Oxfordshire Clinical Commissioning Group Formulary

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Formulary Chapter 12: Ear, nose and oropharynx - Full Chapter

12.01.01

Otitis externa

Aluminium Acetate Ear drops

Unlicensed

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

Triadcortyl Ointment

Unlicensed

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

APCO January 2014.

12.01.01

Astringent preparations

Acetic Acid 2% (Earcalm^® Spray)

Formulary

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

Also available to purchase over the counter.

12.01.01

Anti-inflammatory preparations

Betamethasone 0.1% (Betnesol^®, Vistamethasone^®)
(Ear)

Formulary

0.1% drops for ear, eye, or nose.

Betamethasone 0.1% with Neomycin 0.5% ear drops (Betnesol N^®)

Formulary

Dexamethasone with Antibacterials (Otomize^®)
(Ear)

Formulary

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

Dexamethasone with Antibacterials (Sofradex^®)
(Ear)

Formulary

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

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

Formulary

Note: Clioquinol stains skin and clothing.

Hydrocortisone Acetate 1% with Gentamicin 0.3% (Gentisone^® HC)

Formulary

Prednisolone 0.5% Ear drops (Predsol^®)

Formulary

12.01.01

Anti-infective preparations

Chloramphenicol
(Ear drops)

Formulary

Available as 5% or 10% ear drops.

Ciprofloxacin 2mg/ml (Cetraxal^®)
(Ear Drops)

Formulary

Licensed ear drops now available.

APCO July 2018.

Medicines for Children: Ciprofloxacin drops for infection

Clotrimazole 1% Solution (Canesten^®)
(Ear)

Formulary

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

Gentamicin 0.3% Ear drops (Genticin^®)

Formulary

12.01.01

Other aural preparations

....

Non Formulary Items

Acetic Acid 5% solution in IMS

Non Formulary

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

Non Formulary

Hydrocortisone with Antibacterial (Neo-Cortef^®)

Non Formulary

Hydrocortisone with Antibactrial (Otosporin^®)

Non Formulary

Discontinued and removed from BNF 2014.

Neomycin Sulphate with corticosteroids (Neo-Cortef^®)

Non Formulary

Neomycin Sulphate with corticosteroids (Otosporin^®)

Non Formulary

Discontinued and removed from BNF 2014.

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

Non Formulary

Discontinued in 2011.

Triamcinolone with antibacterial (Otocomb Otic^®)

Non Formulary

Triamcinolone with Antibacterial (Tri-Adcortyl Otic^®)

Non Formulary

Discontinued in November 2008.

Key

	Notes
	Section Title (top level)
	Section Title (sub level)
	First Choice item
	Non Formulary section
	Restricted Drug
	Unlicensed
	Display tracking information
	Link to adult BNF
	Link to children's BNF
	Link to SPCs
	Scottish Medicines Consortium

	Cytotoxic Drug
	Controlled Drug
	High Cost Medicine
	Cancer Drugs Fund
	NHS England
	Homecare
	CCG

Traffic Light Status Information

Status	Description
	Red: Medicines which should only be prescribed in secondary care by a specialist.
	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: 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: Medicines which are suitable for initiation and ongoing prescribing within primary care.
	Brown: Medicines which should only be prescribed in restricted circumstances.
	Black: Medicines which are not recommended for use because of lack of evidence of clinical effectiveness, cost effectiveness or safety.
	not used