Use current Place/Trust Status and local guidelines 

Sandwell

 Non formulary

Wolverhampton

Walsall

 Non formulary

Dudley

Use current Place/Trust Status and local guidelines 

 Sandwell

 Single use in suspected DVT

 Pregnant women - see URGENT PRESCRIBING OF ENOXAPARIN IN PROPHYLYAXIS OF VENOUS THROMBOEMBOLISM (VTE) IN PREGNANCY

 For all other indications

The APC's view is that on clinical grounds, the status for certain indications approved by APC should be Amber Shared Care, supported by an ESCA. These indications are:

• Deep vein thrombosis (including paediatrics)
• Pulmonary embolism (including paediatrics)
• Intolerance/unsuitable for oral anticoagulants
• Certain cancer patients
• Injectable drug users
  HOWEVER, until the commissioning arrangements have been agreed to allow safe transfer of patient care, the status will remain RED (ESCAs to be developed). This should not prevent individuals in primary care providing initial prescriptions in urgent situations e.g. pregnancy where there is a high thrombotic risk (see guidance linked below).

Wolverhampton

Walsall

 Preferred brand-Inhixa and Clexane 

Dudley

Use current Place/Trust status and local guidelines

Sandwell

 Single use in suspected DVT

 For all other indications

The APC's view is that on clinical grounds, the status for certain indications approved by APC should be Amber Shared Care, supported by an ESCA. These indications are:

• Deep vein thrombosis (including paediatrics)
• Pulmonary embolism (including paediatrics)
• Intolerance/unsuitable for oral anticoagulants
• Certain cancer patients
• Injectable drug users
• Pregnant women
  HOWEVER, until the commissioning arrangements have been agreed to allow safe transfer of patient care, the status will remain RED (ESCAs to be developed). This should not prevent individuals in primary care providing initial prescriptions in urgent situations e.g. pregnancy where there is a high thrombotic risk.

Wolverhampton

Walsall

Dudley