netFormulary

North Central London
Joint Formulary

5 Infections

Prescribing of systemic antimicrobials is 'protected'. All prescribing MUST be in accordance with the Trust Antimicrobial Policy and in conjunction with local antimicrobial guideline:

NMUH Antimicrobial guidelines
RFL + RNOH Adult Microguide and RFL + RNOH Paediatric Microguide
UCLH Adult Microguide and UCLH Paediatric Microguide
WH Adult Microguide

05-03-01 Nucleoside reverse transcriptase inhibitors

Abacavir

Restricted

Provider notes

NMUH:

No restriction stated

RFL:

HIV medicine only

RNOH:

Non-formulary

UCLH:
WH:

For TB / HIV clinic only

Abacavir + Lamivudine

Restricted

Provider notes

NMUH:

To be prescribed as per BHIVA Guidelines by the HIV team only

RFL:

HIV medicine only

RNOH:

Non-formulary

UCLH:
WH:

For TB / HIV clinic only

Abacavir + Lamivudine + Zidovudine Trizivir^®

Formulary

Provider notes

NMUH:

No restriction stated

RFL:

HIV medicine only

RNOH:

Non-formulary

UCLH:
WH:

Non-formulary

Emtricitabine

Formulary

Provider notes

NMUH:

To be prescribed as per BHIVA Guidelines by the HIV team only
Patients currently benefiting from FTC in their combination therapy, who either accessed FTC in studies or move to London with FTC as part of their existing regimen, should continue to receive FTC without interruption
For patients who have previously not received 3TC, the decision to prescribe 3TC or FTC to be made by the clinician and patient after discussion and consideration of relevant factors

RFL:

HIV medicine only

RNOH:

Non-formulary

UCLH:
WH:

For TB / HIV clinic only

Emtricitabine + Rilpivirine + Tenofovir disoproxil Eviplera^®

Restricted

Provider notes

NMUH:

NHSE approval required
Initiation restricted to Consultants HIV Medicine

RFL:

HIV medicine only

RNOH:

Non-formulary

UCLH:
WH:

Non-formulary

Emtricitabine + Tenofovir alafenamide Descovy^®

Formulary

Provider notes

NMUH:

No restriction stated

RFL:

HIV medicine only

RNOH:

Non-formulary

UCLH:
WH:

Non-formulary

NHSE 16043/P: Tenofovir Alafenamide for treatment of HIV 1 in adults and adolescents

Lamivudine

Restricted

Provider notes

NMUH:

Epivir brand only approved for HIV patients
Zeffix brand approved for HIV and Hepatitis B patients

RFL:

150mg & 300mg approved for HIV patients
100mg approved for Hepatitis B patients

RNOH:

Non-formulary

UCLH:
WH:

Epivir brand on formulary

Rilpivirine

Formulary

Provider notes

NMUH:

No restriction stated

RFL:

HIV medicine only

RNOH:

Non-formulary

UCLH:
WH:

Non-formulary

Stavudine

Formulary

Provider notes

NMUH:

No restriction stated

RFL:
- Non-formulary
RNOH:

Non-formulary

UCLH:
WH:

No restriction stated

Tenofovir disoproxil + Cobicistat + Elvitegravir + Emtricitabine Stribild^®

Formulary

Provider notes

NMUH:

See MHRA Drug Safety Update

RFL:

HIV medicine only

RNOH:

Non-formulary

UCLH:
WH:

For TB / HIV clinic only

NHSE B06/P/x: Stribild� for the treatment of HIV-1 infection in adults

Tenofovir disoproxil + Efavirenz + Emtricitabine

Formulary

Provider notes

NMUH:

To be prescribed by the HIV team only, in line with the BHIVA Guidelines

RFL:

HIV medicine only

RNOH:

Non-formulary

UCLH:
WH:

For TB / HIV clinic only

Tenofovir disoproxil + Emtricitabine

Formulary

Provider notes

NMUH:

To be prescribed by the HIV team only, in line with the BHIVA Guidelines

RFL:

HIV medicine only

RNOH:

Restricted for use in accordance with RNOH Sharps Policy and Inoculation Management (see policy)

UCLH:
WH:
- No restriction stated

RNOH: Sharps Policy and Inoculation Management

Tenofovir disproxil

Formulary

Provider notes

NMUH:

No restriction stated

RFL:

Approved for HIV
Approved for Hepatitis B - see NICE TA

RNOH:

Non-formulary

UCLH:
WH:

No restriction stated

NICE TA173: Hepatitis B (chronic) - tenofovir disoproxil

Zidovudine

Restricted

Provider notes

NMUH:

No restriction stated

RFL:

HIV medicine only

RNOH:

Non-formulary

UCLH:
WH:

Zidovudine infusion is for use by Women’s Health only
Caps 100mg, 250mg; Infusion 200mg/2 ml only

Zidovudine + Lamivudine

Formulary

Provider notes

NMUH:

No restriction stated

RFL:

HIV medicine only

RNOH:

Non-formulary

UCLH:
WH:

No restriction stated

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