Lancashire and South Cumbria
Formulary
 
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5 Infections

This chapter of the formulary is under development, please use local/national antimicrobial guidelines to support prescribing choices.

For more information about the formulary development process, please see: https://www.lancsmmg.nhs.uk/lancashire-and-south-cumbria-icb-formulary-development/
The formulary development team can be contacted here: mlcsu.lscformulary@nhs.net

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.
05-01-13 Urinary-tract infections

Methenamine Hippurate
Formulary

Tablets 1g

Considered less suitable for prescribing.

**RAG under consultation and awaiting update - Please use local/national antimicrobial guidelines to support prescribing choices. **

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Nitrofurantoin
Formulary

Modified release capsules 100mg
Capsules 50mg (restricted use to those unable to take gelatin capsules)
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

Green View adult BNF  View SPC online  View childrens BNF