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Royal United Hospitals Bath NHS Foundation Trust
Great Western Hospitals NHS Foundation Trust
Salisbury NHS Foundation Trust
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 Formulary Chapter 7: Obstetrics, Gynaecology, and urinary-tract disorders - Full Chapter
Notes:

Prescribing Guidance

Please see our Prescribing Guidelines page for all prescribing guidance relating to this chapter.

Shared Care Agreements

Please see our Shared Care Agreements page for all shared care agreements (SCAs) relating to this chapter.

 

 

 Details...
07.02.02  Expand sub section  Vaginal and vulval infections
 note 

Please see The Primary Care Antibiotic Guidance here for prescribing guidance relating to vaginal and vulval infections.

07.02.02  Expand sub section  Fungal infections
Clotrimazole
(vaginal candidiasis)
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First Choice
traffic lightGreen
  • 1% cream 20g
  • 10% vaginal cream 5g 
  • 500mg pessary 
  • Patients should be advised that clotrimazole products might damage latex condoms and diaphragms.
 
Fluconazole
(vaginal candidiasis)
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Formulary
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  • 150mg oral capsule
 
 
Miconazole
(Gyno-Daktarin)
(vaginal cream)
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Formulary
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  • 2% vaginal cream 78g
  • Patients should be advised that miconazole products might damage latex condoms and diaphragms.
 
 
07.02.02  Expand sub section  Other vaginal infections
 ....
 Non Formulary Items
Econazole
(Gyno-Pevaryl)

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Non Formulary
 
Fenticonazole (Gynoxin)

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Non Formulary
 
Ketoconazole 2%
(Nizoral)
(vaginal cream)

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Non Formulary
 
Nystatin
(vaginal candidiasis)

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Non Formulary
 
Preparations for Vaginal and Vulval Candidiasis
(Canesten®)

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Non Formulary
 
  
Key
note Notes
Section Title Section Title (top level)
Section Title Section Title (sub level)
First Choice Item First Choice item
Non Formulary Item Non Formulary section
Restricted Drug
Restricted Drug
Unlicensed Drug
Unlicensed
Track Changes
Display tracking information
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Link to adult BNF
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Link to SPCs
SMC
Scottish Medicines Consortium
Cytotoxic Drug
Cytotoxic Drug
CD
Controlled Drug
High Cost Medicine
High Cost Medicine
Cancer Drugs Fund
Cancer Drugs Fund
NHSE
NHS England
Homecare
Homecare
CCG
CCG
Blueteq
High Cost Drug Approval System

Traffic Light Status Information

Status Description

Traffic LightRed

RED - Hospital only to be prescribed by a specialist and supplied from secondary care ONLY throughout treatment.  

Traffic LightAmber

Amber medicines are considered suitable for GP prescribing following specialist initiation or recommendation.  

Traffic LightAmber with Shared Care

Shared Care - these medicines require specialist initiation and stabilisation. Ongoing division of responsibility for drug and disease monitoring between specialist and GP by a Shared Care Guideline (SCG). If no SCG in place status reverts to red.  

Traffic LightGreen

These medicines are appropriate for initiation in both primary and secondary care. Prescribing is appropriate within licensed or local recommendations.  

Traffic LightSelf

Suitable for patient to be directed to buy themselves  

Traffic LightGrey

Not currently used. We intend to include this TLS in future to highlight where a decision to use this medicine is under review.   

Traffic LightBlack

(In use from Oct 2020) Used where a decision has been made by the BSW APC not to routinely commission this preparation for its licensed indications. Do not prescribe.   

Traffic LightRed Specialist Centre

Not currently used. We intend to include this TLS in future to highlight where this medicine and indication is ONLY available through a Specialist Centre according to a NICE Highly Specialised Technology or NHSE Specialised Commission Circular / Policy.  

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