The Pennine Acute Hospitals
NHS Trust Formulary
 
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2 Cardiovascular system
02-04 Beta-adrenoceptor blocking drugs

Bisoprolol
First Choice
Tablets

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Carvedilol
Formulary
Tablets

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Labetalol
Formulary
Tablets
Injection
Infusion

Labetalol is a first line option for the management of hypertension in pregnancy (see NICE Guidance - Hypertension in Pregnancy).
Link  NICE CG107: Hypertension in Pregnancy
 

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Atenolol
Formulary
Tablets
Syrup
Injection

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Metoprolol
Formulary
Tablets (not a preferred GMMMG option)
Injection


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Nebivolol Nebilet®
Formulary
Tablets

Highly cardio-selective. Can be considered in patients with severe COPD or asthma, when benefits of beta-blockade are thought to outweigh the respiratory risks, under specialist supervision with PEFR monitoring in hospital. Can also be tried in patients who develop wheeze with less cardioselective beta-blockers.

Usual to start at 1.25mg and uptitrate. This will involve the use of quarter of a 5mg tablet.

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Sotalol
Formulary
Tablets

Restricted Item Specialist initiation

Sotalol is an option for managing life-threatening arrhythmias.

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Esmolol
Formulary
Intravenous Infusion

Restricted Item Cardiologist/anaesthetist initiation only

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Propranolol
Formulary
Tablets
Modified Release Capsules
Liquid


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Acebutolol Sectral®
Non Formulary

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Atenolol and Co-amilozide Kalten®
Non Formulary

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Atenolol and Nifedipine Beta-Adalat®
Non Formulary

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Atenolol and Nifedipine Tenif®
Non Formulary

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Celiprolol Hydrochloride
Non Formulary

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Nadolol Corgard®
Non Formulary

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Oxprenolol Hydrochloride
Non Formulary

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Oxprenolol Hydrochloride Slow-Trasicor®
Non Formulary

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Oxprenolol Hydrochloride Trasicor®
Non Formulary

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Oxprenolol Hydrochloride and Cyclopenthiazide Trasidrex®
Non Formulary

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Pindolol
Non Formulary

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Pindolol and Clopamide Viskaldix®
Non Formulary

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Timolol
Non Formulary

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Timolol Maleate and Bendroflumethiazide Prestim®
Non Formulary

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Timolol Maleate and Co-amilozide Moducren®
Non Formulary

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Co-tenidone (atenolol and chlortalidone)
Non Formulary

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