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Other - Cost: £652,109,405.62 Empagliflozin (Jardiance) - Cost: £7,788,101.39 Edoxaban (Lixiana) - Cost: £8,056,980.75 Influenza vaccine (Fluad) - Cost: £13,930,057.90 Beclometasone / Formoterol MDI (Fostair) - Cost: £17,160,087.08 Rivaroxaban (Xarelto) - Cost: £20,491,468.20 Apixaban (Eliquis) - Cost: £33,811,997.20
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Important Local Documents (2)
Notes for: Vaginal and Vulval Infections
Last edited [04/07/2012 09:00:19]
 Fungal infections

1. The Management of Infection Guidelines for primary care (see chapter 5 page 5:31) recommend a single dose of clotrimazole (5 g vaginal cream or 500 mg pessary) for candidiasis. Fluconazole (BNF section 5.2 ) 150 mg orally as a single dose is second line therapy. It is advised to avoid in pregnancy.

2. Patients should be advised that clotrimazole products may damage latex condoms and diaphragms.

3. Combination packs containing both vaginal and topical preparations are not recommended.

4. In pregnancy applicators should be avoided. The pessary may be inserted with a finger in these circumstances.

 

Last edited [04/07/2012 09:01:29]

Other infections

The Management of Infection Guidelines for primary care recommend metronidazole (both vaginally and orally) for the treatment of bacterial vaginosis.

 

Cornwall Joint Formulary Recommended Choices     (...Top)
Displaying 5 Drugs

Key:
First Line Drugs First Line Drugs
Second Line Drugs Second Line Drugs
Specialist Initiated Drugs Specialist Initiated Drugs
Hospital Only Drugs Hospital Only Drugs
Discouraged Discouraged
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Antibiotics Antibiotics

NameTariffBNF Sub Paragraph
Clotrimazole Cream
1 % cream (20g tube) Pack of 20
£1.36PCT FORMULARY STATUSFirst Line Drugs Vaginal and Vulval InfectionsView BNF Article on 'Clotrimazole Cream'View SPC on 'Clotrimazole Cream'View PIL on 'Clotrimazole Cream'
Clotrimazole Vaginal
500 mg Pessary Pack of 1
£5.30PCT FORMULARY STATUS: First Line Drugs Vaginal and Vulval InfectionsView BNF Article on 'Clotrimazole Vaginal'View SPC on 'Clotrimazole Vaginal'View PIL on 'Clotrimazole Vaginal'
Clotrimazole Vaginal (Canesten)
10 % Vaginal Cream with Applicator Single 5g Application Pack of 1
£6.23PCT FORMULARY STATUS: Second Line Drugs Vaginal and Vulval InfectionsView BNF Article on 'Clotrimazole Vaginal'View SPC on 'Clotrimazole Vaginal'View PIL on 'Clotrimazole Vaginal'
Clindamycin Vaginal Cream (Dalacin Cream)
40 g + 7 applicators Pack of 40
£10.86PCT FORMULARY STATUS: Antibiotics Vaginal and Vulval Infections
PCT FORMULARY STATUSSecond Line Drugs Vaginal and Vulval Infections
View BNF Article on 'Clindamycin Vaginal Cream'View SPC on 'Clindamycin Vaginal Cream'View PIL on 'Clindamycin Vaginal Cream'
Metronidazole Vaginal Gel (Zidoval)
0.75 % Gel (40g with 5 applicators) Pack of 40
£4.31PCT FORMULARY STATUS: Antibiotics Vaginal and Vulval InfectionsView BNF Article on 'Metronidazole Vaginal Gel'View SPC on 'Metronidazole Vaginal Gel'View PIL on 'Metronidazole Vaginal Gel'

 
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