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Nottinghamshire Area Prescribing Committee
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 Formulary Chapter 13: Skin - Full Chapter
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13.10.04  Expand sub section  Parasiticidal preparations
Benzyl Benzoate Application BP 25%
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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)
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    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)
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    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
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    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)
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    Formulary
    Green

    Aqueous solution 150mL

    • 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)
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    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)
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    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
     
       
     ....
     Non Formulary Items
    Phenothrin

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    Non Formulary
    Grey
    Discontinued
     
      
    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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