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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
12.03  Expand sub section  Drugs acting on the oropharynx
12.03.01  Expand sub section  Drugs for oral ulceration and inflammation
Benzydamine (Difflam®)
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Formulary
Blue

Available OTC


Available as 

  • 0.15% mouthwash
  • 0.15% oromucosal spray
 
   
Hydrocortisone (Corlan®)
(mouth ulcers)
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Formulary
Blue

MHRA:Should not be used off-label for adrenal insufficiency in children due to serious risks


Available OTC

 
   
Betamethasone (soluble tablets)
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Formulary
Blue

Unlicensed indication

Expensive

 
   
Caphosol ®
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Restricted Drug Restricted

Ipswich Hospital

Caphosol mouth rinse is non-formulary

Colchester Hospital

Caphosol mouth rinse is a formulary medicine choice and is utilised within oncology practice

 
   
Choline Salicylate (dental gel)
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Formulary
Blue

For hospital inpatient use only. 

Available OTC for all other situations

 
   
Lidocaine and Hydrocortisone mouthwash
(mouth ulcers)
Formulary
Red Hospital

Hospital use only

Unlicensed special (made in the pharmacy manufacturing unit at IHT)

 
   
12.03.02  Expand sub section  Oropharyngeal anti-infective drugs
12.03.02  Expand sub section  Oropharyngeal Fungal infections
Miconazole (Daktarin®)
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Formulary
Blue

MHRA:Significant interaction with warfarin


Available OTC

 
   
Nystatin
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Formulary
Blue
 
   
Fluconazole
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Formulary
Blue
Only if topical ineffective/ inappropriate 
   
12.03.02  Expand sub section  Oropharyngeal Viral infections to top
Chlorhexidine mouthwash
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Formulary
Blue

Available OTC

 
   
12.03.03  Expand sub section  Lozenges and sprays
12.03.04  Expand sub section  Mouthwashes, gargles, and dentifrices
Chlorhexidine mouthwash
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Formulary
Blue
 
   
Hydrogen Peroxide 3%
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Formulary
Red Hospital

For post-tonsillectomy haemorrhage

 
   
Hydrogen Peroxide 6%
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Formulary
Red Hospital

Acute ulcerative gingivitis

 
   
Tranexamic Acid Mouthwash 5%
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Formulary
Red Hospital

unlicensed Unlicensed medicine

For use in Radiotherapy or oncology

 
   
Tranexamic Acid Topical Solution
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Formulary
Green

unlicensed Unlicensed medicine

For use in Palliative Care

 
   
12.03.05  Expand sub section  Treatment of dry mouth
12.03.05  Expand sub section  Local Treatment
Biotene Oralbalance ®
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Formulary
Blue

Can be bought OTC

 
   
AS saliva Orthana ®
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Formulary
Blue

Can be bought OTC



Primary care guidance

ACBS

For patients suffering from dry mouth as a result of having (or having undergone) radiotherapy, or sicca syndrome.

 
   
12.03.05  Expand sub section  Systemic treatment to top
 ....
 Non Formulary Items
Aciclovir

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Non Formulary
 
Amphotericin Lozenges  (Fungilin®)

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Non Formulary
 
Anaesthetic throat lozenges  (Tyrozets®)

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Non Formulary
 
Antacid with Oxetacaine

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Non Formulary
 
Benzocaine

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Non Formulary
 
BioXtra ®

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Non Formulary
 
Carmellose Sodium  (Orabase®)

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Non Formulary
 
Carmellose Sodium  (Orahesive®)

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Non Formulary
 
Cetylpyridinium, Chlrocresol, Lidocaine  (Anbesol®)

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Non Formulary
 
Chlorhexidine & Chlorobutanol  (Eludril®)
(mouthwash)

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Non Formulary
 
Doxycycline

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Non Formulary
 
Flurbiprofen lozenge

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Non Formulary
 
Gelclair ®

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Non Formulary
 
Glandosane ®

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Non Formulary
 
Glycerol dioleate  (Episil®)

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Non Formulary
 
Lidocaine 10% mouth spray

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Non Formulary
 
Lidocaine 5% ointment
(mouth)

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Non Formulary
 
Lidocaine and Cetylpyridinium  (Dentinox® Teething Gel)

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Non Formulary
 
Lidocaine and Chlorhexidine  (Instillagel®)
(mouth)

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Non Formulary
 
Lidocaine and Phenylephrine  (Cophenalcaine®)

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Non Formulary
 
Luborant ®

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Non Formulary
 
Miconazole  (Loramyc®)

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Non Formulary
 
pilocarpine Hydrochloride  (Salagen®)

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Non Formulary
 
Povidone Iodine  (Betadine®)

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Non Formulary
 
Salinum ®

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Non Formulary
 
Saliveze ®

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Non Formulary
 
Salivix ®

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Non Formulary
 
SST

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Non Formulary
 
Thymol

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Non Formulary
 
Xerotin(r)  (Xerotin®)

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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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