Cardiomyopathy Formulary

Cardiomyopathy

ICD10 CODE	ICD 10	DESCRIPTION	MEDICINE
SHORT	CODE		NAPPI	GENERIC SUBSTANCE	TRADE NAME
I42 I25	I42 I42.0 I42.1 I42.2 I42.3 I42.4 I42.5 I42.6 I42.7 I42.8 I42.9 I25.5	Cardiomyopathy Dilated cardiomyopathy Obstructive hypertrophic cardiomyopathy Other hypertrophic cardiomyopathy Endomyocardial (eosinophilic) disease Endocardial fibroelastosis Other restrictive cardiomyopathy Alcoholic cardiomyopathy Cardiomyopathy due to drugs and other external agents Other cardiomyopathies Cardiomyopathy, unspesified Ischaemic cardiomyopathy	778362 836591 812307 825670 813338 838853 732826 222291 755826 836699	WARFARIN SODIUM TAB 5 MG INFLUENZA VIRUS VACCINE INFLUENZA VIRUS VACCINE INFLUENZA VIRUS VACCINE INFLUENZA VIRUS VACCINE INFLUENZA VIRUS VACCINE INFLUENZA VIRUS VACCINE PNEUMOCOCCAL VACCINE PNEUMOCOCCAL VACCINE PNEUMOCOCCAL VACCINE	WARFARIN 5MG TAB VAXIGRIP S/DOSE 0.25ML PA AGRIPPAL S-1 0.5ML PREF S VAXIGRIP 10 DOSE PREFILL VAXIGRIP 0.5ML INJ MUTAGRIP SINGLE 0.5ML INJ INFLUVAC 0.5ML PREVENAR* 0.5ML INJ PNEUMOVAC 23 SD VAC IMOVAX PNEUMO 23	If atrial fibrillation or history of an embolic event add Warfarin All patients should have once only pneumococcal Immunization and annual influenza immunization. Step 1 Life-style Restrict sodium intake. Streptococcus pneumonia vaccination and annual influenza vaccination. Treat obesity and stop smoking Exercise as per individualized programme Restrict alcohol intake Step 2 First line: Ace inhibitors in al patients If patient is truly intolerant to ace inhibiter consider Hydralazine and Isosorbide dinitrate combined theraphy Diuretics When volume overloaded Thiazide diuretics in patients with normal renal function and volume overlaoded (Hydrochlorothiazide 25mg – 100 mg daily) Where there is impaired renal function and volume overloaded use of loop diuretics. (Furosemide 40-80mg daily, sometimes even more) Monitor serum Potasium and consider replacement therapy if necessary Patients with NYHA class II to III symptons Add beta blocker Patient must be stabilized and the dose of the beta blocker gradually up titrated Patients with NYHA class III to IV symptons Add spironolactone. Monitor K+ levels Loop diuretic in volume overload Digoxin in older patients with persising symptons or very poor LV function
			Ace inhibitors
			787035 891279 867853 759783 894324 867837 810355 867861 891280 759767 894316 867845 759759 701392 781827 862053 701394 781835 862061 701387 781819 862045 703541 877549 841579 841587 841595 782602	ENALAPRIL & HCT ENALAPRIL ENALAPRIL ENALAPRIL ENALAPRIL ENALAPRIL ENALAPRIL ENALAPRIL ENALAPRIL ENALAPRIL ENALAPRIL ENALAPRIL ENALAPRIL LISINOPRIL TAB 10 MG LISINOPRIL TAB 10 MG LISINOPRIL TAB 10 MG LISINOPRIL TAB 20 MG LISINOPRIL TAB 20 MG LISINOPRIL TAB 20 MG LISINOPRIL TAB 5 MG LISINOPRIL TAB 5 MG LISINOPRIL TAB 5 MG PERINDOPRIL PERINDOPRIL-INDAPAMIDE RAMIPRIL TAB 1.25 MG RAMIPRIL TAB 2.5 MG RAMIPRIL TAB 5 MG RAMIPRIL TAB 10 MG	CO-RENITEC TAB ENAP 10MG TAB HR-ENALAPRIL 10MG RENITEC 10MG TAB CIPLATEC 10MG HR-ENALAPRIL 2.5MG RENITEC 2.5MG TAB HR-ENALAPRIL 20MG ENAP 20MG TAB RENITEC 20MG TAB CIPLATEC 5MG HR-ENALAPRIL 5MG RENITEC 5MG TAB HEXAL-LISINOPRIL 10MG TAB PRINIVIL 10MG TAB ZETOMAX 10MG TAB HEXAL-LISINOPRIL 20MG TAB PRINIVIL 20MG TAB ZETOMAX 20MG TAB HEXAL-LISINOPRIL 5MG TAB PRINIVIL 5MG TAB ZETOMAX 5MG TAB PREXUM 4 MG TABS COVERSYL PLUS TRITACE 1.25MG TAB TRITACE 2.5MG TAB TRITACE 5MG TAB TRITACE 10MG
			Diuretics
			702811 780618 702803 702951 704377 727687 735981 735930 731668 758272 735949 880949 774057 898937 765910 769665 701815 820393 820385 820369 820377 780146 789674 755753	AMILORIDE & HCT AMILORIDE & HCT AMILORIDE & HCT AMILORIDE & HCT FUROSEMIDE CAP 40 MG FUROSEMIDE INJ 10 MG/ML FUROSEMIDE INJ 10 MG/ML FUROSEMIDE TAB 20 MG FUROSEMIDE TAB 40 MG FUROSEMIDE TAB 40 MG FUROSEMIDE TAB 40 MG HCT HCT&K SPIRONOLACTONE TAB 100 MG SPIRONOLACTONE TAB 25 MG SPIRONOLACTONE TAB 25 MG SPIRONOLACTONE-BUTHIAZIDE TORSEMIDE IV SOLN 5 MG/ML TORSEMIDE TAB 10 MG TORSEMIDE TAB 2.5 MG TORSEMIDE TAB 5 MG TRIAMTERENE & HCT TRIAMTERENE & HCT POTASSIUM CHLORIDE	AMILORETIC HS TAB ADCO-RETIC TAB AMILORETIC TAB ROLAB-AMILORIDE/HCT AQUARID 40MG CAP FUROSEMIDE FSK 20MG/2ML LASIX 20MG 2 ML INJ LASIX 20MG TAB ROLAB-FUROSEMIDE 40 MG TA PURESIS 40MG TAB LASIX 40MG TAB RIDAQ 25MG TAB URIREX-K TAB SPIRACTIN 100MG TAB SPIRACTIN 25MG TAB ROLAB-SPIRONOLACTONE 25MG ALDAZIDE TAB UNAT 2ML 5MG/ML INJ UNAT 10MG TAB UNAT 2.5MG TAB UNAT 5MG TAB RENEZIDE TAB ROLAB-TRIAMTERENE HCT PLENISH K 600MG TAB
			Additional
			731714 731722 761400 761419 735744 735779 735760 758280 735752 784206 784214 734438 793418	HYDRALAZINE HCL HYDRALAZINE HCL HYDRALAZINE HCL HYDRALAZINE HCL DIGOXIN ELIXIR 0.05 MG/ML DIGOXIN INJ 0.25 MG/ML DIGOXIN TAB 0.0625 MG DIGOXIN TAB 0.25 MG DIGOXIN TAB 0.25 MG ISOSORBIDE DINITRATE ISOSORBIDE DINITRATE ISOSORBIDE DINITRATE ISOSORBIDE MONONITRATE	HYPERPHEN 10MG TAB HYPERPHEN 25MG TAB ROLAB-HYDRALAZINE 25 ROLAB-HYDRALAZINE 50 LANOXIN PAED .05MG/ML SYR LANOXIN 2ML .25MG/ML INJ LANOXIN 62.5MCG TAB PURGOXIN 0.25MG TAB LANOXIN 0.25MG TAB ROLAB-ISOSORBIDE 10 ROLAB-ISOSORBIDE 30 ISORDIL TEMBID 40MG ELANTAN 20MG TAB
			Beta-blockers
			852929 840319 818429 700168 897117	BISOPROLOL & HCT BISOPROLOL & HCT BISOPROLOL CARVEDILOL CARVEDILOL	ZIAK 10MG TAB ZIAK 5MG TAB CONCOR 5MG TAB CARLOC 12.5MG TAB CARLOC 25MG TAB

January 2004