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 Formulary Chapter 5: Infections - Full Chapter
Notes:

View the UHS antimicrobial guideline here

View the South Central Antimicrobial Network guidelines for antibiotic prescribing in the community here

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 Details...
05.04.01  Expand sub section  Antimalarials
 note 
  • Treatment only on formulary.
  • Prophylaxis for travellers should be prescribed privately.
  • Seek expert advice for other protozoal infestations.
05.04.01  Expand sub section  Treatment of malaria
Artesunate
(injection)
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Formulary
Red

unlicensed unlicensed

Restricted Item for severe or complicated P.falciparum malaria

 
   
05.04.01  Expand sub section  Artemether with lumefantrine
Artemether with lumefantrine
(tablet)
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Formulary
Red

For acute uncomplicated P.falciparum malaria or as oral step down treatment following IV artesunate

 
   
05.04.01  Expand sub section  Chloroquine
Chloroquine
(tablet)
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Formulary
Amber Recommended

Restricted Item Supported only for licensed indications (Not NHS not on NHS for malaria prevention)

 

Not for use in Covid-19 treatment/prevention outside of clinical trials (see links below). Seek further advice from infection control specialist/pharmacy team.

 
Link  EMA statement: COVID-19: chloroquine and hydroxychloroquine only to be used in clinical trials or emergency use programmes April 2020
Link  MHRA Advice March 2020: Do not use hydroxychlorquine or chloroquine for Covid-19 treatment except within a clinical trial
Link  NHS England/UK Chief Medical Officers’ joint letter: Novel coronavirus: clinical trials April 2020
Link  NPA Advice for Pharmacists on sales or supply of chloroquine/hydroxychloroquine for Covid-19 treatment/prevention
   
05.04.01  Expand sub section  Mefloquine to top
Mefloquine
(tablet)
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Formulary
Amber Recommended
 
   
05.04.01  Expand sub section  Primaquine
Primaquine
(tablet)
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Formulary
Amber Recommended

unlicensed unlicensed

Restricted Item microbiology recommendation only

 
   
05.04.01  Expand sub section  Proguanil
Proguanil Hydrochloride with Atovaquone (Malarone®)
(tablet)
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Formulary
Amber Recommended
 
   
05.04.01  Expand sub section  Pyrimethamine
Pyrimethamine with Sulfadoxine
(tablet)
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Formulary
Amber Recommended

unlicensed unlicensed

 
   
05.04.01  Expand sub section  Quinine
Quinine dihydrochloride
(injection)
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Formulary
Red

unlicensed unlicensed

 
   
Quinine sulfate
(tablet)
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Formulary
Amber Recommended
 
   
05.04.01  Expand sub section  Tetracyclines to top
Doxycycline
(capsule)
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Formulary
Amber Recommended
 
   
 ....
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

Traffic Light Status Information

Status Description

Green

Suitable for prescribing by all in both primary and secondary care.  

Amber Recommended

Specialist recommended but suitable for continuation in primary care.  

Amber Initiation

Specialist initiated but suitable for continuation in primary care.  

Amber SCG

Specialist initiated and for continuation in primary care under a locally approved shared care guideline.  

Red

Suitable for prescribing in specialist settings (secondary care) only.   

Red Specialist Centre

Secondary care medicines to be used under specialised commissioning arrangements only.  

Blue

For primary care, either via FP10 or supplied through specialist services. These products may be stocked by hospital pharmacies only for supply to primary care units/wards or for continuing supplies for patients admitted on therapy.  

Black

Not recommended for use.  

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