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Nottinghamshire Area Prescribing Committee
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 Formulary Chapter 13: Skin - Full Chapter
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13.09  Expand sub section  Shampoos and other preparations for scalp and hair conditions
Capasal
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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,)
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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
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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)
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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  Expand sub section  Hirsutism
    13.09  Expand sub section  Androgenetic alopecia
     ....
     Non Formulary Items
    Eflornithine  (Vaniqa)

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    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
     
    Finasteride  (Propecia)

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    Non Formulary
    Grey
  • Not prescribable under the NHS for the treatment of androgentic alopecia
  • Link  MHRA: Reports of depression and suicidal thoughts with finasteride
     
    Minoxidil  (Regaine)

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    Non Formulary
    Grey
  • Not prescribable under the NHS for the treatment of androgentic alopecia
  •  
    Other scalp preparations  (Polytar Plus®)

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    Non Formulary
    Grey
     
    Shampoos  (Betadine)

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    Non Formulary
    Grey
     
    Shampoos  (Ceanel Concentrate®)

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    Non Formulary
    Grey
     
    Shampoos  (Clinitar®)

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    Non Formulary
    Grey
     
    Shampoos  (Dermax®)

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    Non Formulary
    Grey
     
    Shampoos  (Meted®)

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    Non Formulary
    Grey
     
    Shampoos  (Pentrax®)

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    Non Formulary
    Grey
     
    Shampoos  (Polytar AF®)

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    Non Formulary
    Grey
     
    Shampoos  (T/Gel)

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    Non Formulary
    Grey
  • Available OTC
  •  
      
    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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