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Herefordshire & Worcestershire
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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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05.01.05  Expand sub section  Macrolides
Azithromycin
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Formulary
Green

Do not prescribe azithromycin as a stand-alone medication for the indication of gonorrhoea. Refer to Sexual Health Clinic for IM ceftriaxone as per UK guidelines.

 
Link  CMO letter on antimicrobial resistance in Gonorrhoea
 
Clarithromycin
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Formulary
Green
 
 
Erythromycin
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Formulary
Green

To be prescribed as erythromycin 250mg gastro-resistant tablets.

 
 
Erythromycin Lactobionate Injection
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Restricted Drug Restricted
Red

For use in pregnancy only

 
 
 ....
 Non Formulary Items
telithromycin  (Ketek)

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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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