nhs forth valley formulary 11 - Community Pharmacy

Forth Valley Formulary Eleventh Edition 2012/13Chapter/Section/Drug Primary Care AcutePage 24CHPsMentalHealthSpecialtiesServices5 InfectionsComment Please refer to appropriate guidelines for specific indications• Primary Care Management of Infection Guidance• Forth Valley GUM List (Appendix 13)• Patients receiving Chemotherapy Who Become Unwell –Guidance for Community Healthcare Practitioners(Appendix 17)• British Lymphology Society – Consensus Document on the Management of Cellulitis in Lymphoedemahttp://www.lymphoedema.org/lsn5.1 Antibacterial drugs5.1.1 PenicillinsBenzylpenicillin Penicillin V Flucloxacillin Amoxicillin Co-amoxiclav (Generally not 1 st line in Primary Care)Piperacillin and tazobactam (Tazocin®)Comment Tazocin® only to be used following microbiological advice.5.1.2 Cephalosporins, cephamycins and other beta-lactamsCefalexin (for UTI) Cefotaxime (I.V.) Comment Cefotaxime I.V restricted for paediatrics / neonates. Use in Primary Care for Treatment ofInvasive Meningococcal disease in children and young people – SIGN 102CeftazidimeCeftriaxoneMeropenem- (Restricted use, seek microbiology advice)Comment Aztreonam used only following microbiological advice in Cystic Fibrosis.5.1.3 TetracyclinesDoxycycline Lymecycline (2nd line in acne) Oxytetracycline Tetracycline Comment Oral Tetracycline in combination with other agents for MRSA infection only.Tetracycline Injection is an unlicensed preparation5.1.4 AminoglycosidesGentamicinNeomycinTobramycin (Paediatric Cystic Fibrosis only) Comment Tobramycin restricted to use in Cystic Fibrosis only.5.1.5 MacrolidesErythromycin Azithromycin (For use in PrimaryCare for Chlamydia)Clarithromycin 5.1.6 ClindamycinClindamycin5.1.7 Some other antibacterialsChloramphenicolColistimethate [Colistin ] (Cystic Fibrosis only) Linezolid (Restricted use, seek microbiology advice)Sodium fusidate Vancomycin Teicoplanin (Restricted use–Haematology or on Microbiology advice) Comment Sections 5.1.6 & 5.1.7 - Above products only to be used following microbiological advice.