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Bedfordshire and Luton Joint Formulary
Bedfordshire Hospitals NHS Foundation Trust
Bedfordshire, Luton and Milton Keynes ICB
Formulary Chapter: 5 - Infections 
Notes:

For full details on UKHSA guidance for managing common infections with local amendments please see:

BLMK Primary Care Antimicrobial Guidelines hosted via: https://blmkantibioticspubliclive.azurewebsites.net/

Secondary care antimicrobial guidelines:

Bedfordshire Hospitals Foundation Trust: Antimicrobial guidelines are hosted on:  EOLAS Medical App. 
05.01.07 Some other antibacterials
NICE NG15: Antimicrobial stewardship: systems and processes for effective antimicrobial medicine use
05.01.07 Chloramphenicol
05.01.07 Fusidic acid
05.01.07 Vancomycin and teicoplanin
05.01.07 Daptomycin
05.01.07 Linezolid
05.01.07 Quinupristin and dalfopristin
05.01.07 Polymyxins
05.01.07 Rifaximin
NICE NG15: Antimicrobial stewardship: systems and processes for effective antimicrobial medicine use

Rifaximin 550mg tablet (Targaxan®)
(For hepatic encephalopathy)

Amber SPA
Restricted Drug Restricted

Restricted - must be initiated by Consultant Hepatologists in accordance with NICE TA 337. Continuation by GP's

 

Entry reviewed: July 2023

BNF BNFc SPC
NICE TA337: Rifaximin for preventing episodes of overt hepatic encephalopathy
Non formulary items

Rifaximin (For GI disorders)

DNP
Non Formulary

“Rifaximin is NOT RECOMMENDED for routine commissioning in patients with gastrointestinal disorders including Crohn’s disease (CD), Ulcerative Colitis (UC), Diverticular disease (DD), Irritable bowel syndrome (IBS), recurrent Clostridium difficile infection and small intestinal bacterial overgrowth (SIBO).”

 

See

https://medicines.bedfordshirelutonandmiltonkeynes.icb.nhs.uk/guideline/rifaximin-for-the-management-of-chronic-diarrhoea-associated-with-gastro-intestinal-disorders-bulletin-239/

 

Entry reviewed: July 2023

BNF BNFc SPC
05.01.07 Fidaxomicin
Classifications
GREEN
May be initiated in any care setting
Amber SPA
Specialist to advise therapy and provide first 28 days supply, continuation in Primary Care
Amber SPIS
Specialist to initiate and stabilise medicine prior to continuation in Primary Care
SCG
To be prescribed as per Shared Care Guidance. If no SCG in place status reverts to red.
RED
Red medicines are designated as specialist only medicines which should only be prescribed by a specialist, usually within secondary care (either due to the requirement for specialist knowledge, long-term monitoring requirements, or restrictions that mean medicine supplies are only available to hospitals).
DNP
A decision has been made either locally and/or nationally not to routinely commission this preparation. Do not prescribe.
SELF
To be purchased over the counter. May be prescribed for chronic, long term conditions or on admission to hospital if essential.