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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

05.04.01 Antimalarials
05.04.01 Treatment of malaria

Artesunate

RED
Restricted Drug Restricted

Use licensed artesunate (Artesunate Amivas®▼) 110 mg powder and solvent for solution for injection


First choice for the treatment of severe or complicated FALCIPARUM malaria.

This is stocked in the emergency drug cupboard (contact 555 out of hours).

05.04.01 Falciparum malaria (treatment)
05.04.01 Benign malarias (treatment)
05.04.01 Prophylaxis against malaria
05.04.01 Specific recommendations
05.04.01 Artemether with lumefabtrine
05.04.01 Chloroquine
05.04.01 Mefloquine
05.04.01 Primaquine
05.04.01 Proguanil
05.04.01 Pyrimethamine
05.04.01 Quinine
05.04.01 Tetracyclines
Classifications
May be initiated in any care setting
Specialist to advise therapy and provide first 28 days supply, continuation in Primary Care
Specialist to initiate and stabilise medicine prior to continuation in Primary Care
To be prescribed as per Shared Care Guidance. If no SCG in place status reverts to 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).
A decision has been made either locally and/or nationally not to routinely commission this preparation. Do not prescribe.
To be purchased over the counter. May be prescribed for chronic, long term conditions or on admission to hospital if essential.