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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. 
05.01.01.03 Broad-spectrum penicillins

Amoxicillin
(Oral)

GREEN
Formulary
250mg & 500mg Capsules
125mg/5mL & 250mg/5mL sugar free syrup
3g sugar free Sachets

Amoxicillin has good oral bioavailability. The switch from IV to oral amoxicillin should take place as soon as a patient’s clinical condition improves.
BNF BNFc SPC

Amoxicillin
(Injection)

RED
Formulary

250mg, 500mg and 1gram Injection

Amoxicillin has good oral bioavailability. The switch from IV to oral amoxicillin should take place as soon as a patient’s clinical condition improves.

BNF BNFc SPC

Co-Amoxiclav
(Oral)

GREEN
Formulary
125/31.25mg in 5mL Sugar free Suspension
250/62.5mg in 5mL Sugar free Suspension
250/125mg & 500/125mg Tablets

Amoxicillin and clavulanate have good oral bioavailability. The switch from IV to oral should take place as soon as a patient’s clinical condition improves.
BNF BNFc SPC
Alternatives to co-amoxiclav L&D Memo: Antibiotic Prescribing for UTI’s

Co-Amoxiclav 400mg/57mg (Augmentin-Duo®)
(Suspension)

GREEN
Restricted Drug Restricted
Paediatrics only. Only to be prescribed when three times daily dosing is a problem.
BNF BNFc SPC

Co-Amoxiclav
(Injection)

RED
Formulary
600mg & 1.2g Injection

Amoxicillin and clavulanate have good oral bioavailability. The switch from IV to oral should take place as soon as a patient’s clinical condition improves.
BNF BNFc SPC
Alternatives to co-amoxiclav L&D Memo: Antibiotic Prescribing for UTI’s
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.