Oxfordshire Clinical Commissioning Group
Formulary
 
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12 Ear, nose and oropharynx
12-03-01 Drugs for oral ulceration and inflammation

Hydrocortisone Corlan®
Formulary

Mucoadhesive buccal tablets (oromucosal tablets) for treatment of mouth ulcers. 


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Betamethasone Soluble tablets
Formulary

For oral ulceration (unlicensed indication) in adult and child over 12 years. Usual dose is 500 micrograms dissolved in 20 mL water and rinsed around the mouth 4 times daily.


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Lidocaine 5% ointment
Restricted

To be rubbed gently into dry gum.

Topical preparations of local anaesthetics are available to purchase in pharmacies and should only be prescribed in line with Clinical Commissioning Policy 88D.


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Benzydamine Difflam®
Restricted

Available as oromucosal spray and mouthwash. Available to purchase over the counter in line with Clinical Commissioning Policy 88D.


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Choline Salicylate Bonjela® Adult
Restricted

Available to purchase over the counter, in line with Clinical Commissioning Policy 88D.

To be used in over 16s only. 


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Fluticasone Propionate Flixonase Nasule®
Formulary

Secondary care use only as a mouthwash for a variety of oral mucosal diseases. Also available for use by ENT surgery. 

APCO March 2017.


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Gelclair®
Formulary

Oral gel (sachets) for the treatment of oral mucositis in oncology. 

Gelclair® is classed as a medical device.


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Caphosol®
Formulary

Oral rinse or dispersible tablets for the treatment of oral mucositis in oncology.

Caphosol® is classed as a medical device.


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Anaesthetic throat lozenges Tyrozets®
Non Formulary

Contains benzocaine. Available to purchase over the counter. 


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Benzocaine
Non Formulary

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Carmellose Sodium Orabase®
Non Formulary

Protective paste. 


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Cetylpyridinium, Chlrocresol, Lidocaine Anbesol®
Non Formulary

Available to purchase over the counter, in line with Clinical Commissioning Policy 88D.


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Doxycycline
Non Formulary

Dispersible tablets (unlicensed indication) to be dispersed in water and used as a mouthwash.


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Doxycycline Periostat®
Non Formulary

For periodontitis (as an adjunct to gingival scaling and root planing). May be difficult to obtain.


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Flurbiprofen lozenge Strefen®
Non Formulary

Available to purchase over the counter for sore throat, in line with Clinical Commissioning Policy 88D.


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Glycerol dioleate  Episil®
Non Formulary

Treatment of oral mucositis for oncology patients. Episil® is classified as medical device.  


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Lidocaine 10% mouth spray Xylocaine®
Non Formulary

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Lidocaine and Cetylpyridinium Dentinox® Teething Gel
Non Formulary

Available to purchase over the counter, in line with Clinical Commissioning Policy 88D.


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Lidocaine and Phenylephrine Cophenalcaine®
Non Formulary

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Salicylates - Salicylic acid Pyralvex®
Non Formulary

May cause temporary discolouration of teeth and oral mucosa.


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Triamcinolone Acetonide 0.1% in Adhesive Basis Adcortyl in Orabase®
Non Formulary

Discontinued in December 2009.


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Antacid with Oxetacaine
Non Formulary

Usual dose is 5-10ml slowly sipped and swallowed four times a day.


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