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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
Chapter Links...
Link   NICE NG199: Clostridioides difficile infection: antimicrobial prescribing
Link   NICE NG15: Antimicrobial stewardship: systems and processes for effective antimicrobial medicine use
Link   NICE NG79: Sinusitis (acute): antimicrobial prescribing
Link   NICE NG79: Sinusitis (acute): antimicrobial prescribing (visual summary)
Link   Summary of antimicrobial prescribing guidance - managing common infections
 Details...
05.03.02.01  Expand sub section  Herpes simplex and varicella-zoster infection
Famciclovir
(Oral )
View adult BNF View SPC online View childrens BNF 		Second Choice
Green

Second line for Shingles 

 
 
Valaciclovir
(Oral presentations)
View adult BNF View SPC online View childrens BNF 		Second Choice
Green

To be used in exceptional cases only

Least cost effective option

Second line for shingles if compliance is a problem 

£££££

 
 
Aciclovir
(injection)
View adult BNF View SPC online View childrens BNF 		Formulary
Red 		 
 
Aciclovir
(Oral presentations)
View adult BNF View SPC online View childrens BNF 		Formulary
Green

 

Tablets most cost effective choice 

Dispersible tablets £

Suspension ££

 
 
Inosine Pranobex (Imunovir®)
View adult BNF View SPC online View childrens BNF 		Formulary
Red 		 
 
 ....
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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