodipine is for angina and hypertension, has a longer duration of action and can be given once a day. The besilate salt should NOT be prescribed as is more costly.
 
 
Diltiazem
(Modified Release)
View adult BNF View SPC online
Formulary
traffic lightGreen
  • Different versions of MR preparations containing more than 60 mg diltiazem hydrochloride may not have the same clinical effect. To avoid confusion between these different formulations of diltiazem, prescribers should specify the brand to be dispensed.
  • Once daily prep - Viazem XL® available as 120mg, 180mg, 240mg, 300mg, 360mg capsules. Please note Slozem (previous OD preferred brand) discontinued Jan 2020 due to manufacturing issues.  
  • Twice daily prep - Angitil® SR available as 90mg, 120mg, 180mg capsules.
 
 
Diltiazem (Tablets)
(Oral)
View adult BNF View SPC online
Formulary
traffic lightGreen
  • Tablets 60mg
  • Although the means of formulation has called for the strict designation ‘modified-release’ the duration of action corresponds to that of tablets requiring administration 3 times daily.
 
 
Nifedipine
(Oral)
View adult BNF View SPC online
Formulary
traffic lightGreen
  • Immediate Release Capsules 5mg, 10mg. NOTE: for Raynaud’s phenomenon only. Please also note that immediate release brand Adalat is discontinued; Generic version now available from Relonchem but at higher price (Dec 2019 – approx. £60 per 90 capsules).

  • Modified Release capsules 30mg, 60mg (once daily preparation) and Modified Release tablets 20mg, 30mg, 60mg (once daily preparation).
  • Different versions of MR nifedipine preparations may not have the same clinical effect. Prescribers should specify the brand to be dispensed.
  • Note: Supply problems

 

 
 
Nimodipine
(Oral, Infusion)
View adult BNF View SPC online
Formulary
traffic lightRed
  • Infusion 200mg/ml
  • Tablets 30mg
  • For the prevention and treatment of ischaemic neurological deficits following subarachnoid haemorrhage.

 

 

 
 
Verapamil
(Tablet)
View adult BNF View SPC online
Formulary
traffic lightGreen
  • Tablets 40mg, 80mg, 120mg, 160mg
  • Modified Release Tablets 120mg, 240mg
 
 
Verapamil Hydrochloride (Injection)
View adult BNF View SPC online
Formulary
traffic lightRed
  • 5mg in 2ml injection
 
 
Lercanidipine
(Tablet)
View adult BNF View SPC online
Alternatives
traffic lightGreen
  • Swindon only
  • Non formulary in BaNES and Salisbury
  • 10mg and 20mg tablets
 
 
 ....
 Non Formulary Items
Diltiazem Hydrochloride
(Adizem-XL)

View adult BNF View SPC online
Non Formulary
 
Diltiazem Hydrochloride
(Dilcardia® SR)

View adult BNF View SPC online
Non Formulary
 
Diltiazem Hydrochloride
(Diltiazem®)

View adult BNF View SPC online
Non Formulary
 
Diltiazem Hydrochloride
(Dilzem XL)

View adult BNF View SPC online
Non Formulary
 
Diltiazem Hydrochloride
(Tildem LA)

View adult BNF View SPC online
Non Formulary
 
Diltiazem Hydrochloride
(Tildiem®)

View adult BNF View SPC online
Non Formulary
 
Felodipine
(Tablet)

View adult BNF View SPC online
Non Formulary

Non-formulary for new patients.

 
Felodipine
(Plendil®)

View adult BNF View SPC online
Non Formulary
 
Isradipine (Prescal)

View adult BNF View SPC online
Non Formulary
 
Lacidipine (Motens®)

View adult BNF View SPC online
Non Formulary
 
Nicardipine

View adult BNF View SPC online
Non Formulary
 
Nifedipine (Adalat®)

View adult BNF View SPC online
Non Formulary
 
Nifedipine
(Adalat® Retard)

View adult BNF View SPC online
Non Formulary
 
Nifedipine
(Adipine® XL)

View adult BNF View SPC online
Non Formulary
 
Nifedipine
(Cardilate® SR)

View adult BNF View SPC online
Non Formulary
 
Nifedipine
(Fortipine® LA 40)

View adult BNF View SPC online
Non Formulary
 
Nifedipine
(Nifedipress® MR)

View adult BNF View SPC online
Non Formulary
 
Nifedipine
(Tensipine® MR)

View adult BNF View SPC online
Non Formulary
 
Nisoldipine
(Syscor® MR)

View adult BNF View SPC online
Non Formulary
 
Verapamil Hydrochloride
(Verapress® MR)

View adult BNF View SPC online
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
click to search medicines.org.uk
Link to adult 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
Blueteq
High Cost Drug Approval System

Traffic Light Status Information

Status Description

Traffic LightRed

RED - Hospital only to be prescribed by a specialist and supplied from secondary care ONLY throughout treatment.  

Traffic LightAmber

Amber medicines are considered suitable for GP prescribing following specialist initiation or recommendation.  

Traffic LightAmber with Shared Care

Shared Care - these medicines require specialist initiation and stabilisation. Ongoing division of responsibility for drug and disease monitoring between specialist and GP by a Shared Care Guideline (SCG). If no SCG in place status reverts to red.  

Traffic LightGreen

These medicines are appropriate for initiation in both primary and secondary care. Prescribing is appropriate within licensed or local recommendations.  

Traffic LightSelf

Suitable for patient to be directed to buy themselves  

Traffic LightGrey

Not currently used. We intend to include this TLS in future to highlight where a decision to use this medicine is under review.   

Traffic LightBlack

(In use from Oct 2020) Used where a decision has been made by the BSW APC not to routinely commission this preparation for its licensed indications. Do not prescribe.   

Traffic LightRed Specialist Centre

Not currently used. We intend to include this TLS in future to highlight where this medicine and indication is ONLY available through a Specialist Centre according to a NICE Highly Specialised Technology or NHSE Specialised Commission Circular / Policy.  

netFormulary