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 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. 
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05.01.05  Expand sub section  Macrolides
Azithromycin
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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
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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)
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Green
 
Link  Primary care antimicrobial guidelines 2017
   
Clarithromycin (injection)
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Red
 
   
Erythromycin (tablets)
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Green
 
Link  Primary care antimicrobial guidelines 2017
Link  Meds Q&A: Is there an interaction between erythromycin and statins?
   
Erythromycin Ethyl succinate (oral suspension)
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Green
 
   
Erythromycin Lactobionate (Injection)
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Red
 
   
 ....
 Non Formulary Items
Telithromycin  (Ketek)

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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
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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.  

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