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 Formulary Chapter 5: Infections - Full Chapter
Notes:

Secondary care : 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 found here as there are some restrictions, which require microbiology approval before they can be supplied by Pharmacy.

Primary Care - refer to local guidance for more advice

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05.01.04  Expand sub section  Aminoglycosides
 note  Secondary care staff: Please refer to the extended interval aminoglycoside guideline for information on prescribing and monitoring of gentamicin and tobramycin
Amikacin
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Formulary
Red
 
 
Gentamicin
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Formulary
Red

Nebulised gentamicin is supported as a second line option for eradication of Pseudomonas aeruginosa in patients with non-CF bronchiectasis who have ≥3 exacerbations per year who are colonised with Pseudomonas aeruginosa and are resistant to or cannot tolerate colistimethate sodium; with Microbiology approval. 

 
 
Neomycin Sulphate
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Formulary
Red
 
 
Tobramycin
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Formulary

In line with NICE TA276; commissioned by NHS England.

Nebulised solution for Cystic Fibrosis patients only.

RED New Patients to this treatment should be managed by the cystic fibrosis centre.
AMBER GPs should continue to prescribe for existing patients, which are commissioned by the CCG (when delivered via nebulisation/inhalation). GPs should not take on any new prescribing of this drug. 
 
Link  NICE TA276 Colistimethate sodium and tobramycin dry powders for inhalation for treating pseudomonas lung infection in cystic fibrosis
 
 ....
 Non Formulary Items
Netilmicin  (Netillin)

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Non Formulary
  
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
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Link to adult BNF
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Link to children's BNF
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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

Red

Secondary care only, not to be prescribed in primary care.   

Amber 2

Specialist initiation with shared care guidance Medicines which should be initiated in secondary care by the specialist with follow-on prescription and monitoring according to a specific Shared Care (SC) Guideline. Prescribing may be continued in primary care in line with a shared care guideline   

Amber with Shared Care

Specialist initiation with shared care guidance Medicines which should be initiated in secondary care by the specialist with follow-on prescription and monitoring according to a specific Shared Care (SC) Guideline. Prescribing may be continued in primary care in line with a shared care guideline   

Amber

Considered suitable for primary care prescribing following specialist initiation/recommendation.  

Green

Considered appropriate for prescribing in both secondary and primary care. Suitable for initiation in primary care.   

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