Restricted Antimicrobials Veterans Affairs Medical Center San Francisco

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Below are the restricted antimicrobials at VASF Medical Center.  For information, see the VASF Guide to Antimicrobials.

Drug Restrictions
 Amikacin  All indications restricted.  Approval by Infectious Diseases Section required before dispensing.
 Atovaquone  All indications restricted.  Approval by Infectious Diseases Section required before dispensing.
 Aztreonam  Unrestricted for patients with a history of severe beta-lactam allergy.  For all other indications, approval by Infectious Diseases Section required before dispensing.
 Caspofungin  Non-formulary.  Approval by Infectious Diseases Section and completion of electronic non-formulary drug request required before dispensing.
 Cefepime  All indications restricted.  Approval by Infectious Diseases Section or Hematology-Oncology required before dispensing.
 Ceftazidime  All indications restricted.  Approval by Infectious Diseases Section required before dispensing.
 Cidofovir  All indications restricted.  Approval by Infectious Diseases Section required before dispensing.
 Ciprofloxacin  Inpatient use requires approval by Infectious Diseases Section required before dispensing.
 Clindamycin  Inpatient use requires approval by Infectious Diseases Section required before dispensing, except for use by Oral Surgery or ENT.
 Daptomycin  All indications restricted.  Approval by Infectious Diseases Section required before dispensing.
 Foscarnet  All indications restricted.  Approval by Infectious Diseases Section required before dispensing.
 Ganciclovir  All indications restricted.  Approval by Infectious Diseases Section required before dispensing.
 Imipenem  All indications restricted.  Approval by Infectious Diseases Section required before dispensing.
 Itraconazole  All indications restricted.  Approval by Infectious Diseases Section required before dispensing.
 Levofloxacin   Unrestricted for patients with CAP and beta-lactam allergy, or on hematology-oncology service.  For all other indications, approval by Infectious Diseases Section required before dispensing.
 Linezolid   All indications restricted.  Approval by Infectious Diseases Section required before dispensing.
 Meropenem   All indications restricted.  Approval by Infectious Diseases Section required before dispensing.
 Posaconazole  Non-formulary.  Approval by Infectious Diseases Section and completion of electronic non-formulary drug request required before dispensing
 Pyrimethamine  All indications restricted.  Approval by Infectious Diseases Section required before dispensing.
 Rifabutin  All indications restricted.  Approval by Infectious Diseases Section required before dispensing.
 Sulfadiazine  All indications restricted.  Approval by Infectious Diseases Section required before dispensing.
 Voriconazole  Non-formulary.  Approval by Infectious Diseases Section and completion of electronic non-formulary drug request required before dispensing