Formulary


	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

12.03.01

Drugs for oral ulceration and inflammation

Benzydamine (Difflam^®)

Formulary

Available OTC

Available as

0.15% mouthwash
0.15% oromucosal spray

Hydrocortisone (Corlan^®)
(mouth ulcers)

Formulary

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

Available OTC

Betamethasone (soluble tablets)

Formulary

Unlicensed indication

Expensive

Caphosol ^®

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)

Formulary

For hospital inpatient use only.

Available OTC for all other situations

Lidocaine and Hydrocortisone mouthwash
(mouth ulcers)

Formulary

Hospital use only

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

....

Non Formulary Items

Anaesthetic throat lozenges (Tyrozets^®)

Non Formulary

Antacid with Oxetacaine

Non Formulary

Benzocaine

Non Formulary

Carmellose Sodium (Orabase^®)

Non Formulary

Carmellose Sodium (Orahesive^®)

Non Formulary

Cetylpyridinium, Chlrocresol, Lidocaine (Anbesol^®)

Non Formulary

Flurbiprofen lozenge

Non Formulary

Gelclair ^®

Non Formulary

Glycerol dioleate (Episil®)

Non Formulary

Lidocaine 10% mouth spray

Non Formulary

Lidocaine 5% ointment
(mouth)

Non Formulary

Lidocaine and Cetylpyridinium (Dentinox^® Teething Gel)

Non Formulary

Lidocaine and Chlorhexidine (Instillagel^®)
(mouth)

Non Formulary

Lidocaine and Phenylephrine (Cophenalcaine^®)

Non Formulary

Key

	Notes
	Section Title (top level)
	Section Title (sub level)
	First Choice item
	Non Formulary section
	Restricted Drug
	Unlicensed
	Display tracking information
	Link to adult BNF
	Link to children's BNF
	Link to SPCs
	Scottish Medicines Consortium

	Cytotoxic Drug
	Controlled Drug
	High Cost Medicine
	Cancer Drugs Fund
	NHS England
	Homecare
	CCG

Traffic Light Status Information

Status	Description
	For routine prescribing in primary and secondary care.
	Initiated (if clinically urgent) or advised (if non-urgent) by specialist in secondary care, prescribing can be continued in primary care.
	Shared care
	Hospital only
	There should be no prescribing of these drugs
	The traffic light of the drug is dependant on the indication. Please see individual drug entry for details