NHS Greater Glasgow & Clyde Area Drug and Therapeutics Committee
Greater Glasgow and Clyde Prescribing
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2 Cardiovascular system

2.9 Antiplatelet drugs

See the NHSGGC Antiplatelet Guidelines for appropriate use of the following medicines. The existing guideline is available on the Clinical Guidelines store on StaffNet.

Preferred list
ASPIRIN (DISPERSIBLE TABLET)

Prescribing Notes:

Aspirin enteric coated (EC) is not included in the Formulary and should not be used as the formulation does not reduce GI symptoms. If the patient experiences new gastro-intestinal symptoms, consider other contributory factors (e.g. alcohol intake or NSAID use) and then consider gastro-protection (e.g. omeprazole or lansoprazole).

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/2803.htm

CLOPIDOGREL

Restrictions: Restricted to use in accordance with NHSGGC Antiplatelet Guidelines

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/74102.htm

DIPYRIDAMOLE (MR CAPSULES)

Restrictions: Restricted to use in accordance with the NHSGGC Guidelines for the Secondary Prevention of Stroke and TIA

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/2810.htm

Total Formulary
ABCIXIMAB

Restrictions: Restricted to use by consultant cardiologists in high risk and unstable patients undergoing a variety of percutaneous coronary interventions.

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/81418.htm

TICAGRELOR (BRILIQUE) (tablets)

Restrictions: Ticagrelor, co-administered with aspirin is restricted to specialist initiation for the prevention of atherothrombotic events in selected patient groups as outlined in the Prescribing Notes section.

Prescribing Notes:

Use in the following patient groups is Formulary.

  • adult patients with ST elevation myocardial infarction [STEMI]
  • adult patients with non ST elevation myocardial infarction [NSTEMI]
  • patients who are either allergic or intolerant to clopidogrel or for those patients who have a stent thrombosis on clopidogrel

A Shared Care Protocol for ticagrelor is available, as is a patient/GP information leaflet

For the relevant SMC advice click here

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/213525.htm?q=ticagrelor&t=search&ss=text&p=1#_hit

TIROFIBAN

Restrictions: Restricted to use by consultant cardiologists.

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/81473.htm