netFormulary Joint Medicines Formulary NHS
Airedale NHS Foundation Trust
Airedale, Wharfedale and Craven CCG
 
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 Formulary Chapter 5: Infections - Full Chapter
Notes:

Within Airedale NHS Foundation Trust It is important to use antimicrobials in line with the antimicrobial use policy to

  • prevent unnecessary secondary infections, such as Clostridium difficile
  • Reduce the risk of resistance developing, so that future patients can receive the benefits of antimicrobials
  • Ensure the best outcomes for the patient
  • Not waste time and money on inappropriate therapy

Local guidance on the treatment of common infections is available and advice on antimicrobial therapy can be obtained from the Consultant Microbiologist, bleep via switchboard, or the Antimicrobial Lead Pharmacist, Kevin Frost via bleep 3091.

Within Airedale Wharfedale Craven CCG antimicrobial guidance can be found at this link - Summary of antimicrobial prescribing guidance - managing common infections

Unless explicitly stated, any brand names included in brackets next to a drug's generic name are there solely to aid searching and identification, and should not be considered to limit use to that specific brand.

Otitis media (acute): antimicrobial prescribing

 Details...
05.02  Expand sub section  Antifungal drugs
 note  Antifungal medicines should be used in line with the antifungal medicines prescribing guidance.
Fluconazole
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Formulary Green Traffic Light Fluconazole Capsules
Green Traffic Light Fluconazole Suspension
Green Traffic Light Fluconazole Injection
Green Traffic Light Fluconazole Infusion

 
Link  Adult Antibiotic Prescribing Policy – Urinary Tract Infections (ANHSFT access only)
Link  Antibiotic Prescribing Guidelines – Invasive Fungal Infections (ANHSFT access only)
Link  Antibiotic Prescribing Guidelines – Superficial Fungal Infections (ANHSFT access only)
Link  Antimicrobial Prescribing Guidance for Adults (ANHSFT access only)
   
Amphotericin
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary

Green Traffic Light Amphotericin SF Suspension
Green Traffic Light Liposomal amphotericin Injection

 
Link  Antibiotic Prescribing Guidelines – Invasive Fungal Infections (ANHSFT access only)
Link  Antimicrobial Prescribing Guidance for Adults (ANHSFT access only)
Link  Drug Safety Update: Parenteral amphotericin B: reminder of risk of potentially fatal adverse reaction if formulations confused
   
Voriconazole
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Red
  • Voriconazole Tablets

    Oral use supported for the treatment of systemic fungal infections 2nd line after amphotericin B 
  • Link  Antibiotic Prescribing Guidelines – Invasive Fungal Infections (ANHSFT access only)
    Link  Antimicrobial Prescribing Guidance for Adults (ANHSFT access only)
       
    Caspofungin
    View adult BNF View SPC online View childrens BNF  Track Changes
    Restricted Drug Restricted
    Red
  • Caspofungin Infusion

    Use supported for systemic fungal infections third line after amphotericin B and oral voriconazole 
  • Link  Antibiotic Prescribing Guidelines – Invasive Fungal Infections (ANHSFT access only)
    Link  Antimicrobial Prescribing Guidance for Adults (ANHSFT access only)
       
    Flucytosine (Ancotil®)
    View adult BNF View SPC online View childrens BNF  Track Changes
    Restricted Drug Restricted
    Red
  • Flucytosine Infusion

    Restricted for the treatment of cryptococcosis meningitis under the advice of a consultant microbiologist.

     
  • Link  Antibiotic Prescribing Guidelines – Invasive Fungal Infections (ANHSFT access only)
    Link  Antimicrobial Prescribing Guidance for Adults (ANHSFT access only)
       
    Griseofulvin
    View adult BNF View SPC online View childrens BNF  Track Changes
    Formulary
    Green
  • Griseofulvin Suspension
  • Griseofulvin Tablets  
  • Link  Antimicrobial Prescribing Guidance for Adults (ANHSFT access only)
       
    Itraconazole
    View adult BNF View SPC online View childrens BNF  Track Changes
    Formulary
    Green
    • Itraconazole SF Liquid
    • Itraconazole capsules
     
       
    Terbinafine
    View adult BNF View SPC online View childrens BNF  Track Changes
    Formulary
    Green
  • Terbinafine Tablets 
  • Link  Antibiotic Prescribing Guidelines – Superficial Fungal Infections (ANHSFT access only)
    Link  Antimicrobial Prescribing Guidance for Adults (ANHSFT access only)
       
     ....
    Key
    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
    Unlicensed
    Track Changes
    Display tracking information
    click to search medicines.org.uk
    Link to adult BNF
    click to search medicines.org.uk
    Link to children's BNF
    click to search medicines.org.uk
    Link to SPCs
    Cytotoxic Drug
    Cytotoxic Drug
    CD
    Controlled Drug
    High Cost Medicine
    High Cost Medicine
    Cancer Drugs Fund
    Cancer Drugs Fund
    NHSE
    NHS England
    Homecare
    Homecare
    CCG
    CCG

    Traffic Light Status Information

    Status Description

    Green

    Green - Drugs suitable for generalised use in accordance with position summary. Inform primary care of need to prescribe using a TTO chart if in patient or Treatment Advice Note (TAN) if Outpatient.   

    Amber

    Amber - these drugs require specialist initiation or recommendation  

    Amber SCG

    Amber Share Care - Drugs suitable for generalist use, in accordance with position summary, normally following specialist initiation and stabilisation. Ongoing division of responsibility for drug and disease monitoring between specialist and GP by a Shared Care Guideline (SCG). If no SCG in place status reverts to red.  

    Red

    Red - Drugs for specialist use only, in accordance with position summary. GP’s should not be asked to prescribe these products.  

    Red ULM

    Red ULM - Unlicensed medicines for specialist use only, in accordance with position summary. GP’s should not be asked to prescribe these products.  

    Grey

    Grey drugs - No formal commissioning position. Check appropriate CCG /NHSE commissioning list or contact CCG/NHSE Medicines Management team for advice. Fill in individual funding request for appropriate CCG/NHSE. This will need to be signed by the Chief Pharmacist and a copy of the relevant DTC submission attached.   

    Black

    Black - Drugs not routinely commissioned so should not usually be prescribed  

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