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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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05.02  Expand sub section  Antifungal drugs
Amphotericin
(Infusion)
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Formulary
Red
 
 
Amphotericin
(Lipid Complex Infusion)
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Formulary
Red
 
 
Amphotericin (AmBisome ®)
(IV Infusion)
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Formulary
Red
 
 
Amphotericin (Fungizone ®)
(IV Infusion)
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Formulary
Red
 
 
Flucytosine
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Formulary
Red
 
 
Nystatin
(Oral suspension)
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Formulary
Green

Not sugar Free

 
Link  Summary of antimicrobial prescribing guidance – managing common infections
 
Terbinafine
(Tablets)
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Formulary
Green
 
Link  Summary of antimicrobial prescribing guidance – managing common infections
 
05.02.01  Expand sub section  Triazole antifungals
Fluconazole
(Oral presentations)
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Formulary
Green

Capsules 

Suspension - Only for patients with swallowing difficulties 

 
Link  Summary of antimicrobial prescribing guidance – managing common infections
Link  UKMI Q&A: Can oral fluconazole be used with breastfeeding?
 
Fluconazole
(infusion)
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Formulary
Red
 
 
Isavuconazole
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Formulary
Red
 
 
Itraconazole
(Injection)
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Formulary
Red
 
 
Itraconazole (oral presentations)
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Formulary
Green

Capsules more cost effective

SF Liquid £££££

 
Link  Summary of antimicrobial prescribing guidance – managing common infections
 
Posaconazole
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Formulary
Red
 
 
Voriconazole
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Formulary
Red
 
 
05.02.02  Expand sub section  Imidazole antifungals
Ketoconazole
(Oral)
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Formulary
Red

Specialist use only

 
Link  MHRA alert: Risk of hepatotoxicity with oral ketoconazole
 
05.02.03  Expand sub section  Polyene antifungals
05.02.04  Expand sub section  Echinocandin antifungals to top
Anidulafungin
(IV)
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Formulary
Red
 
 
Caspofungin
(injection)
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Formulary
Red
 
 
Micafungin
(infusion)
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Formulary
Red
 
 
05.02.05  Expand sub section  Other antifungals
Flucytosine (Ancotil®)
(infusion)
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Formulary
Red
 
 
Griseofulvin
(Oral presentations)
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Formulary
Green
 
 
Sotrovimab
(IV)
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Formulary
Red
 
 
 ....
 Non Formulary Items
Fluconazole

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Non Formulary

Capsules 

Suspension - Only for patients with swallowing difficulties 

Griseofulvin  (Fulsolvin®)

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Non Formulary
  
Key
Restricted Drug Restricted Drug
Unlicensed Drug Unlicensed
click to search medicines.org.uk
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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