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 Formulary Chapter 5: Infections - Full Chapter
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05.01.05  Expand sub section  Macrolides
Clarithromycin
(Oral)
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First Choice
Green

In line with SCAN guidelines.

APCO March 2014. 

 
Azithromycin
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Formulary

Green Traffic Light  In line with SCAN guidelines.

Amber Traffic Light  For continuation in patients with cystic fibrosis.

APCO March 2003.

 
Link  NICE Evidence Summary: long-term azithromycin for cystic fibrosis
Link  NICE evidence summary: Long-term azithromycin for non-CF bronchiectasis
   
Erythromycin
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Formulary

Green Traffic Light  In line with SCAN guidelines.

Amber Traffic Light  Prokinetic erythromycin should only be used in critically ill patients when other treatments have failed due to risk of resistance - UKMI Q&A dose advice.

 
Link  NICE Evidence summary: Erythromycin for gastroparesis in adults
Link  UKMI Q&A: Erythromycin and Statins Interaction
Link  UKMI Q&A: Optimal prokinetic dose of erythromycin in adults
   
Clarithromycin
(Injection)
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Formulary
Red

Secondary care use only. 

APCO July 2010.

 
   
 ....
 Non Formulary Items
Telithromycin  (Ketek®)

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Non Formulary
Black

Not recommended for use, please refer to SCAN guidelines.

APCO July 2010.

 
  
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
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Link to adult BNF
click to search medicines.org.uk
Link to children's BNF
click to search medicines.org.uk
Link to SPCs
SMC
Scottish Medicines Consortium
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

Red

Red: Medicines which should only be prescribed in secondary care by a specialist.  

Amber Continuation

Amber Continuation: Medicines which should be initiated or recommended by a specialist for continuation in primary care. The specialist must notify the GP that the prescribing responsibility has been transferred.   

Amber Shared Care Protocol

Amber Shared Care Protocol: Medicines which are appropriate to be initiated and stabilised by a specialist, once stabilised the medicine may be appropriate for responsibility to be transferred from secondary to primary care with the agreement of a GP and a formal ‘shared care’ agreement. The shared care protocol must be approved by the Area Prescribing Committee Oxfordshire (APCO).   

Green

Green: Medicines which are suitable for initiation and ongoing prescribing within primary care.   

Brown

Brown: Medicines which should only be prescribed in restricted circumstances.  

Black

Black: Medicines which are not recommended for use because of lack of evidence of clinical effectiveness, cost effectiveness or safety.  

OCCG Green

not used  

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