ANTIMICROBIAL GUIDANCE
TAM (Treatments and Medicines) NHS Highland
MHRA advice: Fluoroquinolone antibiotics: must now only be prescribed when other commonly recommended antibiotics are inappropriate. Updated safety advice is available here including a patient information leaflet. Side effects may be disabling, long-lasting and sometimes irreversible. Systems affected include musculoskeletal (tendonitis/rupture), neurological (muscle weakness), sensory (peripheral neuropathy) and psychiatric (tiredness, anxiety, depression and suicidal thoughts). Fluoroquinolones should not be prescribed for self-limiting or mild to moderate infections or non-bacterial (chronic) prostatitis.
How to access antimicrobial advice: see here.
Further information regarding COVID-19: see here.
Access the NHS Highland and Western Isles Antimicrobial website and mobile app for the:
- Gentamicin calculator
- Vancomycin calculators Not for use in patients on dialysis - Refer to Renal Unit Guidance.