Lancashire and South Cumbria
Formulary
 
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5 Infections

 

Prescribers must follow the relevant local and national guidance when treating an infection. Some anti-infectives require approval from the local Trust microbiology team for use, consult local guidance for further information.

Not all anti-infectives listed in this chapter will be available in all localities; availability will be guided by local need and resistance patterns.
05-01-07 Some other antibacterials

Methenamine Hippurate
Formulary

Tablets 1g

For prevention of recurrent lower urinary tract infections (UTI) in women, in line with NG112.

Methenamine should only be used for prophylaxis and not for treatment.
Link  NICE NG112: Urinary tract infection (recurrent): antimicrobial prescribing

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Nitrofurantoin
Formulary

Modified release capsules 100mg
Capsules 50mg
Liquid 25mg/5ml (paediatric use only, on approval by consultant microbiologist)

For patients with NG tubes or swallowing difficulties, please seek pharmacy advice.
Link  MHRA: Nitrofurantoin now contraindicated in most patients with an estimated glomerular filtration rate (eGFR) of less than 45 ml/min/1.73m2
Link  MHRA: Nitrofurantoin: reminder of the risks of pulmonary and hepatic adverse drug reactions

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