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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 13: Skin - Full Chapter
13.02  Emollient and barrier preparations
 note 

MHRA:Emollients: new information about risk of severe and fatal burns with paraffin-containing and paraffin-free emollients

 

Primary care guidance

Self care leaflets

Dry skin (emollients)

Nappy rash

13.02  Soap substitute
ZeroAQS ®
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First Choice
Blue

Can be bought OTC

 
Emulsifying Ointment BP
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Formulary
Blue

Can be bought OTC

 
   
Dermol 500 ® (lotion)
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Formulary
Blue

Can be bought OTC 


Only if infection present or is a frequent complication

 
   
13.02.01  Emollients
Epimax ®
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First Choice
Blue

Can be bought OTC

Flame Low fire risk


Equivalent to Diprobase® Cream

Can be used as a soap substitute


 

As of March 2020 Epimax cream has been renamed Epimax Original cream.

 
Isomol ®
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Formulary
Blue

Can be bought OTC

Flame Low fire risk


Equivalent to Doublebase®

Can be used as a soap substitute


 

As of March 2020 Isomol gel was renamed Epimax Isomol gel.

 
   
Zeroderm ®
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Formulary
Blue

Can be bought OTC

Flame Flame Flame High fire risk


Equivalent to Hydromol ointment (lanolin free) and Epaderm ointment

 
   
Liquid and White Soft Paraffin Ointment (50:50)
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Formulary
Blue

Flame Flame Flame High fire risk

 
   
Emollin ®
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Formulary
Green

Flame Flame Flame High fire risk


Only on advice from specialist where

  • Sore and inflamed skin so unable to spread cream/lotion
  • Where access to the affected site is difficult
 
   
Ultrabase ®
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Formulary
Blue

Can be bought OTC

Flame Low fire risk

 
   
Dermol ® (cream)
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Formulary
Blue

Can be bought OTC 


Only if infection present or is a frequent complication

 
   
Aveeno ® (cream and lotion)
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Formulary
Green

Joint guidance

Usually only on advice from specialist

Restricted to paediatric use where they are unable to tolerate other emollients

 

Primary care guidance

ACBS borderline substance

For patients with

  • Endogenous and exogenous eczema
  • Xeroderma
  • Ichthyosis
  • Senile pruritus associated with dry skin only
 
   
13.02.01  Emollients - preparations containing urea
Imuderm ®
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First Choice
Blue

Can be bought OTC


Equivalent to Balnuem® cream

 
Balneum ® Plus cream
(Emollient preparation containing Urea)
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Formulary
Green

Can be bought OTC


 Usually only on advice from specialist

 
   
Eucerin ® Intensive
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Formulary
Green

Usually only on advice from specialist

 
   
Calmurid ® (cream)
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Formulary
Green

Usually only on advice from specialist

Can be used as an alternative to paraffin based products

 
   
Dermatonics Heel Balm ®
(Urea 25%)
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Formulary
Red Hospital

Inpatient use only on advice from specialist

 
   
13.02.01  Emollients - with antimicrobials to top
13.02.01.01  Emollient bath and shower preparations
 note 

Primary care guidance

There is a lack of good evidence to support the prescribing of these items.

These should only be prescribed at the request of secondary care in exceptional circumstances. 

Patients should be encouraged to wash with soap substitutes.

Soap substitutes
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Formulary
Blue

Click here to see preparations used as soap substitutes

 
   
Aveeno ® (bath oil)
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Formulary
Green

Primary care guidance

ACBS borderline substance

For patients with

  • Endogenous and exogenous eczema
  • Xeroderma
  • Ichthyosis
  • Senile pruritus associated with dry skin

Usually only on advice from a specialist

Restricted to paediatric use where they are unable to tolerate other emollients

 
   
Dermol 600 ® (bath emollient)
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Formulary
Green

May be used if recommended by a specialist for infected atopic eczema for 14 days

 
   
13.02.02  Barrier preparations
Cavilon Film
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Restricted Drug Restricted

Approved for use within North East Essex CCG only. Cavilon is restricted to stoma patients. 

Stoma wipe (3344E)

28ml pump spray (3346P)

 
   
13.02.02  Community
Conotrane
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Formulary
Blue

Can be bought OTC


First line primary care

Not stocked at IHT

 
   
13.02.02  Hospital
LBF (Barrier cream 2g sachet )
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Formulary
Blue

For use on intact but vulnerable skin

 
   
LBF (Barrier film applicators )
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Formulary
Blue

Available as

  • 1ml
  • 2ml

For use around wounds

 
   
LBF (Barrier film spray 30ml )
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Formulary
Blue

For use on broken skin

 
   
Proshield Plus (cream & spray)
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Formulary
Blue

For severe moisture excoriation

                      or

Only if LBF spray tried and failed


Can be used as an alternative to paraffin based products

 

 
   
13.03  Topical local anaesthetics and antipruritics to top
Emollients
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Formulary
Blue

Pruritus associated with dry skin or for pruritus in otherwise healthy elderly people

Click here to see preparations used as emollients

 
   
Crotamiton (Eurax®)
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Formulary
Blue

Only if an emollient alone does not provide adequate relief

 
   
Menthol 1% in aqueous cream
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Formulary
Blue

For pruritus in pregnancy if standard emollients do not work

 
   
Menthol 5% in aqueous cream
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Formulary
Blue

For use if Menthol 1% in aqueous cream fails

 
   
13.04  Topical corticosteriods.
 note 

Creams for moist or weeping lesions

Ointments for dry, lichenified or scaly lesions

Gels and liquids for scalps and nails

13.04  Mild
Hydrocortisone (0.5% and 1% cream and ointment)
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First Choice
Blue

Can be bought OTC for patients ≥10yrs for the following

  • Irritant contact dermatitis
  • Allergic contact dermatitis
  • Insect bite reactions
  • Mild to moderate eczema 

Cannot be used for the face if purchacing OTC 


If treating the body use a moderate steroid 1st line.

 
Flucinolone Acetonide 0.0025% (Synalar 1 in 10 Dilution®)
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Formulary
Green

Only on advice from specialist

 
   
13.04  Moderate
Betamethasone 0.025% (cream and ointment)
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First Choice
Blue
 
Clobetasone Butyrate 0.05% (cream and ointment)
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Formulary
Blue

Can be bought OTC for patients ≥12yrs for the following

  • Irritant contact dermatitis
  • Allergic contact dermatitis
  • Insect bite reactions
  • Mild to moderate eczema 

Cannot be used for the face if purchacing OTC 

 
   
Flucinolone Acetonide 0.00625% (Synalar 1 in 4 Dilution®)
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Formulary
Blue
 
   
Fludroxycortide  (Haelan® tape)
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Formulary
Blue

For localized areas of lichen simplex chronicus/thickened skin where penetration of ordinary steroids may be an issue

May help break itch/scratch cycle by covering the affected area

Do not use with other topical steroids

 
   
13.04  Potent
Mometasone Furoate 0.1% (cream, ointment and scalp lotion)
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First Choice
Blue

Use ONCE daily

 
Betamethasone Valerate 0.1% (cream, ointment and scalp application )
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Formulary
Blue
 
   
13.04  Very Potent to top
Clobetasol Propionate 0.05% (cream, ointment and scalp application, shampoo)
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Formulary
Blue
 
   
13.04.03  Topical corticosteroid plus salicylic acid
Betamethasone (as Dipropionate) 0.05% with Salicylic Acid 3% (Diprosalic®)
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Formulary
Blue
 
   
13.04.04  Topical corticosteroids and anti-infective preparations
 note 

Joint guidance

Prescribing advice

The advantages of including antibacterials or antifungals with corticosteroids in topical preparations are uncertain.

Such combinations may have a place where inflammatory skin conditions are associated with bacterial or fungal infection.

In these cases the antimicrobial drug should be chosen according to the sensitivity of the infecting organism.

There are OTC options available in the mild steroid class

13.04.04  Mild
Hydrocortisone 1% with Clotrimazole 1% (Canesten HC cream ®)
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Formulary
Blue

Can be bought OTC

 
   
Hydrocortisone Acetate 1% with Fusidic Acid 2% (Fucidin H® cream)
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Formulary
Blue

Can be bought OTC

 
   
Hydrocortisone 1% with Miconazole Nitrate 2% (Daktacort® cream/ointment)
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Formulary
Blue

Can be bought OTC


 For seborrheic dermatitis

 
   
13.04.04  Moderate
Trimovate ® (antifungal and antibacterial)
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Formulary
Blue

Currently only available as an unlicensed medicine

 

 
   
13.04.04  Potent to top
Betamethasone (as Valerate) 0.1% with Fucidic Acid 2% (Fucibet® cream)
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Formulary
Blue
 
   
Betamethasone Dipropionate 0.064% with Clotrimazole 1% (Lotriderm® cream)
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Formulary
Blue
 
   
13.04.04  Very Potent
Clobetasol Propionate with neomycin and nystatin (Dermovate-NN®)
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Formulary
Green

Only on advice from specialist

 
   
13.05  Preparations for eczema and psoriasis
13.05.01  Preparations for eczema
Emollients
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Formulary
Blue

Click here to see preparations used as emollients

 
   
Topical corticosteroids
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Formulary
Blue

Click here to see corticosteroids

 
   
Alitretinoin (Toctino®)
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Formulary
Red Hospital
High Cost Medicine
BlueTeq

MHRA:Pregnancy prevention

MHRA: Revised and simplified pregnancy prevention educational materials for healthcare professionals and women

Toxic drug – reserve for use by integrated dermatology service/secondary care prescribers only. 

Use in adults who have severe chronic hand eczema that is unresponsive to treatment with potent topical corticosteroids

 
   
13.05.02  Preparations for psoriasis
13.05.02  Topical preparations for psoriasis to top
Calcipotriol (ointment)
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Formulary
Blue

Topical vitamin D

 
   
Calcitriol  (ointment)
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Formulary
Blue

Topical vitamin D

 
   
Dithranol
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Formulary
Green

Available as 

  • Dithranol 0.1% cream
  • Dithranol 0.25% cream
  • Dithranol 0.5% cream
  • Dithranol 1% cream (Dithrocream® HP)
  • Dithranol 2% cream (Dithrocream® 2%)
  • Dithranol 3%

Use only on advice of a specialist

On initiation prescribe all four (0.25%, 0.5%, 1%, 2%) titration strengths on initial prescription – only one prescription charge for patient

 
   
Topical corticosteroids
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Formulary
Blue

Click here to see corticosteroids


Topical corticosteroids are only suitable for treating localized psoriasis.

They should only be applied once daily.

Very potent topical steroids under specialist supervision only

 
   
Calcipotriol 50mcg/g with Betamethasone 0.05% (ointment,gel and foam)
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Formulary
Blue

Apply once daily

 
   
Alphosyl 2 in 1
(Coal tar extract 5%)
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Formulary
Blue

Can be bought OTC


Coal tar shampoos should not be used alone for people who have severe scalp psoriasis

 
   
Exorex (Coal tar solution 5%)
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Formulary
Blue

Can be bought OTC


Coal tar shampoos should not be used alone for people who have severe scalp psoriasis

 
   
Sebco ® (Coal tar solution 12%)
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Formulary
Blue

Can be bought OTC


Coal tar shampoos should not be used alone for people who have severe scalp psoriasis

 
   
13.05.02  Oral retinoids for psoriasis
Acitretin
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Formulary
Red Hospital

MHRA:Pregnancy prevention

MHRA: Revised and simplified pregnancy prevention educational materials for healthcare professionals and women

Toxic drug – reserve for use by integrated dermatology service/secondary care prescribers only

 
   
13.05.03  Drugs affecting the immune response
Pimecrolimus (cream)
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Formulary
Green
 
Link  NICE TA82: Pimecrolimus and tacrolimus for atopic dermatitis (eczema)
   
Tacrolimus (ointment)
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Formulary
Green

MHRA:Possible risk of malignancies


Available as 

  • 0.03%
  • 0.1%
 
Link  NICE TA82: Pimecrolimus and tacrolimus for atopic dermatitis (eczema)
   
Cytotoxic Drug Azathioprine
(Dermatology)
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Formulary
Amber
 
Link  Azathioprine- Shared care
   
Ciclosporin
(Dermatology)
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Formulary
Amber

Use generic ciclosporin

 
Link  Ciclosporin (Dermatology) - Shared Care
   
Cytotoxic Drug Methotrexate
(Dermatology)
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Formulary
Amber

Hospital only guidance

Inpatient drug charts prescribing advice

  • It is prescribed weekly
  • If patient is taking folic acid, it must be given a minimum 24 hours after the methotrexate dose 
  • Endorse the chart with "CYTOTOXIC"
  • Quantity of 2.5mg tablets needed for each dose is specified e.g 4*2.5mg for 10mg dose
  • Allergy box has the following wording " Not for trimethoprim. Please check interactions with methotrexate before prescribing any new medicines".
  • Check bloods
    • eGFR
    • FBC
    • LFTs

Charts must be validated by a pharmacist before a supply can be made

See below for IHT newsletters

 

Primary care guidance

Risk of overdose

Please check records/clinic letters to ensure patient is not receiving any injectable methotrexate in secondary care

 
Link  Methotrexate- shared care
Link  IHT- Methotrexate safety: Tips for Drs and Nurses
Link  IHT- Methotrexate safety: Tips for pharmacy staff
   
Mycophenolate
(Dermatology)
View adult BNF View SPC online View childrens BNF
Formulary
Amber

MHRA:Updated contraception advice for male patients


Severe refractory eczema [unlicensed indication]

 
Link  SNEE ICS Mycophenolate Mofetil Shared Care Agreement (Adults) for use in rheumatology, dermatology, gastroenterology and Respiratory (Non-transplant)
   
Apremilast (Otezla®)
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Formulary
High Cost Medicine
BlueTeq
 
Link  NICE TA372: Apremilast for psoriatic arthritis
Link  NICE TA419: Apremilast for treating moderate to severe plaque psoriasis
Link  NICE TA433 : Apremilast for treating active psoriatic arthritis
   
Dimethyl fumarate (tabs)
(Dermatology)
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Formulary
Red Hospital
BlueTeq

Must be prescribed as Skilarence

 
Link  NICE TA475: Dimethyl fumarate for treating moderate to severe plaque psoriasis
   
Omalizumab
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Formulary
Red Hospital
 
Link  Omalizumab for previously treated chronic spontaneous urticaria
   
13.05.03.01  Cytokine modulators (biologic therapies) - eczema
13.05.03.02  Cytokine modulators (biologic therapies) - psoriasis
Brodalumab
(Subcutaneous injection)
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Formulary
Red Hospital
High Cost Medicine
CCG
Homecare
BlueTeq
 
Link  NICE TA511 Brodalumab for treating moderate to severe plaque psoriasis
   
Certolizumab pegolBlack Triangle (Cimzia 200mg/ml injection)
(Dermatology)
View adult BNF View SPC online View childrens BNF
Formulary
Red Hospital
High Cost Medicine
CCG
Homecare
BlueTeq
 
Link  NICE TA574 Certolizumab pegol for treating moderate to severe plaque psoriasis
   
Etanercept
(Dermatology)
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Formulary
Red Hospital
High Cost Medicine
BlueTeq

Consultant dermatologists & rheumatologists only


Hospital only guidance

Prescribing etanercept

  • All prescriptions for etanercept must be prescribed by brand name
  • Existing patients currently receiving etanercept will continue to be prescribed Enbrel® unless a switch has been agreed. 
  • New patients will be prescribed Benepali® 

Should patients experience unexpected side effects, lack of tolerance or a symptom flare while using the biosimilar, the originator product i.e Enbrel® should be used

 
Link  NICE TA103: Psoriasis - efalizumab and etanercept
   
Guselkumab (Tremfya)
(100mg/ml disposable injection)
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Formulary
Red Hospital
High Cost Medicine
CCG
Homecare
BlueTeq

Specialist use only for moderate to severe plaque psoriasis

Homecare delivery for subcutaneous injection

 
Link  NICE TA521 Guselkumab for treating moderate to severe plaque psoriasis
   
Infliximab (Inflectra®)
(Dermatology)
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Formulary
Red Hospital
High Cost Medicine
BlueTeq

Hospital only guidance

Prescribing Infliximab

  • All prescriptions for infliximab must be prescribed by brand name
  • All existing patients currently receiving infliximab will continue to be prescribed Remicade® or Remsima® unless a switch to Inflectra®has been agreed
  • New patients will be prescribed inflectra®

Should patients experience unexpected side effects, lack of tolerance or a symptom flare while using the biosimilar, the originator product i.e Remicade® should be used

 
Link  NICE TA134: Infliximab for psoriasis
   
Ixekizumab
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Formulary
Red Hospital
BlueTeq
 
Link  NICE TA442 : Ixekizumab for treating moderate to severe plaque psoriasis
   
RisankizumabBlack Triangle (Skyrizi)
(Subcutaneous injection)
View adult BNF View SPC online View SMC online View childrens BNF
Formulary
Red Hospital
High Cost Medicine
CCG
Homecare
BlueTeq
 
Link  NICE TA596 Risankizumab for treating moderate to severe plaque psoriasis
   
Secukinumab
View adult BNF View SPC online View childrens BNF
Formulary
Red Hospital
High Cost Medicine
BlueTeq
 
Link  NICE TA350: Plaque Psoriasis
Link  NICE TA445: Secukinumab for treating active psoriatic arthritis after inadequate response to DMARDs
   
TildrakizumabBlack Triangle (Ilumetri 100mg/ml injection)
(Subcutaneous injection)
View adult BNF View SPC online View childrens BNF
Formulary
Red Hospital
High Cost Medicine
CCG
Homecare
BlueTeq
 
Link  NICE TA575 Tildrakizumab for treating moderate to severe plaque psoriasis
   
Ustekinumab
View adult BNF View SPC online View childrens BNF
Formulary
Red Hospital
High Cost Medicine
BlueTeq

MHRA:Risk of exfoliative dermatitis

 
Link  NICE TA180: Psoriasis - ustekinumab
Link  NICE TA340: Ustekinumab for treating active psoriatic arthritis
Link  NICE TA455 : Adalimumab, etanercept and ustekinumab for treating plaque psoriasis in children and young peopl
Link  NICE TA456 : Ustekinumab for moderately to severely active Crohn’s disease after previous treatment
   
Adalimumab
(Dermatology)
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Formulary
Red Hospital
High Cost Medicine
BlueTeq

Any new prescription initiated for adalimumab must be for the biosimilar.

NHS England framework for biosimilar adalimumab for the Eastern Region is as follows:

1st line biosimilar drug=Imraldi (citrate containing injection)

2nd line biosimilar drug=Amgevita (non-citrate injection)

The originator drug Humira must not be initiated in any patient.  Patients who develop an injection site reaction repeatedly must be switched to the non-citrate injection Amgevita.  Patients who develop a system reaction to any biosimilar adalimumab product must be reviewed by the MDT for suitability of adalimumab and must not be switched back to Humira without MDT,  Pharmacy and CCG approval.  An algorithm is being developed to support this (01/07/2019).

 
Link  NICE TA146: Adalimumab for the treatment of adults with psoriasis
Link  NICE TA392: Adalimumab for treating moderate to severe hidradenitis suppurativa
   
13.06  Acne and rosacea to top
13.06.01  Topical preparations for acne
 note 

Joint guidance

Prescribing guidance

Benzoyl peroxide gels and creams available OTC.

Topical antibiotics should not usually be used long term due to the possibility of the development of bacterial resistance.

Stop treatment after 12 weeks, and consider using benzoyl peroxide as a substitute instead if necessary.

All treatments should be trialled for 6 to 8 weeks prior to assessment of efficacy

13.06.01  Benzoyl peroxide and azelaic acid
Azelaic Acid 20% (Skinoren® )
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Formulary
Blue

Can be bought OTC


 Topical antibiotic- causes less skin irritation than topical retinoids or benzoyl peroxide

 
   
13.06.01  Combination products containing benzoyl peroxide
Adapalene / Benzoyl Peroxide (Epiduo®)
View adult BNF View SPC online View childrens BNF
Formulary
Blue
 
   
Benzoyl Peroxide 5% with Clindamycin 1% (Duac® Once Daily)
View adult BNF View SPC online View childrens BNF
Formulary
Blue
 
   
Benzoyl Peroxide, potassium hydroxyquinoline sulfate  (Quinoderm®)
View adult BNF View SPC online View childrens BNF
Formulary
Blue

Available as 

  • benzoyl peroxide 5%  potassium hydroxyquinoline sulfate 0.5%
  • benzoyl peroxide 10%  potassium hydroxyquinoline sulfate 0.5%
 
   
13.06.01  Topical retinoid
13.06.01  Combination products containing retinoids to top
Clindamycin/ tretinoin gel (Treclin®)
View adult BNF View SPC online View childrens BNF
Formulary
Blue
 
   
Isotretinoin with antibacterial (Isotrexin®)
View adult BNF View SPC online View childrens BNF
Formulary
Blue
 
   
13.06.02  Oral preparations for acne
 note 

Joint guidance

Prescribing guidance

Consider prescribing a standard combined oral contraceptive in women who require contraception

Do not use in oral antibiotic in combination with a topical preparation containing an antibiotic

Do not use tetracyclines in combination with Isotretinoin due to risk of intracranial hypertension

13.06.02  Oral antibiotics for acne
Lymecycline (Tetralysal®300)
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First Choice
Blue
 
Erythromycin
View adult BNF View SPC online View childrens BNF
Formulary
Blue

Only if tetracyclines not tolerated.

 
   
13.06.02  Hormone treatment for acne
Co-Cyprindiol
View adult BNF View SPC online View childrens BNF
Formulary
Blue

MHRA:Balance of benefits and risks remains positive


Should be discontinued three to four menstrual cycles after the woman's acne has resolved due to risk of VTE

 
   
13.06.02  Oral retinoid for acne
Isotretinoin
View adult BNF View SPC online View childrens BNF
Formulary
Red Hospital

MHRA:Pregnancy prevention

MHRA:Risk of serious skin reactions

MHRA:Risk of psychiatric disorders

MHRA:Rare reports of erectile dysfunction and decreased libido

MHRA: Revised and simplified pregnancy prevention educational materials for healthcare professionals and women


Hospital only guidance

Pregnancy Prevention Programme (PPP)

All prescriptions for females of childbearing age should be endorsed with either "On PPP" or "Not PPP"

On PPP

  • Prescriptions must be dispensed  and collected within 7 days of the date written on the script
  • A maximum of 28 days can be supplied
  • Where the time has passed a new prescription should be obtained from the clinic.

Not PPP

  • Prescriptions can be dispensed as normal 
  • No restriction on the quantity supplied (up to 2months given at a time)
 
   
13.06.03  Rosacea to top
13.06.03  Rosacea with symptoms of flushing, erythema (without inflammation), telangiectasia, and rhinophyma
 note 

Primary care guidance

Lifestyle advice

  • Frequent application of high-factor sunscreen (minimum sun-protection factor 30) to the face whenever exposed to sunlight
  • If flushing is problematic, advise the avoidance of trigger factors (where practical), such as extremes of temperature, sunlight, strenuous exercise, stress, spicy foods, caffeine, cheese, alcohol, and hot drinks.
  • Avoid abrasive products or topical corticosteroids on the face (unless recommended by specialist)

If severe causing psychological or social distress,refer to secondary care

13.06.03  Papulopustular rosacea
Azelaic Acid 15% (Finacae®)
View adult BNF View SPC online View childrens BNF
Formulary
Blue
 
   
Ivermectin cream (Soolantra®)
(Rosacea)
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
   
Metronidazole 0.75%  (Rozex® gel or cream)
View adult BNF View SPC online View childrens BNF
Formulary
Blue
 
   
Oxytetracycline
View adult BNF View SPC online View childrens BNF
Formulary
Blue
 
   
Lymecycline
View adult BNF View SPC online View childrens BNF
Formulary
Blue

Unlicensed indication


Use only if compliance is a problem

 
   
Erythromycin
View adult BNF View SPC online View childrens BNF
Formulary
Blue

Only if tetracyclines are contraindicated

 
   
13.06.03  Ocular rosacea
Eyelid hygiene measures
View adult BNF View SPC online View childrens BNF
First Choice
Blue
 
Oxytetracycline
View adult BNF View SPC online View childrens BNF
Formulary
Blue
 
   
13.06.03  Mild or moderate
13.06.03  Moderate or severe covering extensive areas to top
13.07  Preparations for warts and calluses
 note 

Primary care guidance

Prescribing guidance

For most people there is a strong case for not treating warts or verrucae:

  • Warts do not usually cause symptoms.
  • Most warts resolve spontaneously within months or, at the most, within 2 years.
  • Treatment may be prolonged and can have adverse effects.

 Consider treatment only if:

  • The wart is painful (for example on the soles of the feet or near the nails).
  • The wart is cosmetically unsightly (for example on the hands or face).
  • The person requests treatment and the wart is persisting

Consider recommending product purchased OTC

If issuing a prescription consider preparation(s) below
Salicylic Acid (Duofilm®)
View adult BNF View SPC online View childrens BNF
Formulary
Blue

Caution with diabetic patients or others with poor circulation, care and close monitoring is needed.

Counsel patient that topical salicylic acid may require administration for up to 12 weeks and can cause local skin irritation.

 
   
13.07  Anogenital warts
 note 

Joint guidance

 
Referral to a sexual health specialist is recommended for all people with anogenital warts
Imiquimod 5% (Aldara® cream)
(Genital warts/ Basal Cell Carcinoma)
View adult BNF View SPC online View childrens BNF
Formulary
Red Hospital
 
   
13.08  Sunscreens and camouflagers
13.08.01  Sunscreen preparations
 note 

Joint guidance

Only to be prescribed for patients with photosensitive disorders or skin cancer following integrated dermatology service/secondary care recommendation

(NB. Many of these products are ACBS- borderline substances –see drug tariff for more information)

Anthelios XL
View adult BNF View SPC online View childrens BNF
Formulary
Blue
 
   
Sunsense ® Ultra
View adult BNF View SPC online View childrens BNF
Formulary
Blue
 
   
Uvistat ®
View adult BNF View SPC online View childrens BNF
Formulary
Blue
 
   
13.08.01  Photodamage to top
Emollients
Formulary
Blue

Click here to see preaprations used as emollients


Photograph area before treatment

Refer if there is ulceration or induration

Ensure that the patient is aware it will look much worse before it heals.

 
   
Diclofenac 3% (Solaraze®)
View adult BNF View SPC online View childrens BNF
Formulary
Blue

For diffuse chronic sun damage/mild scaling- use for up to 3 months

 
   
Cytotoxic Drug Actikerall ®
(Fluorouracil/ salicylic acid)
View adult BNF View SPC online View childrens BNF
Formulary
Green

For hyperkeratotic actinic keratosis

 
   
Cytotoxic Drug Fluorouracil (Efudix®)
View adult BNF View SPC online View childrens BNF
Formulary

Traffic light information

Traffic light Details
Blue Bowen’s disease
Green Other indications
 
   
Salicylic acid 2%  (ointment)
View adult BNF View SPC online View childrens BNF
Formulary
Green
Only on advice from secondary care/integrated dermatology service 
   
5-aminolaevulinic acid (Ameluz®)
(78mg/g gel)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red Hospital

This product is for use at Ipswich Hospital by the Dermatology team only.  It is not supplied to patients for use at home.

 
   
Imiquimod 5% (Aldara® cream)
(Actinic keratosis)
View adult BNF View SPC online View childrens BNF
Formulary
Red Hospital
 
   
Ingenol mebutate (Picato®)
View adult BNF View SPC online View childrens BNF
Formulary
Green

MHRA: Suspension of the license due to risk of skin malignancy


 
   
Methyl-5-Aminolevulinate (Metvix®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red Hospital

This product is for use at Ipswich Hospital by the Dermatology team only.  It is not supplied to patients for use at home.

 
   
13.08.02  Camouflagers
 note 

Primary care guidance

ACBS borderline substances

For post-operative scars and other deformities and as adjunctive therapy in the relief of emotional disturbance due to disfiguring skin disease, such as vitiligo

Covermark ®
View adult BNF View SPC online View childrens BNF
Formulary
Blue
 
   
Dermacolor ®
View adult BNF View SPC online View childrens BNF
Formulary
Blue
 
   
Keromask ®
View adult BNF View SPC online View childrens BNF
Formulary
Blue
 
   
Veil ®
View adult BNF View SPC online View childrens BNF
Formulary
Blue
 
   
13.09  Shampoos and other preparations for scalp and hair conditions
13.09  Hirsutism-Premenstrual women
 note 

Primary care guidance

Lifestyle advice

  • Encourage weight loss in women who are overweight or obese
  • Discuss cosmetic methods of hair reduction and removal
  • If hirsutism is mild and does not significantly impact on the woman's quality of life, consider no additional treatment
Co-Cyprindiol
View adult BNF View SPC online View childrens BNF
Formulary
Blue

MHRA:Balance of benefits and risks remains positive


Co-cyprindiol should be stopped three or four menstrual cycles after the woman's hirsutism has completely resolved because of an increased risk of VTE

 
   
Combined oral contraceptive (COC)
View adult BNF View SPC online View childrens BNF
Formulary
Blue

Drospirenone containing COC [unlicensed indication]

Examples include

  • Lucette ®

  • Daylette ®

 
   
Eflornithine (cream)
View adult BNF View SPC online View childrens BNF
Formulary
Blue

If COCs are contraindicated or have not worked

Discontinue if no benefit is seen within 4 months of starting treatment and refer to secondary care

 

NEECCG - Eflornithine is non-formulary

 
   
13.09  Androgenetic alopecia
13.09  Dandruff, psoriasis, seborrhoeic dermatitis of the scalp to top
 note 

Primary care guidance

If required, recommend purchase OTC

If very severe, a corticosteroid may be required - click here for choices

Capasal ®
View adult BNF View SPC online View childrens BNF
Formulary
Blue

Can be bought OTC

 
   
Ketoconazole (Nizoral®)
View adult BNF View SPC online View childrens BNF
Formulary
Blue

Can be bought OTC

 
   
Polytar ®
View adult BNF View SPC online View childrens BNF
Formulary
Blue

Can be bought OTC

 
   
13.09  Hirsutism-Postmenstrual women
 note 

Primary care guidance

Lifestyle advice

  • Discuss cosmetic methods of hair reduction and removal
  • If hirsutism is mild and does not significantly impact on the woman's quality of life, consider no additional treatment
Eflornithine (cream)
View adult BNF View SPC online View childrens BNF
Formulary
Blue

Discontinue if no benefit is seen within 4 months of starting treatment and refer to secondary care

 
   
13.10  Anti-infective skin preparations
13.10.01  Antibacterial preparations
13.10.01.01  Antibacterial preparations only used topically
Fusidic acid 2% (Fucidin®)
(skin)
View adult BNF View SPC online View childrens BNF
Formulary
Blue

As resistance is increasing reserve topical antibiotics for very localised lesions

Systematic review indicates topical and oral treatment produces similar results. Do not repeat topical treatment if treatment failure.

 
   
Silver Sulfadiazine (Flamazine®)
View adult BNF View SPC online View childrens BNF
Formulary
Blue

For wound care

 
   
Anabact (metronidazole 0.75% gel)
(skin)
View adult BNF View SPC online View childrens BNF
Formulary
Blue
For wound care 
   
Mupirocin  (Bactroban® cream, ointment)
(skin)
View adult BNF View SPC online View childrens BNF
Formulary
Blue

Reserved for treating MSRA

 
   
13.10.02  Antifungal preparations to top
 note 

Primary care guidance

Clotrimazole 1%
(skin)
View adult BNF View SPC online View childrens BNF
Formulary
Blue

Can be bought OTC

 
   
Miconazole 2%
(skin)
View adult BNF View SPC online View childrens BNF
Formulary
Blue

Can be bought OTC

 
   
Terbinafine 1% cream
(skin)
View adult BNF View SPC online View childrens BNF
Formulary
Blue

Can be bought OTC

 
   
Terbinafine tablets
(skin)
View adult BNF View SPC online View childrens BNF
Formulary
Blue

Primary care guidance

Treating Fungal Nail Infection

If antifungal treatment is indicated, confirm diagnosis (positive microscopy or positive culture) via mycology result before initiating treatment

It is not recommended to combine topical treatment and oral drug treatment.

Usual course length 3 months

Perform LFT prior to treatment and monitor periodically


Amorolfine nail lacquer is available OTC for mild cases and for treatment of max. 2 nails. It should not be prescribed as there is a lack of evidence.

 
   
13.10.03  Antiviral preparations
Aciclovir 5% (cream)
View adult BNF View SPC online View childrens BNF
Formulary
Blue

Can be bought OTC

 
   
Aciclovir (tablets)
View adult BNF View SPC online View childrens BNF
Formulary
Blue
 
   
13.10.04  Parasiticidal preparations
 note 

Primary care guidance

Self care leaflets

Head lice

13.10.04  Scabies
 note 

Crotamiton 10% cream can be used if itching persists after scabies

Permethrin 5% (cream)
View adult BNF View SPC online View childrens BNF
Formulary
Blue

Can be bought OTC

 
   
Ivermectin (tablets)
Formulary
Green

unlicensed Unlicensed medicine


See link below for prescribing advice

 
Link  Ivermectin-Prescribing advice
   
13.10.04  Head lice
Dimeticone 4% (lotion)
View adult BNF View SPC online View childrens BNF
Formulary
Blue

Can be bought OTC


Use in combination with wet combing

 
   
13.10.04  Crab lice to top
Permethrin 5% (Cream)
View adult BNF View SPC online View childrens BNF
Formulary
Blue

Can be bought OTC

 
   
13.10.05  Collodion
13.10.05  Skin tissue adhesive
13.11  Skin cleansers, antiseptics, and desloughing agents
 note 

Primary care guidance

See wound care formulary- click here

 

Hospital only guidance

To be ordered from IHT main stores

13.12  Antiperspirants
13.13  Topical circulatory preparations to top
13.14  Dermatology specials
 note 

Joint guidance

The unlicensed ‘specials’ listed below should be prescribed by the integrated dermatology service and obtained from Ipswich Hospital pharmacy only 

Kligman’s formula
View adult BNF View SPC online View childrens BNF
Formulary
Red Hospital
 
   
20% propylene glycol in aqueous cream
Formulary
Red Hospital
 
   
40% propylene glycol in aqueous cream
View adult BNF View SPC online View childrens BNF
Formulary
Red Hospital
 
   
40% Dermovate (clobetasol propionate 0.05%) in propylene glycol
View adult BNF View SPC online View childrens BNF
Formulary
Red Hospital
 
   
2% salicylic acid in white soft paraffin
View adult BNF View SPC online View childrens BNF
Formulary
Red Hospital
 
   
 ....
 Non Formulary Items
Carbo-Dome  (Coal Tar 10%)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Abrasive Agents  (Brasivol®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Adapalene  (Differin®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Alclometasone Dipopionate  (Modrasone®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Alpha Keri Bath

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Alphosyl HC ® cream

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Aluminimum Chloride Hexahydrate 20% in Alcoholic Base  (Driclor®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Aluminimum Salts

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Aluminimum Salts  (Anhydrol Forte®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Aluminimum Salts  (ZeaSORB®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Aminolevulinic acid
(Actinic keratosis)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Amorolfine  (Loceryl®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Amorolfine  (Loceryl®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Antibacterials  (Stiemycin®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Antibacterials  (Zindaclin®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Aquadrate ®

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Aquamax ®

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Aqueous Cream BP

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Balneum

View adult BNF View SPC online View childrens BNF
Non Formulary
Link  ESNEFT Clinical Pharmacy Therapeutic Substitution Register
 
Benzoic Acid
(Benzoic acid ointment compound bp (whitfields cream))

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Benzoyl Peroxide  (Acnecide®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Benzoyl Peroxide  (Brevoxyl®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Benzoyl Peroxide  (PanOxyl®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Benzyl Benzoate Application BP 25%

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Betamethasone (as Dipropionate) 0.05%  (Diprosone®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Betamethasone (as Valerate) 0.1% with Clioquinol

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Betamethasone (as Valerate) 0.1% with Neomycin Sulphate 0.5%  (was Betnovate-N®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Botulinum toxin type A
(Antiperspirant)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Brimonidine gel  (Mirvaso®)
(rosacea)

View adult BNF View SPC online View childrens BNF
Non Formulary
Double Red
 
Calamine

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Cetraben ®

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Cetraben ®Bath additive

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Cidofovir in Unguentum M

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Clindamycin 1%  (Dalacin T®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Clinitar

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Clobetasol propionate  (Clarelux®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Coal Tar in Lassars Paste

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Coal Tar in Unguentum M

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Coal Tar Solution 2.5%, Arachis (peanut) Oil extract of Coal Tar 7.5%, Tar 7.5%, Cade Oil 7.5%, Liqiud Paraffin 35%  (Polytar Emollient®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Cocois  (Tar)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Coconut, anise, and ylang ylang spray  (Lyclear SprayAway)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Collodion Flexible BP

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Cyclomethicone 50% / Isopropyl myristate 50% solution  (Full Marks solution)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Decubal Clinic

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Dermalo

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Dermamist

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Dermol Bath Additive

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Diflucortolone Valerate  (Nerisone Forte®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Diflucortolone Valerate 0.1%  (Nerisone®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Diprobase ®

View adult BNF View SPC online View childrens BNF
Non Formulary
Link  ESNEFT Clinical Pharmacy Therapeutic Substitution Register
 
Diprobath

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Doublebase

View adult BNF View SPC online View childrens BNF
Non Formulary
Link  ESNEFT Clinical Pharmacy Therapeutic Substitution Register
 
DoubleBase ®

View adult BNF View SPC online View childrens BNF
Non Formulary
 
DoubleBase Dayleve ®

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Doxepin  (Xepin®)
(topical)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Doxycycline
(Dermatology)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Drapolene

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Drapolene

View adult BNF View SPC online View childrens BNF
Non Formulary
 
E45 ®

View adult BNF View SPC online View childrens BNF
Non Formulary
Link  ESNEFT Clinical Pharmacy Therapeutic Substitution Register
 
E45 Emollient Bath Additive

View adult BNF View SPC online View childrens BNF
Non Formulary
 
E45 Itch Relief Cream

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Econazole  (Pevaryl®)
(skin cream)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Econazole Nitrate  (Ecostatin®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Econazole Nitrate  (Pevaryl®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Eczmol

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Efalizumab  (Raptiva®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Emulsiderm Bath Additive with Anitmicrobials

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Epaderm

View adult BNF View SPC online View childrens BNF
Non Formulary
Link  iht
 
Erythromycin 40mg with Zinc Acetate 12mg/mL  (Zineryt®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Finasteride  (Propecia®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Flexitol ®

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Flucinolone Acetonide 0.025% with Neomycin Sulphate 0.5%  (Synalar N®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Flucinonide 0.05%  (Metosyn®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Flucortolone  (Ultralanum Plain®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
fluocinolone acetonide 0.025% with clioquinol 3%  (Synalar C®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Fluticasone Propionate  (Cutivate®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Formaldehyde  (Veracur®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Fumaderm ®

Non Formulary
 
Glutaraldehyde  (Glutarol®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Glycopyrronium
(iontophoresis)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Griseofulvin  (Grisol AF®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Heparinoid 0.3%  (Hirudoid®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Hewletts

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Histoacryl ®

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Hydrocortisone  (Dioderm®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Hydrocortisone  (Efcortelan®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Hydrocortisone  (Hydromol® HC Intensive)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Hydrocortisone  (Mildison®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Hydrocortisone 0.25% Crotamiton 10%  (Eurax-Hydrocortisone®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Hydrocortisone 1% with Urea 10%  (Alphderm®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Hydrocortisone 1%, Clioquinol 3%  (Vioform-Hydrocortisone®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Hydrocortisone 1%, Urea 10% and Lactic Acid 5%  (Calmurid HC®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Hydrocortisone Butyrate  (Locoid Crelo®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Hydrocortisone Butyrate  (Locoid®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Hydrocortisone Butyrate 0.1% with Chlorquinaldol 3%  (Locoid C®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Hydrocortisone with antimicrobials  (Econacort®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Hydromol ®

View adult BNF View SPC online View childrens BNF
Non Formulary
Link  ESNEFT Clinical Pharmacy Therapeutic Substitution Register
 
Hydromol ® bath and shower

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Hydromol ® Intensive

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Hydroxychloroquine
(Dermatology)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Ichthammol
(Zinc paste and ichthammol bandage BP 1993)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Idoxuridine in Dimethyl Sulfoxide  (Herpid®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Imuderm Bath Additive

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Isotretinoin  (Isotrex® gel)

View adult BNF View SPC online View childrens BNF
Non Formulary
Blue

Please note this is no longer available as of February 2017 and an alternative product would need to be used.

Retinoids in combination with other components are available  which can be found here

 
Kamillosan

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Keri

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Ketoconazole

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Lanolin emollient spray
(Evolve plus)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Linola Gamma

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Lipobase

View adult BNF View SPC online View childrens BNF
Non Formulary
 
LiquiBand ®

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Malathion 0.5%  (Derbac-M®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Medicaid

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Metanium

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Methoxypsoralen

Non Formulary
 
Minoxidil  (Regaine®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Morhulin

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Neutogena Dermatological Cream

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Nicotinamide  (Nicam®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Nutraplus

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Nystaform-HC ®

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Nystatin  (Tinaderm-M®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Nystatin with Chlorhexidine cream  (Nystaform®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Oilatum ®

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Oilatum ® Plus  (emollient bath additive)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Oilatum ® shower emollient gel

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Oilatum Bath Additive

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Other scalp preparations  (Cocois®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Other scalp preparations  (Polytar Plus®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Oxytetracycline
(Dermatology)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Penciclovir  (Vectavir®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Permethrin 1%  (Lyclear® Creme Rinse)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Phenothrin

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Pinetarsol  (Tars - bath preparations)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Podophyllotoxin  (Condyline®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Podophyllotoxin  (Warticon®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Podophyllum
(Podophyllum paint compound BP)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Podophyllum

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Polyfax ®

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Potassium hydroxide 5% solution  (Molludab®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Psoriderm  (Tar)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
QV ®

View adult BNF View SPC online View childrens BNF
Non Formulary
Link  ESNEFT Clinical Pharmacy Therapeutic Substitution Register
 
QV Bath Additive

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Salicyic Acid in White Soft Paraffin

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Salicylic Acid  (Acnisal®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Salicylic Acid  (Cuplex®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Salicylic Acid  (Occlusal®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Salicylic Acid  (Phytex®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Salicylic Acid  (Salatac®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Salicylic Acid  (Verrugon®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Salicylic Acid 16.7% with Lactic Acid 16.7%  (Salactol®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Salicylic Acid 3% w/w, Sulphur 3% w/w in Aqueous Cream

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Salicylic Acid 3% w/w, Sulphur 3% w/w in Aqueous Cream

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Salicylic Acid in White Soft Paraffin

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Salicylic Acid in White Soft Paraffin

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Salicylic Acid with podophyllum  (Posalfflin®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Selenium Sulphide  (Selsun®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Shampoos  (Betadine®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Shampoos  (Ceanel Concentrate®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Shampoos  (Clinitar®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Shampoos  (Dermax®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Shampoos  (Meted®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Shampoos  (Pentrax®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Shampoos  (Polytar AF®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Shampoos  (Psoriderm®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Shampoos  (T/Gel®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Silicone barrier cream

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Silver Nitrate 40% pencil with potassium nitrate 60%  (AVOCA®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Silver Nitrate 95% with Potassium Nitrate 5%  (AVOCA®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Siopel

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Skin Salvation Cream ®

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Skin tissue adhesive  (Dermabond ProPen®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Skin tissue adhesive  (Epiglu®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Sorbaderm ®

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Sprilon

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Sudocrem

View adult BNF View SPC online View childrens BNF
Non Formulary

Can be bought OTC


Not stocked at IHT

 
Sulconazole Nitrate  (Exelderm®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Tacalcitol  (Curatoderm®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Tars  (Zinc and Coal Tar Paste®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Tazarotene 0.05%  (Zorac®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Terbinafine Hydrochloride 1%  (Lamisil®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Timodine ®

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Tioconazole  (Trosyl®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Topical local anaesthetics

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Tretinoin  (Retin-A®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Tretinoin with antibacterial  (Aknemycin® Plus)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Triamcinolone Acetonide 0.1% with Chlortetracycline Hydrochloride 3%  (Aureocort®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Triamcinolone with antibacterial  (Otocomb Otic®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Trichloroacetic Acid

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Undecenoates  (Monphytol®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Undecenoates  (Mycota®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Unguentum M ®

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Urea 5% Special Preparation

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Vaseline Dermacare

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Vasogen

View adult BNF View SPC online View childrens BNF
Non Formulary
 
White Soft Paraffin BP

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Yellow Soft Parrafin BP

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Zerobase ®

View adult BNF View SPC online View childrens BNF
Non Formulary
Link  ESNEFT Clinical Pharmacy Therapeutic Substitution Register
 
Zerocream ®

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Zerodouble ® Gel

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Zeroguent

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Zerolatum

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Zeroneum Bath Additive

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Zerozole Bath Additive

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Zinc and Caster Oil Ointment BP

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Zinc and Salicylic Acid Paste BP

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Zinc Cream BP

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Zinc Ointment BP

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
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  

netFormulary