5.1.4. Aminoglycosides

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.

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

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.

Restrictions:
Restricted to specialist initiation.
Prescribing Notes:
No licensed product available. Unlicensed product used for pre-op surgical prophylaxis for colonic surgery.

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

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.