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 Formulary Chapter 24: Leeds Children's Hospital Formulary - Full Chapter
Notes:

The Leeds Children's Hospital Formulary is laid out in BNF chapter order. There are custom indexes for the following specialist areas:

Paediatric Intensive Care Unit (PICU)
Neonatal Intensive Care Unit (NICU)
Paediatric Cardiology

Chapter Links...
 Details...
24.02  Expand sub section  Cardiovascular system (paediatric)
Adenosine
(paediatrics)
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Formulary  
Link  PICU Prescribing and Administration Guide (adenosine)
Link  National Paediatric IV Administration Guide (Medusa) - adenosine
   
Adrenaline
(paediatrics)
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Formulary  
Link  PICU Prescribing and Administration guide (adrenaline)
   
Alprostadil
(paediatrics)
View SPC online View childrens BNF
Formulary  
Link  Paediatric cardiology and Neonatal Unit Prescribing and Administration guide (alprostadil)- network guideline
   
Alteplase
(paediatrics)
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Formulary
Red
 
Link  Guideline - management and use of antithrombotics in children (NHS access only)
Link  National Paediatric IV Administration Guide (Medusa) - alteplase
   
Amiodarone
(paediatrics)
View SPC online View childrens BNF
Formulary  
Link  Paediatric cardiology and PICU Prescribing and Administration guide (amiodarone)
Link  Paediatric cardiology supporting information (amiodarone)
Link  BNFc oral dosing information (amiodarone)
   
Aspirin
(paediatrics)
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Formulary  
Link  Paediatric cardiology Anticoagulation Guidelines
   
Atenolol
(paediatrics)
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Formulary  
Link  BNFc oral dosing information (atenolol)
   
Captopril
(paediatrics)
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Formulary
Green
  • March 2014: Licensed liquid now available - 5mg/5mL and 25mg/mL. Use in preference to unlicensed specials which have considerable price volatility in primary care
 
Link  BNFc oral dosing information (captopril)
Link  Paediatric ACE inhibitor information
   
Carvedilol
(paediatrics)
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Formulary  
Link  Paediatric cardiology supporting information (carvedilol)
Link  BNFc oral dosing information (carvedilol)
   
Dinoprostone
(paediatrics)
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Formulary
Red
  • Alprostadil used first line - dinoprostone for restricted use only
  • Oral dinoprostone may be considered in extreme circumstances as an alternative to continuous intravenous infusion of alprostadil if intravenous access is lost. Before commencing this must be discussed with a paediatric cardiology and or neonatal consultant. Dosage and administration guidance is available on L51 HDU drug file
 
   
Disopyramide
(paediatrics)
View adult BNF View SPC online View childrens BNF
Formulary  
Link  Paediatric cardiology patient information leaflet
   
Dobutamine
(paediatrics)
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Formulary  
Link  PICU administration monograph (dobutamine)
Link  Paediatric cardiology administration monograph (dobutamine)
   
Dopamine
(paediatrics)
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Formulary  
Link  PICU administration monograph (dopamine)
Link  Paediatric cardiology administration monograph (dopamine)
Link  National Paediatric IV Administration Guide (Medusa) - dopamine
   
Dornase alfa
(paediatrics)
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Formulary  
Link  PICU Prescribing and Administration guide (dornase)
Link  Leeds Cystic Fibrosis inhaled therapy guidelines
   
Enoximone
(paediatrics)
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Formulary  
   
Epoprostenol
(paediatrics)
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Formulary
Red
  • Pulmonary hypertension and digital ischaemia
 
Link  PICU Prescribing and Administration Guide (epoprostenol)
   
Furosemide
(paediatrics)
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Formulary  
Link  PICU Prescribing and Administration guide (furosemide)
Link  National Paediatric IV Administration Guide (Medusa) - furosemide
   
Heparin
(paediatrics)
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Formulary  
Link  PICU administration monograph (heparin)
Link  Paediatric cardiology administration monograph (heparin)
Link  Paediatric cardiology Anticoagulation Guidelines
Link  Guideline for the use of anti-thrombotic treatment in children (NHS access only)
Link  LTHT chart - heparin (paediatric)
   
Hydralazine
(paediatrics)
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Formulary
  • Oral - follow BNFc
  • IV - follow prescribing and administration guide
 
Link  PICU Prescribing and Administration guide (hydralazine)
Link  BNFc oral dosing information (hydralazine)
   
Isoprenaline
(paediatrics)
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Formulary
Red
 
Link  Paediatric cardiology and PICU Prescribing and Administration guide (isoprenaline)
Link  National Paediatric IV Administration Guide (Medusa) - isoprenaline
   
Levosimendan
(paediatrics)
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Formulary  
Link  PICU Prescribing and Administration guide (levosimendan)
Link  Levosimendan paediatric patient information leaflet (LTHT access only)
   
Lisinopril
(paediatrics)
View adult BNF View SPC online View childrens BNF
Formulary  
Link  BNFc oral dosing information (lisinopril)
Link  Paediatric ACE inhibitor information
   
Metaraminol
(paediatrics)
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Formulary
Red
 
Link  PICU Prescribing and Administration Guide (metaraminol)
   
Milrinone
(paediatrics)
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Formulary  
Link  PICU administration monograph (milrinone)
Link  Paediatric cardiology administration monograph (milrinone)
   
Noradrenaline
(paediatrics)
View SPC online View childrens BNF
Formulary  
Link  PICU Prescribing and Administration guide (noradrenaline)
   
Phenylephrine
(paediatric)
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Formulary  
Link  Paediatric cardiology and PICU Prescribing and Administration guide (phenylephrine)
   
Potassium canrenoate
(paediatrics)
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Formulary  
Link  PICU Prescribing and Administration guide (potassium canrenoate)
   
Propranolol
(paediatrics)
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Formulary

Amber1 - paediatric migraine

 
Link  BNFc information (propranolol)
Link  Shared care guidance: propranolol in paediatric migraine
   
Sildenafil (Revatio)
(paediatrics)
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Restricted Drug Restricted
Red
High Cost Medicine
  • For use in liaison with Great Ormond Street Hospital
 
Link  Paediatric cardiology supporting information (sildenafil)
Link  Drug Safety Update (Nov 18) Sildenafil (Revatio and Viagra): reports of persistent pulmonary hypertension of the newborn (PPHN) following in-utero exposure in a clinical trial on intrauterine growth restriction
   
Tinzaparin
(paediatrics)
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Formulary  
Link  Feb 2019: tinzaparin shortage - change in guidance
Link  Paediatric cardiology Anticoagulation Guidelines
Link  Guideline for the use of anti-thrombotic treatment in children (NHS access only)
   
Tranexamic acid
(paediatrics)
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Formulary  
Link  National Paediatric IV Administration Guide (Medusa) - tranexamic acid
   
Urokinase
(paediatrics)
View SPC online View childrens BNF
Formulary  
Link  CVC unblocking protocol (urokinase)
Link  Stock shortage of urokinase - memo (2019)
   
Warfarin
(paediatrics)
View SPC online View childrens BNF
Formulary  
Link  Paediatric cardiology Anticoagulation Guidelines
Link  Guideline for the use of anti-thrombotic treatment in children
   
Warfarin INR monitoring (CoagUCheck)
(paediatrics)
View SPC online View childrens BNF
Restricted Drug Restricted
Grey
  • Use only supported in the Leeds Paediatric Anticoagulant service as a process is in place to ensure the testing machines are calibrated and a six monthly venous blood sample is taken.
 
   
 ....
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

Green

Medicines which are appropriate for initiation and ongoing prescribing in both primary and secondary care.  

Amber 1

Amber Level 1- Specialist Recommendation
These medicines are considered suitable for GP prescribing following specialist recommendation.

There is no requirement for full Amber Drug Guidance. Generic Amber Level 1 Drug Guidance detailing responsibilities and information sources is available here
  

Amber 2

Amber Level 2- Specialist Initiation but no monitoring requirements
These medicines are considered suitable for GP prescribing following specialist initiation, including titration of dose and assessment of efficacy.
Some Amber Level 2 products will have an associated Amber Level 2 Drug Guidance document, available by clicking on the traffic light symbol to the right of the drug name. If this is not available, generic Amber Level 2 Drug Guidance is available here  

Amber 3

Amber Level 3- Specialist Initiation with ongoing monitoring requirements (Full Amber Drug Guidance required)
Medicines that should be initiated by a specialist, and which require significant monitoring on an ongoing basis. Full agreement to share the care of each specific patient must be reached under the amber drug agreement, and Amber Drug Guidance must be provided to the GP (available by clicking on the traffic light symbol to the right of the drug name).   

Red

Guidance on the responsibilities for Red Drugs can be found here. Red Drugs would usually by prescribed by the hospital for the duration of the course. Primary care prescriber initiation or continuation of treatment not recommended except by Specialist GP and community paediatric prescribing.   

Grey

Grey Drugs are locally-agreed medicines which are only recommended for restricted use within the Leeds Health Economy.   

Black

These drugs are not recommended for use within the Leeds Health Economy  

Multiple

Products shown as blue have different Traffic Light List classifications dependent on indication. See the accompanying text next to the product for further information the indications for which it has a Traffic Light List classification.  

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