netFormulary NHS
Ipswich and East Suffolk CCG
North East Essex CCG
East Suffolk and North East Essex NHS Foundation Trust
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 Formulary Chapter 12: Ear, nose and oropharynx - Full Chapter
12.01.01  Expand sub section  Otitis externa
 note 

Joint guidance

Avoid chloramphenicol ear drops - contain propylene glycol and cause contact dermatitis in about 10% of people.

 

Primary care guidance

Otitis externa

When prescribing ear drops in primary care the Suffolk Antibiotic Formulary should be used

12.01.01  Expand sub section  Astringent preparations
12.01.01  Expand sub section  Anti-inflammatory preparations
Betamethasone 0.1% with Neomycin 0.5% ear drops
View adult BNF View SPC online View childrens BNF
First Choice
Blue

 First line For moderate/severe cases

 
Sofradex  ( Dexamethasone, Framycetin and Gramicidin)
View adult BNF View SPC online View childrens BNF
Formulary
Blue
 
   
Otomize (Dexamethasone ,Acetic acid and Neomycin)
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Formulary
Blue
 
   
Flumetasone 0.02% with Clioquinol 1%
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Formulary
Blue

Expensive

 
   
Gentisone HC (Hydrocortisone Acetate 1% with Gentamicin 0.3%)
View adult BNF View SPC online View childrens BNF
Formulary
Blue

Expensive

 
   
Betamethasone drops (eye, ear and nose)
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Formulary
Blue
 
   
12.01.01  Expand sub section  Anti-infective preparations
 ....
 Non Formulary Items
Otosporin  ( Hydrocortisone, neomycin)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Prednisolone ear drops  (Predsol)

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Non Formulary
 
Predsol-N  (Prednisolone 0.5% with Neomycin 0.5%)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
  
Key
note Notes
Section Title Section Title (top level)
Section Title Section Title (sub level)
First Choice Item First Choice item
Non Formulary Item Non Formulary section
Restricted Drug
Restricted Drug
Unlicensed Drug
Unlicensed
Track Changes
Display tracking information
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Link to adult BNF
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Link to children's BNF
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Link to SPCs
SMC
Scottish Medicines Consortium
Cytotoxic Drug
Cytotoxic Drug
CD
Controlled Drug
High Cost Medicine
High Cost Medicine
Cancer Drugs Fund
Cancer Drugs Fund
NHSE
NHS England
Homecare
Homecare
CCG
CCG

Traffic Light Status Information

Status Description

Blue

For routine prescribing in primary and secondary care.   

Green

Initiated (if clinically urgent) or advised (if non-urgent) by specialist in secondary care, prescribing can be continued in primary care.   

Amber

Shared care  

Red Hospital

Hospital only  

Double Red

There should be no prescribing of these drugs  

Mixed

The traffic light of the drug is dependant on the indication. Please see individual drug entry for details  

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