2.8.1. Parenteral anticoagulants
Restrictions:
Restricted to specialist use where other options are not suitable or available in accordance with local protocol (to be updated).
Restrictions:
Restricted to specialist initiation only. For The treatment and prevention of VTE in patients with solid tumours use is restricted to initiation by healthcare professionals experienced in the treatment of VTE and use according to local protocol.
Prescribing Notes:
When dalteparin is used in the extended treatment of VTE and prevention of recurrence in patients with solid tumours, prescribers are reminded that a dose reduction is required following the first month of treatment, and where there is a transfer of care, the need for this dose reduction should be communicated clearly. For further dosing information, see the product literature or BNF.
Restrictions:
Restricted to specialist initiation only.
Prescribing Notes:
- Enoxaparin is a biological medicine and should be prescribed by brand name
- Inhixa® is the preparation of choice for pre-filled syringes
Restrictions:
Restricted to specialist initiation only. Restricted to use for the treatment of unstable angina or non-ST segment elevation myocardial infarction (NSTEMI) or ST segment elevation myocardial infarction (STEMI) in accordance with agreed local protocols.
Restrictions:
Restricted to initiation and prescribing by specialists in the Scottish Pulmonary Vascular Unit or similar specialists for use in chronic thromboembolic pulmonary hypertension.