PAD - Prescribing Advisory Database
PLEASE NOTE : This is a development system.

For Surrey PAD, please go to https://surreyccg.res-systems.net/PAD.

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PAD Profile : Amiodarone hydrochloride - Arrhythmias

Keywords :
low value medicines, drugs of low clinical value, LVM
Brand Names Include :
Cordarone X

Traffic Light Status

Status 1 of 2.

Status :
Amber
Formulations :
  • Tablets
Trust Alignment :
Primary Care
ASPH
RSFT
SASH
SABP
Links :
Comments :
No comments returned.
Documents :

Status 2 of 2.

Status :
Red
Formulations :
  • Injection
Trust Alignment :
Primary Care
ASPH
RSFT
SASH
SABP
Links :
Comments :
No comments returned.
Documents :

Guidelines

No guidelines returned.

Other Drugs

Other Indications

No indications returned.

Additional Documents

Committee Recommendations

Date
Committee Name
Narrative
07 December 2022
Surrey Heartlands Integrated Care System Area Prescribing Committee (APC)

The Surrey Heartlands Integrated Care System Area Prescribing Committee (APC) has agreed the National Shared Care Protocol for Amiodarone (with some local adaption) for patients within adult services.

06 November 2019
Surrey & North West Sussex Area Prescribing Committee (formerly Prescribing Clinical Network)

Tthe NHS England guidance ‘Items which should not routinely be prescribed in primary care: Guidance for CCGs’ Version 2, June 2019 states that amiodarone is only to be initiated by specialists in exceptional circumstances where other treatments cannot be used or have failed: 

1) in line with NICE Guidance CG180 https://www.nice.org.uk/guidance/CG180 in patients: 
- prior and post electrocardioversion / ablation; OR 
- who have heart failure or left ventricular impairment; OR 
- requiring pharmacological cardioversion; OR 
- undergoing cardiothoracic surgery 

2) in patients with ventricular tachycardia / ventricular fibrillation and tachyarrhythmias associated with Wolff-Parkinson-White syndrome.

 In these circumstances amiodarone must be initiated by a specialist and only continued in primary care under a shared care arrangement. Amiodarone should always be initiated with a treatment plan including dose schedule and when amiodarone is intended to be stopped. As such amiodarone will be considered AMBER on the traffic light system for the above indications.

Associated BNF Codes

02. Cardiovascular System
02.03.02. Drugs for arrhythmias
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