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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. 
05.03.01 HIV infection
All prescribing for HIV patients should be in line with current BHIVA guidelines
05.03.01 Nucleoside reverse transcriptase inhibitors
05.03.01 Protease inhibitors
05.03.01 Non-nucleoside reverse transcriptase inhibitors

Doravirine (Pifeltro®)

RED
Restricted Drug Restricted

Restricted - must be prescribed by HIV consultants only in accordance with BHIVA guidelines and NHSE Clinical Commissioning policy.


100mg tablets

BNF BNFc SPC

Efavirenz

RED
Restricted Drug Restricted
Restricted - must be prescribed by HIV consultants only

200mg Capsules
600mg Film Coated Tablets
BNF BNFc SPC

Etravirine

RED
Restricted Drug Restricted
Restricted - must be prescribed by HIV consultants only

200mg Tablets
BNF BNFc SPC

Nevirapine

RED
Restricted Drug Restricted
Restricted - must be prescribed by HIV consultants only

200mg Tablets
400mg Prolonged Release Tablets
50mg/5mL Suspension
BNF BNFc SPC

Rilpivirine hydrochloride (Edurant®)

RED
Restricted Drug Restricted

25mg Tablets

May be used as an oral lead-in prior to the initiation of Rilpivirine (Rekambys) injections in accordance with NICE TA757


Restricted - must be prescribed by HIV consultants only

BNF BNFc SPC
NICE TA757: Cabotegravir with rilpivirine for treating HIV-1
05.03.01 Other antiretrovirals
05.03.01 Pharmacokinetic enhancers of antiretrovirals
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.