University Hospitals Birmingham NHS Foundation Trust

Chapters

StatusDrug nameNICE TAsComments
Status: RedAmphotericin + Flucytosine in KY jelly
Status: RedBoric Acid Vaginal Pessaries

For resistant vaginal candidiasis in line with BASHH guidelines.

Status: GreenClindamycin (Dalacin®) 2% cream
Status: GreenClotrimazole - all formulations
Status: RedEconazole pessaries (Gyno-Pevaryl®)
Status: GreenEstradiol 10 micrograms (Vagifem)
Status: GreenEstradiol 500 micrograms pessaries (Ortho-Gynest)
Status: GreenEstradiol 7.5 micrograms / 24 hour vaginal ring (Estring)
Status: GreenEstriol 0.01% cream (Gynest)
Status: GreenEstriol 0.1% cream (Ovestin)
Status: GreenMetranidazole gel 0.75% (Zidoval)
Status: GreenMiconazole 1.2g vaginal capsule (Gyno-Daktarin 1)
Status: GreenMiconazole 2% intravaginal cream (Gyno-Daktarin)
Status: RedNystatin pessaries (unlicensed)
Status: GreenOral fluconazole 150mg

Drug status key

Formulary drugs are allocated a traffic light status. This provides guidance on where clinical and prescribing responsibilities lie in regard to the initiation and maintenance of prescribing.

Grey

Grey

Positive NICE TA and/or awaiting local clarification on place in therapy. Please contact your medicines optimisation team for more information.

Red

Red

Initiation and maintenance of prescribing by specialists only.

Amber

Amber

Initiation and maintenance of prescribing by specialists and transfer to primary care prescribing when appropriate, or in primary care following a specialists recommendation. Prior to initiation some medicines may require committee agreement or a framework to support safe transfer and maintenance.

Green

Green

Initiation and maintenance of prescribing by specialists, GPs and other qualified clinicians.

Blue

Blue

Under review at University Hospitals Birmingham NHS Foundation Trust.

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