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Ear infection

Clarithromycin PGD.

Deliver a professional acute otitis media (penicillin allergy) service through Scripter's structured consultation pathway. Supply: Clarithromycin tablets or oral suspension.

Illustration: Acute otitis media (penicillin allergy)

What is Clarithromycin?

Clarithromycin is the macrolide alternative for acute otitis media when the patient is allergic to penicillin. The PGD uses the same otoscopy-led assessment as the amoxicillin pathway and reserves antibiotics for the presentations national guidance says will benefit.

The condition it treats

Acute otitis media is a middle ear infection, common in young children, causing earache, fever and sometimes a bulging or perforated eardrum. Most cases settle without antibiotics; a defined minority benefit from treatment.

How the service runs on Scripter

Patients book online, complete the pre-consultation questionnaire, and the guided pathway walks the practitioner through the acute otitis media (penicillin allergy) consultation with the screening and counselling steps built in. The supply decision, the record and any GP notification are produced in the same flow, documented against the exact protocol version in force.

Training and eligibility requirements.

Who can deliver this service, and who it can be delivered to. The governing PGD document defines the definitive inclusion, exclusion and supply criteria; the Scripter consultation pathway enforces them, and every consultation is documented against the protocol version it ran under.

Practitioner training
✓Registered healthcare professional from a profession authorised to supply under PGDs (Schedule 16, Part 4 of the Human Medicines Regulations 2012), such as a pharmacist, nurse, paramedic or physiotherapist, with current registration with their professional regulator
✓Practising from premises suitable for the service, such as registered pharmacy premises or a registered clinic
✓Assessed clinical competency for this service, declared and reviewed as part of PGD authorisation
✓Sign-off against the current version of this PGD in Scripter before first supply; sign-offs expire automatically when the protocol is updated, and the platform notifies everyone affected
✓In-date basic life support and safeguarding training
✓Indemnity arrangements covering the service
Patient eligibility
✓Patients within the governing PGD's age range with otoscopy findings meeting the treatment criteria
✓Penicillin allergy documented; systemically unwell patients and mastoid signs referred urgently
✓Interactions screened, including statins and other QT-prolonging medicines, per the governing PGD
✓Analgesia and safety-netting counselling completed

Clarithromycin PGD questions

When is clarithromycin used instead of amoxicillin?+

Only with a documented penicillin allergy; otherwise amoxicillin remains first line.

Are there important interactions?+

Yes. Clarithromycin interacts with several common medicines including some statins and anticoagulants; the consultation checks the medication list before supply.

How quickly should the ear improve?+

Pain usually eases within two to three days; the safety-net advice explains when to seek review sooner.

More ear infection PGDs.

Related protocols in the same category, all delivered through the same platform.

Amoxicillin

Acute otitis media

View PGD

Neomycin / dexamethasone (Otomize)

Otitis externa

View PGD

Neomycin / polymyxin / hydrocortisone (Otosporin)

Otitis externa

View PGD

Run a acute otitis media (penicillin allergy) service without the paperwork.

See the consultation pathway, the sign-off tracking and the record it produces in a free 30-minute demo.

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Built for pharmacists, by pharmacists.