Restricted Antimicrobials San Francisco General Hospital

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Restricted Antimicrobials at San Francisco General Hospital

Antimicrobial

Restricted Route

Unrestricted indication

Amikacin

All

None- all initial use requires approval of ID pharmacist or ID fellow

Amphotericin B liposomal

All

None- all initial use requires approval of ID pharmacist or ID fellow

Azithromycin

600mg tablet

1 gram packet

PO

PO

Prophylaxis or Treatment of MAC

Chlamydia treatment

Aztreonam

All

None - all initial use requires approval of ID pharmacist or ID fellow

Capreomycin

All

None - all initial use requires approval of ID pharmacist or ID fellow

Ceftazidime

IV

ophthalmic injection and/or drops

Ceftriaxone 2 gram dose

All

Endocarditis, Meningitis

Ceftaroline

All

None - all initial use requires approval of ID pharmacist or ID fellow

Clarithromycin

PO

H.pylori or MAC treatment

Coartem

PO

None – all initial use requires approval of ID pharmacist of ID fellow

Daptomycin

All

None - all initial use requires approval of ID pharmacist or ID fellow

Foscarnet

IV

ophthalmic injection

Ganciclovir

IV

ophthalmic injection

Imipenem

All

None - all initial use requires approval of ID pharmacist or ID fellow

Itraconazole oral solution

PO

None - all initial use requires approval of ID pharmacist or ID fellow

Imipenem

All

None - all initial use requires approval of ID pharmacist or ID fellow

Linezolid

All

None - all initial use requires approval of ID pharmacist or ID fellow

Meropenem

All

None - all initial use requires approval of ID pharmacist or ID fellow

Micafungin

All

None - all initial use requires approval of ID pharmacist or ID fellow

Moxifloxacin

All

None - all initial use requires approval of ID pharmacist or ID fellow

Penicillin G

IV

None - all initial use requires approval of ID pharmacist or ID fellow

Pentamidine

IV

None - all initial use requires approval of ID pharmacist or ID fellow

Piperacillin-tazobactam

All

None - all initial use requires approval of ID pharmacist or ID fellow

Rifampin

IV

PO

None - all initial use requires approval of ID pharmacist or ID fellow

Tuberculosis

Voriconazole

All

None - all initial use requires approval of ID pharmacist or ID fellow

Non-Formulary*

All

None - all initial use requires approval of ID pharmacist or ID fellow

*Non-formulary antimicrobials include but are not limited to the following: Colistin, Caspofungin, Fidaxomicin, Posaconazole, Quinpristin/dalfopristin, Tigecycline