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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. 
05.01.06 Clindamycin
NICE NG15: Antimicrobial stewardship: systems and processes for effective antimicrobial medicine use

Clindamycin
(Capsules )

GREEN
Restricted Drug Restricted

75mg, 150mg 

Oral bioavailability is excellent (>90%), therefore oral route recommended where possible.

Caution in prescribing for any patient over 65 years due to increased risk of Clostridium difficile associated diarrhoea.

Must only be prescribed in accordance with the Luton & Dunstable Trust's Antimicrobial Guidelines or by recommendation from a Consultant Microbiologist.

BNF BNFc SPC

Clindamycin Palmitate 75mg/5mL
(Oral Suspension)

RED
Restricted Drug Restricted
unlicensedunlicensed.

Restricted to paediatric patients or those with swallowing difficulties.

Must only be prescribed in accordance with the Luton & Dunstable Trust's Antimicrobial Guidelines or by recommendation from a Consultant Microbiologist.

Caution in prescribing for any patient over 65 years due to increased risk of Clostridium difficile associated diarrhoea.



BNF BNFc SPC

Clindamycin
(Injection)

RED
Restricted Drug Restricted
300mg/2mL & 600mg/4mL Injection

Must only be prescribed in accordance with the Luton & Dunstable Trust's Antimicrobial Guidelines or by recommendation from a Consultant Microbiologist.

Caution in prescribing for any patient over 65 years due to increased risk of Clostridium difficile associated diarrhoea.
Oral bioavailability is excellent (>90%), therefore oral route recommended where possible.
BNF BNFc SPC
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.