netFormulary NHS
NHS Herefordshire Clinical Commissioning Group
Wye Valley NHS Trust
 Search
 Formulary Chapter 5: Infections - Full Chapter
Notes:

Primary Care Antibiotic Guidelines

Hospital Antibiotic Guidelines

Secondary care staff: Please note that though there may be drugs listed with a Formulary status in this section, you should refer to the Acute Trust's antibiotic policy as there are some restrictions, which require microbiology approval before they can be supplied by Pharmacy.

 Details...
05.01  Antibacterial drugs
05.01  Table 1. Summary of antibacterial therapy
05.01  Table 2. Summary of antibacterial prophylaxis
05.01.01  Penicillins
05.01.01.01  Benzylpenicillin and phenoxymethylpenicillin to top
Benzylpenicillin (Crystapen®)
View adult BNF View SPC online View childrens BNF
Formulary
Green

 

No longer recommended for skin and soft tissue infections in adults

 
Link  Local Guidelines
   
Benzylpenicillin Benzathine
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red

 Unlicensed preparation. 

For use in Sexual Health clinic only for treatment of syphilis 

 
   
Phenoxymethylpenicillin
View adult BNF View SPC online View childrens BNF
Formulary
Green

 

Long term in splenectomy patients

 
   
05.01.01.02  Penicillinase-resistant penicillins
Flucloxacillin
View adult BNF View SPC online View childrens BNF
Formulary
Green

Oral and I.V.

Use at a dose of 2g IV qds for skin and soft tissue infections (ISS B and C)

 
   
05.01.01.03  Broad-spectrum penicillins
Amoxicillin
View adult BNF View SPC online View childrens BNF
Formulary
Green

Oral and I.V. 

Use Amoxicillin injection 1g tds instead of Ampicillin injection

3g oral sachets are available for use in Bronchiectasis in line with BTS guidelines

 

 
   
Co-Amoxiclav
View adult BNF View SPC online View childrens BNF
Formulary
Green

Oral and I.V.

See CSM warning re: cholestatic jaundice. Recommended first line for animal bites and in specific areas in the antibiotic guidelines e.g respiratory and urinary infections. The injection should not be used as an alternative to triple therapy for intra-abdominal sepsis

 
   
05.01.01.04  Antipseudomonal penicillins
Piperacillin and Tazobactam
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red

Neutropenic sepsis. Known Pseudomonal infection (e.g bronchiectasis, CF)

Otherwise consultant microbiologist recommendation only.

It may be used in hospital acquired pneumonia where the patient has been previously treated with co-amoxiclav. Use in other indications should be discussed with a consultant microbiologist

Please note prescriptions are monitored by pharmacy and consultant microbiologists

 
   
05.01.01.05  Mecillinams
Pivmecillinam Hydrochloride (Selexid®)
View adult BNF View SPC online View childrens BNF
Third Choice
Green 3

Complicated UTI where other options are contraindicated or unsuitable. 

Note: there is no liquid preparation available

 
   
05.01.02  Cephalosporins, carbapenems and other beta-lactums to top
05.01.02  Cephalosporins
Ceftriaxone
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red

Meningitis or meningococcal septicaemia or cerebral abscess only as per guidelines

Sexual health. See BASHH guidelines for gonorrhoea

May be used for IVOPAT.

 
Link  BASHH guidelines for Gonorrhoea
   
05.01.02  Other beta-lactam antibiotics
05.01.02.01  Cephalosporins
Cefalexin
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber

 Not recommended by microbiology – limited use in paediatric UTI

 
Link  Local Guidelines
   
Cefotaxime
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red

Paediatrics only otherwise consultant microbiologist recommendation only

 
   
Ceftazidime
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red

Paediatrics only

 
   
Ceftolozane 1g with Tazobactam 500mg (Zerbaxa®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red

Microbiologist recommendation only

 
   
Ceftriaxone
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red

Injectable preparation not suitable for primary care prescribing Refer to sexual health

 
   
05.01.02.02  Carbapenems
Ertapenem (Invanz®)
View adult BNF View SPC online View childrens BNF
Formulary
Amber

For serious infections only as per Herefordshire Antibiotic Guidelines or consultant microbiologist recommendation only.

May be used for IVOPAT

May be used first line if there is a history of infection with ESBL

 

 
Link  Local Guidelines
   
Meropenem (Meronem®)
View adult BNF View SPC online View childrens BNF
Formulary
Red

For serious infections only as per Herefordshire Antibiotic Guidelines or consultant microbiologist recommendation

 
   
05.01.02.03  Other beta-lactam antibiotics to top
Aztreonam (Azactam®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red

For serious infections only as per Herefordshire Antibiotic Guidelines or consultant microbiologist recommendation

 
   
Ceftazidime/ avibactam (Zavicefta®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red

For carbapenemase-producing enterobacteriaceae (CPE) infections – microbiologist recommendation only

 
   
Meropenem 1g with Vaborbactam 1g (Vaborem®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red

Microbiologist recommendation only

 
   
05.01.03  Tetracyclines
Doxycycline
View adult BNF View SPC online View childrens BNF
Formulary
Green

May be an option in MRSA infection. Also may be used as an adjunct to quinine in treatment of Falciparum malaria.

 
   
Oxytetracycline
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
   
05.01.03  Tigecycline
Tigecycline (Tygacil®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red

Consultant microbiologist recommendation only. For the treatment of complex soft tissue or abdominal infections 

 
   
05.01.04  Aminoglycosides
Amikacin
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red

On consultant microbiology recommendation only, or specialist ophthalmology use

 
   
Gentamicin
(injection)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red

As per Herefordshire Antibiotic Guidelines

Dosing should usually be based on 7mg/kg once daily, calculated using the Hartford nomogram, available as a gentamicin calculator on the intranet.

 

Levels should be taken 6-13 hours after the dose and re-entered into the calculator to confirm an appropriate dosage interval

The Hartford dosage schedule is not appropriate for soft tissue infections or bacterial endocarditis, Please see the Trust guidelines on the intranet link as above

Adult prophylactic doses should be 2mg/kg to a maximum of 240mg rounded to the nearest 20mg

For paediatric use please see local guidelines on intranet

For neonatal use please see departmental guidelines.

 

 
Link  Antibiotic Guidelines
Link  Gentamicin Calculator
Link  Paediatric Guidelines
   
Neomycin Sulphate
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red

Gastroenterology only for hepatic encephalopathy

 
   
Tobramycin
(Nebulised)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red
High Cost Medicine

Use in Paediatric cystic fibrosis patients only

 
   
Tobramycin
(injection)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red

Use in Paediatric cystic fibrosis patients only.

Used in a once daily regime of 7mg/kg adjusted as per trough levels

(pre-dose trough level should be less than 1mg/litre). 

 
   
05.01.05  Macrolides
Azithromycin
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber

For GUM, paediatrics and as prophylaxis in respiratory patients

 
   
Clarithromycin
View adult BNF View SPC online View childrens BNF
Formulary
Green

Oral and I.V.

As per Herefordshire Antibiotic Guidelines

 
   
Erythromycin
View adult BNF View SPC online View childrens BNF
Formulary
Green

Oral

May be used IV as a prokinetic in ICU, and surgery

 
   
05.01.06  Clindamycin to top
Clindamycin
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber

As per Herefordshire Antibiotic Guidelines

 
   
Clindamycin 150mg Capsules
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber

As per Herefordshire Antibiotic Guidelines

 
   
05.01.07  Some other antibacterials
05.01.07  Chloramphenicol
Chloramphenicol
(Systemic)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red

I.V. preparation. Suspected or proven meningitis with severe penicillin allergy only

 
   
05.01.07  Fosfomycin
Fosfomycin
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber

Use on advice of a microbiologist only – supply via hospital on GP FP10 (see guidelines).

 

 
   
05.01.07  Fusidic acid
Sodium fusidate
Restricted Drug Restricted
Amber

Oral preparation. Must be used in conjunction with a second anti-staphylococcal antibiotic as per Herefordshire Antibiotic Guidelines

 
   
05.01.07  Vancomycin and teicoplanin to top
Vancomycin
(Oral)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber

Oral vancomycin is not absorbed. Second line for C.difficile only  

 
   
Teicoplanin (Targocid®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber

Consultant microbiology recommendation only.

May be used for IVOPAT

 
   
Vancomycin
(IV)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red

MRSA/multi-resistant Gram positive infections. Suspected line sepsis in paediatric oncology patients.

Blood levels should be taken before the third dose, or second dose if renal impairment is evident. A trough level of 10-15mg/l is acceptable. For serious MRSA infections, especially pneumonia, a trough level of 15-20mg/l is required

 
Link  Neonatal Guidelines
Link  Paediatric Guidelines
   
05.01.07  Daptomycin
Daptomycin (Cubicin®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red

Consultant microbiology recommendation only. For complex MRSA bacteraemia where vancomycin MIC exceeds 2mg/ml and/or failure to respond to vancomycin or linezolid 

 
   
Daptomycin (Cubicin®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red

Consultant microbiology recommendation only. For complex MRSA bacteraemia where vancomycin MIC exceeds 2mg/ml and/or failure to respond to vancomycin or linezolid 

 
   
05.01.07  Linezolid
Linezolid
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red

Hospital only, not suitable for primary care prescribing  

 
   
05.01.07  Quinupristin and dalfopristin
05.01.07  Polymyxins
Colistimethate
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red Amber

Shared care for pseudomonas infection in bronchiectasis. Respiratory team initiation - AMBER

DO NOT prescribe for NEW CF patients. NHSE commissioned - RED

 
   
Colistimethate for nebulisation (Colomycin®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red Amber
High Cost Medicine

Shared care for pseudomonas infection in bronchiectasis. Respiratory team initiation - AMBER

DO NOT prescribe for NEW CF patients. NHSE commissioned - RED

 
   
05.01.07  Rifaximin to top
Rifaximin (Targaxan®)
(Encephalopathy)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber

 Specialist gastroenterology use. For prophylaxis of hepatic encephalopathy in line with NICE

 
   
05.01.07  Fidaxomicin
Fidaxomicin (Dificlir®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber

Consultant microbiologist or gastroenterologist recommendation only.

For C difficile refractory to metronidazole and vancomycin and for those at high risk of a relapse as per public health advice

 

 
   
05.01.08  Sulphonamides and trimethoprim
Co-trimoxazole
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber

I.V. and oral preparations.

Pneumocystis jirovecii (carinii) treatment and prophylaxis only or consultant microbiologist recommendation

This includes prophylaxis for adult and paediatric patients receiving chemotherapy

As per CSM guidance:- use in acute exacerbations of COPD and UTI is restricted to occasions where there is good bacteriological evidence of sensitivity to co-trimoxazole and good reason to prefer this combination to a single agent.

 
   
Trimethoprim
View adult BNF View SPC online View childrens BNF
Formulary
Green

Oral preparation

 
   
05.01.09  Antituberculosis drugs
Ethambutol
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber

All prescribing should be consistent with national guidelines, or under the advice of specialist chest physicians or consultant microbiologists

 
   
Isoniazid
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber

All prescribing should be consistent with national guidelines, or under the advice of specialist chest physicians or consultant microbiologists

 
   
Pyrazinamide
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber

All prescribing should be consistent with national guidelines, or under the advice of specialist chest physicians or consultant microbiologists

 
   
Rifabutin (Mycobutin®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber

All prescribing should be consistent with national guidelines, or under the advice of specialist chest physicians or consultant microbiologists

 
   
Rifampicin
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber

I.V. and oral preparations.

All prescribing should be consistent with national guidelines, or under the advice of specialist chest physicians or consultant microbiologists.

May also be used in MRSA infections, and orthopaedic joint revisions

 
   
Rifampicin and Isoniazid (Rifinah® 300)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber

All prescribing should be consistent with national guidelines, or under the advice of specialist chest physicians or consultant microbiologists

 
   
Rifampicin and Isoniazid (Rifinah® 150)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber

All prescribing should be consistent with national guidelines, or under the advice of specialist chest physicians or consultant microbiologists

 
   
Rifampicin and Isoniazid and Pyrazinamide (Rifater®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber

All prescribing should be consistent with national guidelines, or under the advice of specialist chest physicians or consultant microbiologists

 
   
Rifampicin, isoniazid, pyrazinamide and ethambutol (Voractiv®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber

All prescribing should be consistent with national guidelines, or under the advice of specialist chest physicians or consultant microbiologists

 
   
05.01.10  Antileprotic drugs
Clofazimine
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red
NHS England

For leprosy NHSE commissioned

 

 
   
Dapsone
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber

Dermatology use for dermatitis herpetiformis

 
   
Thalidomide
(Dermatology)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red

Named patient basis & restricted to Consultant Haematologists and

Consultant Dermatologist in specific indications

 
   
05.01.11  Metronidazole and tinidazole to top
Metronidazole
View adult BNF View SPC online View childrens BNF
Formulary
Green

Oral, rectal or I.V. preparations

 
   
05.01.12  Quinolones
Ciprofloxacin
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber

The widespread use of quinolones is a risk factor for C. difficile and thus the use of these agents is restricted.

Oral and I.V. preparations as per Herefordshire Antibiotic Guidelines

Ciprofloxacin has a very good bioavailability. Comparable tissue levels can be obtained by both oral and IV routes. If the patient is able to take oral medication, the IV form should be replaced by the oral tablets. 400mg twice daily IV = 750mg twice daily orally. 200mg twice daily IV = 500mg twice daily orally.

 
   
Levofloxacin
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber

The widespread use of quinolones is a risk factor for C. difficile and thus the use of these agents is restricted.

Oral and I.V. preparations as per Herefordshire Antibiotic Guidelines

In patients with immediate onset penicillin hypersensitivity only. Patients with a history of a minor rash, or a rash that occurs more than

72 hours after penicillin administration are probably not allergic to penicillin and levofloxacin should not routinely be used in these patients.

 
   
Ofloxacin
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber

Oral and I.V. preparations

Restricted to sexual health and PID only

 
   
05.01.13  Urinary-tract infections
Nitrofurantoin
View adult BNF View SPC online View childrens BNF
Formulary
Green 1
 
   
Trimethoprim
View adult BNF View SPC online View childrens BNF
Formulary
Green 2
 
   
05.02  Antifungal drugs
Amphotericin (AmBisome®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red
High Cost Medicine

Contact pharmacy technical services (ext 2997) who will reconstitute individual doses

 
   
Amphotericin (Fungizone®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red

Specialist ophthalmic use only

Contact pharmacy technical services (ext 2997) who will reconstitute individual doses

 
   
Fluconazole
View adult BNF View SPC online View childrens BNF
Formulary
Green 1

Oral and I.V. preparations

Caution: check for drug interactions

 

 
   
Griseofulvin
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber

Oral liquid

Specialist dermatology use only

 
   
Itraconazole
View adult BNF View SPC online View childrens BNF
Formulary
Green 2

Oral and I.V. preparations

2nd line alternative when 1st line not suitable

Caution: check for drug interactions

 
   
Ketoconazole (Nizoral®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red

Oral.

Specialist use only

Available as an unlicensed product for the management of ectopic cushings syndrome

 
   
Posaconazole (IV) (Noxafil®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red
High Cost Medicine

Hospital only antifungal agent (NHSE commissioned)

 
   
Posaconazole (oral) (Noxafil®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red
High Cost Medicine

Hospital only antifungal agent (NHSE commissioned)

 

 
   
Terbinafine
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
   
Voriconazole (Vfend®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red
High Cost Medicine

Hospital only antifungal agent (NHSE commissioned)

 

 
   
05.02  Treatment of fungal infections
05.02  Drugs used in fungal infections to top
Miconazole (Daktarin®)
View adult BNF View SPC online View childrens BNF
Formulary
Green 2

Oral gel. For treatment of oral thrush only.

See section 12.3.2 - Systemic absorption may follow use of oral gel and may result in significant drug interactions

 
   
Nystatin (Nystan®)
View adult BNF View SPC online View childrens BNF
Formulary
Green 2

For treatment of oral thrush only - See section 12.3.2 

 
   
05.02.01  Triazole antifungals
05.02.02  Imidazole antifungals
05.02.03  Polyene antifungals
05.02.04  Echinocandin antifungals
Anidulafungin (Ecalta®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red
High Cost Medicine

Consultant microbiologist recommendation only

 
   
05.02.05  Other antifungals to top
05.03  Antiviral drugs
05.03.01  HIV infection
05.03.01  Nucleoside reverse transcriptase inhibitors
Lamivudine (Epivir®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red
High Cost Medicine
NHS England

Antiviral for HIV or hepatitis: not suitable for primary care prescribing (NHSE commissioned)

 

 
   
Lamivudine (Zeffix®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red
High Cost Medicine
NHS England

Antiviral for HIV or hepatitis: not suitable for primary care prescribing (NHSE commissioned)

 

 
Link  NICE CG165: Chronic Hepatitis B
   
Tenofovir and Emtricitabine (Truvada®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red
High Cost Medicine

All supplies of anti-retrovirals are made through Home Care under the guidance of Dr Chima-Okereke

HIV post exposure prophylaxis is available via A&E at the County Hospital – should be given after consultation with Health@Work or out of hours a consultant microbiologist

For use in post exposure prophylaxis

 
   
Zidovudine and lamivudine
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red
High Cost Medicine
NHS England

Antiviral for HIV or hepatitis: not suitable for primary care prescribing (NHSE commissioned)

 

 
   
Zidovudine and Lamivudine (Combivir®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red
NHS England

Antiviral for HIV or hepatitis: not suitable for primary care prescribing (NHSE commissioned)

 

 
   
05.03.01  Protease inhibitors
Lopinavir and Ritonavir (Kaletra®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red
High Cost Medicine

All supplies of anti-retrovirals are made through Home Care under the guidance of Dr Chima-Okereke

HIV post exposure prophylaxis is available via A&E at the County Hospital – should be given after consultation with Health@Work or out of hours a consultant microbiologist

For use in post exposure prophylaxis

 
   
05.03.01  Non-nucleoside reverse transcriptase inhibitors to top
05.03.01  Other antiretrovirals
05.03.02  Herpesvirus infections
05.03.02.01  Herpes simplex and varicella-zoster infection
Aciclovir
View adult BNF View SPC online View childrens BNF
Formulary
Green

Oral and I.V. preparations

Also see section 11.3.3. for ophthalmic use and 13.10.3 for topical use

 
   
Valaciclovir (Valtrex®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber

For use in sexual health and ophthalmology

 
   
05.03.02.02  Cytomegalovirus infection
Ganciclovir (Cymevene®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red
High Cost Medicine

Specialist use only

 
   
Valganciclovir (Valcyte®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red
High Cost Medicine

 Specialist use only 

 
   
05.03.03  Viral hepatitis to top
05.03.03.01  Chronic hepatitis B
Entecavir (Baraclude®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red
High Cost Medicine

Specialist use only

Supplied via "Homecare". Used in accordance with NICE Technology Appraisal TA153

 
Link  NICE CG165: Hepatitis B (incorporates TA153)
Link  NICE TA153: Hepatitis B (chronic) - etecavir
   
05.03.03.02  Chronic hepatitis C
Boceprevir (Victrelis®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red
High Cost Medicine

Specialist use only

Used in accordance with NICE Technology Appraisal TA253

 
Link  NICE TA253: hepatitis
   
Glecaprevir / Pibrentasvir
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red
High Cost Medicine
NHS England

Specialist use only

Use in accordance with NICE TA499

 
Link  NICE TA499: Glecaprevir–pibrentasvir for treating chronic hepatitis C
   
Simeprevir (Olysio®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red
High Cost Medicine

Specialist use only

Used in accordance with NICE Technology Appraisal TA331

 
Link  NICE TA331: Simeprevir with peginterferon alfa & ribavirin for hepatitis C
   
Sofosbuvir (Sovaldi®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red
High Cost Medicine

Specialist use only

Used in accordance with NICE technology Appraisal TA330

 
Link  NICE TA330: Sofosbuvir for treating chronic hepatitis C
   
Telaprevir (Incivo®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red
High Cost Medicine

Specialist use only

Used in accordance with NICE Technology Appraisal TA252

 
Link  NICE TA252: Telaprevir in hepatitis C
   
05.03.04  Influenza
Oseltamivir (Tamiflu®)
View adult BNF View SPC online View childrens BNF
Formulary
Green

As per HPA advice. See detailed guidance on the Trust intranet

 
   
Zanamivir inhalation (Relenza®)
View adult BNF View SPC online View childrens BNF
Formulary
Green

As per HPA advice. See detailed guidance on the Trust intranet

 
   
Zanamivir solution for infusion
(10mg/ml)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red

In line with HPA guidelines https://www.gov.uk/government/publications/influenza-treatment-and-prophylaxis-using-anti-viral-agents

 
   
05.03.05  Respiratory syncytial virus
Palivizumab (Synagis®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red
High Cost Medicine

Consultant Paediatricians only

September 2012 Commissioning Policy. The use of palivizumab to reduce the risk of respiratory syncytial virus (rsv) in high risk infants as per the DOH Immunisation guide ("Green Book")

 
   
Ribavirin
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red
High Cost Medicine

Specialist use only

To be used in conjunction with PEG interferon alpha in accordance with NICE Technology Appraisal 200

 
Link  NICE TA106: Hepatitis C - peginterferon alfa and ribavirin
Link  NICE TA200: Hepatitis C - peginterferon alfa and ribavirin
Link  NICE TA75: Hepatitis C - pegylated interferons, ribavirin and alfa interferon
   
05.04  Antiprotozoal drugs to top
05.04.01  Antimalarials
05.04.01  Treatment of malaria
05.04.01  Falciparum malaria (treatment)
05.04.01  Benign malarias (treatment)
05.04.01  Prophylaxis against malaria to top
05.04.01  Specific recommendations
05.04.01  Artemether with lumefabtrine
05.04.01  Chloroquine
Chloroquine
View adult BNF View SPC online View childrens BNF
Formulary
Green 1

First line for treatment of benign malaria (Plasmodium vivax, P Ovale, P malariae)

 
   
05.04.01  Mefloquine
Mefloquine (Lariam®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted

Malaria prophylaxis (private: not allowed on NHS prescription)

 
   
05.04.01  Primaquine to top
Primaquine
View adult BNF View SPC online View childrens BNF
Formulary
Green

Used in treatment of benign malarias following on from chloroquine in

P ovale and P vivax infections

 
   
05.04.01  Proguanil
Proguanil Hydrochloride with Atovaquone (Malarone® Raediatric)
View adult BNF View SPC online View childrens BNF
First Choice
Green 1

First line treatment of Falciparum malaria

 
05.04.01  Pyrimethamine
Pyrimethamine (Darprim®)
View adult BNF View SPC online View childrens BNF
Formulary
Green

Used following treatment with quinine for F malaria

 
   
05.04.01  Quinine
Quinine
(malaria)
View adult BNF View SPC online View childrens BNF
Formulary

Dihydrochloride I.V. RED drug

Treatment of F malaria

 
   
05.04.01  Tetracyclines
05.04.02  Amoebicides to top
Diloxanide
View adult BNF View SPC online View childrens BNF
Formulary
Green

Specialist use only. Not stocked in WVT pharmacy. Purchased when needed . 

 
   
05.04.03  Trichomonacides
05.04.04  Antigiardial drugs
Mepacrine Hydrochloride
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber

Unlicensed product

 
   
05.04.05  Leishmaniacides
05.04.06  Trypanocides
05.04.07  Drugs for toxoplasmosis to top
05.04.08  Drugs for pneumocystis pneumonia
Atovaquone (Wellvone®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber
 
   
Pentamidine Isetionate (Pantacarinat®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red

IV preparation may be given by nebuliser using suitable equipment – consult product literature

 
   
05.04.08  Treatment
05.04.08  Prophylaxis
05.05  Anthelmintics
05.05.01  Drugs for threadworms to top
Albendazole
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red

 Unlicensed product 

 
   
Mebendazole
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
   
Piperazine
(With sennosides)
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
   
05.05.02  Ascaricides
05.05.03  Drugs for tapeworm infections
05.05.03  Taenicides
05.05.03  Hydatid disease
05.05.04  Drugs for hookworms to top
05.05.05  Schistosomicides
05.05.06  Filaricides
05.05.07  Drugs for cutaneous larva migrans
05.05.08  Drugs for strongyloidiasis
 ....
 Non Formulary Items
Abacavir  (Ziagen®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
 
Abacavir and Lamivudine  (Kivexa®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
 
Abacavir and Lamivudine and Zidovudine  (Trizivir®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
 
Aciclovir lauriad  (Sitavig)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Adefovir Dipivoxil  (Hepsera®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
Link  NICE CG165: Hepatitis B (chronic) - incorporates TA96
Link  NICE TA96: Hep B - adefovir dipivoxil and pegylated interferon alpha-2a
 
Amantadine Hydrochloride  (Symmetrel®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Aminosalicylic acid  (Granupas®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Amphotericin  (Abelcet®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
 
Amphotericin  (Amphocil®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Amphotericin  (Fungilin®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Ampicillin

View adult BNF View SPC online View childrens BNF
Non Formulary

 

Not recommended by microbiology, not included in local antibiotic prescribing guidelines – poor oral absorption

 
Ampicillin  (Penbritin®)

View adult BNF View SPC online View childrens BNF
Non Formulary

Not recommended by microbiology, not included in local antibiotic prescribing guidelines – poor oral absorption

 
Amprenavir  (Agenerase®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Artemether with lumefantrine  (Riamet®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Atazanavir  (Reyataz®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
 
Atazanavir + Cobicistat  (Evotaz®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
 
Atovaquone
(With proguanil hydrochloride)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Aztreonam nebuliser solution  (Cayston®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
 
Bedaquiline  (Sirturo® )

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
 
Bezlotuxumab  (Zinplava®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Capreomycin  (Capastat®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Caspofungin  (Cancidas®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
 
Cefaclor

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Cefaclor

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Cefadroxil

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Cefadroxil

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Cefixime  (Suprax®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Cefotaxime  (Claforan®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Cefpodoxime

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Cefpodoxime  (Orelox®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Cefradine

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Cefradine  (Velosef®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Ceftaroline  (Zinforo®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Ceftazidime  (Fortum®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Ceftazidime  (Kefadim®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Ceftobiprole  (Zevtera®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Cefuroxime

View adult BNF View SPC online View childrens BNF
Non Formulary

Not recommended by microbiology

 

 
Cefuroxime  (Zinnat®)

View adult BNF View SPC online View childrens BNF
Non Formulary

Not recommended by microbiology

 

 
Cefuroxime Axetil

View adult BNF View SPC online View childrens BNF
Non Formulary

Not recommended by microbiology

 
Cerament®

Non Formulary
 
Chloramphenicol  (Kemicetine®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Chloroquine  (Avloclor®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Chloroquine  (Malarivon®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Chloroquine  (Nivaquine®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Chloroquine  (Paludrine® Avloclor)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Cidofovir infusion  (Vistide®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
 
Clarithromycin  (Clarosip®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Clarithromycin  (Klaricid®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Clarithromycin  (Klaricid® XL)

View adult BNF View SPC online View childrens BNF
Non Formulary

No evidence of benefit over standard release tablets

 

 
Clindamycin 300mg/2mL Injection

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Co-Amoxiclav  (Augmentin-Duo®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Cobicistat  (Tybost®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
 
Co-Fluampicil

View adult BNF View SPC online View childrens BNF
Non Formulary

Not recommended by microbiology, not included in local antibiotic prescribing guidelines – poor oral absorption

 

 
Co-Fluampicil  (Magnapen®)

View adult BNF View SPC online View childrens BNF
Non Formulary

Not recommended by microbiology, not included in local antibiotic prescribing guidelines – poor oral absorption

 

 
Colistimethate inhaler  (Colobreathe®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
Link  NICE TA276: Cystic fibrosis (pseudomonas lung infection) - colistimethate sodium and tobramycin
 
Collatamp EG Sponge

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Co-trimoxazole

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Cycloserine

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Daclatasvir  (Daklinza®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
Link  NICE TA364: Daclatasvir for treating chronic hepatitis C
 
Dalbavancin

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Darunavir  (Prezista®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
 
Darunavir and Cobicistat  (Rezolsta®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
 
Dasabuvir  (Exviera®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
Link  NICE TA365: Ombitasvir–paritaprevir–ritonavir with or without dasabuvir for treating chronic hepatitis C
 
Delamanid  (Deltyba®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
 
Demeclocycline  (Ledermycin®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Didanosine  (Videx®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
 
Dolutegravir

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
 
Dolutegravir, abacavir & lamivudine  (Triumeq®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
 
Doxycycline

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Doxycycline  (Efracea® MR)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Doxycycline  (Vibramycin®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Doxycycline  (Vibramycin-D®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Efavirenz  (Sustiva®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
 
Elbasvir/Grazoprevir  (Zepatier®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
 
Emtricitabine  (Emtriva®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
 
Emtricitabine + rilpivirine + tenofovir alafenamide  (Odefsey®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
 
Emtricitabine + tenofovir alafenamide  (Descovy®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Emtricitabine + tenofovir alafenamide  (Descovy®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Emtricitabine + tenofovir alafenamide  (Descovy®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Emtricitabine 200mg, Rilpivirine 25mg and Tenofovir 245mg  (Eviplera®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
 
Emtricitabine, rilpivirine, & tenofovir alafenamide  (Odefsey ®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
 
Enfuvirtide  (Fuzeon®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
 
Erythromycin
(Erythromycin lactobionate)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Erythromycin
(Erythromycin ethyl succinate)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Erythromycin  (Erymax®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Erythromycin  (Erythrocin®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Erythromycin  (Erythroped®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Erythromycin  (Erythroped® A)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Etravirine  (Intelence®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
 
Famciclovir  (Famvir®)

View adult BNF View SPC online View childrens BNF
Non Formulary

Two cost effective alternatives on formulary

 

 
Fluconazole  (Diflucan®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Flucytosine  (Ancotil®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Fosamprenavir  (Telzir®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
 
Foscarnet Sodium  (Foscavir®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
 
Gentamicin
(Isotonic gentamicin injection)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Gentamicin
(Nebulised)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Gentamicin  (Cidomycin®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Griseofulvin  (Fulsovin®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Herafill® beads G

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Imipenem with Cilastatin

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Imipenem with Cilastatin (IM Injection)  (Primaxim®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Indinavir  (Crixivan®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
 
Inosine Pranobex  (Imunovir®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Isavuconazole  (Cresemba®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Lamivudine & raltegravir  (Dutrebis®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
 
Ledipasvir and Sofosbuvir  (Harvoni®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
Link  NICE TAG63: Ledipasvir–sofosbuvir for treating chronic hepatitis C
Link  NICE TA430 : Sofosbuvir–velpatasvir for treating chronic hepatitis C
 
Levofloxacin  (Quinsair®)
(Inhaled)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
 
Lymecycline  (Tetralysal® 300)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Maraviroc  (Celsentri®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
 
Methenamine Hippurate  (Hiprex®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Metronidazole
(Trichomonacides)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Metronidazole
(giardia)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Metronidazole
(amoebic dysentry)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Metronidazole  (Flagyl®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Metronidazole  (Flagyl® S)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Metronidazole  (Metrolyl®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Micafungin  (Mycamine®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
 
Minocycline

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Minocycline  (Acnamino® MR)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Minocycline  (Minocin® MR)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Minocycline  (Sebomin® MR)

View adult BNF View SPC online View childrens BNF
Non Formulary

See Herefordshire LPT

 

 
Moxifloxacin

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Moxifloxacin
(Avelox(r))

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Nalidixic Acid  (Uriben®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Nelfinavir  (Viracept®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
 
Netilmicin  (Netillin®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Nevirapine  (Viramune®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
 
Niclosamide

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Norfloxacin

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Norfloxacin  (Utinor®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Ombitasvir/ paritaprevir/ ritonavir  (Viekirax®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
Link  NICE TA365: Ombitasvir–paritaprevir–ritonavir with or without dasabuvir for treating chronic hepatitis C
 
Oritavancin  (Orbactiv®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Piperazine

View adult BNF View SPC online View childrens BNF
Non Formulary
 
PRAZIQUANTEL Tablets 500 mg

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Pristinamycin

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Procaine Penicillin G Injection

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Proguanil Hydrochloride
(With chloroquine)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Proguanil Hydrochloride  (Paludrine®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Prothionamide

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Pyrimethamine and Dapsone

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Pyrimethamine with Sulfadoxine  (Fansidar®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Quinine Bisulphate

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Quinupristin and dalfopristin  (Synercid®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Raltegravir  (Isentress ®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
 
Ribavirin  (Copegus®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Ribavirin  (Rebetol®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Ribavirin  (Virazole®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Rifaximin  (Xifaxanta®)
(C.Diff and SIBO)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Rilpiverine, emtrictabine and tenofovir alafenamide

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Rilpivirine hydrochloride  (Edurant®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
 
Ritonavir  (Norvir®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
 
Saquinavir  (Invirase®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
 
Sinecatechins  (Veregen)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Sodium Stibogluconate  (Pentostam®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Sofosbuvir and Velpatasvir  (Epclusa®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
Link  NICE TA507: Sofosbuvir–velpatasvir–voxilaprevir for treating chronic hepatitis C
 
SPL7013  (VivaGel®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Stavudine  (Zerit®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
 
Streptomycin Sulphate

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Sulfadiazine

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Sulfadiazine

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Tedizolid  (Sivextro®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Telavancin

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Telithromycin  (Ketek®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Temocillin  (Negaban®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Tenofovir 245mg, Efavirenz 600mg and Emtricitabine 200mg  (Atripla®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
 
Tenofovir alafenamide fumarate  (Vemlidy®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Tenofovir alafenamide, elvitegravir, cobicistat & emtricitabine  (Genvoya®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
 
Tenofovir Disproxil  (Viread®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
Link  NICE TA173: Hepatitis B (chronic) - tenofovir disoproxil
 
Tenofovir, cobicistat, elvitegravir & emtricitabine  (Stribild®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
 
Tetracycline

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Tetracycline  (Deteclo®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
TIABENDAZOLE 500mg tabs

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Ticarcillin with clavulanic acid  (Timentin®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Tinidazole

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Tinidazole  (Fasigyn®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Tipranavir  (Aptivus®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
 
Tobramycin  (Bramitob®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Tobramycin inhaler  (TOBI Podhaler®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
Link  NICE TA276: Cystic fibrosis (pseudomonas lung infection) - colistimethate sodium and tobramycin
 
Zidovudine  (Retrovir®)

View adult BNF View SPC online View childrens BNF
Non Formulary
High Cost Medicine
 
  
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
SMC
Scottish Medicines Consortium
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

Suitable for use in primary care  

Amber

Specialist initiation. Shared care in place  

Red

Red do not use..  

Advice

Some formulations restricted  

Black

NICE "Do not do"  

Green 1

1st line option  

Green 2

2nd line option  

Green 3

3rd line option only  

Not Recomended / Black

Low Value Medicine not recommended for use - see NHSE guidelines  

OTC

This preparation should be bought over the counter for self-care  

Red Amber

Check product description for traffic light status  

Red Black

Low Value Medicine  

netFormulary