netFormulary NHS
Southampton Joint Formulary
 Formulary Chapter 2: Cardiovascular system - Full Chapter
02.01.02  Expand sub section  Phosphodiesterase type-3 inhibitors
Milrinone (Primacor)
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Restricted Item  Critical Care only

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Restricted Drug Restricted

unlicensed Unlicensed

Restricted Item Specialist use only in cardiac surgery patients for:

 - Life threatening post-operative low cardiac output syndrome where the patient is on maximum therapy (catecholamines) and phosphodiesterase inhibitors are contra-indicated/not tolerated.

 - Rarely pre-operatively for patients with very low cardiac output/ejection fraction (e.g. LVEF <25%).

 Non Formulary Items
Enoximone  (Perfan)

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Non Formulary
note Notes
Section Title Section Title (top level)
Section Title Section Title (sub level)
First Choice Item First Choice item
Non Formulary Item Non Formulary section
Restricted Drug
Restricted Drug
Unlicensed Drug
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Cytotoxic Drug
Cytotoxic Drug
Controlled Drug
High Cost Medicine
High Cost Medicine

Traffic Light Status Information

Status Description


Suitable for prescribing by all in both primary and secondary care.  

Amber Recommended

Specialist recommended but suitable for continuation in primary care.  

Amber Initiation

Specialist initiated but suitable for continuation in primary care.  

Amber SCG

Specialist initiated and for continuation in primary care under a locally approved shared care guideline.  


Suitable for prescribing in specialist settings (secondary care) only.   

Red Specialist Centre

Secondary care medicines to be used under specialised commissioning arrangements only.  


For primary care, either via FP10 or supplied through specialist services. These products may be stocked by hospital pharmacies only for supply to primary care units/wards or for continuing supplies for patients admitted on therapy.  


Not recommended for use.