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Antimicrobial guide (Primary care)

The February 2023 NICE Summary of antimicrobial prescribing guidance – managing common infections has now been agreed in Kent and Medway.

This should be viewed in conjunction with the Kent and Medway Supplementary information page which details any relevant local information, considerations, or adaptations to subsections of the NICE summary table guidance.

Kent and Medway Guidance

Title Approval Date Review Date
Accessing treatment for C.difficile infection in primary care February 2023 February 2025
Back-up (delayed) antibiotic prescribing guidance February 2023 February 2025
Aims and principles for antimicrobial guidance April 2023 April 2025

 

The following drugs are included either in the NICE summary tables or the K&M supplementary pages and are considered on formulary if prescribed according to the guidance. Please see the document in the link at the top of this page "Supplementary pages for Kent and Medway Information for antimicrobial prescribing guidance".

  • Phenoxymethylpenicillin
  • clarithromycin
  • erythromycin
  • oseltamivir
  • zanamivir
  • co-amoxiclav
  • topical acetic acid 2%
  • topical neomycin sulphate with corticosteroid
  • flucloxacillin
  • doxycycline
  • co-trimoxazole
  • levofloxacin
  • ciprofloxacin
  • cefalexin
  • nitrofurantoin
  • trimethoprim
  • pivmecillinam
  • fosfomycin
  • ofloxacin 200mg oral
  • benzylpenicillin
  • miconazole oral gel
  • nystatin suspension
  • fluconazole capsules
  • tinidazole 2g
  • azithromycin
  • bismuth subsalicylate
  • mebendazole
  • vancomycin oral (micro advice only)
  • fidaxomicin tablets (micro advice only)
  • Fidaxomicin Granules for oral suspension (micro advice only)
  • metronidazole
  • tetracycline
  • rifabutin
  • clotrimazole 500mg pessary
  • clotrimazole 100mg pessary
  • fenticonazole 600mg pessary
  • metronidazole 0.75% vaginal gel
  • clindamycin 2% cream
  • aciclovir oral
  • valaciclovir
  • famciclovir
  • ceftriaxone IM 1g
  • moxifloxacin
  • fusidic acid 2% topical
  • topical hydrogen peroxide 1%
  • mupirocin 2% topical
  • 0.1% adapalene/ 2.5% benzoyl peroxide
  • 0.3% adapalene/2.5% benzoyl peroxide
  • 0.025% tretinoin/ 1% clindamycin
  • 3% benzoyl peroxide/1% clindamycin
  • 5% benzoyl peroxide/1% clindamycin
  • lymecycline
  • 15% or 20% azelaic acid topical
  • 5% benzoyl peroxide
  • permethrin 5% cream
  • malathion 0.5% aqueous liquid
  • topical terbinafine 1%
  • topical imidazole 1%
  • topical undecenoates eg Mycota
  • terbinafine 250mg oral
  • itraconazole 200mg oral
  • chloramphenicol 0.5% eye drop
  • chloramphenicol 1% ointment
  • fusidic acid 1% eye gel
  • oxytetracycline 250mg/500mg
  • chlorhexidine mouthwash
  • hydrogen peroxide 6% mouthwash
  • amoxicillin
  • Phenazone/Lidocaine (Otigo)

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Methenamine

NICE EMC

Specialist initiation by hospital urology specialist only

  • Second line to initial measures described in local guideline
  • Continuation by GP after initial 28-day hospital supply

Methenamine hippurate 1g tablets

Pack Price
100 tablet
60 tablet £17.95