Lancashire and South Cumbria
Formulary
 
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5 Infections

 

Prescribers must follow the relevant local and national guidance when treating an infection. Some anti-infectives require approval from the local Trust microbiology team for use, consult local guidance for further information.

Not all anti-infectives listed in this chapter will be available in all localities; availability will be guided by local need and resistance patterns.

05-05 Anthelmintics

Contact microbiology for advice.


Permethrin
Formulary

Cream 5%

First line choice for the treatment of scabies.
First line choice for the management of contacts.
 
Consider OTC/Self care.
 
For the management and control of scabies outbreaks in care homes or other closed settings please refer to the pathway below.
Link  LSC Scabies Operational Clinical Pathway
Link  MHRA: Head lice eradication products: risk of serious burns if treated hair is exposed to open flames or other sources of ignition, eg, cigarettes

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Ivermectin
Formulary

Tablets 3mg

Green 

  • Second line choice for the treatment of formally diagnosed scabies, established clinically and/or by parasitological examination. Use restricted to patients who have had treatment failure with topical treatments.
  • First line in exceptional cases for patients with challenging behaviours where effective topical treatment is not possible.
  • Consider oral ivermectin over permethrin in patients who have pre-existing eczema or other skin conditions which may lead to hypersensitivity.

Do Not Prescribe 

  • Pruritus/suspected contact (unlicensed indication). Ivermectin is only licensed for treatment of diagnosed scabies.

Amber 0 

  • Crusted (Norwegian) scabies, on advice of secondary care dermatology.
  • Other indications, on advice of microbiology.
Link  LSC Scabies Operational Clinical Pathway

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Albendazole
Formulary
Tablets 400mg
 
Hookworm infection.
unlicensed 

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Levamisole
Formulary

Tablets 50mg

Roundworm infections (unlicensed)

unlicensed named patient only

Restricted Item  To be used on consultant microbiologist or specialist advice only


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Praziquantel
Formulary
Tablets 150mg, 600mg unlicensed
 
On advice of Microbiology only.

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