netFormulary North of Tyne and Gateshead Area Prescribing Committee NHS
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 Formulary Chapter 5: Infections - Full Chapter
05.01.04  Expand sub section  Aminoglycosides
Amikacin
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Formulary
Red
  • Restricted for use on microbiology/infectious diseases advice, or as agreed in Trust Guidelines.
 
   
Gentamicin
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Formulary
Red
  • 80mg in 2ml & 20mg in 2ml IV/IM injections
  • 5mg in 1ml intrathecal injection
  • bone cement & beads (for use in orthopaedic surgery) unlicensedunlicensed.
 
   
Neomycin
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Formulary
Red
  • 500mg tablets
  • 1g in 10ml syrup unlicensedunlicensed.
 
   
Tobramycin
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Formulary
Red
High Cost Medicine
  • Restricted for use on microbiology/infectious diseases advice, or as agreed in Trust Guidelines.
    • 80mg in 2ml & 240mg in 6ml injections.
    • 300mg in 4ml (Bramitob®).
    • 300mg in 5ml (Tobi®).
    • TOBI Podhaler.

  • Inhaled preparations to be used for treatment of Cystic Fibrosis in accordance with NHS England Commissioning Policy/NICE Guidance.   
 
Link  Clinical Commissioning Policy: Inhaled Therapy for Adults and Children with Cystic Fibrosis
Link  TA276:Colistimethate sodium and tobramycin dry powders for inhalation for treating pseudomonas lung infection in cystic fibrosis
   
Gentamicin
(Nebulised)
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Unlicensed Drug Unlicensed
Green plus
  • For long term therapy in non-cystic fibrosis bronchiectasis usually in patients having > 3 exacerbations per annum with an organism identified as being sensitive to gentamicin.
 
Link  Nebulised Gentamicin Information for Treatment of Adults in Primary Care
   
Spectinomycin
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Unlicensed Drug Unlicensed
Red
  • Only approved for the treatment of gonorrhoea in adults.

 

 
   
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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
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Link to children's BNF
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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

Drugs for hospital use only. The responsibility for initiation and monitoring treatment should rest with an appropriate hospital clinician and the drug should be supplied through the hospital throughout the duration of treatment. In some very exceptional circumstances (e.g. due to distance from the hospital, storage, supply or mobility/transport problems) it may be appropriate for the GP to be asked to prescribe a Red drug. This should be negotiated on an individual patient basis and should only be done with the GP’s prior informed agreement where the roles of the GP and hospital services are clearly defined and agreed. The GP should not feel under pressure to prescribe in these circumstances.   

Amber

Drugs initiated by hospital specialist, but where continuing treatment by GPs may be appropriate under a shared care arrangement. The specialist should send the GP a copy of the shared care agreement to sign. The GP should sign the shared care agreement, or indicate they do not want to be part of such an agreement, and return a copy back to the specialist. Shared care guidelines are available or are being developed for most of the drugs listed as Amber. If no shared care guideline is available, the hospital specialist should provide the patient’s GP with sufficient information and support to allow treatment to be continued and managed safely in primary care.  

Green plus

Drugs normally recommended or initiated by hospital specialist, but where the provision of an information leaflet may be appropriate to facilitate continuing treatment by GPs. Many of these information sheets are in the process of development.  

Green

Drugs where prescribing by GPs is appropriate. Drugs not classified as Red, Amber or Green Plus (formerly blue in North of Tyne) are generally classified as ‘Green’ by default. The Green drugs listed here include those products normally initiated by hospital specialists where there was a need for discussion and debate as to the category in which they should be placed.  

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