Formulary
| Lercanidipine |
|
Second Choice
|
Tablets 10mg, 20mg Option when amlodipine is not tolerated (e.g. where patients develop significant ankle oedema) |
|
| Nifedipine |
|
Formulary
|
Modified-release tablets 10mg, 20mg (prescribe by brand)
Capsules 5mg, 10mg, 20mg (use of immediate-release capsules may be associated with large variations in blood pressure and reflex tachycardia)
Capsules: Nifedipine immediate-release capsules are no longer recommended for the treatment of angina or hypertension. Pregnancy: Refer to the individual SPC of each nifedipine preparation for further details on use in pregnancy. Raynaud's syndrome: Nifedipine is used in Raynaud's syndrome (modified-release preparations - unlicensed use). |
 NICE NG133: Hypertension in pregnancy: diagnosis and management |
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| Lacidipine |
|
Formulary
|
A second line dihydropyridine calcium channel blocker when amlodipine is not tolerated (e.g. where patients develop significant ankle oedema). For existing patients only |
|
|
| Diltiazem oral |
|
Formulary
|
Prescribe diltiazem modified-release preperations by brand name. There may be variation in brands between hospital Trusts. Follow local Trust policy regarding brand switches. |
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Links
Enoxaparin for Treatment of Venous Thromboembolism **FOR USE IN THE BLACKPOOL REGION ONLY** - Enoxaparin Shared Care Guideline **FOR USE IN THE MORECAMBE BAY REGION ONLY**
Low Molecular Weight Heparins - Use in Primary care Best Practice Guideline *FOR USE IN PENNINE REGION ONLY* - LSC Hypertension in Adults: Diagnosis and Management
- LSC Patient Pathway for Commencing Inclisiran
- LSC Statin Intolerance Pathway
- LSCMMG: Atrial Fibrillation Pathway for the prevention of stroke and systemic embolism in AF in the absence of valvular heart disease
- LSCMMG: Lipid Management Pathway for Primary Prevention of Cardiovascular Disease
- LSCMMG: Lipid Management Pathway for Secondary Prevention of Cardiovascular Disease
- NICE NG106: Chronic heart failure in adults: diagnosis and management
- NICE NG133: Hypertension in pregnancy: diagnosis and management
- NICE NG136: Hypertension in adults: diagnosis and management
- NICE NG185: Acute Coronary Syndromes
- NICE NG187: Acute heart failure: diagnosis and management
- NICE NG196: Atrial fibrillation: diagnosis and management
- NICE NG203: Chronic kidney disease: assessment and management
- NICE NG95: Recent-onset chest pain of suspected cardiac origin: assessment and diagnosis
- Policy and procedure for prophylaxis against, and treatment of, VTE in adult patients **FOR USE IN THE CENTRAL LANCS REGION ONLY**
- Prevention of VTE in Medical Surgical Patients (16 years +) and those requiring lower limb plaster casts/immobilisations **FOR USE IN THE BLACKPOOL REGION ONLY**
- Renal: Enhanced Supportive Kidney Care Guideline