Greater Glasgow and Clyde Medicines

Formulary Search Results for: DAPAGLIFLOZIN-Cardio and Renal

2.8.4 Reversal of anticoagulation - View Category

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Specialist Only
ANDEXANET ALFA (ONDEXXYA) (infusion)

Restrictions:

Restricted to use only on the advice of a Consultant Haematologist for the reversal of anticoagulation in adults treated with a direct factor Xa inhibitor where there is life-threatening or uncontrolled bleeding.  In addition, use should be in accordance with the local protocol (in development).

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7.5.3 Cation exchange compound - View Category

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Specialist and GP
SODIUM ZIRCONIUM CYCLOSILICATE (LOKELMA)

Restrictions:

Restricted to specialist initiation in patients with hyperkalaemia (serum potassium >6.0mmol/L) with chronic kidney disease (CKD) stage 3b to 5 and/or heart failure who would otherwise need to down-titrate or discontinue their renin-angiotensin-aldosterone system inhibitor (RAASi) therapy to maintain a clinically acceptable serum potassium level. 

Prescribing Notes:

Please refer to section 9.2.1.1 for treatment of acute, life-threatening hyperkalaemia.

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7.5.2 Sodium-glucose co-transporter 2 (SGLT2) inhibitors - View Category

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EMPAGLIFLOZIN (JARDIANCE)

Restrictions:

Chronic Kidney Disease:

Restricted to initiation by clinicians, either in primary or secondary care, experienced in the treatment of chronic kidney disease (CKD) for use in patients having individually optimised standard care (including angiotensin converting enzyme inhibitors or angiotensin II receptor blockers, unless these are contraindicated or not tolerated), and either, at the start of treatment:

  • an estimated glomerular filtration rate (eGFR) of 20 mL/min/1.73m2 up to 45 mL/min/1.73m2, or
  • an eGFR of 45 mL/min/1.73m2 up to 90 mL/min/1.73m2 and either:
    • A urine albumin-to-creatinine ratio (uACR) of 22.6 mg/mmol or more, or
    • Type 2 Diabetes Mellitus (T2DM).

For use in chronic heart failure, see section 2.5.6

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