netFormulary Coventry and Warwickshire Area Prescribing Committee NHS
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 Formulary Chapter 5: Infections - Full Chapter
05.02  Expand sub section  Antifungal drugs
Amphotericin
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Red SO
Treatment of systemic fungal infections when toxicity precludes the use of conventional amphotericin
 
   
Amphotericin (AmBisome®)
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Red SO
Treatment of mycoses where toxicity precludes the use of conventional amphoteracin, aspergillosis and visceral leishmaniasis
 
   
Amphotericin infusion (Fungizone®)
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Red SO
Treatment of systemic fungal infections
 
   
Isavuconazole
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Red SO
Treatment of invasive aspergillosis and mucormycosis in patients for whom amphotericin B is inappropriate
 
   
Posaconazole
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Red SO
Treatment of invasive aspergillosis, chromoblastomycosis, fusariosis, mycetoma and coccidioidomycosis
 
   
Voriconazole
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Red SO
Treatment of fungal infections
 
   
05.02  Expand sub section  Treatment of fungal infections
05.02  Expand sub section  Drugs used in fungal infections
05.02.01  Expand sub section  Triazole antifungals
05.02.02  Expand sub section  Imidazole antifungals to top
05.02.03  Expand sub section  Polyene antifungals
05.02.04  Expand sub section  Echinocandin antifungals
Anidulafungin
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Red SO
Treatment of invasive candidiasis
 
   
Caspofungin infusion
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Red SO
Treatment of invasive aspergillosis and invasive candidiasis, empirical treatment of systemic fungal infections in patients with neutropenia
 
   
Micafungin (Mycamine®)
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Red SO
Treatment of systemic fungal infections and prophylaxis of candida infections in stem cell transplantation
 
   
05.02.05  Expand sub section  Other antifungals
Fluconazole infusion
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Red SO
Treatment of fungal infections, prophylaxis of crytopcoccal meningitis, oropharyngeal or oesophageal candidiasis in HIV patients, candidal infections in prolonged neutropenia
 
   
Flucytosine
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Red SO
Treatment of systemic yeast and fungal infections and cryptococcal meningitis
 
   
 ....
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
Blueteq
High Cost Drug Approval System

Traffic Light Status Information

Status Description

Preferred

Clinicians are free to prescribe these drugs. They are regarded as cost effective choices which have evidence to support their use.  

Second Line

These drugs should only be prescribed in the scenarios described in the formulary after preferred drug(s) have been ruled out.  

Non Formulary

Non-formulary choice - the vast majority of a patient’s needs should be met by use of formulary preferred choices and second line options when appropriate. Therefore the Clinician should only use a non-formularly drug if this can be justified and it is recommended that all such instances are recorded in the patient record.  

Green SA

Specialist Advised – Specialists may simply advise a patient’s GP to initiate these drugs themselves after they have made an initial assessment. Note: SA drugs can be initiated by the specialist according to patient need and also depending on local commissioning arrangements which may mandate, through the contract between provider and commissioner, that all SA drugs are treated as SI.  

Green SI

Specialist Initiation - These drugs must be initiated, i.e. the first dose prescribed, by the specialist and then may be continued when appropriate by the patient’s GP following communication from the specialist.  

Amber SC

Shared Care - Responsibility for prescribing may be transferred from secondary to primary care with the agreement of an individual GP and when agreed shared care arrangements have been established. The specialist MUST stabilize the patient before asking for care to be transferred. Only specialists should initiate these drugs. Prescribing should be transferred to GPs according to an Shared Care Agreement [SCA]   

Red SO

Specialist Only - These drugs are deemed to be not appropriate for prescribing by GPs. Specialists should not ask GPs to prescribe these drugs.   

Black BL

Black Listed Medicines - These drugs are considered inappropriate for prescribing in Coventry & Warwickshire as they are either not cost-effective or of proven benefit or both.   

Not Recommended

Not Recommended - These are specialist drugs that are not recommended for use.  

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