NHS Logo
Bedfordshire and Luton Joint Formulary
Bedfordshire Hospitals NHS Foundation Trust
Bedfordshire, Luton and Milton Keynes ICB
Formulary Chapter: 14 - Immunological products and vaccines 
Notes:

Any drug not listed on the Formulary should be considered Non-Formulary - Not recommended for prescribing
14.05.02 Disease-specific immunoglobulins

Hepatitis B immunoglobulin (HBIG)

 
Restricted Drug Restricted

Guidance for primary care

  • All requests must be made under discussion with Public Health England (PHE) Rabies and Immunoglobulin service (RIgS).
  • The RIgS team will arrange immunoglobulin issue and delivery directly to the GP surgery or specified hospital location in agreement with the initiating clinician.
  • Contact the RIgS Service for advice and supply

 

 

N.B. The leaflet states a nominal strength of 100 units/mL BUT the actual strength of each batch will be overlabelled on the vial and is probably different (since this is a biological product). All vials contain 500 units but the volume may differ. Carefully read the overlabel on each vial.

BNF BNFc SPC
Rabies and Immunoglobulin Service (RIgS)

Tetanus immunoglobulin
(Injection)

RED
Restricted Drug Restricted
Contact Consultant Microbiologist - Pathology
BNF BNFc SPC
Public Health England: Tetanus immunoglobulin: recommendations on treatment and prophylaxis

Varicella-Zoster immunoglobulin (VZIG)

 
Restricted Drug Restricted

Guidance for primary care

  • All requests must be made under discussion with Public Health England (PHE) Rabies and Immunoglobulin service (RIgS).
  • The RIgS team will arrange immunoglobulin issue and delivery directly to the GP surgery or specified hospital location in agreement with the initiating clinician.
  • Contact the RIgS Service for advice and supply

 

N.B. - VZIG is rarely urgent with most doses needed within 7 days of exposure.

BNF BNFc SPC
Rabies and Immunoglobulin Service (RIgS)
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.