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 Formulary Chapter 5: Infections - Full Chapter
Notes:

This formulary indicates prescribing status only, for guidance on managing infections please refer to your local antibiotic guidelines

Summary of antimicrobial prescribing guidance - managing common infections

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05.01.13  Expand sub section  Urinary-tract infections
Fosfomycin
(Sachets, Capsules)
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Formulary
Green

Second line treatment for sensitivities

 
Link  NICE CG97: Lower urinary tract symptoms in men: management
Link  Summary of antimicrobial prescribing guidance – managing common infections
Link  NICE CG54: Urinary tract infection in under 16s: diagnosis and management
 
Fosfomycin Injection
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Formulary
Red

Hospital use only under microbiological advice 

 
 
Methenamine hippurate
(Tablets)
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Formulary
Red
  • On Microbiology/Urology advice
  • Prescribing to be retained by Secondary care
 
 
Nitrofurantoin
(Tablets, MR Capsules,suspension)
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Formulary
Green

Modified release capsules preferred formulation-First line

Oral Suspension £££££

 
Link  Nitrofurantoin now contraindicated in most patients with an estimated glomerular filtration rate (eGFR) of less than 45 ml/min/1.73m2
Link  Summary of antimicrobial prescribing guidance – managing common infections
Link  Urinary tract infection information leaflet
 
Trimethoprim
(Tablets)
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Formulary
Green

Second choice in UTI

 
Link  Summary of antimicrobial prescribing guidance – managing common infections (January 2022)
Link  Urinary tract infection information leaflet
 
 ....
 Non Formulary Items
Fosfomycin  (Fomicyt ®)

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Non Formulary
Black
Fosfomycin 3g granules sachets  (Alexi ®)

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Non Formulary
Black
Fosfomycin 3g granules sachets  (Monuril ®)

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Non Formulary
Black
Nitrofurantoin  (Macrobid®)

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Non Formulary
Black
  
Key
Restricted Drug Restricted Drug
Unlicensed Drug Unlicensed
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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
ICB
ICB
Green Low Carbon

Low carbon footprint

Amber Medium Carbon

Medium carbon footprint

Red High carbon footprint

High carbon footprint

Status Description

Green

Medicines which are suitable for initiation and maintenance prescribing by primary and secondary care clinicians. These medicines should be initiated and prescribed within their licensed indications  

Amber Initiation

Amber Specialist Initiation: Initiation and maintenance of prescribing by Specialists and transfer to Primary Care prescribing when appropriate. This may be supported by a RICaD, annotated within the formulary entry.  

Amber SC

Amber Shared Care: Initiation and maintenance of prescribing by Specialists and transfer to Primary Care prescribing, in accordance with an ESCA, annotated within the formulary entry.  

Amber Recommended

Amber Specialist Recommendation: Initiation and maintenance of prescribing in Primary Care following recommendation from a specialist.  

Red

Medicines for initiation and maintenance prescribing by Specialists (hospital or GPs with Special Interest) only  

Grey

Positive NICE TA and /or awaiting local clarification on place in therapy; Please contact your Medicines Optimisation team for more information.  

Black

Non-formulary Medicines which APC/Trust DTC has actively reviewed and do not recommend for use.  

Multiple

Check Notes as varies across the area  

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