Greater Glasgow and Clyde Medicines
Key to symbols The medicine should be initiated by, or on the advice of a specialist, but is suitable for continuation by a GP The medicine should only be used and prescribed by a specialist Indicates the preferred choice within a class or group of medicines
The medicine should be initiated by, or on the advice of a specialist, but is suitable for continuation by a GP
The medicine should only be used and prescribed by a specialist
Indicates the preferred choice within a class or group of medicines
5.1. Antibacterial drugs

5.1.4. Aminoglycosides

Preferred List
Specialist and GP
GENTAMICIN

Prescribing Notes:

Restricted to specialist initiation. Gentamicin should be prescribed in line with local guidelines and is subject to dose adjustment in line with therapeutic drug monitoring.

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Total Formulary
Specialist and GP
AMIKACIN

Restrictions:

Restricted to specialist initiation. Restricted to use on microbiological and infectious disease physician advice only.

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Specialist Only
AMIKACIN (ARIKAYCE) (liposomal nebuliser)

Restrictions:

Treatment of non-tuberculous mycobacterial (NTM) lung infections caused by Mycobacterium avium Complex (MAC) in adults with limited treatment options who do not have cystic fibrosis is restricted to specialist use only in line with national guidance.

Prescribing Notes:

All requests for liposomal amikacin nebuliser solution must be approved by an antimicrobial pharmacist.

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Specialist and GP
NEOMYCIN

Restrictions:

Restricted to specialist initiation.

Prescribing Notes:

No licensed product available. Unlicensed product used for pre-op surgical prophylaxis for colonic surgery.

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Specialist and GP
TOBRAMYCIN (TOBI PODHALER) (POWDER FOR INHALATION)

Restrictions:

Restricted to specialist initiation as second-line use after colistimethate (colistin).

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Specialist and GP
TOBRAMYCIN (Nebules)

Restrictions:

Restricted to specialist initiation as second-line use after colistimethate (colistin).

Prescribing Notes:

All available brand of nebulised tobramycin are included in the Formulary.  Prescribers are asked to use the preparation with the lowest acquisition cost taking into account of patient tolerability.

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