netFormulary Birmingham, Sandwell, Solihull and environs APC Formulary NHS
Maintained by Midlands and Lancashire Commissioning Support Unit  
 Search
 Formulary Chapter 5: Infections - Full Chapter
Notes:
Broad-spectrum antibiotics SHOULD NOT be used outside of the Primary Care Antimicrobial Guidelines, unless recommended by a specialist, in line with antimicrobial stewardship.
Please be aware that all GREEN drugs are only green if used in line with antimicrobial guidelines. 
Chapter Links...
 Details...
05.01.05  Expand sub section  Macrolides
Azithromycin
View adult BNF View SPC online View childrens BNF
Formulary


Green Traffic Light  Tablets/ suspension. When used in line with Primary care antimicrobial guidelines


Amber Traffic Light  Tablets only. For COPD or bronchiectasis patients who have ≥3 exacerbations per year. Off-label use. Supported by RICaD and Guidelines on Respiratory use of long term azithromycin in adults


  • Do not prescribe azithromycin as stand-alone medication for the indication of gonorrhoea. Refer to GUM clinic for IM ceftriaxone as per current UK guidelines
  • Link  Chief Medical Officer letter to General Practitioners (December 2015)
       
    Azithromycin (capsules)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Red
  • Do not prescribe azithromycin as stand-alone medication for the indication of gonorrhoea. Refer to GUM clinic for IM ceftriaxone as per current UK guidelines
  • Link  Chief Medical Officer letter to General Practitioners (December 2015)
       
    Clarithromycin (oral presentations)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green
     
       
    Clarithromycin (injection)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Red
     
       
    Erythromycin (tablets)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green
     
    Link  Meds Q&A: Is there an interaction between erythromycin and statins?
       
    Erythromycin Ethyl succinate (oral suspension)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green
     
       
    Erythromycin Lactobionate (Injection)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Red
     
       
     ....
     Non Formulary Items
    Telithromycin  (Ketek®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
     
      
    Key
    note Notes
    Section Title Section Title (top level)
    Section Title Section Title (sub level)
    First Choice Item First Choice item
    Non Formulary Item Non Formulary section
    Restricted Drug
    Restricted Drug
    Unlicensed Drug
    Unlicensed
    Track Changes
    Display tracking information
    click to search medicines.org.uk
    Link to adult BNF
    click to search medicines.org.uk
    Link to children's BNF
    click to search medicines.org.uk
    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
    CCG
    CCG

    Traffic Light Status Information

    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 and maintenance of prescribing by Specialists and transfer to Primary Care prescribing when appropriate, or initiation and maintenance of prescribing in Primary Care following recommendation from a Specialist.

    Some amber medicines require agreement with the local (internal) medicines committee prior to initiation; others may require a framework to support safe transfer and maintenance of care such as a RICaD or ESCA. The Formulary will be annotated to reflect these requirements.   

    Red

    Medicines for initiation and maintenance prescribing by Specialists only  

    Black

    Non-formulary medicines- medicines not recommended for routine primary care prescribing.  

    Grey

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

    netFormulary