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Nottinghamshire Area Prescribing Committee
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 Formulary Chapter 13: Skin - Full Chapter
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13.07  Expand sub section  Preparations for warts and calluses
Cidofovir in Unguentum M
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Restricted Drug Restricted
Red
1% cream
  • Specialist only (requires cytotoxic bin)
  • NUH: Manufactured by Pharmacy Non Sterile Production Unit (Unlicensed Product)
     
  •    
    Glutaraldehyde (Glutarol)
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    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)
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    Formulary
    Amber 3

    Cream

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

    Caustic pencil with potassium nitrate 60%.

    • At SFH, wards to obtain from supplies
    • Used for umbilical granulomas (see BNFc)
     
       
    Silver Nitrate 75% caustic pencil (AVOCA)
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    Formulary
    Amber 2

    Caustic pencil with potassium nitrate 25%.

    • Used on Stomal granulomas and in Community Podiatry
     
       
    Silver Nitrate 95% caustic pencil (AVOCA)
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    Formulary
    Green

    Caustic pencil, with potassium nitrate 5%.

     
       
    Trichloroacetic Acid
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    Restricted Drug Restricted
    Red
    Solutions 30%, 50%, 90%
  • Unlicensed Product
  • Dermatology specialist only 
  •    
    13.07  Expand sub section  Anogenital warts
    Imiquimod (Aldara)
    (Genital warts/ BCC)
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    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)
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    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
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    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)
     
  •    
     ....
     Non Formulary Items
    Formaldehyde  (Veracur®)

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    Non Formulary
    Grey
     
    Podophyllotoxin  (Condyline®)

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    Non Formulary
    Grey
     
    Podophyllum
    (Podophyllum paint compound BP)

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    Non Formulary
    Grey
     
    Potassium hydroxide 5% solution  (Molludab)

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    Non Formulary
    Grey
  • No formal submission
  • Link  Link to reviews
     
    Salicylic Acid  (Duofilm®)

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    Non Formulary
    Grey
     
    Salicylic Acid  (Salatac®)

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    Non Formulary
    Grey
     
    Salicylic Acid 40% medicated plasters

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

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    Non Formulary
    Grey
     
      
    Key
    note Notes
    Section Title Section Title (top level)
    Section Title Section Title (sub level)
    First Choice Item First Choice item
    Non Formulary Item Non Formulary section
    Restricted Drug
    Restricted Drug
    Unlicensed Drug
    Unlicensed
    Track Changes
    Display tracking information
    click to search medicines.org.uk
    Link to adult BNF
    click to search medicines.org.uk
    Link to children's BNF
    click to search medicines.org.uk
    Link to SPCs
    SMC
    Scottish Medicines Consortium
    Cytotoxic Drug
    Cytotoxic Drug
    CD
    Controlled Drug
    High Cost Medicine
    High Cost Medicine
    Cancer Drugs Fund
    Cancer Drugs Fund
    NHSE
    NHS England
    Homecare
    Homecare
    CCG
    CCG

    Traffic Light Status Information

    Status Description

    Grey

    Grey / Non-Formulary: Medicines, which the Nottinghamshire APC has actively reviewed and does not recommend for use at present due to limited clinical and/or cost effective data.
    Grey / Non-Formulary (undergoing assessment): Work is ongoing and will be reviewed at a future APC meeting.
    Grey / Non-Formulary (no formal assessment): APC has not formally reviewed this medicine or indication because it had never been requested for formulary inclusion. Often used for drugs new to market.
      

    Red

    Medicines which should normally be prescribed by specialists only. eg hospital only.
    For patients already receiving prescriptions in primary care - continue. No new patients to receive prescriptions in primary care.
      

    Amber 1

    Medicines that should be initiated by a specialist and prescribed by primary care prescribers only under a shared care protocol, once the patient has been stabilised.
    Prior agreement must be obtained by the specialist from the primary care provider before prescribing responsibility is transferred. The shared care protocol must have been agreed by the relevant secondary care trust Drugs and Therapeutics Committee(s) (DTC) and approved by the Nottinghamshire APC.
      

    Amber 2

    Medicines suitable to be prescribed in primary care / general practice after specialist* recommendation or initiation.
    A supporting prescribing guideline may be requested which must have been agreed by the relevant secondary care trust DTCs and approved by the Nottinghamshire APC.
    *Specialist is defined by the APC as a clinician who has undertaken an appropriate formal qualification or recognised training programme within the described area of practice
      

    Amber 3

    Primary care/ non specialist may initiate as per APC guideline.
    The supporting prescribing guideline must have been agreed by the relevant secondary care trust D&TC(s) and approved by the Nottinghamshire APC.
      

    Green

    Medicines suitable for routine use within primary care.
    Can be initiated within primary care within their licensed indication, in accordance with nationally recognised formularies, for example the BNF, BNF for Children, Medicines for Children or Palliative Care Formulary. Primary care prescribers take full responsibility for prescribing.   

    OTC

      

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