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Upper respiratory infections

Clarithromycin PGD.

Deliver a professional acute bacterial sinusitis in penicillin allergy service through Scripter's structured consultation pathway. Supply: Clarithromycin tablets.

Illustration: Acute bacterial sinusitis in penicillin allergy

What is Clarithromycin?

Clarithromycin is the macrolide alternative for bacterial sinusitis when penicillin allergy rules out first-line treatment, with the same criteria gating supply.

The condition it treats

Bacterial sinusitis in a penicillin-allergic patient: same disease, same thresholds, different molecule.

How the service runs on Scripter

Patients book online, complete the pre-consultation questionnaire, and the guided pathway walks the practitioner through the acute bacterial sinusitis in 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 meeting the same bacterial sinusitis criteria as the penicillin pathway
✓Documented or reported penicillin allergy
✓Interaction screen completed (statins, anticoagulants, QT-prolonging medicines)
✓Safety-netting and GP notification completed

Clarithromycin PGD questions

Are the criteria looser because it is second-line?+

No. The bacterial criteria are identical; only the allergy status changes the agent.

Common side effects?+

Taste disturbance and stomach upset are the frequent ones; the counselling step covers them and when to stop and seek help.

Does this interact with anything important?+

Yes, meaningfully: several statins, some anticoagulants and QT-prolonging drugs. The medication history in the pathway is the safety net.

More upper respiratory infections PGDs.

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

Run a acute bacterial sinusitis in 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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