Fosfomycin |
Fosfomycin GP pathway protocol updated 0916 [361 KB] |
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AMBER Fosfomycin 3g sachets (prescribe as Monuril®) |
Only to be given on advice of consultant microbiologist -Refer to pathway above |
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RED Fosfomycin injection (Fomicyt®) |
On advice of consultant microbiologist only. |
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Clostridiodes difficile infection - NICE NG199 | Vancomycin [oral] - 1st line | GREEN Vancomycin capsules 125mg, | Fidaxomicin - 2nd line | AMBER Fidaxomicin 200mg tablets (Consultant Microbiologist Initiation only) | |
Click here for stock availability in community pharmacy |
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Chloramphenicol |
RED Chloramphenicol injection 1g |
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Polymyxins |
Colistimethate sodium DPI is recommended as an option for treating chronic pseudomonas lung infections in cystic fibrosis as |
per NICE (TAG276) only if: |
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> they would clinically benefit from continued colistimethate sodium but do not tolerate it in its nebulised form and |
thus tobramycin therapy would be considered and |
> the manufacturer provides colistimethate sodium DPI with the discount agreed as part of the patient access scheme |
to primary, secondary and tertiary care in the NHS |
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RED Colistimethate sodium dry powder |
(Colobreathe® inhalation powder capsules) |
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> Colistimethate is RED Traffic Light where prescribing has been initiated on or after 1st April 2013. |
> Where prescribing was initiated prior to April 1st 2013 the traffic light status may remain amber until repatriation of |
patientshas been agreed by NHS England, local commissioners and providers |
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Colistemethate for nebulisation |
Colomycin in Bronchiectesis [non Cystic Fibrosis] – is recommended when long term nebulised therapy is being |
considered. Delivered by nebulisation/inhalation. |
Specialist initiation. Training and education regarding use of nebuliser to be provided by specialist. |
AMBER Colistimethate injection 1million unit (Colomycin)* |
See Prescribing Information Sheet |
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AMBER Gentamicin injection 10mg/mL, 80mg/2mL (2nd line alternative to colistin) |
(delivered by inhalation/nebulisation) |
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Cystic fibrosis | RED Colistimethate sodium, powder for reconstitution 1million-unit & 2 million-unit vial [NHS England Commissioned] | | |
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Fusidic acid |
GREEN Sodium fusidate |
tablets 250mg |
suspension (fusidic acid) 250mg/5mL |
RED Sodium fusidate infusion 500mg (on advice of Consultant Microbiologist only) |
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Rifaximin |
AMBER Rifaximin tablets 550mg ( NICE TAG337) |
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Rifaximin as second line antibacterial treatment for the treatment of Small Intestinal Bacterial Overgrowth |
To be initiated by specialist and prescribing retained within secondary care. |
RED Rifaximin [Targaxan® 550mg tablets, Xifaxanta® 200mg tablets] |
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Vancomycin and teicoplanin |
GREEN Vancomycin capsules 125mg, |
RED Vancomycin injection 500mg, 1g |
AMBER Teicoplanin injection 200mg, 400mg |
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Dalbavancin |
RED Dalbavancin 500mg powder for concentrate for infusion |
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Linezolid |
AMBER Linezolid (on advice of Consultant Microbiologist only) see prescribing information sheet |
tablets 600mg |
RED infusion 2mg/mL (600mg/300mL) |
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