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 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...
05.02  Expand sub section  Antifungal drugs
Amphotericin (AmBisome)
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Restricted Drug Restricted
Red
High Cost Medicine

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

 
   
Amphotericin (Fungizone)
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Restricted Drug Restricted
Red

Specialist ophthalmic use only

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

 
   
Fluconazole
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Formulary
Green 1

Oral and I.V. preparations

Caution: check for drug interactions

 

 
   
Griseofulvin
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Restricted Drug Restricted
Amber

Oral liquid

Specialist dermatology use only

 
   
Itraconazole
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Formulary
Green 2

Oral and I.V. preparations

2nd line alternative when 1st line not suitable

Caution: check for drug interactions

 
   
Ketoconazole (Nizoral)
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Restricted Drug Restricted
Red

Oral.

Specialist use only

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

 
   
Posaconazole (IV) (Noxafil)
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Restricted Drug Restricted
Red
High Cost Medicine

Hospital only antifungal agent (NHSE commissioned)

 
   
Posaconazole (oral) (Noxafil)
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Restricted Drug Restricted
Red
High Cost Medicine

Hospital only antifungal agent (NHSE commissioned)

 

 
   
Terbinafine
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Formulary
Green
 
   
Voriconazole (Vfend)
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Restricted Drug Restricted
Red
High Cost Medicine

Hospital only antifungal agent (NHSE commissioned)

 

 
   
05.02  Expand sub section  Treatment of fungal infections
05.02  Expand sub section  Drugs used in fungal infections
Miconazole (Daktarin)
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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)
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Formulary
Green 2

For treatment of oral thrush only - See section 12.3.2 

 
   
05.02.01  Expand sub section  Triazole antifungals
05.02.02  Expand sub section  Imidazole antifungals to top
05.02.03  Expand sub section  Polyene antifungals
05.02.04  Expand sub section  Echinocandin antifungals
Anidulafungin (Ecalta)
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Restricted Drug Restricted
Red
High Cost Medicine

Consultant microbiologist recommendation only

 
   
05.02.05  Expand sub section  Other antifungals
 ....
 Non Formulary Items
Amphotericin  (Abelcet)

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Non Formulary
High Cost Medicine
 
Amphotericin  (Amphocil®)

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Non Formulary
 
Amphotericin  (Fungilin)

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Non Formulary
 
Caspofungin  (Cancidas)

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Non Formulary
High Cost Medicine
 
Fluconazole  (Diflucan®)

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Non Formulary
 
Flucytosine  (Ancotil)

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Non Formulary
 
Griseofulvin  (Fulsovin®)

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Non Formulary
 
Isavuconazole  (Cresemba)

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Non Formulary
 
Micafungin  (Mycamine)

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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  

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