nhs forth valley formulary 11 - Community Pharmacy

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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.
Forth Valley Formulary Eleventh Edition 2012/13Chapter/Section/Drug Primary Care AcuteCHPsMentalHealthSpecialtiesServices5.1.8 Sulphonamides and trimethoprimTrimethoprim Co-Trimoxazole Comment Co-trimoxazole to be restricted for treatment and prophylaxis of Pneumocystis Pneumonia,Stenotrophomonas multiphilia or following microbiological advice5.1.9 Antituberculous drugsEthambutol Hydrochloride Isoniazid Pyrazinamide Rifampicin Rifater® Rifinah® 150 & 300 Streptomycin Amikacin (see section 5.1.4) Ciprofloxacin (see section 5.1.12) 5.1.10 Antileprotic drugsDapsone 5.1.11 Metronidazole and tinidazoleMetronidazole 5.1.12 QuinolonesCiprofloxacin (1 st line use only in acute pyelonephritis & prostatitis)MoxifloxacinNorfloxacin (Spontaneous Bacterial Peritonitis prophylaxis)OfloxacinComment Moxifloxacin restricted to 2nd line treatment in Community Acquired Pneumonia and inexacerbations of COPD in penicillin allergic patients.Ofloxacin restricted to Orchitis, prostatitis and Pelvic Inflammatory Disease only.Norfloxacin for prostatitis and prophylaxis of infection in ascites.5.1.13 Urinary-tract infectionsNitrofurantoin 5.2 Antifungal drugsAmphotericin (I.V.)Fluconazole (IV & Oral) Comment Fluconazole capsules 1st line in oral thrush in adults. ( 50mg daily for 7 – 14 days )Nystatin oral suspension for Orophanyngeal fungal infections in children (see section 13.3.2)Flucytosine (IV)Itraconazole Nystatin Terbinafine Voriconazole (IV & Oral)Comment Voriconazole should only be used following microbiological advice5.3 Antiviral drugs5.3.1 HIV InfectionComment See F.V. GUM list (Appendix 13)5.3.2 Herpes virus infectionsAciclovir (1st line) Famciclovir (2nd line if compliance is a problem) Page 25
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Page 7 and 8: ContentsChapter 5: Infections 245.1
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nhs forth valley formulary 11 - Community Pharmacy

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