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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

Atazanavir (Reyataz®)

RED
Restricted Drug Restricted
200mg & 300mg Capsules

Restricted - must be prescribed by HIV consultants only
BNF BNFc SPC

Atazanavir & cobicistat (Evotaz®)

RED
Restricted Drug Restricted

Atazanavir 300mg / cobicistat 150mg Tablets
Restricted - must be prescribed by HIV Consultants

 

As per NHSE commissioning policy: It is more cost-effective to prescribe separate components

BNF BNFc SPC

Darunavir (Prezista®)

RED
Restricted Drug Restricted

75mg, 150mg, 400mg, 600mg & 800mg Film coated Tablets

100mg in 1ml oral suspension

Restricted - must be prescribed by HIV consultants only

BNF BNFc SPC

Darunavir & cobicistat (Rezolsta®)

RED
Restricted Drug Restricted

Darunavir ethanolate 800mg and cobicistat 150mg film-coated tablets

Restricted - must be prescribed by HIV consultants only

As per NHSE commissioning policy: It is more cost-effective to prescribe separate components

BNF BNFc SPC

Lopinavir and Ritonavir (Kaletra®)

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

Lopinavir 100mg/Ritonavir 25mg Tablets
Lopinavir 200mg/Ritonavir 50mg Tablets
Lopinavir 400mg/Ritonavir 100mg in 5 mL Oral Solution
BNF BNFc SPC

Ritonavir

RED
Restricted Drug Restricted

Restricted - must be prescribed by HIV consultants only

100mg Tablets
100mg sachets

N.B. Oral solution discontinued.

BNF BNFc SPC
05.03.01 Non-nucleoside reverse transcriptase inhibitors
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.