netFormulary Isle of Wight NHS

Welcome to our Island Wide Joint Formulary

Useful Links

DAC home page MHRA Drug Safety Update Yellow Card Scheme Wessex LMC Guidance on 7 day prescribing

Individual funding request CCG

NHSE individual funding request (Specialist commissioning

Liability form for unlicensed and off license medicines Wessex LMC Guidance on Patients travelling abroad
Formulary New Drug Application Form BNF/BNFc Palliative Care Guidelines Wessex LMC Guidance on converting private prescriptions to FP10


Specialist Recommendation Drug Policy

High Cost Drugs Policy Drugs of Limited Clinical Value (DoLCV)

Safer Opioid Prescribing

IOW Hosiery CCOMS Guide

SCAN Antibiotic Guidelines CCG PGDs   Anticholinergic Effect on Cognition Tool

MIMS Drug Shortages Live Tracker



News Feed

News - Ranitidine Medicine Supply Notification - 11/05/2020

MIMS Drug Shortages Live Tracker link added to "Useful Links" - 04/05/2020

Policy Update: Evaluation of erectile dysfunction - 01/05/2020

Guidance Added - Sexual Health COVID-19 Communication to Primary Care IoW - 04/08/2020

We recommend that you review your stock holding of these items, if possible.

Early use of antibiotics in older adults
Non-response to initial antimicrobial therapy increases mortality, and so the initial selection of antimicrobials is critical. According to NICE, to cover atypical and multiple pathogens in older patients with pneumonia and at risk of severe complications, the recommended choices of antibiotics in the community are:

Amoxicillin with 500 mg 3 times a day (higher doses can be used – see BNF) for 5 days
Clarithromycin 500 mg twice a day for 5 days


Alternative oral antibiotics for penicillin allergy, if the pneumonia is of moderate-intensity; treatment should be guided by microbiological results when available
Doxycycline or 200 mg on the first day, then 100 mg once a day for a further 4 days (5‑day course in total)
Clarithromycin 500 mg twice a day for 5 days

Mel Stevens, IOW NHS Trust Anti-Microbial Pharmacist and Emily McNaughton, Microbiologist support this advice.

Guidance Added - CCG PGDs - 19/03/2020

>>> more news



Getting started: Use the search tool to find medicine of interest or browse by BNF chapter using the Chapters Menu at the top of this page.

The Isle of Wight Formulary aims to provide information on medicines to support safe, evidence-based, cost-effective practice. The formulary contains links to relevant policies and guidelines but the prescriber retains the responsibility for the appropriate use of this information.

For further information on the development of the Isle of Wight Formulary and participating organisations, please go to the about page. 

Comments about any aspect of the formulary can be made by using the feedback tab at the top of this page.




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