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.

05-03-03 Viral hepatitis

Adefovir Dipivoxil Hepsera®
Formulary

Tablets 10mg

Restricted Item  Specialist prescribing only 

Link  NICE TA96: Adefovir dipivoxil and peginterferon alfa-2a for the treatment of chronic hepatitis B

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Bulevirtide  HEPCLUDEX®
Formulary

Powder for solution for injection 2mg

Restricted Item  Specialist prescribing only 

Link  NICE TA896: Bulevirtide for treating chronic hepatitis D

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Entecavir
Formulary

Tablets 500micrograms, 1mg

Restricted Item  Specialist prescribing only

Link  NICE TA153: Entecavir for the treatment of chronic hepatitis B

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Ribavirin
Formulary
Capsules 200mg

Restricted Item  Specialist prescribing only
Link  NICE TA106: Peginterferon alfa and ribavirin for the treatment of mild chronic hepatitis C
Link  NICE TA200: Peginterferon alfa and ribavirin for the treatment of chronic hepatitis C
Link  NICE TA300: Peginterferon alfa and ribavirin for treating chronic hepatitis C in children and young people
Link  NICE TA75: Interferon alfa (pegylated and non-pegylated) and ribavirin for the treatment of chronic hepatitis C

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Sofosbuvir
Formulary

Tablets 200mg, 400mg

Restricted Item  Specialist prescribing only

Link  MHRA: Direct-acting antiviral interferon-free regimens to treat chronic hepatitis C: risk of hepatitis B reactivation
Link  MHRA: Direct-acting antivirals for chronic hepatitis C: risk of hypoglycaemia in patients with diabetes
Link  MHRA: Direct-acting antivirals to treat chronic hepatitis C: risk of interaction with vitamin K antagonists and changes in INR
Link  MHRA: Simeprevir with sofosbuvir: risk of severe bradycardia and heart block when taken with amiodarone
Link  MHRA: Sofosbuvir with daclatasvir; sofosbuvir and ledipasvir: risks of severe bradycardia and heart block when taken with amiodarone
Link  NICE TA330: Sofosbuvir for treating chronic hepatitis C

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