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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
13.08.01  Expand sub section  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
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Formulary
Blue
 
   
Sunsense Ultra
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Formulary
Blue
 
   
Uvistat
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Formulary
Blue
 
   
13.08.01  Expand sub section  Photodamage
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)
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Formulary
Blue

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

 
   
Cytotoxic Drug Actikerall
(Fluorouracil/ salicylic acid)
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Formulary
Green

For hyperkeratotic actinic keratosis

 
   
Cytotoxic Drug Fluorouracil (Efudix)
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Formulary

Traffic light information

Traffic light Details
Blue Bowen’s disease
Green Other indications
 
   
Salicylic acid 2%  (ointment)
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Formulary
Green
Only on advice from secondary care/integrated dermatology service 
   
5-aminolaevulinic acid (Ameluz)
(78mg/g gel)
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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)
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Formulary
Red Hospital
 
   
Ingenol mebutate (Picato)
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Formulary
Green

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


 
   
Methyl-5-Aminolevulinate (Metvix)
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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.

 
   
 ....
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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