Modified Date:
January 1, 2017
Category:
Document:
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 |