Greater Glasgow and Clyde Medicines
Key to symbols The medicine should be initiated by, or on the advice of a specialist, but is suitable for continuation by a GP The medicine should only be used and prescribed by a specialist Indicates the preferred choice within a class or group of medicines
The medicine should be initiated by, or on the advice of a specialist, but is suitable for continuation by a GP
The medicine should only be used and prescribed by a specialist
Indicates the preferred choice within a class or group of medicines
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
Preferred List First Line
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

DIPYRIDAMOLE (MR CAPSULES)

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

BNF Link

CLOPIDOGREL

Restrictions: Restricted to use in accordance with NHSGGC Antiplatelet Guidelines

BNF Link

Total Formulary
Specialist and GP
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 below.

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

patient/GP information leaflet is available.

Prescribing Notes:

Use in combination with aspirin for the prevention of atherothrombotic events in adults with a history of myocardial infarction and a high-risk of developing an atherothrombotic event is not recommended by SMC and is non-Formulary.

BNF Link

Specialist Only
TIROFIBAN

Restrictions: Restricted to use by consultant cardiologists.

BNF Link

Specialist Only
ABCIXIMAB

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

BNF Link