BNF:

2.2.3

Status:

Green

Decision Date:

May 2016

Comments

• GREEN: first line mineralocorticoid receptor antagonist for Heart Failure with reduced ejection fraction.  See local Heart Failure guideline (Decision date - Feb 2019)

•  GREEN for hypertension (off-license)

• Prescribing in adults off-license in primary care is also permitted as per NHS England specialised services circular, Primary Care Responsibilities in Prescribing and Monitoring Hormone Therapy for Transgender and Non-Binary Adults. This should be done in close collaboration with the specialists at the Gender Identity Clinics

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