netFormulary NHS
Nottinghamshire Area Prescribing Committee
Joint Formulary
 Search
 Formulary Chapter 13: Skin - Full Chapter
Chapter Links...
 Details...
13.01  Management of skin conditions
Bromelain (NexoBrid®)
Restricted Drug Restricted
Red

Powder and Gel

  • NUH Only Restricted for Burns and Plastics consultant use only in adults
 
Link  NUH: Guideline for application of NexoBrid® treatment in Adult burn injured patients
   
13.01.01  Vehicles
13.01.02  Suitable quantities for prescribing
13.01.03  Excipients and sensitisation
13.02  Emollient and barrier preparations to top
 note 

MHRA: Emollients and risk of severe and fatal burns

13.02.01  Emollients
Liquid and White Soft Paraffin Ointment (50:50)
View adult BNF View childrens BNF
First Choice
Green

Ointment (500g tub)

 
Emulsifying Ointment BP (Ovelle®)
View adult BNF View SPC online View childrens BNF
First Choice
Green

Ointment

  • First line option for severe dry skin as per Notts Emollient Formulary.
  • Only the Ovelle® Emulsifying Ointment (£4.15 for 500g) is listed in the Drug Tariff (last checked Oct19). Prescribe by brand.
 
Epimax®
View adult BNF View childrens BNF
First Choice
Green

Cream (Easy squeeze 500g), Ointment (500g tub)

  • Ointment - First line option for severe dry skin as per Notts Emollient Formulary. Comparible to Zeroderm® and Epaderm®.
  • Cream - First line option for moderately dry skin as per Notts Emollient Formulary. Comparible to Zerobase® and Diprobase®.
 
Excetra® cream
View adult BNF View childrens BNF
First Choice
Green

Cream (Easy squeeze 500g)

  • First line option for moderately dry skin as per Notts Emollient Formulary.
  • Comparable to Cetraben® cream. 
  • Recommended for additional use as soap substitute.
 
Isomol® (Liquid paraffin 15%, isopropyl myristate 15%)
View adult BNF View childrens BNF
First Choice
Green

Gel (Easy squeeze 500g)

 
ExoCream®
First Choice
Green

Cream (500g pump dispenser)

OTC Patients with mild dry skin, who do not have a diagnosed dermatological condition or risk to skin integrity, should be advised to purchase a suitable product over the counter.

  • First line option for mild dry skin as per Notts Emollient Formulary.
  • Comparable to Zerocream® and E45® cream. 
  • Recommended for additional use as soap substitute.
 
Zeroderm®
Second Choice
Green

Ointment (500g tub)

  • Second line option for severe dry skin as per Notts Emollient Formulary.
  • First line options are Ovelle® emulsifying ointment, Epimax ointment and Liquid & white soft paraffin ointment (50:50).
  • Recommended for additional use as soap substitute.

 

 
   
Hydromol®
View adult BNF View childrens BNF
Second Choice
Green

Ointment (500g tub)

  • Second line option for severe dry skin as per Notts Emollient Formulary.
  • First line options are Ovelle® emulsifying ointment, Epimax ointment and Liquid & white soft paraffin ointment (50:50).
  • Recommended for additional use as soap substitute.

 

 
   
Zerobase®
View adult BNF View SPC online View childrens BNF
Second Choice
Green

Cream (500g pump dispenser)

  • Second line option for moderately dry skin as per Notts Emollient Formulary.
  • First line options are Epimax® and Excetra® creams.
  • Comparable to Diprobase® cream.
  • Recommended for additional use as soap substitute.
 
   
Zeroderm®
Second Choice
Green

Ointment (500g tub)

  • Second line option for severe dry skin as per Notts Emollient Formulary.
  • First line options are Ovelle® emulsifying ointment, Epimax ointment and Liquid & white soft paraffin ointment (50:50).
  • Recommended for additional use as soap substitute.

 

 
   
AproDerm® (Isopropyl myristate 15%, liquid paraffin 15%)
View adult BNF View childrens BNF
Second Choice
Green

Gel

  • Second line option for moderately dry skin as per Notts Emollient Formulary.
  • First line option is Isomol® gel.
  • Comparable to DoubleBase® gel. 
 
   
Zerocream®
View adult BNF View SPC online View childrens BNF
Second Choice
Green

Cream (500g pump dispenser)

OTC Patients with mild dry skin, who do not have a diagnosed dermatological condition or risk to skin integrity, should be advised to purchase a suitable product over the counter.

  • Second line option for mild dry skin as per Notts Emollient Formulary.
  • Comparable to Exocream® and E45® cream. 
  • Recommended for additional use as soap substitute.
 
   
DoubleBase®
View adult BNF View SPC online View childrens BNF
Third Choice
Green

Gel

 
   
Paraffin-free Emollient
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber 3

Ointment, Cream

  • Paraffin-free emollients should be reserved for patients who are intolerant/unsuitable for paraffin containing emollients due to increased fire hazard risks despite appropriate counselling. As per Nottinghamshire Emollient Formulary.
  • Paraffin free options:
    • Epimax® Paraffin-Free ointment
    • Aproderm® colloidal oat cream
 
   
Emollients containing Urea
View adult BNF View childrens BNF
Formulary
Green

Cream

  • Emollients containing urea for severely dry skin as per Notts Emollient Formulary:
    • First line - Balneum® Plus Cream (100g tube) - also contains lauromacrogols. Use only if emollient alone has not helped itching.
  • Emollients containing urea for moderately dry skin as per Notts Emollient Formulary:
    • First line - ImuDERM® emollient. 5% urea (500g pump dispenser, CliniSupplies Ltd)
    • Second line - Hydromol® Intensive 10% urea cream (100g tube)
  • Eucerin® Intensive 10% urea lotion can be used if lotion required.
  • See separate entry for heel balm.
 
   
Dermol®
(Emollient preparation with antimicrobials)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber 3

Lotion, Cream (500g pump disenser)

  • Use in confirmed staphylococcal infection e.g. recurrent folliculitis and impetiginised eczema as per Notts Emollient Formulary
    • First choice - Dermol® 500 Lotion (less greasy than Dermol® cream)
    • Second choice - Dermol® Cream
 
   
Emollient Heel Balm
(Urea 25%)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber 3

Balm 

  • For initial treatment of callused, fissured and hard foot skin as per Notts Emollient Formulary.
  • Any other emollient with low percentage urea can be used for maintenance following the treatment phase.
  • First line is Dermatonics ONCE Heel Balm®, 25% urea 
  • Second line is Flexitol 25% Urea Heel Balm®
 
   
Emollin®
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Amber 3

Spray (240ml)

  • Only for patients unable to use ointment/creams/lotions, or where application without touching skin is required, as per Notts Emollient Formulary.
  • Highly Flammable
 
   
Oat based Emollient
Formulary
Green

Cream

OTC Patients with mild dry skin, who do not have a diagnosed dermatological condition or risk to skin integrity, should be advised to purchase a suitable product over the counter.

  • For mild dry skin as per Notts Emollient Formulary.
  • First line is Epimax® oatmeal cream (500g easy squeeze).
  • Second line is Zeroveen® cream (500g pump dispenser)
  • Comparable to Aveeno® cream
 
   
QV 5%® skin lotion
View adult BNF View SPC online View childrens BNF
Formulary
Green

Lotion (500ml pump dispenser)

OTC Patients with mild dry skin, who do not have a diagnosed dermatological condition or risk to skin integrity, should be advised to purchase a suitable product over the counter.

 
   
Urea 5% Special Preparation
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Red
Cream
  • NUH:Restricted for ichthyosis
  • NUH:Manufactured by Pharmacy Non Sterile Production Unit (Unlicensed Product) 
  •    
    Yellow Soft Paraffin BP
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green

    Yellow petroleum jelly

    • Greasy level 4/4 (most greasy)
    • Not in Nottinghamshire emollient formulary. Use alternative if a leave on emollient is required -see formulary for options.
    • At SFH, obtained from NHS Supplies if needed for other uses eg for lips.
     
       
    13.02.01  Emollients - preparations containing urea
    13.02.01.01  Emollient bath and shower preparations
    Oilatum® Plus
    (MRSA treatment)
    View adult BNF View SPC online View childrens BNF
    Restricted Drug Restricted
    Red

    NUH only: In line with NUH MRSA policy, where Octenisan® is not appropriate.

     
       
    13.02.02  Barrier preparations
     note 

    ·  These preparations protect the skin form repeated exposure to water and other irritants.
    ·  They are useful on the skin around stomas, bedsores, and pressure areas in the elderly where the skin is intact
    ·  They are not substitute for adequate nursing care and it is doubtful if they are any more effective than the traditional compound zinc ointments
    ·  Nappy rash is usually irritant dermatitis. The first line of treatment is to change nappies frequently and avoid tight fitting waterproof pants

    Barrier preparation (Medi Derma-S®)
    First Choice
    Green
    • Available as barrier cream, non-sting medical barrier film and wipes.
     
    Zinc and Castor Oil Ointment BP
    View adult BNF View SPC online View childrens BNF
    First Choice
    Green

    Ointment

    • Contains peanut oil (so do many other things - see BNF which lists the ingredients and excipients of creams)
    • At SFH, wards to obtain direct from NHS Supplies
     
    Barrier preparation (LBF® Barrier Cream, CliniMed)
    Second Choice
    Green
    • Available as barrier cream and film foam applicators.
    • To be used second line if Medi Derma-S® is not tolerated. 
     
       
    Barrier preparation (Cavilon®Film)
    Formulary
    Green
    • Available as:
      • Spray (supplied from pharmacy at SFH on TVN advice only)
      • Cream:
        - At SFH only available on Dermatologist or TVN recommendation, for use in very severe irritant dermatitis not responding to other preparations.
        - At NUH available from NHS Supply Chain.
      • Foam applicator 1ml or 3ml available from NHS Supply Chain at SFH and NUH (or also Pharmacy at SFH)- Cavilon 1ml applicator is replaced by Cutimed Protect 1ml applicator.
     
       
    Barrier preparation (Drapolene®)
    View adult BNF View SPC online View childrens BNF
    Restricted Drug Restricted
    Green

    Cream

    • For nappy rash only
    • OTC Patients should be advised to purchase a suitable product over the counter

    • May be prescribed if appropriate to in-patients; patients should be advised on discharge that further supply should be purchased
     
       
    Barrier preparation (Metanium®)
    View adult BNF View SPC online View childrens BNF
    Restricted Drug Restricted
    Green

    Ointment

    • For nappy rash only
    • Doesn't contain peanut oil
    • OTC Patients should be advised to purchase a suitable product over the counter

    • May be prescribed if appropriate to in-patients; patients should be advised on discharge that further supply should be purchased
     
       
    Barrier preparation (Coloplast Conveen® Prep Wipes 54)
    Restricted Drug Restricted
    Green
    • Restricted to continence teams only.
     
       
    Barrier preparation (Medihoney® )
    Restricted Drug Restricted
    Green
    • Specialist advice only.
    • Available as barrier cream in 50g tubes and 20x2g sachets.
     
       
    Barrier preparation (Proshield® )
    Restricted Drug Restricted
    Green
    • Specialist advice only.
    • Available as Proshield®Plus Skin Protectant 115g and as Proshield® Foam&Spray Skin Cleanser.
     
       
    13.03  Topical local anaesthetics and antipruritics to top
    Calamine
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green

    Cream
    Lotion

    OTC Patients should be advised to purchase over the counter

    • May be prescribed if appropriate to in-patients; patients should be advised on discharge that further supply should be purchased
     
       
    Crotamiton (Eurax®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green

    Cream
    Lotion

    OTC Patients may be advised to purchase over the counter for short term relief

    • May be prescribed if appropriate to in-patients; patients should be advised on discharge that further supply should be purchased
     
       
    Levomenthol
    (Menthol in aqueous cream)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green

    Cream 

    • Try an emollient cream first- creams for itching can work better if kept cold in the fridge.
    • At SFH: Dermacool® 1% 500g (~£20)
    • At NUH: manufactured by Pharmacy Non Sterile Production Unit
     
       
    Topical local anaesthetics
    View adult BNF View SPC online View childrens BNF
    Formulary

    See section 15.2

    OTC Patients should be advised to purchase over the counter

    • May be prescribed if appropriate to in-patients; patients should be advised on discharge that further supply should be purchased
     
       
    13.04  Topical corticosteriods.
    Betamethasone (as Dipropionate) 0.05% with Salicylic Acid 3% (Diprosalic®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green
    Ointment, Scalp application
  • Potent 
  •    
    Betamethasone (as Valerate) 0.025% (Betnovate-RD®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green
    Cream, Ointment
  • Moderate 
  •    
    Betamethasone (as Valerate) 0.1% (Betnovate®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green
    Cream, Ointment, Scalp application, Lotion
  • Potent 
  •    
    Betamethasone Dipropionate 0.064% with Clotrimazole 1% (Lotriderm®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green
    Cream
  • Useful for vulval dermatoses
  • Potent with antifungal 
  •    
    Betamethasone Esters (Betacap®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber 3

    Scalp application

    • Very potent
    • For initial treatment of scalp psoriasis in adults as per APC Psoriasis guideline.
     
       
    Betamethasone valerate Medicated Plaster (Betesil® )
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber 2

    Plaster

    •  Potent

    For patients with resistant to treatment inflammatory skin disorders such as eczema, lichenification, lichen planus, granuloma annulare, palmoplantar pustulosis, mycosis fungoides and chronic recalcitrant plaque psoriasis.

     
       
    Clobetasol Propionate 0.05% (Dermovate®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green

    Cream, Ointment, Shampoo (Etrivex®)

    • Very potent
    • Betacap scalp application preferred to Dermovate (more cost effective).
     
    Link  Link to reviews
       
    Clobetasone Butyrate 0.05% (Clobavate® or Eumovate®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green

    Cream, Ointment

    • Moderately potent
    • Recommended in the APC Solar Keratosis pathway for the treatment of fluorouracil related skin reactions.
    • Recommended in the APC Psoriasis guideline for initial treament of facial or flexural psoriasis (ointment preferred).
     
       
    Diflucortolone 0.1% (Nerisone®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green

    Cream, Oily cream, Ointment

    • Potent
    • Most cost-effective potent steroid except oily cream
     
       
    Diflucortolone 0.3% (Nerisone Forte®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green

    Oily cream, Ointment

    • Very potent
     
       
    Flucinolone 0.025% (Synalar®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green

    Cream, Ointment, Gel

    • Potent
     
       
    Fludroxycortide
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber 2

    Cream 0.0125% - Moderate potency
    Tape 7.5cm x 20cm, 4micrograms per cm2

    • Tape - for chronic localised recalcitrant dermatoses (but not acute or weeping)
     
       
    fluocinolone 0.025% with clioquinol 3% (Synalar C®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green

    Cream, Ointment

    • Potent
    • NUH only: During the supply problem (2015) with Trimovate® cream, Synalar® C cream is approved for management of infections in the ear canal where treatment is administered using a wick within ENT outpatients.
     
       
    Fluocinonide 0.05% (Metosyn®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green
    FAPG Cream, Ointment
  • Potent 
  •    
    Fluticasone Propionate (Cutivate®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green
    Cream 0.05%, Ointment 0.005%
  • Potent 
  •    
    Hydrocortisone
    (skin)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green

    Cream 1%, Ointment 1%

    • Mild
    • 0.5% ointment, and 2.5% ointment & cream non-formulary. Not cost effective. 
    • Alternative agents available e.g 1% hydrocortisone (mild) or eumovate (moderate)
     
       
    Hydrocortisone 1% and oxytetracycline 3% (Terra cortril®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green

    Ointment only (no cream)

    • Mild with antibacterial
     
    Link  Alternative options to Trimovate
       
    Hydrocortisone 1% with Clotrimazole 1% (Canesten HC®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green

    Cream

    • Mild with antifungal
     
       
    Hydrocortisone 1% with Miconazole 2% (Daktacort®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green

    Cream, Ointment

    • Mild with antifungal
     
       
    Hydrocortisone Butyrate (Locoid®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green
    Cream 0.1% (30g and 100g), Lipocream 0.1% (30g), Ointment 0.1% (30g and 100g), Scalp lotion 0.1% (100g)
  • Potent
     
  •    
    Hydrocortisone/ nystatin/ chlorhexidine
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green

    Cream, Ointment

    • Contains: Hydrocortisone 1%, Nystatin 100,000 units/g
      and Chlorhexidine Acetate 1%
    • Mild with antimicrobials
    • Previously known as Nystaform-HC®, but now only available generically
     
       
    Mometasone Furoate 0.1% (Elocon®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green
    Cream, Ointment, Scalp lotion
  • Potent 
  •    
    Timodine®
    View adult BNF View SPC online View childrens BNF
    Formulary Cream
  • Contains: Hydrocortisone 0.5%, nystatin 100,000 units/g, Benzalkonium Chloride Solution 0.2%, Dimeticone 350 10%
  • Mild with antimicrobials 
  •    
    Triamcinolone 0.1% with Chlortetracycline 3% (Aureocort®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green

    Ointment

    • Potent with antimicrobial
     
       
    Trimovate®
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber 2

    Cream

    • Restricted use for patients with complex skin conditions requiring secondary care referrals who may otherwise require systemic antibiotics
    • Contains:Clobetasone Butyrate 0.05%, Oxytetracycline 3%, Nystatin 100,000 units/g
    • Moderately potent with antimicrobials
     
       
    13.04  Topical corticosteriod preparation potencies
     note 

    Topical corticosteroid preparation potencies

    Potency of a topical corticosteroid preparation is a result of the formulation as well as the corticosteroid. Therefore, proprietary names are shown below.

    Mild

    • Hydrocortisone 0.1; 2.5% (Dioderm, Mildison, Synalar 1 in 10 dilution.
    • Mild with antimicrobials: Canesten HC, Daktacort, Econacort, Fucidin H, Nystaform-HC, Timodine
    • Mild with crotamiton: Eurax-Hydrocortisone

      Moderate
    • Betnovate-RD, Eumovate, Haelan, Modrasone, Synalar 1 in 4 Dilution, Ultralanum Plain
    • Moderate with antimicrobials: Trimovate
    • Moderate with urea: Calmurid HC, Hydromol HC Intensive.

      Potent
    • Beclometasone dipropionate 0.025%, Betamethasone valerate 0.1%, Betacap, Betesil, Bettamousse, Betnovate, Cutivate, Diprosone, Elocon, Hydrocortisone butyrate, Locoid, Locoid Crelo, Metosyn, Nerisone (discontinued), Synalar
    • Potent with antimicrobials: Aureocort, Betnovate-C, Betnovate-N, Fucibet, Lotriderm, Synalar C, Synalar N
    • Potent with salicylic acid: Diprosalic

      Very potent
    • Clarelux, Dermovate, Etrivex, Nerisone Forte (discontinued)
    • Very potent with antimicrobials: Clobetasol with neomycin and nystatin
    13.05  Preparations for eczema and psoriasis
    13.05.01  Preparations for eczema
    Alitretinoin (Toctino®)
    View adult BNF View SPC online View childrens BNF
    Restricted Drug Restricted
    Red
    High Cost Medicine
    Capsules
  • Restricted to use in adult patients with severe chronic hand eczema unresponsive to treatment with potent topical corticosteroids in accordance with NICE TAG 177.
  • Pregnancy prevention precautions to be adhered to. For details see SPC 
  • Link  Link to reviews
       
    Ichthammol
    (Zinc paste and ichthammol bandage BP 1993)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber 2
    Bandage
  • Ichthopaste® 
  •    
    Ichthammol 1% w/w paste
    View adult BNF View SPC online View childrens BNF
    Formulary
    Red
    Paste
  • NUH: Manufactured by Pharmacy Non Sterile Production Unit (Unlicensed Product) 
  •    
    13.05.02  Preparations for psoriasis to top
    Brodalumab (Kyntheum®)
    View adult BNF View SPC online View childrens BNF
    Restricted Drug Restricted
    Red
    High Cost Medicine
    Homecare

    Injection

    Nottingham Treatment Centre and SFH only:  Approved in accordance with NICE TA511 for treating moderate to severe plaque psoriasis.

    Available through homecare for NUH patients. Please contact pharmacy medicines homecare team for further information

     
       
    Dimethyl Fumarate
    (Skilarence ®)
    View adult BNF View SPC online View childrens BNF
    Restricted Drug Restricted
    Red
    High Cost Medicine

    Tablets

    • Nottingham Treatment Centre and SFH only: Approved in accordance with: NICE TA475 for treating moderate to severe plaque psoriasis.
     
    Link  NICE TA475: Dimethyl fumarate for plaque psoriasis
    Link  Risk management materials- decreasing risk of PML
       
    Dimethyl Fumarate (Fumaderm® )
    Restricted Drug Restricted
    Red

    Tablets

    • Unlicensed medicine, not in BNF, imported product - named patient use only
    • Dermatologist use only for existing patients. New patients to be started on the licensed Skilarence® brand.
    • Available as 'Fumaderm Initial' containing 30mg of one ingredient and 'Fumaderm' containing 120mg of one ingredient. Preferably prescribe as number of tablets to be given.
     
    Link  Link to reviews
    Link  Link to SPC
    Link  MHRA: Fatal PML with dimethyl fumarate
    Link  SFH outpatients should be sent to SFH pharmacy for supplies of unlicensed medicines. Don’t prescribe on FP10HP.
    Link  UKMI Q&A: Fumaderm - What is the evidence in psoriasis
       
    Ixekizumab (Taltz® )
    View adult BNF View SPC online View childrens BNF
    Restricted Drug Restricted
    Red
    High Cost Medicine
    Homecare

    Injection

    • Nottingham NHS Treatment Centre:
    • Approved for adults in accordance with NICE TA442 for treating moderate to severe plaque psoriasis.
    • Approved in accordance with NICE TA537 for treating active psoriatic arthritis after inadequate response to DMARDs.
    • SFH:  Used in accordance with NICE TA442.  However not routinely stocked therefore contact the high cost drugs team on ext 4660

    Available through homecare for NUH patients. Please contact pharmacy medicines homecare team for further information

     
    Link  NICE TA537: Ixekizumab for treating active psoriatic arthritis after inadequate response to DMARDs
       
    Methoxypsoralen
    Restricted Drug Restricted
    Red
    8-methoxypsoralen 10mg tablets (Puvasoralen®). Also known as methoxsalen.
    5-methoxypsoralen 20mg tablets (Pentaderm®)
  • Unlicensed medicine
  • Dermatology specialist only
  • Used in photochemotherapy combining long-wave ultraviolet A radiation with a psoralen (PUVA) 
  •    
    Risankizumab (Skyrizi®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Red
    High Cost Medicine
    Homecare

    Injection

    Available at Nottingham Treatment Centre only:

    • Approved in accordance with NICE TA596 for treating moderate to severe plaque psoriasis.

     

    Available through homecare for NUH patients. Please contact pharmacy medicines homecare team for further information

     
       
    13.05.02  Topical preparations for psoriasis
    Calcipotriol 50micrograms/g with Betamethasone 0.05% (Dovobet®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green

    Gel, Ointment

    • Consider alternating between calcipotriol and a topical steroid preparation as an alternative.
    • Usual max duration of treatment is 4 weeks.
     
    Link  
       
    Calcipotriol 50mcg/g with Betamethasone 0.05% (Enstilar®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green

    Foam (60g)

    • Similar price to Dovobet® ointment
     
       
    Calcipotriol (Dovonex®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green

    Ointment 50micrograms/g (~£7 per 30g)

    • For on-going treatment of trunk / limb psoriasis as per APC Psoriasis Guideline
    • Note that scalp solution is expensive and not included in the APC psoriasis guideline (~£56 per 60ml)
     
    Link  APC Psoriasis Guideline (Adults & Children)
       
    Calcitriol 3micrograms/g (Silkis®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green

    Ointment

    • For use in flexural psoriasis in adults, after initial treatment, as per APC Psoriasis guideline
     
       
    Coal Tar in Lassars Paste
    View adult BNF View SPC online View childrens BNF
    Formulary
    Red
    2%, 4% & 5%
  • NUH: Manufactured by Pharmacy Non Sterile Production Unit (Unlicensed Product) 
  •    
    Coal Tar in Unguentum M
    View adult BNF View SPC online View childrens BNF
    Formulary
    Red
    2%, 5% & 10%
  • NUH: Manufactured by Pharmacy Non Sterile Production Unit (Unlicensed Product) 
  •    
    Coal tar lotion 5% (Exorex®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green
     
    Link  Link to reviews
       
    Coal tar with Salicylic acid & precipitated Sulfur (Cocois®, Sebco®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green

    Scalp ointment (in a coconut oil emollient base)

    • Contains: Coal Tar Solution 12%, Salicylic Acid 2%, Precipitated Sulphur 4%
    • See APC Psoriasis guideline
     
       
    Dithranol (Dithrocream®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber 3

    Creams 0.1%, 0.25%, 0.5%, 1% and 2%.

    • Amber 3 for psoriasis of trunk / limb as per APC Psoriasis guideline.
    • Dithranol should not be used in people with acute or pustular psoriasis or inflamed psoriasis.
    • Avoid using dithranol on the face.
     
       
    Dithranol (Micanol®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber 2
    Cream 3%  
       
    Salicylic Acid 3% w/w, Sulphur 3% w/w in Aqueous Cream
    View adult BNF View SPC online View childrens BNF
    Formulary
    Red

    Cream

    • NUH: Manufactured special - Unlicensed Product
    • Dermatology specialist only
    • Salicylate toxicity can occur particularly if applied on large areas of skin or on neonatal skin
     
       
    Salicylic Acid in White Soft Paraffin
    View adult BNF View SPC online View childrens BNF
    Formulary
    Red
    2% w/w, 5% w/w, 10% w/w.
  • NUH: Manufactured by Pharmacy Non Sterile Production Unit (Unlicensed Product)
  • Dermatology specialist only 
  •    
    Zinc and Salicylic Acid Paste BP
    View adult BNF View SPC online View childrens BNF
    Formulary
    Red

    Paste: Unlicensed medicine - named patient use only

    • Also known as Lassar's paste
    • NUH: Manufactured special -unlicensed Product
     
       
    13.05.02  Oral retinoids for psoriasis
    Acitretin (Neotigason®)
    View adult BNF View SPC online View childrens BNF
    Restricted Drug Restricted
    Red
    Capsule 10mg, 25mg
  • Dermatology specialist only
  • Prescriptions for females of childbearing potential are only valid for 1 week and the maximum supply can only be 1 month. (Prescribers to indicate women are not of childbearing potential by endorsing prescription "not on PPP" and therefore can recieve more than 1 months supply.) See SPC section 4.6 for more details, or MEP section 3.3.11
  • If needed capsules can be opened and contents sprinkled onto soft food for patients with swallowing difficulties. Shouldn't be handled by women of childbearing potential. More Info
     
  •    
    13.05.03  Drugs affecting the immune response
    Adalimumab
    (Dermatology)
    View adult BNF View SPC online View childrens BNF
    Restricted Drug Restricted
    Red
    High Cost Medicine
    Homecare

    Injection

    • Approved in accordance with NICE TA146 for the treatment of plaque psoriasis
    • Approved in accordance with NICE TA455 for the treatment of plaque psoriasis in children and young people
    • Available through homecare for NUH patients. Please contact pharmacy medicines homecare team for further information
    • Biosimilar Imraldi® is the first line option for new patients. Biosimilar Amgevita® can be used second line in those who are unable to tolerate Imraldi®
     
    Link  Link to reviews
    Link  MHRA: Tuberculosis risk—screen patients before starting treatment
    Link  NICE TA392: Adalimumab for treating moderate to severe hidradenitis suppurativa
    Link  NICE TA455:Adalimumab, etanercept and ustekinumab for treating plaque psoriasis in children and young people
       
    Apremilast (Otezla®)
    (Dermatology)
    View adult BNF View SPC online View childrens BNF
    Restricted Drug Restricted
    Red
    High Cost Medicine
    Homecare

    Tablets

    • Approved in accordance with TA419 for treating moderate to severe plaque psoriasis.
    • Approved in accordance with TA433 Apremilast for treating active psoriatic arthritis.

    Available through homecare for NUH patients. Please contact pharmacy medicines homecare team for further information

     
    Link  MHRA Drug Safety Update (Jan 2017)
    Link  NICE TA 419: Apremilast for treating moderate to severe plaque psoriasis
    Link  NICE TA433: Apremilast for treating active psoriatic arthritis
       
    Cytotoxic Drug Azathioprine
    (Dermatology)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber 1

    Tablets

     
    Link  COVID19: DMARD shared care monitoring during COVID19 (Notts CCG)
    Link  Notts APC Shared Care Protocol: Azathioprine for dermatology info sheet
    Link  Notts APC Shared Care Protocol: Azathioprine for dermatology overarching SCP
    Link  UKMI Q&A: Can mothers breastfeed while taking azathioprine?
       
    Ciclosporin
    (Dermatology)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Red

    Capsules 25mg, 50mg & 100mg (Neoral® or Capimune®), Oral Solution 100mg in 1mL (Neoral®), Infusion (Sandimmun®).

    • Capimune® is preferred brand for new patients at SFH. For advice on switching see BNF
    • MHRA advise prescribe by brand
    • Neoral liquid is equivalent to Neoral capsules. If changing from any other preparation contact Medicines Information for assistance.
     
    Link  NUH Lite Bite: Importance of Maintaining Brand for Certain Medicines
    Link  Primary care ciclosporin cost comparison
    Link  Secondary care ciclosporin cost comparison
    Link  SFH Drug levels information - compilation table
    Link  SFH: IV drugs which need special giving sets
       
    Dupilumab (Dupixent®)
    View adult BNF View SPC online View childrens BNF
    Restricted Drug Restricted
    Red
    High Cost Medicine
    Homecare

    Injection - Pre-filled syringe

    Available at Nottingham NHS Treatment Centre and SFH:

    • Approved in accordance with NICE TA534, for treating moderate to severe atopic dermatitis.

    Available at NUH only:

    • Approved for adolescent patients between 12 and 18 years of age with severe atopic dermatitis for whom the available systemic therapies are not suitable in accordance with Blueteq criteria.

     

    Available through homecare for NUH patients. Please contact pharmacy medicines homecare team for further information

     
    Link  Link to reviews
    Link  NICE TA534: Dupilumab for treating moderate to severe atopic dermatitis
       
    Etanercept (Enbrel®)
    (Dermatology)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Red
    High Cost Medicine
    Injection
    NUH:
  • Approved in line with NICE TA103 for the treatment of adults with psoriasis
  • Approved in line with NICE TA455 for treating plaque psoriasis in children and young people
    SFH: Restricted for dermatology in line with NICE guidance. For patients not covered by NICE guidance, approval must be sought from the budget holder before initiation. 
  • Link  Independent reviews
    Link  MHRA Drug Safety Update (Dec 2014)
    Link  NICE TA103: Psoriasis - efalizumab and etanercept
    Link  NICE TA455:Adalimumab, etanercept and ustekinumab for treating plaque psoriasis in children and young people
       
    Guselkumab (Tremfya®)
    View adult BNF View SPC online View childrens BNF
    Restricted Drug Restricted
    Red
    High Cost Medicine
    Homecare

    Injection

    Approved in accordance with NICE TA521 for treating moderate to severe plaque psoriasis

     
    Link  NICE TA521: Treatment in moderate to severe plaque psoriasis
       
    Hydroxychloroquine
    (Dermatology)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber 1

    Tablets

    For use in line with SCP below:

     
    Link   Notts APC: Dermatology Overarching Shared Care Protocol
    Link  Notts APC: Hydroxychloroquine Shared Care Protocol - Prescribing information sheet
       
    Infliximab (Remicade®)
    (Dermatology)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Red
    High Cost Medicine
    Infusion
  • NICE TA134
    Infliximab is recommended as a possible treatment for adults with plaque psoriasis only if:
  • their condition is very severe and
  • their condition has not improved with other treatments such as ciclosporin, methotrexate or PUVA (psoralen and long-wave ultraviolet radiation), or they have had side effects with these inthe past or there is a medical reason why they should not be given these treatments.
    Infliximab treatment should be continued beyond 10 weeks only if the psoriasis has clearly improved within this time. 
  • Link  Link to reviews
    Link  MHRA Drug Safety Update (Dec 2014)
    Link  NICE TA134: Infliximab for psoriasis
    Link  SFH: Information about IV filters
    Link  UKMI: Biosimilars - New Developments
       
    Cytotoxic Drug Methotrexate
    (Dermatology)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber 1
    Homecare

    Tablets (2.5mg only)

    • Methotrexate is available as 2.5mg and 10mg tablets. This is a potential cause of confusion and has led to patients taking accidental overdoses.
      To avoid this only 2.5mg tablets should be prescribed and specified on the prescription
    • Amber 1 (shared care) - Patients with severe psoriasis or eczema unresponsive to conventional therapy, when used ONCE weekly in line with Shared Care Protocol (see below). Twice weekly dosing (for any indication) is classified red.
    • NUH: Metoject® injection available for paediatric patients - routinely supplied via homecare (prescribe by brand and generic name)
     
    Link  COVID19: DMARD shared care monitoring during COVID19 (Notts CCG)
    Link  Dermatology - Methotrexate (Overarching SCP)
    Link  Dermatology - Methotrexate (shared care protocol information sheet)
    Link  Methotrexate and alcohol guidance- UKMI Q& A
    Link  NUH Lite Bite: Methotrexate for non-cancer use
    Link  NUH Lite Bite: Safer use of weekly oral methotrexate
    Link  NUH: Medicines Matters Bulletin: Safer Use of Weekly oral Methotrexate
    Link  UKMI Q&A: What is the clinical significance of the interaction between methotrexate and penicillins? (Oct13)
       
    Pimecrolimus (Elidel®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber 2
    Cream 1%
  • Amber 2: Mild to moderate ecezma. Specialist initiation only
  • Usually short term treatment, stop if no response after 6 weeks 
  • Link  NICE TA82: Pimecrolimus and tacrolimus for atopic dermatitis (eczema)
       
    Secukinumab (Cosentyx®)
    View adult BNF View SPC online View childrens BNF
    Restricted Drug Restricted
    Red
    High Cost Medicine
    Homecare

    Injection

    • Approved in line with NICE TA350 for moderate to severe plaque psoriasis.
    • Approved in line with NICE TA407 for active ankylosing spondylitis after treatment with non-steroidal anti-inflammatory drugs or TNF-alpha inhibitors.
    • Nottingham NHS Treatment Centre: Approved in accordance with NICE TA445 for treating active psoriatic arthritis after inadequate response to DMARDs

    Available through homecare for NUH patients. Please contact pharmacy medicines homecare team for further information

     
    Link  NICE TA350: Plaque Psoriasis
    Link  NICE TA407: Secukinumab for active ankylosing spondylitis after treatment with non-steroidal anti-inflammatory drugs or TNF-alpha inhibitors
    Link  NICE TA445: Certolizumab pegol and secukinumab for treating active psoriatic arthritis after inadequate response to DMARDs
       
    Tacrolimus (Protopic®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber 2

    Ointment 0.03%
    Ointment 0.1%

    • Moderate to severe eczema. Specialist initiation only. Follow NICE guidance.
    • Facial psoriasis - specialist recommendation after initial treatment in primary care as per the APC Psoriasis guideline.
     
    Link  Link to reviews
    Link  NICE TA82: Pimecrolimus and tacrolimus for atopic dermatitis (eczema)
       
    Tildrakizumab (Ilumetri®)
    View adult BNF View SPC online View childrens BNF
    Restricted Drug Restricted
    Red
    High Cost Medicine

    Injection

    Approved at Nottingham NHS Treatment Centre and SFH:

    • in accordance with NICE TA575 for treating moderate to severe plaque psoriasis.
     
    Link  NICE TA575: Tildrakizumab for treating moderate to severe plaque psoriasis
       
    Ustekinumab
    (Stelara)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Red
    High Cost Medicine
    Homecare

    Injection

    • SFH: IV infusions for Crohn's patients are prepared in Aseptic Dispensing Unit. Refer to SPC for pharmacist clinical check.(ONLY first dose IV infusion, remainder: SC syringes organised via Healthcare at Home.)
    • Specialist use only for the treatment of adults with moderate to severe psoriasis, in accordance with TA180. Patients who have a sub therapeutic response to ustekinumab at a 45mg dosing and who are over 90kg may be dose escalated to a 90mg dose (nb: an unlicensed dose) as per consultant decision and BAD guidance.
    • Specialist use only for the treatment of children over 12 years old with moderate to severe psoriasis (as per licence and commissioning approval), in accordance with TA180.
    • Specialist use only, alone or with methotrexate, for the treatment of adults with active psoriatic arthritis when treatment with a TNF alpha inhibitor is contra-indicated but would otherwise be used or one or more TNF inhibitor has been used, in accordance with TA340.
    • NUH approved for treating plaque psoriasis in children and young people, in accordance with TA455.
    • NUH and Nottinghamshire Treatment Centre approved for treating adults with moderately to severely active Crohn’s disease after previous treatment, in accordance with TA456. Also approved at NUH for paediatric patients >12 years of age when in line with NHS England/Blueteq criteria.
    • NUH and Nottingham NHS Treatment centre approved for treating adults with moderately to severely active ulcerative colitis, in accordance with TA633.
    • Available through homecare for NUH patients. Please contact pharmacy medicines homecare team for further information.
     
    Link  Link to reviews
    Link  MHRA Drug Safety Update (Jan 2015)
    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 people
    Link  NICE TA456:Ustekinumab for moderately to severely active Crohn’s disease after previous treatment
    Link  NICE TA633: Ustekinumab for treating moderately to severely active ulcerative colitis
       
    13.06  Acne and rosacea
    Ivermectin cream (Soolantra®)
    (Rosacea)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green
  • 1% cream 
  • Link  Link to reviews
    Link  NICE new medicine summary: Inflammatory lesions of papulopustular rosacea
       
    13.06.01  Topical preparations for acne to top
    13.06.01  Benzoyl peroxide and azelaic acid
    Azelaic Acid (Finacea®)
    View adult BNF View SPC online View childrens BNF
    Restricted Drug Restricted
    Green

    15% gel.
    Restricted to Rosacea.

    • Normally second line, topical metronidazole gel or cream generally preferred
     
       
    Azelaic Acid (Skinoren®)
    View adult BNF View SPC online View childrens BNF
    Restricted Drug Restricted
    Green
    20% cream.
  • Restricted to acne Vulgaris
  • Not to be used first line 
  •    
    Benzoyl Peroxide (Acnecide®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green

    Gel 5% in an aqueous gel base

    OTC Patients should be advised to purchase a suitable product over the counter

    • May be prescribed if appropriate to in-patients; patients should be advised on discharge that further supply should be purchased
     
       
    Benzoyl Peroxide 5% with Clindamycin 1% (Duac® Once Daily)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green

    Gel

    • Not first line
    • Moderate-severe acne where self-care and benzoly peroxide alone has not been effective
     
       
    13.06.01  Topical antibacterials for acne
    Clindamycin 1% (Dalacin T®)
    View adult BNF View SPC online View childrens BNF
    Second Choice
    Green
    Lotion
  • Not first line option 
  • Link  Link to reviews
       
    Erythromycin 40mg with Zinc Acetate 12mg/mL (Zineryt®)
    View adult BNF View SPC online View childrens BNF
    Second Choice
    Green
    Topical Solution (powder for reconstitution)
  • Not first line option 
  •    
    Clindamycin/ tretinoin gel (Treclin®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green
    Gel (clindamycin 1%/ tretinoin 0.025%)
     
    Link  Link to reviews
       
    13.06.01  Topical retinoids and related preparations for acne
    Adapalene (Differin®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green
    Gel 0.1%
    Cream 0.1%
  • Second generation retinoid, less irritant 
  • Link  Link to reviews
       
    Adapalene / Benzoyl Peroxide (Epiduo®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green

    Gel avaiable in 2 strengths

    • 0.1% Adapalene / 2.5% Benzoyl Peroxide - for moderate acne
    • 0.3% Adapalene / 2.5% Benzoyl Peroxide) – severe acne

    as per CKS guidance

     
    Link  Link to reviews
       
    13.06.01  Other topical preparations for acne
    Brimonidine gel (Mirvaso®)
    (rosacea)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green
    5 mg/g gel
  • An option for who are significantly troubled by severe facial erythema of rosacea and who have not achieved a satisfactory response with other interventions.
  • see BNF recommendation regarding maximum daily amount to be applied
  • added to formulary post May APC 2015 
  • Link  Link to reviews
    Link  MHRA Drug Safety Update (June 2017)
       
    Salicylic Acid 3% w/w, Sulphur 3% w/w in Aqueous Cream
    View adult BNF View SPC online View childrens BNF
    Restricted Drug Restricted
    Red

    Cream

    • NUH:Manufactured Special - Unlicensed Product
    • Dermatology specialist only
    • Salicylate toxicity can occur particularly if applied on large areas of skin or on neonatal skin
     
       
    Salicylic Acid in White Soft Paraffin
    View adult BNF View SPC online View childrens BNF
    Restricted Drug Restricted
    Red

    2% w/w
    5% w/w
    10% w/w

    • Manufactured by Pharmacy Non Sterile Production Unit at NUH (Unlicensed Product)
    • Dermatology specialist only
     
       
    13.06.02  Oral preparations for acne to top
    13.06.02  Oral antibiotics for acne
     note 

    For more information on acne treatment see Nottinghamshire Guidelines on the management of common infections and infestations in primary care (anitmicrobial prescribing)

    See formulary chapter 5.1.3 for more details on tetracyclines

    Lymecycline (Tetralysal®300)
    View adult BNF View SPC online View childrens BNF
    First Choice
    Green

    Capsule

     
    Doxycycline
    View adult BNF View SPC online View childrens BNF
    Second Choice
    Green
    Capsules
    Dispersible Tablets
  • See chapter 5.1.3 for more detailed information on antibiotics
     
  •    
    Erythromycin
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber 2
    Tablets
  • See chapter 5.1.5 for more detailed information on macrolide antibiotics
  • Erythromycin is a suitable alternative to tetracyclines if they are contraindicated (for example in pregnancy). The dose is usually 500 mg twice a day
  • Alternative to first and second line choices for the treatment of acne in the event of agent failure or intolerance (see previous bullet point)
     
  •    
    Oxytetracycline
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber 2
    Tablets
  • See chapter 5.1.3 for more detailed information on antibiotics
  • Alternative to first and second line choices for the treatment of acne in the event of agent failure or intolerance 
  •    
    13.06.02  Hormone treatment for acne
    Co-Cyprindiol 2000/35
    (Cyproterone 2mg with Ethinylestradiol 35micrograms)
     (Dianette®)
    View adult BNF View SPC online View childrens BNF
    Second Choice
    Green

    Tablet
    note MHRA advice:
    The benefits of co-cyprindiol outweigh the risks in women of reproductive age for the treatment of:
    skin conditions related to androgen sensitivity (eg,severe acne withor without seborrhoea)
    hirsutism

    • Co-cyprindiol provides effective contraception in these women. An additional hormonal contraceptive should not be used in combination with co-cyprindiol
    • The need to continue treatment should be evaluated periodically by the treating physician
    • The risk of VTE is rare but this remains an important side effect, and healthcare professionals should themselves be vigilant for signs and counsel patients to remain vigilant for signs and symptoms.
      note Remember that suspected adverse reactions to co-cyprindiol should be reported to us on a Yellow Card (Click Here)
    • CSM Advice: Co-cyprindiol is licensed for use in women with severe acne which has not responded to oral antibacterials and for moderately severe hirsutism; it should not be used solely for contraception. It is contra-indicated in those with a personal or close family history of venous thromboembolism. Women with severe acne or hirsutism may have an inherently increased risk of cardiovascular disease
     
    Link  MHRA Drug Safety Update: Advice regarding meningioma risk with cyproterone
    Link  MHRA: updated prescribing information regarding risks and benefits (July 2013)
    Link  Primary Care Dermatology Society Guidelines: Medical Management of facial hirsutism
       
    13.06.02  Oral retinoid for acne
    Isotretinoin
    View adult BNF View SPC online View childrens BNF
    Formulary
    Red

    Capsules

    • Red - Dermatology specialist only
    • Prescriptions for females of childbearing potential are only valid for 1 week and the maximum supply can only be 1 month. (Prescribers to indicate women are not of childbearing potential by endorsing prescription "not on PPP" and therefore can recieve more than 1 months supply.) See SPC section 4.4 for more details, or MEP section 3.3.12
    • All available brands contain soya oil, which is contraindicated for patients with soya or peanut allergies.
     
    Link  British Association of Dermatologists guideline on safe use of isotretinoin, 2010
    Link  Isotretinoin cumulative dose calculator
    Link  MHRA Drug Safety Update (August 2020)
       
    13.07  Preparations for warts and calluses
    Cidofovir in Unguentum M
    View adult BNF View SPC online View childrens BNF
    Restricted Drug Restricted
    Red
    1% cream
  • Specialist only (requires cytotoxic bin)
  • NUH: Manufactured by Pharmacy Non Sterile Production Unit (Unlicensed Product)
     
  •    
    Glutaraldehyde (Glutarol®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green

    Solution (10%)

    • OTC Patients should be advised to purchase a suitable product over the counter

    • May be prescribed if appropriate to in-patients; patients should be advised on discharge that further supply should be purchased
     
       
    Hydrogen peroxide 1% cream (Crystacide®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber 3

    Cream

     
    Link  Link to reviews
       
    Salicyic Acid in White Soft Paraffin
    View adult BNF View SPC online View childrens BNF
    Restricted Drug Restricted
    Red
    2%, 5%, 10%
  • NUH: Manufactured by Pharmacy Non Sterile Production Unit (Unlicensed Product)
  • Dermatology specialist only 
  •    
    Salicylic Acid (Cuplex®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green

    Gel

    • OTC Patients should be advised to purchase a suitable product over the counter for adults and children over 2 years

    • May be prescribed if appropriate to in-patients; patients should be advised on discharge that further supply should be purchased
     
       
    Salicylic Acid (Occlusal®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green

    26% cutaneous solution

    • OTC Patients should be advised to purchase a suitable product over the counter for adults and children over 2 years

    • May be prescribed if appropriate to in-patients; patients should be advised on discharge that further supply should be purchased
     
       
    Salicylic Acid (Verrugon®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green

    50% ointment

    • OTC Patients should be advised to purchase a suitable product over the counter for adults and children over 2 years

    • May be prescribed if appropriate to in-patients; patients should be advised on discharge that further supply should be purchased
     
       
    Salicylic Acid 16.7% with Lactic Acid 16.7% (Salactol®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green

    Paint

    • OTC Patients should be advised to purchase a suitable product over the counter for adults and children over 2 years

    • May be prescribed if appropriate to in-patients; patients should be advised on discharge that further supply should be purchased
     
       
    Silver Nitrate 40% caustic pencil (AVOCA®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Red

    Caustic pencil with potassium nitrate 60%.

    • At SFH, wards to obtain from supplies
    • Used for umbilical granulomas (see BNFc)
     
       
    Silver Nitrate 95% caustic pencil (AVOCA®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green

    Caustic pencil, with potassium nitrate 5%.

     
       
    Trichloroacetic Acid
    View adult BNF View SPC online View childrens BNF
    Restricted Drug Restricted
    Red
    Solutions 30%, 50%, 90%
  • Unlicensed Product
  • Dermatology specialist only 
  •    
    13.07  Anogenital warts to top
    Imiquimod (Aldara®)
    (Genital warts/ BCC)
    View adult BNF View SPC online View childrens BNF
    Restricted Drug Restricted
    Red
    Cream 5%
  • Red: External genital and perianal warts and basal cell carcinoma
  • For anogenital warts, refer to GU Medicine for advice
  • For superficial basal cell carcinoma, only if prescribed by Dermatologist
  • Only for use by a clinician experienced in its use
     
  • Link  Link to reviews
       
    Podophyllotoxin (Warticon®)
    View adult BNF View SPC online View childrens BNF
    Restricted Drug Restricted

    Cream 0.15%, Topical solution 0.5%

    • For use by a clinician experienced in its use
    • Refer to GU medicine for advice
     
       
    Podophyllum
    View adult BNF View SPC online View childrens BNF
    Formulary
    Red
    25% in Tincture Benzoin Compound
    25% in 90% IMS
  • Red: External genital warts
  • Specialist only
  • NUH: Manufactured by Pharmacy Non Sterile Production Unit (Unlicensed Product)
     
  •    
    13.08  Sunscreens and camouflagers
    13.08.01  Sunscreen preparations
     note 

  • Sunscreen preparations are regarded as drugs when prescribed for skin protection against ultraviolet radiation in abnormal cutaneous photosensitivity resulting from genetic disorders or photodermatoses, including vitiligo, those resulting from radiotherapy and chronic or recurrent herpes simplex labialis
  • Prescriptions used in this way should be marked "ACBS" (Advisory Committee on Borderline Substances)
  • Uvistat®
    View adult BNF View SPC online View childrens BNF
    Restricted Drug Restricted
    Green

    Cream UVB-SPF 30, Cream UVB-SPF 50, Lipscreen UVB-SPF 50

    OTC Patients should be advised to purchase over the counter

     
       
    Sunscreen (Anthelios XL, Sunsense Ultra)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green

    Lotion UVB-SPF 50+

    OTC Patients should be advised to purchase over the counter

    • Borderline substance - For skin protection in Photodermatoses only. Prescription must state 'ACBS'.
    • Non-formulary if not for ACBS approved indication.
    • On the Nottinghamshire list of Medicines & Appliances of Limited Clinical Value.
    • NUH: Chemotherapy related photosensitivity reactions. Will be prescribed by specialist (i.e. ) as related to chemotherapy.
    • Anthelios XL available on prescription only as a 50ml volume.
    • Expiry date will be 6 to 12 months from opening - consider usage within this time when prescribing
     
       
    Dundee reflective sun creams (Dundee Block®)
    View adult BNF View SPC online View childrens BNF
    Restricted Drug Restricted
    Red
    Unlicensed medicine - named patient use only
  • Red: sunscreen protection - specialist use only 
  • Link  Link to reviews
       
    13.08.01  Photodamage
    Cytotoxic Drug Actikerall®
    (Fluorouracil/ salicylic acid)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber 3
    Cutaneous solution
  • For the treatment of actinic keratosis when prescribed in line with the Notts APC Solar Keratosis pathway  
  • Link  Actikerall patient Information Leaflet
    Link  Link to reviews
    Link  Solar Keratosis treatment guidance
       
    Cytotoxic Drug Fluorouracil (Efudix®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber 3
    Cream 5%
  • For the treatment of actinic keratosis when prescribed in line with the Notts APC Solar Keratosis pathway  
  • Link  Solar Keratosis Efudix® Patient Information leaflet
    Link  Solar Keratosis treatment guidance
       
    Imiquimod  (Zyclara®)
    (Actinic Keratosis)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Amber 3
    Cream 3.75%
  • For the treatment of actinic keratosis when prescribed in line with the Notts APC Solar Keratosis pathway  
  • Link  Link to reviews
       
    Methyl-5-Aminolevulinate (Metvix®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Red
    Cream
  • Red: Use in combination with photodynamic therapy in specialist centres 
  • Link  Link to reviews
       
    13.08.02  Camouflagers
     note   
  • Preparations marked 'ACBS' are regarded as drugs when prescribed for postoperative scars and other deformities and as an adjunctive therapy in the relief of emotional disturbances due to disfiguring skin disease, such as vitiligo
  • Any preparations listed in the BNF may be used depending on the shades and consistency of product required
  • The SFHT and NUH pharmacy departments do not routinely stock any of the products, but will purchase them in when needed on an individual patient basis
  • Cleansing Creams, Cleansing Milks, and Cleansing Lotions are excluded from ACBS use
  • Amber 2 - Patients are normally referred to a local British Red Cross camouflage service, and products to be prescribed are normally recommended by this service 
  • Covermark®
    View adult BNF View SPC online View childrens BNF
    Restricted Drug Restricted
    Amber 2
    Classic foundation
    Finishing powder
  • Borderline substance
  • For disfiguring skin lesions (birthmarks, mutilating lesions, scars, vitiligo) only - prescription must state 'ACBS'
  • Non-formulary if not for ACBS approved indication 
  •    
    Dermacolor®
    View adult BNF View SPC online View childrens BNF
    Restricted Drug Restricted
    Amber 2
    Camouflage creme
    Fixing powder
  • Borderline substance
  • For disfiguring skin lesions (birthmarks, mutilating lesions, scars, vitiligo) only - prescription must state 'ACBS'
  • Non-formulary if not for ACBS approved indication 
  •    
    Keromask®
    View adult BNF View SPC online View childrens BNF
    Restricted Drug Restricted
    Amber 2
    Masking cream
    Finishing powder
  • Borderline substance
  • For disfiguring skin lesions (birthmarks, mutilating lesions, scars, vitiligo) only - prescription must state 'ACBS'
  • Non-formulary if not for ACBS approved indication 
  •    
    Veil®
    View adult BNF View SPC online View childrens BNF
    Restricted Drug Restricted
    Amber 2
    Cover cream
    Finishing Powder
  • Borderline substance
  • For disfiguring skin lesions (birthmarks, mutilating lesions, scars, vitiligo) only - prescription must state 'ACBS'
  • Non-formulary if not for ACBS approved indication 
  •    
    13.09  Shampoos and other preparations for scalp and hair conditions to top
    Capasal®
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green

    Shampoo 250ml

    • Contains: coal tar 1%, coconut oil 1%, salicylic acid 0.5%
    • OTC Patients should be advised to purchase over the counter

    • May be prescribed if appropriate to in-patients; patients should be advised on discharge that further supply should be purchased
     
       
    Coal tar shampoo (Psoriderm®, Alphosyl 2 in 1®, Polytar®,)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green
    Shampoo 2.5%, Psoriderm® (distilled coal tar)
    Shampoo 4%, Polytar® (coal tar solution)
    Shampoo 5%, Alphosyl 2 in 1® (coal tar extract alcoholic)
    • OTC Patients should be advised to purchase over the counter
    • May be prescribed if appropriate to in-patients; patients should be advised on discharge that further supply should be purchased.
     
       
    Ketoconazole
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green

    Shampoo 2% 120mL

    • OTC Patients should be advised to purchase over the counter

    • May be prescribed if appropriate to in-patients; patients should be advised on discharge that further supply should be purchased
     
       
    Selenium Sulphide (Selsun®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green
    Shampoo 2.5%
  • Pityriasis versicolor (see local guidance) - Use as a lotion (diluted with water to reduce irritation)[Unlicensed but established indication, see BNF section 13.10.2] 
  •    
    13.09  Hirsutism
    13.09  Androgenetic alopecia
    13.10  Anti-infective skin preparations
    13.10.01  Antibacterial preparations
    13.10.01.01  Antibacterial preparations only used topically to top
    Mupirocin 2% (Bactroban®)
    (skin)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green
    Ointment 2%; Cream 2% (cream not stocked at SFH)
  • Second line for bacterial skin infections
  • Reserve for treating MRSA infection or colonisation
  • Only to be used to treat other bacterial skin infections when other topical agents have failed or are contra-indicated
  • Use the nasal ointment if using for peritoneal dialysis site prophylaxis/treatment 
  • Link  Impetigo guideline (Notts APC)
       
    Silver Sulfadiazine (Flamazine®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green

    Cream 20g & 50g

    • Supply problem August 2019. At SFH, alternative is Flaminal Hydro gel.
    • Avoid use on large areas - systemic absorption may approach therapeutic levels (side-effects and interactions as per other sulfonamides including blood dyscrasias)
    • SFH:Use only on recommendation of the Tissue Viability Team.
     
       
    13.10.01.02  Antibacterial preparations also used systemically
    Metronidazole topical 0.75%
    (malodourous wounds)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green
  • For malodorous tumours and ulcers: Anabact® 0.75% brand. 
  •    
    Metronidazole topical 0.75%
    (rosacea)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green

    Gel/cream

    • For rosacea
    • Acea® or Rozex® brands preferred in primary care. See Preferred Prescribing List.
    • Other more expensive brands include (non-formulary): Zyomet gel, Metrosa gel, Rosiced cream, Metrogel, Metrotop, Noritate.
     
       
    Fusidic Acid 2% topical (Fucidin®)
    View adult BNF View SPC online View childrens BNF
    Restricted Drug Restricted
    Amber 3
    Cream 15g
    Ointment 15g
  • Reserved for very minor impetigo infections.
  • For short courses only to minimise the development of resistance.
  • See Notts APC antimicrobial guidelines
  •    
    13.10.02  Antifungal preparations
    Clotrimazole
    (skin)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green

    Cream 1% 20g and 50g, Solution 1% 20mL

    • Cutaneous candidiasis - apply until 10 days after lesions healed
    • OTC Patients should be advised to purchase a suitable product over the counter first line

     
       
    Ketoconazole
    (skin)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green

    Cream 2% 30g

    • OTC Patients should be advised to purchase a suitable product over the counter first line

     
       
    Miconazole
    (skin)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green

    Cream 2% 30g

    • Cutaneous candidiasis - apply until 10 days after lesions healed
    • OTC Patients should be advised to purchase a suitable product over the counter first line

     
    Link  MHRA Drug Safety Update (September 2017)
       
    Nystatin with Chlorhexidine cream
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green

    Cream 30g

    • Nystatin 100,000 units/g with Chlorhexidine Hydrochloride 1%
    • Previously known as Nystaform® but now only available generically
    • OTC Patients should be advised to purchase a suitable product over the counter first line

     
    Link  MHRA Medical Device Alert (Oct 2012)
       
    Terbinafine 1% cream
    (skin)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green

    Cream 15g or 30g

    • See local antimicrobial guidelines and summary table (links below)
    • Dermatophyte infection of the skin - 1 week terbinafine is as effective as 4 weeks azole.
    • OTC Patients should be advised to purchase a suitable product over the counter first line

     
       
    13.10.03  Antiviral preparations
    Aciclovir
    (topical cream)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green

    Cream 2g, 10g

    • OTC Patients should be advised to purchase over the counter

    • May be prescribed if appropriate to in-patients; patients should be advised on discharge that further supply should be purchased
     
       
    13.10.04  Parasiticidal preparations
    Benzyl Benzoate Application BP 25%
    View adult BNF View SPC online View childrens BNF
    Formulary
    Red
    Application
  • Less suitable for prescribing (BNF)
  • Not recommended for treatment of scabies in local guidance
  • Not recommended for children — dilution to reduce irritant effect also reduces efficacy. Some manufacturers recommend application to the body but to exclude the head and neck. However, application should be extended to the scalp, neck, face, and ears (BNF) 
  •    
    Cyclomethicone 50% / Isopropyl myristate 50% solution (Full Marks solution)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green

    Solution

    • physical insecticide
    • Not suitable for children younger than 2 years of age or people with skin conditions
    • Apply to dry hair, leave for 10 minutes. Comb through hair with comb provided to remove the remains of lice and eggs. Retreat 7 days later.
    • OTC Patients should be advised to purchase over the counter

    • May be prescribed if appropriate to in-patients; patients should be advised on discharge that further supply should be purchased
     
       
    Dimeticone (Hedrin®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green

    Lotion 4%

    • a physical insecticide
    • First line for Pediculosis capitis (head lice) in pregnancy (licensed) if wet combing not suitable
    • OTC Patients should be advised to purchase over the counter

    • May be prescribed if appropriate to in-patients; patients should be advised on discharge that further supply should be purchased
     
       
    Ivermectin
    View adult BNF View SPC online View childrens BNF
    Restricted Drug Restricted
    Red

    Tablets 3 mg,6mg

    • Unlicensed medicine - named patient use only
    • Dermatology specialist only
     
    Link  Link to reviews
    Link  NICE Evidence summary: Ivermectin for difficult-to-treat scabies
       
    Malathion 0.5% (Derbac-M®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green

    Aqueous solution 50mL

    • For crab lice, head lice, and scabies
    • OTC Patients should be advised to purchase over the counter

    • May be prescribed if appropriate to in-patients; patients should be advised on discharge that further supply should be purchased
     
       
    Permethrin 5% (Lyclear® Dermal Cream)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green

    Dermal Cream 30g (generic available)

    • Currently treatment of choice for therapy and prophylaxis of scabies and is safe in pregnancy and breast-feeding (unlicensed use)
    • see local guidance for information
    • OTC Patients should be advised to purchase over the counter

    • May be prescribed if appropriate to in-patients; patients should be advised on discharge that further supply should be purchased
     
       
    Permethrin 1% (Lyclear® Creme Rinse)
    View adult BNF View SPC online View childrens BNF
    Restricted Drug Restricted
    Green

    Cream Rinse

    • Alcoholic solution
    • Less suitable for prescribing (BNF) - insufficient contact time therefore not recommended for head lice
    • Available if required for scabies patients requiring hair treatment in addition to rest of body
    • OTC Patients should be advised to purchase over the counter

    • May be prescribed if appropriate to in-patients; patients should be advised on discharge that further supply should be purchased
     
       
    13.10.05  Preparations for minor cuts and abrasions to top
    13.10.05  Collodion
    13.10.05  Skin tissue adhesive
    Histoacryl®
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green

    Tissue adhesive

    • Used by ophthalmology for corneal perforation repair
    • Available from NHS Supplies, not pharmacy

     

     

     
       
    Indermil®
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green

    Tissue adhesive

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

    Tissue adhesive

     
       
    13.11  Skin cleansers, antiseptics, and desloughing agents
    13.11.01  Alcohols and saline
    Industrial Methylated Spirit BP
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green
    70% Bottle
    70% Spray 
       
    Sodium Chloride 0.9%
    Formulary
    Green

    10mL Ampoules
    20mL Ampoules
    25mL Sachet (Normasol®)
    100mL Sachet (Normasol®)
    Irrigation 1L
    NUH only: PosiflushTM 5mL and 10mL pre-filled syringes
    NUH only: Sterisets® externally sterile 20mL pre-filled syringes - approved for use during epidural insertion within obstetrics when lone working

     
       
    13.11.02  Chlorhexidine salts to top
    Chlorhexidine 0.015% with Cetrimide 0.15% (Tisept®)
    View adult BNF View SPC online View childrens BNF
    Restricted Drug Restricted
    Green
    Sachet 25mL (yellow)
    Sachet 100mL (yellow)
  • NUH only 
  •    
    Chlorhexidine 0.05% (Unisept®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green
    Sachets 25mL
    Sachets 100mL
  • For cleansing and disinfecting wounds and burns and swabbing in obstetrics
     
  •    
    Chlorhexidine 0.5% (Aqueous)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green
    Pink Solution 
       
    Chlorhexidine 2% in Isopropyl Alcohol 70% (ChloraPrep®)
    View adult BNF View SPC online View childrens BNF
    Restricted Drug Restricted
    Green

    Solution

    • Hospital only (NHS Supplies)
      NUH: 26mL presentation is restricted to breast and plastics theatres.
     
       
    Chlorhexidine 4%
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green

    Surgical Scrub 500mL
    Surgical Scrub 250mL

    • 1st line for MRSA skin decolonisation. 2nd line is povidone iodine.
    • Brands include Hydrex® and Hibiscrub®
     
       
    Chlorhexidine Solution 2.5% (≡ Chlorhexidine 0.5%) (Alcoholic)
    View adult BNF View SPC online View childrens BNF
    Restricted Drug Restricted
    Green
    Pink Solution in 70% IMS
    Blue Solution in 70% IMS
    Colourless in 70% IMS
  • Hospital only - for pre-operative skin disinfection
  • Brands include Hydrex® 
  •    
    Hibitane Obstetric®
    View adult BNF View SPC online View childrens BNF
    Restricted Drug Restricted
    Green
    Cream
  • NUH only
  • Contains:Chlorhexidine Gluconate Solution 5% (≡ Chlorhexidine Gluconate 1%) 
  •    
    13.11.03  Cationic surfactants and soaps
    13.11.04  Iodine and Chlorine
    Povidone-Iodine (Betadine® or Videne®)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Green

    Various preparations -  (SFH - Via NHS Supplies, not kept in pharmacy)

    • Alcoholic Solution (Povidone-Iodine 10% tincture) (500mL) - useful if rapid drying is necessary
    • Antiseptic Solution (Povidone-Iodine 10%) (in aqueous solution, 500mL) - use aqueous solution for use in wounds
    • Surgical Scrub (Povidone-Iodine 7.5%) (in non-ionic surfactant base, 500mL) - 2nd line at SFH for MRSA skin decolonisation if patient is unable to have chlorhexidine
    • Dry Powder Spray (Povidone-Iodine 2.5%) (150g) - not generally recommended
    • Ointment - discontinued Jan 2010
    • Antiseptic Paint - discontinued 2007
    • Skin Cleanser 4% 250mL - discontinued
     
       
    Sodium Hypochlorite Solution 1% (Milton®)
    Restricted Drug Restricted
    Green

    Solution

    • NUH only
     
       
    13.11.05  Phenolics
    Triclosan 2% (Ster-Zac Bath Concentrate®)
    View adult BNF View SPC online View childrens BNF
    Restricted Drug Restricted
    Green
    Solution 28.5mL
  • NUH only 
  •    
    13.11.06  Oxidisers, and dyes
    Hydrogen Peroxide Solution BP
    View adult BNF View childrens BNF
    Formulary Solution 3% 200mL 
    Link  MHRA alert: Risk of gas embolism when used in surgery
       
    Potassium Permanganate (Permitabs®)
    Formulary Solution - for external use only
    Soak (Tablets for solution 400mg) - not for oral use
  • 1 tablet dissolved in 4 litres of water provides a 0.01% (1 in 10,000) solution for external use only 
  • Link  NHS England: Patient safety alert Dec 2014
    Link  NUH Lite Bite: Potassium permanganate is for EXTERNAL USE ONLY
    Link  NUH: Information for patients, carers and staff on preparation and disposal
    Link  NUH: Safe Supply & Clinical Screening of Potassium Permanganate Soak (Pharmacy)
       
    13.11.07  Desloughing agents to top
    Sterile Larvae (Maggots) (BioBags Biomonde®)
    View adult BNF View SPC online View childrens BNF
    Formulary
  • At NUH and SFH: For use only on recommendation of the Tissue Viability Team.
    SFH ordering information:
  • Pharmacy must be contacted before 11am for next day delivery.
  • Larvae therapy order form for inpatients
  • Larvae therapy order form for outpatients
     
  •    
    13.12  Antiperspirants
    Botulinum toxin type A
    (Antiperspirant)
    View adult BNF View SPC online View childrens BNF
    Restricted Drug Restricted
    Red
    Injection
  • Red: Specialist use only for severe hyperhidrosis 
  •    
    Glycopyrronium
    (iontophoresis)
    View adult BNF View SPC online View childrens BNF
    Formulary
    Red
    Solution 0.05%
  • Unlicensed special for specialist use only
  • Manufactured by Pharmacy Non Sterile Production Unit (Unlicensed Product) at NUH 
  • Link  Link to reviews
       
    13.13  Topical circulatory preparations
     ....
     Non Formulary Items
    Abrasive Agents  (Brasivol®)

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

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

    Cream

    • Discontinued
     
    Alcohol
    (Surgical spirit BP)

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

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
    Discontinued in 2012
  • Contains: Coal Tar extract 5%, Hydrocortisone 0.5%, Allantoin 2%
  •  
    Aluminium Chloride Hexahydrate 20% in Alcoholic Base  (Driclor®)

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

    Bottle with roll-on applicator

    • Available OTC
    Link  Excessive sweating - Self-care patient information (Notts APC)
     
    Aluminium Salts  (Anhydrol Forte®)

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

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

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
  • No formal submission
  •  
    Amorolfine  (Loceryl®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
    5% nail lacquer
  • Option for superficial dermatophyte infection of the proximal fingernail or toenail
  • Nail infections are best treated systemically
  • SFH:For use in GUM patients with a confirmed diagnosis of nail infection, as an alternative to oral treatment.
  •  
    Antibacterials  (Stiemycin®)

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

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

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
    Cream
  • 10% urea
  • Removed from emolllient formulary Jan 2013
  •  
    Aquamax®

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
    Cream
  • no formal assessment
  •  
    Aqueous Cream BP

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

    Cream

    • Agreed GREY non formulary for NEW PATIENTS (APC Jan 2020). Other creams available as soap substitutes and leave on emollients.
    • Aqueous cream may be associated with skin reactions (stinging, burning, itching and redness) when used as a 'leave-on' emollient, often within 20 minutes of application, and especially in children with atopic eczema. See MHRA Drug Safety update March 2013.
    • Do not use on eczema
    Link  MHRA: Fire Risk - Paraffin-based skin emollients on dressings or clothing
    Link  UKMI Q & A: Why aqueous cream is not recommended as a leave on moisturiser
     
    Aveeno Cream®

    View adult BNF View SPC online
    Non Formulary
    Grey

    Cream

    OTC Patients with mild dry skin, who do not have a diagnosed dermatological condition or risk to skin integrity, should be advised to purchase a suitable product over the counter.

    • First line is Epimax® oatmeal cream (500g easy squeeze) as per Notts formulary 2019
    • Second line is Zeroveen® cream (500g pump dispenser)
     
    Barrier preparation  (Conotrane®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Barrier preparation  (Cutimed Protect 1ml Applicator )

    Non Formulary
    • 2018 - Replaced by LBF barrier film, which was then replaced by Medi Derma-S (2019)
    • Replaced Cavilon 1ml applicator in the SFH 2016 dressings formulary.
     
    Barrier preparation  (Medicaid®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Barrier preparation  (Morhulin®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Barrier preparation  (Silicone barrier cream)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
    Cream
     
    Barrier preparation  (Siopel®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Barrier preparation  (Sprilon®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
    Spray application
     
    Barrier preparation  (Sudocrem®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
    Cream
     
    Barrier preparation  (Vasogen®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Becaplermin

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
    Discontinued
     
    Benzoic Acid
    (Benzoic acid ointment compound bp (whitfields cream))

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

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

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
    Supply information (31/1/2014)
  • PanOxyl Aquagel (Gel with an Aqueous vehicle) all strengths- Discontinued

  • PanOxyl Acnegel (Gel with an Alcoholic vehicle) all strengths- Out of Stock until further notice

  • PanOxyl cream (cream with an Alcoholic basis) all strengths- Out of Stock until further notice, although UKMA hasn't been suspended so due back in future

  • Panoxyl Wash- Discontinued

  • Also available with antibacterial - see Duac
  • Made non-formulary due to supply issues March 2013, for review when products available
  •  
    Benzoyl Peroxide with antimcrobials  (Quinoderm®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Betacarotene

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
    • Not in adult BNF but is in Childrens BNF
    • Grey / Non-Formulary (no formal assessment)
     
    Betamethasone (as Dipropionate) 0.05%  (Diprosone®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
    Cream
    Removed from formulary with dermatology agreement
     
    Betamethasone (as Valerate) 0.1% with Clioquinol

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

    Ointment, Cream.

    • Potent with antimicrobial
    • Used to be marketed under the brand name Betnovate-C® cream and ointment - now only available generically with a significantly increased price 30g=£38.88.
    • Dermatologists suggested Synalar C® as an alternative. 
     
    Betamethasone (as Valerate) 0.1% with Fucidic Acid 2%  (Fucibet®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
    Cream
  • Not recommended for infected eczema (see antibiotic guidelines)
  • Potent with antimicrobial
  •  
    Betamethasone (as Valerate) 0.1% with Neomycin Sulphate 0.5%  (was Betnovate-N®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
    Cream
    Ointment
     
    Betamethasone Esters
    (Betamethasone valerate)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Betamethasone Esters  (Bettamousse®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Borderline Substances  (Anthelios®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Borderline Substances  (Delph®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Borderline Substances  (SpectraBan®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Camouflagers  (Dermablend®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Canespro® Fungal Nail Treatment

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

    No formal assessment.

    • Kit contains 20g 40% urea ointment, 22 waterproof plasters and one plastic scraper
     
    Cetraben®

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

    Ointment, cream, lotion

     
    Cetrimide

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Chlorhexidine  (Cepton®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Chlorhexidine  (CX Antiseptic Dusting Powder®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Chlorhexidine  (Hibi®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Chlorhexidine Concentrates  (Hibitane 5% Concentrate®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Chlorhexidine Concentrates with cetrimide  (Hibicet Hospital Concentrate®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Chlorhexidine with cetrimide  (Travasept®)

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

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Clobetasol Propionate with neomycin and nystatin  (Dermovate-NN®)

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

    Dermovate NN® brand discontinued July 2011. Later re-launched as generic cream or ointment but costing £87 per 30g tube!

     
    Coal Tar 10%  (Carbo-Dome®)

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

    10% cream in a water-miscible basis

    • Discontinued (temporarily?) July 2015, due to raw material supply problem
     
    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
    Grey
    Bath additive
  • Removed with dermatology approval
  •  
    Collodion Flexible BP

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Corticosteroids  (Actinac®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Dequalinium chloride  (Fluomizin®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
    Vaginal tablet for bacterial vaginosis.
    No formal assessment
    Link  Link to reviews
     
    Diclofenac  (Solaraze®, Solacutan®)

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

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
    • Removed from formulary Jan APC 2013  
    • First choice Epimax®, second choice Zerobase®
    • SFH: Can be used for existing patients where switching to Epimax or Zerobase is not acceptable to the patient.
     
    Dithranol  (Psorin®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Dithranol Ointment BP

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Dithranol Paste BP

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

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
    No formal submission
     
    Doxepin  (Xepin®)
    (topical)

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

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
    • Replaced with Exocream/Zerocream as per Notts emollient formulary
    • Can be used for existing patients if switching toExocream/Zerocream is not acceptable to the patient.
     
    Econazole  (Pevaryl®)
    (skin cream)

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

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
    Injection sc
  • Marketing authorisation suspended Feb 2009
  • Link  Link to reviews
     
    Eflornithine  (Vaniqa®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
  • Not to be prescribed for any indication on the NHS. Removal of excessive hair (hirsutism) is not commissioned under the East Midlands Commissioning Policy for Cosmetic Procedures.
  • On the Nottinghamshire list of Medicines & Appliances of Limited Clinical Value that should never be prescribed.
  • Link  Link to reviews
     
    Emollient Bath/Shower Additive

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
    • ALL bath and shower emollients should never be prescribed and are on the Nottinghamshire list of Medicines & Appliances of Limited Clinical Value.
    • Note that Oilatum® Plus is Red for MRSA treatment at NUH where Octenisan is not appropriate in line with NUH MRSA policy.
     
    Emollient preparation  (Decubal® Clinic)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Emollient preparation  (Dermamist®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Emollient preparation  (Drapolene®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Emollient preparation  (Epaderm®)

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

    MHRA: Fire Risk - Paraffin-based skin emollients on dressings or clothing

     
    Emollient preparation  (Hewletts®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Emollient preparation  (Kamillosan®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Emollient preparation  (Keri®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Emollient preparation  (Linola® Gamma)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Emollient preparation  (Lipobase®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Emollient preparation  (Neutogena® Dermatological Cream)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Emollient preparation  (Ultrabase®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Emollient preparation  (Vaseline Dermacare®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Emollient preparation  (ZeroAQS®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Emollient preparation  (Zeroguent®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Emollient preparation containing Urea  (Calmurid®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
    Cream
     
    Emollient preparation containing Urea  (E45® Itch Relief Cream)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Emollient preparation containing Urea  (Nutraplus®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Emollient preparation with antimicrobials  (Eczmol®)

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

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
  • Not prescribable under the NHS for the treatment of androgentic alopecia
  • Link  MHRA: Reports of depression and suicidal thoughts with finasteride
     
    Flucinolone Acetonide 0.0025%  (Synalar 1 in 10 Dilution®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
    Cream
     
    Flucinolone Acetonide 0.00625%  (Synalar 1 in 4 Dilution®)

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

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

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

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Green tea leaves extract 10% ointment  (Catephen®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
    No formal assessment (APC July 2015)
     
    Griseofulvin  (Grisol AF®)

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

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

    Cream

    • BNF: Less suitable for prescribing. 
    • CKS: "There is insufficient evidence of benefit in the treatment of superficial thrombophlebitis"
     
    Hydrocortisone
    (skin)

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

    Cream 0.5%, 2.5% and Ointment 0.5, 2.5%

    • 0.5% and 2.5% ointment and cream non-formulary. Not cost effective 
    • Alternative agents available e.g 1% hydrocortisone (mild) or eumovate (moderate)
     
    Hydrocortisone  (Dioderm®)

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

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

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

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

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
    Cream
    Removed from formulary with dermatology agreement
     
    Hydrocortisone 1% with Urea 10%  (Alphderm®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
    Cream 30g
     
    Hydrocortisone 1%, Clioquinol 3%  (Vioform-Hydrocortisone®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
    Discontinued July 2009
     
    Hydrocortisone 1%, Urea 10% and Lactic Acid 5%  (Calmurid HC®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
    Cream
     
    Hydrocortisone Acetate 1% with Fusidic Acid 2%  (Fucidin H®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
    Cream
  • short term use in infected eczema where oral antibiotics are contraindicated
  • Mild with antimicrobial
  •  
    Hydrocortisone Butyrate  (Locoid Crelo®)

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

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

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Ichthammol
    (Ichthammol ointment BP 1980)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Ichthammol
    (Zinc and ichthammol cream BP)

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

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Ingenol mebutate  (Picato®)

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

    License suspended Feb 2020. MHRA information here

    Link  Ingenol patient information leaflet
    Link  Link to reviews
    Link  MHRA: Increased incidence of skin tumours seen in some clinical studies
     
    Isotretinoin Gel 0.05%  (Isotrex® gel)

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

    Discontinued 2017

     
    Isotretinoin with antibacterial  (Isotrexin®)

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

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Magnesium Sulphate Paste BP

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
    Paste
    Removed Feb 2012
     
    Minoxidil  (Regaine®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
  • Not prescribable under the NHS for the treatment of androgentic alopecia
  •  
    Neomycin Sulphate  (Cicatrin®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Neomycin Sulphate  (Graneodin®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Neomycin Sulphate 0.5%
    (Neomycin cream BPC)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
    Cream
  • Less suitable for prescribing (BNF)
  • Removed with approval of dermatology Feb 2012
  •  
    Nicotinamide  (Nicam®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Nystatin
    (skin)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
    Cream 30g, Ointment 30g
  • Discontinued
  •  
    Nystatin  (Tinaderm-M®)

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

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

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

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

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

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

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

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
    • Discontinued by manufacturer August 2017
    • Ointment 20g. Contains Polymyxin B Sulphate 10,000 units with Bacitracin Zinc 500 units /g
     
    Potassium hydroxide 5% solution  (Molludab®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
  • No formal submission
  • Link  Link to reviews
     
    Povidone-Iodine  (Savlon® Dry Antiseptic)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Proflavine Cream, BPC

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

    Cream

    • Contains:Profavine Hemisulphate 0.1%, Yellow Beeswax 2.5%, Chlorocresol 0.1%, Liquid Paraffin 67.3%, Water 25%, Wool Fat 5%
    • Discontinued July 2018
     
    Proprietary Emollient Preparations  (Doublebase®)

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

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

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

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

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Salicylic Acid 40% medicated plasters

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
    Link  Notts APC: Self-care patient information for warts and verrucas
     
    Salicylic Acid with podophyllum  (Posalfflin®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Senset Cleansing Foam ®

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

    Skin cleansing foam designed for patients with incontinence.  OTC Self-care agenda would support purchase rather than NHS prescription.

     

     
    Shampoos  (Betadine®)

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

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

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

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

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

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

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

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
  • Available OTC
  •  
    Skin Salvation Cream®

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
    No formal submission
     
    Skin tissue adhesive  (Dermabond ProPen®)

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

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

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
  • No formal submission
  •  
    Sulconazole Nitrate  (Exelderm®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Sunscreen  (E45 Sun®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
  • SPF 25 (waterproof) (Titanium Dioxide 3.6% and Zinc Oxide 13.9%)
  • SPF 50 (waterproof) (Titanium Dioxide 6.4% and Zinc Oxide 16%)
  • Discontinued
  •  
    Sunscreen  (Roc®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
    SPF 25% (Containing Avobenzone 2%, Ethylhexl P-Methoxycinnamate)
     
    Tacalcitol  (Curatoderm®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Tars
    (Calamine and coal tar ointment)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Tars
    (Coal tar and salicylic acid ointment)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Tars
    (Coal tar paste BP)

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

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

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

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Tars - bath preparations
    (Coal tar solution BP)

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

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Tars - bath preparations  (Psoriderm®)

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

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
    Gel
  • Removed with dermatology approval
  •  
    Tioconazole  (Trosyl®)

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

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
    Gel 0.01%
    Gel 0.025%
    Discontinued October 2012.
     
    Tretinoin with antibacterial  (Aknemycin® Plus)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
     
    Tri-Adcortyl®

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
    Cream
  • Contains: Triamcinolone Acetonide 0.1% with Gramicidin 0.025%, Neomycin (as Sulphate) 0.25%, Nystatin 100,000 units/g
  • Discontinued
  •  
    Triclosan  (Manusept®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
    Discontinued 2008
     
    Triclosan 1%  (Skinsan®)

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

    Discontinued ~2017

     
    Triclosan 2%  (Aquasept®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
  • Discontinued
  •  
    Trifarotene cream  (Aklief®)

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
    •  No formal assesment
    Link  Link to reviews
     
    Undecenoates  (Monphytol®)

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

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

    View adult BNF View SPC online View childrens BNF
    Non Formulary
    Grey
    Cream
  • Greasy level 3/4
  • Removed from emollient formulary Jan 2013
  •  
    White Soft Paraffin BP

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