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 Formulary Chapter 12: Ear, nose and oropharynx - Full Chapter
12.01.01  Expand sub section  Otitis externa
Aluminium Acetate Ear drops
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Unlicensed Drug Unlicensed
Red

Available as 8% and 13% ear drops for treatment of inflammation in otitis externa.

 
   
Triadcortyl Ointment
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Unlicensed Drug Unlicensed
Red

For use by ENT only for otitis externa and mastoid cavity infections. Short course provided by hospital.

APCO January 2014.

 
   
12.01.01  Expand sub section  Astringent preparations
Acetic Acid 2% (Earcalm® Spray)
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Formulary
Green

In line with Guidelines for Antibiotic Prescribing in the Community 2018.

Also available to purchase over the counter. 

 
   
12.01.01  Expand sub section  Anti-inflammatory preparations
Betamethasone 0.1% (Betnesol®, Vistamethasone®)
(Ear)
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Formulary
Green

0.1% drops for ear, eye, or nose. 

 
   
Betamethasone 0.1% with Neomycin 0.5% ear drops (Betnesol N®)
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Formulary
Green
 
   
Dexamethasone with Antibacterials (Otomize®)
(Ear)
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Formulary
Green

Ear spray - (Dexamethasone 0.1%, Neomycin Sulphate 3250 units per mL and Glacial Acetic Acid 2%).

 
   
Dexamethasone with Antibacterials (Sofradex®)
(Ear)
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Formulary
Green

Contains dexamethasone 0.05%, Framycetin Sulphate 0.5%, Gramicidin 0.005%.

 
   
Flumetasone 0.02% with Clioquinol 1% (Locorten-Vioform®)
(Ear)
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Formulary
Green

Note: Clioquinol stains skin and clothing.

 
   
Hydrocortisone Acetate 1% with Gentamicin 0.3% (Gentisone® HC)
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Formulary
Green
 
   
Prednisolone 0.5% Ear drops (Predsol®)
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Formulary
Green
 
   
12.01.01  Expand sub section  Anti-infective preparations
Chloramphenicol
(Ear drops)
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Formulary
Green

Available as 5% or 10% ear drops. 

 
   
Ciprofloxacin 2mg/ml (Cetraxal®)
(Ear Drops)
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Formulary
Green

Licensed ear drops now available. 

APCO July 2018. 

 
Link  Medicines for Children: Ciprofloxacin drops for infection
   
Clotrimazole 1% Solution (Canesten®)
(Ear)
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Formulary
Green

Note this is called '1% solution' rather than 'ear drops'.

 
   
Gentamicin 0.3% Ear drops (Genticin®)
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Formulary
Green
 
   
12.01.01  Expand sub section  Other aural preparations to top
 ....
 Non Formulary Items
Acetic Acid 5% solution in IMS

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Non Formulary
 
Betamethasone Sodium Phosphate with Antibacterial  (Vista-Methasone N®)

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Non Formulary
 
Hydrocortisone with Antibacterial  (Neo-Cortef®)

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Non Formulary
 
Hydrocortisone with Antibactrial  (Otosporin®)

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Non Formulary

Discontinued and removed from BNF 2014.

 
Neomycin Sulphate with corticosteroids  (Neo-Cortef®)

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Non Formulary
 
Neomycin Sulphate with corticosteroids  (Otosporin®)

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Non Formulary

Discontinued and removed from BNF 2014.

 
Prednisolone 0.5% with Neomycin 0.5%  (Predsol-N®)

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Non Formulary

Discontinued in 2011.

 
Triamcinolone with antibacterial  (Otocomb Otic®)

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Non Formulary
 
Triamcinolone with Antibacterial  (Tri-Adcortyl Otic®)

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Non Formulary

Discontinued in November 2008.

 
  
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

Red

Red: Medicines which should only be prescribed in secondary care by a specialist.  

Amber Continuation

Amber Continuation: Medicines which should be initiated or recommended by a specialist for continuation in primary care. The specialist must notify the GP that the prescribing responsibility has been transferred.   

Amber Shared Care Protocol

Amber Shared Care Protocol: Medicines which are appropriate to be initiated and stabilised by a specialist, once stabilised the medicine may be appropriate for responsibility to be transferred from secondary to primary care with the agreement of a GP and a formal ‘shared care’ agreement. The shared care protocol must be approved by the Area Prescribing Committee Oxfordshire (APCO).   

Green

Green: Medicines which are suitable for initiation and ongoing prescribing within primary care.   

Brown

Brown: Medicines which should only be prescribed in restricted circumstances.  

Black

Black: Medicines which are not recommended for use because of lack of evidence of clinical effectiveness, cost effectiveness or safety.  

OCCG Green

not used  

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