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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
12.02.01  Expand sub section  Drugs used in nasal allergy
Azelastine and fluticasone (Dymista)
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Formulary
Blue

Licensed for 12 and over

Ipswich Hospital

Azelastine / fluticasone (Dymista) is a formulary medicines choice

Colchester Hospital

Azelastine / fluticasone (Dymista) is a non-formulary medicine

 


Primary care guidance

Relief of symptoms of moderate-severe perennial allergic rhinitis in patients who have failed to respond to a steroid nasal spray with the addition of an oral antihistamine.

Treatment must be reviewed after 3 months and only continued for patients who are benefitting from it.

 
   
12.02.01  Expand sub section  Antihistamines
12.02.01  Expand sub section  Corticosteroids
 note 

MHRA:Risk of psychological and behavioural side effects

Beclometasone Dipropionate
(Nasal spray)
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First Choice
Blue

Available OTC for 18+ yrs


First choice for nasal spray

POM use -Licensed for 6 and over

 
Betamethasone Sodium Phosphate (eye, ear, nose drops)
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First Choice
Blue

First choice for nasal drops

 
Mometasone Furoate
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Formulary
Blue

Available OTC

 
   
Fluticasone Propionate (Nasofan)
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Formulary
Blue

Available OTC for >18 years


 POM use- Licensed for 4 and over

 
   
Fluticasone Propionate (Flixonase Nasule)
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Formulary
Blue

Licensed for 16 and over

 
   
Triamcinolone Acetonide (Nasacort)
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Restricted Drug Restricted

Ipswich Hospital

Triamcinolone acetonide nasal spray (Nasocort) is non-formulary

Colchester Hospital

Triamcinolone acetonide nasal spray (Nasocort) is considered a formulary medicine

 
   
Budesonide (Rhinocort Aqua)
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Restricted Drug Restricted

Ipswich Hospital

Budesonide nasal spray (Rhinocort Aqua) is non-formulary

Colchester Hospital

Budesonide nasal spray (Rhinocort Aqua) is considered a formulary medicine

 
   
Fluticasone furoate (Avamys)
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Restricted Drug Restricted

Ipswich Hospital

Fluticasone furoate nasal spray (Avamys) is non-formulary

Colchester Hospital

Fluticasone furoate nasal spray (Avamys) is considered a formulary medicine choice

 
   
12.02.01  Expand sub section  Cromoglicate
 ....
 Non Formulary Items
Azelastine Hydrochloride  (Rhinolast)

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Non Formulary
 
Budesonide

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Non Formulary
 
Flunisolide  (Syntaris)

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Non Formulary
 
Sodium Cromoglicate  (Rynacrom)

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
click to search medicines.org.uk
Link to adult BNF
click to search medicines.org.uk
Link to children's BNF
click to search medicines.org.uk
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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