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 Formulary Chapter 13: Skin - Full Chapter
13.01  Management of skin conditions
13.01.01  Vehicles
13.01.02  Suitable quantities for prescribing
 note 

Area of body     

Face and neck

Both hands

Scalp

Both arms

Both legs

Trunk

Groins and genitalia

Creams and Ointments

15 to 30 g

15 to 30 g

15 to 30 g

15 to 30 g

100 g

100 g

15 to 30 g

These amounts are usually suitable for an adult for a single daily application for 2 weeks

13.01.03  Excipients and sensitisation
13.02  Emollient and barrier preparations to top
13.02.01  Emollients
Epimax® Original cream
View adult BNF View SPC online View childrens BNF
First Choice
Green

See Emollient Prescribing Guidelines.

Mimics Diprobase. Available as a squeeze bottle (flexi-dispenser), which may be difficult for patient with dexterity problems. Suitable as a soap substitute.

APCO March 2020.

 
Epimax® ointment
View adult BNF View SPC online View childrens BNF
First Choice
Green

See Emollient Prescribing Guidelines.

Alternative to Epaderm® (manufacturing process produces a creamier texture) More cost-effective than Hydromol® and Zeroderm® (WSP).

APCO March 2020

 
Epimax ® ExCetra Cream
View adult BNF View SPC online View childrens BNF
Second Choice
Green

See Emollient Prescribing Guidelines.

Equivalent to Cetraben®.

APCO March 2020.

 
   
Emollient preparation containing Urea (Balneum® cream)
View adult BNF View SPC online View childrens BNF
Formulary
Green

See Emollient Prescribing Guidelines.

For severe dry skin (e.g. ichthyosis). Contains ceramide which is a lipid lamella mimicking agent resulting in transepidermal water loss of 24hrs.

APCO March 2020.

 
   
Epimax® Isomol gel
View adult BNF View SPC online View childrens BNF
Formulary
Green

See Emollient Prescribing Guidelines.

Cost effective alternative to Aproderm®, Doublebase® & Zerodouble®

Available as a squeeze bottle (flexi-dispenser) which may be difficult for patients with dexterity problems.

APCO March 2020.

 
   
Fifty:50® ointment
View adult BNF View SPC online View childrens BNF
Formulary
Green

See Emollient Prescribing Guidelines.

Prescribe by brand. Price will vary if prescribed as 50:50 or generically.

APCO March 2020.

 
Link  MHRA: Fire Risk - Paraffin-based skin emollients on dressings or clothing
   
Hydromol® Intensive Cream
View adult BNF View SPC online View childrens BNF
Formulary
Green

In line with OCCG Wound Management Formulary 

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

APCO May 2015.

 
   
imuDERM® emollient
View adult BNF View SPC online View childrens BNF
Formulary
Green

See Emollient Prescribing Guidelines.

Urea 5% + glycerine 5%. Very competitively priced, effective moisture-preserving emollient.

Natural moisturising factor – constituents of product improve hydration of the stratum corneum.

APCO March 2020.

 
   
Oilatum® cream
View adult BNF View SPC online View childrens BNF
Formulary
Green

See Emollient Prescribing Guidelines. Contains povidone which
confers a TEWL of 12hrs. 

Please see OCCG Wound Management Formulary.

APCO March 2020.

 
   
Dermol® cream
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Green

See Emollient Prescribing Guidelines.

    • Reserve for where there is a concern about Staph colonisation.
    • Intermittent use can reduce frequency of infection related flares of atopic eczema.
    • This should be targeted and short term use only.

APCO March 2020.

 
   
Emollin® spray
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Green

See Emollient Prescribing Guidelines.

Only for difficult to reach areas or patients unable to use alternative preparations as this is not the most cost effective preparation.

Covers three times the skin area as equivalent volume of cream/ointment. 

APCO March 2020.

 
   
Epimax ® Paraffin-Free ointment
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Green

See Emollient Prescribing Guidelines.

May be suitable where flammability is an issue.

APCO March 2020. 

 
   
Epimax® Oatmeal Cream
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Green

See Emollient Prescribing Guidelines

Colloidal oatmeal containing emollients are borderline substances & may only be prescribed in accordance with the advice of the Advisory Committee on Borderline Substances (ACBS) for the clinical conditions listed (see current BNF).

They may be considered for children who are sensitive to other emollients but should not be used routinely.

APCO March 2020.

 
   
13.02.01  Emollients - preparations containing urea
13.02.01  Emollients - with antimicrobials
13.02.01.01  Emollient bath and shower preparations
13.02.02  Barrier preparations to top
Barrier preparation (Medi Derma-S® barrier cream)
View adult BNF View SPC online View childrens BNF
Formulary
Green

Cheaper option than Cavilon®. See OCCG Wound Management Formulary.

Also see Skin Barrier Management Pathway.

APCO March 2014 and APCO May 2015. 

 
   
Barrier preparation (Medi Derma-S® barrier film)
View adult BNF View SPC online View childrens BNF
Formulary
Green

Cheaper option than Cavilon®. To be used on 64cm2 (palm size) wound, in line with  OCCG Wound Management Formulary.

Also see Skin Barrier Management Pathway.

APCO March 2014 and APCO May 2015. 

 
   
Barrier preparation (Medihoney® barrier cream)
View adult BNF View SPC online View childrens BNF
Formulary
Green

In line with OCCG Wound Management Formulary

Also see Skin Barrier Management Pathway.

APCO May 2015. 

 
   
Proshield® Plus
(Skin protectant)
View adult BNF View SPC online View childrens BNF
Formulary
Amber Continuation

MUST be authorised by TV team before ordering (oxfordhealth.tissueviability@nhs.net or tissueviability@oxfordhealth.nhs.uk).

Please see OCCG Wound Management Formulary and Skin Barrier Management Pathway.

APCO May 2015.

 
   
13.03  Topical local anaesthetics and antipruritics
Calamine
(Cream/lotion)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Brown

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

NB. Calamine Oily lotion contains arachis (peanut) oil.

 
   
Crotamiton 10% (Eurax®)
(Cream/ lotion)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Brown

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

 
   
Topical local anaesthetics
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Brown

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

See section 15.02 for details. 

Note: Topical local anaesthetic preparations may be absorbed, especially through mucosal surfaces, therefore excessive application should be avoided and they should preferably not be used for more than about 3 days; not generally suitable for young children.

 
   
Levomenthol
(Menthol in aqueous cream)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Brown

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

Brands include Arjun®, Dermacool®, Methoderm® and AquaSoothe®

Consideration should be given to the fact that all Levomenthol cream BP formulations contain aqueous cream and may cause skin irritation.

 
   
13.04  Topical corticosteriods.
 note 

Topical corticosteroid preparation potencies

Potency of a topical corticosteroid preparation is a result of the formulation as well as the corticosteroid. Therefore, proprietary names are shown below.

Mild

  • Hydrocortisone 0.1; 2.5% (Dioderm, Mildison, Synalar 1 in 10 dilution.
  • Mild with antimicrobials: Canesten HC, Daktacort, Econacort, Fucidin H, Nystaform-HC, Timodine
  • Mild with crotamiton: Eurax-Hydrocortisone 

Moderate

  • Betnovate-RD, Eumovate, Haelan, Modrasone, Synalar 1 in 4 Dilution, Ultralanum Plain
  • Moderate with antimicrobials: Trimovate
  • Moderate with urea: Alphaderm, Calmurid HC, Hydromol HC Intensive.

Potent

  • Beclometasone dipropionate 0.025%, Betamethasone valerate 0.1%, Betacap, Betesil, Bettamousse, Betnovate, Cutivate, Diprosone, Elocon, Hydrocortisone butyrate, Locoid, Locoid Crelo, Metosyn, Nerisone, Synalar
  • Potent with antimicrobials: Aureocort, Betnovate-C, Betnovate-N, Fucibet, Lotriderm, Synalar C, Synalar N
  • Potent with salicylic acid: Diprosalic 

Very potent

  • Clarelux, Dermovate, Etrivex, Nerisone Forte
  • Very potent with antimicrobials: Clobetasol with neomycin and nystatin

 

Hydrocortisone 0.5%/ 1%
(Cream/ Ointment )
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Brown

First-line treatment for mild eczema, in line with Guidelines for the use of Corticosteroids in Atopic Eczema.

1% cream and ointment are available to purchase over the counter, except where a larger quantity than 30g or application on the face is required, in line with Clinical Commissioning Policy 88D.

 Mild

 
Clobetasone Butyrate 0.05% (Eumovate®)
(Cream/ Ointment )
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Brown

Second-line treatment for moderate eczema (small quantities), in line with Guidelines for the use of Corticosteroids in Atopic Eczema..

Eumovate® cream is available to purchase over the counter, except where a larger quantity than 30g, in line with Clinical Commissioning Policy 88D.

Moderately potent

 
   
Clobetasol propionate 0.05% (Etrivex®)
(Shampoo)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Brown

For moderate scalp psoriasis in line with Psoriasis pathway only. Second line for scalp. 

Very potent

APCO May 2018.

 
   
Betamethasone (as Valerate) 0.025% (Betnovate-RD®)
(Cream/ Ointment )
View adult BNF View SPC online View childrens BNF
Third Choice
Green

For moderate eczema (larger quantities), in line with Guidelines for the use of Corticosteroids in Atopic Eczema.

Moderately potent

 
   
Betamethasone (as Valerate) 0.1% (Betnovate®)
(Cream/ Ointment )
View adult BNF View SPC online View childrens BNF
Fourth Choice
Green

For severe eczema, in line with Guidelines for the use of Corticosteroids in Atopic Eczema. Also available as scalp application, and lotion.

Prescribe as Betnovate® as currently more cost effective than generic. 

Potent

 
   
Clobetasol Propionate 0.05% (Dermovate®)
View adult BNF View SPC online View childrens BNF
Fifth Choice
Green

Available in cream, ointment and scalp application. 

Use in line with Guidelines for the use of Corticosteroids in Atopic Eczema.

Very potent

 
   
Betamethasone (as Dipropionate) 0.05% with Salicylic Acid (Diprosalic®)
View adult BNF View SPC online View childrens BNF
Formulary
Green

Available in ointment and scalp application. 

Potent

 
   
Betamethasone (as Valerate) 0.1% with Clioquinol 3%
(Cream/ Ointment )
View adult BNF View SPC online View childrens BNF
Formulary
Green

Used to be marketed under the brand name Betnovate-C® cream and ointment - now only available generically.

Potent with antimicrobial

 
   
Betamethasone (as Valerate) 0.1% with Fucidic Acid 2% (Fucibet® Cream)
View adult BNF View SPC online View childrens BNF
Formulary
Green

Only CREAM is available at OUH Trust.

Potent with antimicrobial

 
   
Betamethasone (as Valerate) 0.1% with Neomycin Sulphate 0.5%
(Cream/ Ointment )
View adult BNF View SPC online View childrens BNF
Formulary
Green

Was Betnovate-N® but now only available generically. 

Note: Only cream is available at OUH Trust.

 Potent with antimicrobial

 
   
Betamethasone Dipropionate 0.064% with Clotrimazole 1% (Lotriderm® Cream)
View adult BNF View SPC online View childrens BNF
Formulary
Green

Useful for vulval dermatoses.

Potent with antifungal

 
   
Diflucortolone Valerate 0.1% (Nerisone®)
View adult BNF View SPC online View childrens BNF
Formulary
Green

Potent

 
   
Diflucortolone Valerate 0.3% (Nerisone Forte®)
View adult BNF View SPC online View childrens BNF
Formulary
Green

Very potent

 
   
Flucinolone Acetonide 0.0025% (Synalar 1 in 10 Dilution®)
View adult BNF View SPC online View childrens BNF
Formulary
Green

Mild

 
   
Flucinolone Acetonide 0.025% (Synalar®)
View adult BNF View SPC online View childrens BNF
Formulary
Green

Available in cream, gel and ointment. 

Potent

 
   
Fludroxycortide
(Ointment)
View adult BNF View SPC online View childrens BNF
Formulary
Red

Agreed at MMTC for Eczema, dermatitis and hypergranulation. Hospital use only.

APCO September 2019.

 
   
Fluticasone Propionate (Cutivate®)
View adult BNF View SPC online View childrens BNF
Formulary
Green

Cream 0.05%, Ointment 0.005%

Potent

 
   
Hydrocortisone 1% with Urea 10% (Alphderm®)
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
   
Hydrocortisone Acetate 1% with Fusidic Acid 2% (Fucidin H®)
View adult BNF View SPC online View childrens BNF
Formulary
Green

Short term use in infected eczema where oral antibiotics are contraindicated.

Mild with antimicrobial

 
   
Hydrocortisone Butyrate (Locoid®)
View adult BNF View SPC online View childrens BNF
Formulary
Green

Available in cream 0.1% (30g and 100g), lipocream 0.1% (30g), ointment 0.1% (30g and 100g) and scalp lotion 0.1% (100g). Please note only lipocream is available at the OUH. 

Potent

 
   
Mometasone Furoate 0.1% (Elocon®)
View adult BNF View SPC online View childrens BNF
Formulary
Green

Available in cream, ointment and scalp lotion.

Potent

 
   
Nystaform-HC®
View adult BNF View SPC online View childrens BNF
Formulary
Green

Cream contains hydrocortisone 0.5%, nystatin 100 000 units/g, chlorhexidine hydrochloride 1%

Ointment contains hydrocortisone 1%, nystatin 100 000 units/g, chlorhexidine acetate 1%

Mild with antimicrobials

 
   
Timodine®
(Cream)
View adult BNF View SPC online View childrens BNF
Formulary
Green

Contains Hydrocortisone 0.5%, nystatin 100,000 units/g, Benzalkonium Chloride Solution 0.2% and Dimeticone 350 10%.

 Mild with antimicrobials

 
   
Triamcinolone Acetonide 0.1% with Chlortetracycline Hydrochloride 3% (Aureocort® Ointment)
View adult BNF View SPC online View childrens BNF
Formulary
Green

Potent with antimicrobial

 
   
Trimovate® cream
View adult BNF View SPC online View childrens BNF
Formulary
Green

Moderately potent with antimicrobials

A licensed product is now available again.

APCO March 2020.

 

 
   
Hydrocortisone 0.25% with Crotamiton 10% (Eurax-HC®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Brown

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

 
   
Hydrocortisone 1% with Clotrimazole 1% (Canesten HC®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Brown

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

Mild with antifungal

 
   
Hydrocortisone 1% with Miconazole Nitrate 2% (Daktacort®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Brown

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

Mild with antifungal

 
   
13.04.01  Topical corticosteroid scalp applications
13.04.02  Topical corticosteroids - for use under specialist supervision only
13.04.03  Topical corticosteroids - unlicensed specials to top
13.04.04  Topical corticosteroids and anti-infective preparations
13.05  Preparations for eczema and psoriasis
13.05.01  Preparations for eczema
Alitretinoin (Toctino®)
View adult BNF View SPC online View childrens BNF
Formulary
Red
High Cost Medicine

For prescribing by dermatologists only in secondary care. For the treatment of severe chronic hand eczema as per NICE TA177.

NB. Women of child-bearing potential should be on at least one, or preferably two, complementary forms of effective contraception (e.g. barrier and hormonal) for at least 1 month before starting treatment, during treatment, and for at least 1 month after stopping treatment. 

APCO September 2009.

 
Link  NICE TA177: Alitretinoin for the treatment of severe chronic hand eczema
Link  MHRA: Oral retinoids - pregnancy prevention reminder
   
Ichthammol (Ichthopaste®)
(Zinc paste and ichthammol bandage BP 1993)
View adult BNF View SPC online View childrens BNF
Formulary
Amber Continuation

Suitable for prescribing in primary care following specialist recommendation.

 
   
13.05.02  Preparations for psoriasis
Methoxypsoralen
Unlicensed Drug Unlicensed
Red

For prescribing by dermatologists only in secondary care. For photochemotherapy combining long-wave ultraviolet A radiation with a psoralen (PUVA) treatment only. 

8-methoxypsoralen 10mg tablets (Puvasoralen®)
5-methoxypsoralen 20mg tablets (Pentaderm®)

CAUTION:  Methoxypsoralen is administered prior to Psoralen and UVA treatment (PUVA).  There are two different oral compounds available, 5-methoxypsoralen and 8-methoxypsoralen.  The UVA light dose administered depends on the photosensitising agent taken before treatment and the dose of the two compounds differs.  5-methoxypsoralen and 8-methoxypsoralen are different compounds and are not interchangeable.

 
   
13.05.02  Topical preparations for psoriasis to top
Calcipotriol
View adult BNF View SPC online View childrens BNF
Formulary
Green

Ointment 50micrograms/g (~£6 per 30g)
Scalp solution 50micrograms/mL (~£57 per 60ml)

NB. Only OINTMENT is available at OUH.

 
   
Calcitriol 3micrograms/g (Silkis®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Brown

Use in line with Psoriasis pathway only  - 2nd line option for vulva.

APCO May 2018. 

 
   
Coal tar lotion 5% (Exorex®)
View adult BNF View SPC online View childrens BNF
Formulary
Green

For the treatment of psoriasis of the skin and scalp in line with NICE guidance.

Available to purchase over the counter. 

 
   
Dithranol cream (Dithrocream®)
View adult BNF View SPC online View childrens BNF
Formulary
Green

Creams 0.1%, 0.25%, 0.5%, 1% and 2%.

Dithranol should not be used in people with acute or pustular psoriasis or inflamed psoriasis. Avoid using dithranol on the face.

Prescription only medicine if dithranol content more than 1%, otherwise may be sold to the public. 

 
   
Sebco®
(Scalp ointment)
View adult BNF View SPC online View childrens BNF
Formulary
Green

Contains coal tar solution 12%, salicylic acid 2% and precipitated sulfur 4%.

More cost-effective than Cocois®. Available to purchase over the counter. 

 
   
Tars (Cocois®)
(Scalp ointment)
View adult BNF View SPC online View childrens BNF
Formulary
Green

Contains coal tar solution 12%, salicylic acid 2% and precipitated sulfur 4%.

Available to purchase over the counter.

 
   
Tars (Psoriderm®)
(Cream)
View adult BNF View SPC online View childrens BNF
Formulary
Green

Contains coal tar 6% and lecithin 0.4%.

Can be purchased in pharmacies.

 
   
Calcipotriol 50mcg/g with Betamethasone 0.05% (Enstilar® Foam)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Brown

Enstilar® Foam should only be used in line with local pathway (in development) and NICE guideline for Psoriasis (CG153) as a third or fourth line treatment.

 APCO November 2017. 

 
   
Dithranol Paste BP
View adult BNF View SPC online View childrens BNF
Formulary
Red

Dithranol in zinc and salicylic acid (Lassar's) paste. Usual strengths 0.1–1% of dithranol. Restricted to dermatology use only. 

 
   
Zinc and Salicylic Acid Paste BP
View adult BNF View SPC online View childrens BNF
Unlicensed Drug Unlicensed
Red

Also known as Lassar's Paste. Contains zinc oxide 24%, salicylic acid 2%, starch 24% and white soft paraffin 50%.

 
   
13.05.02  Oral retinoids for psoriasis
Acitretin (Neotigason®)
View adult BNF View SPC online View childrens BNF
Formulary
Red

For prescribing by dermatologists only in secondary care.

NB. Women of child-bearing potential should be on at least one, or preferably two, complementary forms of effective contraception (e.g. barrier and hormonal) for at least 1 month before starting treatment, during treatment, and for at least 3 years after stopping treatment.

APCO March 2007.

 
Link  MHRA: Oral retinoids - pregnancy prevention reminder
Link  UKMI Q&A: Can acitretin be given to patients with renal impairment or patients on renal replacement therapies?
   
13.05.02.01  Topical preparations for the scalp
13.05.03  Drugs affecting the immune response
Adalimumab (Humira®)
(Dermatology)
View adult BNF View SPC online View childrens BNF
Formulary
Red
High Cost Medicine
BlueTeq

For the treatment of:

    • Psoriasis as per NICE TA146 (APCO July 2008). For sequential use please refer to Clinical Commissioning Policy 266D (psoriasis) and Clinical Commissioning Policy 268A (psoriatic arthritis). 
    • Hidradenitis suppurativa as per NICE TA392 (APCO July 2016).
    • Plaque psoriasis in children and young people as per NICE TA455. Funded by specialised commissioning. (APCO September 2017).
 
Link  NICE TA146: Adalimumab for the treatment of adults with psoriasis
Link  NICE TA392: Adalimumab for treating moderate to severe hidradenitis suppurativa
Link  NICE TA455: Adalimumab, etanercept and ustekinumab for treating plaque psoriasis in children and young people
Link  MHRA: Tuberculosis risk—screen patients before starting treatment
   
Apremilast (Otezla®)
View adult BNF View SPC online View childrens BNF
Formulary
Red
High Cost Medicine
BlueTeq

For the treatment of:

    • Moderate to severe plaque psoriasis as per NICE TA419 (APCO January 2017).
    • Active psoriatic arthritis as per NICE TA433 (APCO March 2017).

 

 
Link  NICE TA419: Apremilast for treating moderate to severe plaque psoriasis
Link  NICE TA433: Apremilast for psoriatic arthritis
Link  MHRA: Risk of suicidal thoughts and behaviour with apremilast
   
Cytotoxic Drug Azathioprine
(Dermatology)
View adult BNF View SPC online View childrens BNF
Formulary
Amber Shared Care Protocol

In line with Shared Care Protocol.

APCO November 2011.

 
Link  UKMI Q&A: Can mothers breastfeed while taking azathioprine?
   
Brodalumab (Kyntheum®)
(Dermatology)
View adult BNF View SPC online View childrens BNF
Formulary
Red
High Cost Medicine
BlueTeq

For treating moderate to severe plaque psoriasis, as per NICE TA511. 

 APCO May 2018. 

 
Link  NICE TA511: Brodalumab for treating moderate to severe plaque psoriasis
   
Ciclosporin
(Dermatology)
View adult BNF View SPC online View childrens BNF
Formulary
Amber Shared Care Protocol

*Ciclosporin must be prescribed by BRAND NAME.*

In line with Shared Care Protocol for the treatment of:

    • Psoriasis plus other severe inflammatory skin disease
    • Atopic dermatitis

APCO May 2015.

 
Link  UKMI Q&A: Brand name prescribing in primary care
   
Dimethyl fumarate (Skilarence®)
(Psoriasis)
View adult BNF View SPC online View childrens BNF
Formulary
Red
High Cost Medicine

For treating moderate to severe plaque psoriasis, as per NICE TA475

APCO November 2017. 

 
   
Dupilumab (Dupixent®)
View adult BNF View SPC online View childrens BNF
Formulary
Red
High Cost Medicine
BlueTeq
  • For Eosinophilic asthma - FOC medicine following trial use in small group of patients (APCO September 2018).
  • For treating moderate to severe atopic dermatitis as per NICE TA534 (APCO May 2019).

 

 
Link  NICE TA534: Dupilumab for treating moderate to severe atopic dermatitis
   
Etanercept
(Dermatology)
View adult BNF View SPC online View childrens BNF
Formulary
Red
High Cost Medicine
BlueTeq

For the treatment of:

    • Psoriasis as per NICE TA103.
    • Plaque psoriasis in children and young people as per NICE TA455. Funded by specialised commissioning. (APCO September 2017).

 

 
Link  NICE TA455: Adalimumab, etanercept and ustekinumab for treating plaque psoriasis in children and young people
   
Guselkumab (Tremfya®)
(Dermatology)
View adult BNF View SPC online View childrens BNF
Formulary
Red
High Cost Medicine
BlueTeq

For treating moderate to severe plaque psoriasis as per NICE TA521.

APCO July 2018.

 
Link  NICE TA521: Guselkumab for treating moderate to severe plaque psoriasis
   
Hydroxychloroquine
(Dermatology)
View adult BNF View SPC online View childrens BNF
Formulary
Amber Shared Care Protocol

For use in adult and paediatric dermatology in line with Shared Care Protocol.

Please see local position statement on Hydroxychloroquine and Retinopathy Screening.

APCO September 2019.

 
   
Infliximab (Remicade®)
(Dermatology)
View adult BNF View SPC online View childrens BNF
Formulary
Red
High Cost Medicine
BlueTeq

For the treatment of adults with psoriasis as per NICE TA134. Also see Clinical Commissioning Policy 266D.

APCO March 2008.

 
Link  NICE TA134: Infliximab for psoriasis
Link  MHRA: Tuberculosis risk—screen patients before starting treatment
   
Cytotoxic Drug Methotrexate 2.5mg tablets
(Dermatology)
View adult BNF View SPC online View childrens BNF
Formulary
Amber Shared Care Protocol

Only 2.5mg tablets should be prescribed and dispensed to avoid potentially fatal errors.

For use in adults and paediatrics line with Shared Care Protocol for:

  • Dermatology
  • Neurology
  • Gastroenterology
  • Respiratory

Rheumatology

For rheumatology please prescribe in line with Shared Care Protocol here. 

APCO September 2019

Opthalmology

For opthalmology (ocular inflammation) please prescribe in line with Shared Care Protocol here. 

APCO May 2019.

 
Link  UKMI Q&A: Methotrexate and alcohol guidance
Link  UKMI Q&A: What is the clinical significance of the interaction between methotrexate and penicillins?
   
Cytotoxic Drug Methotrexate injection (Metoject®)
(Dermatology)
View adult BNF View SPC online View childrens BNF
Formulary
Amber Shared Care Protocol

*Metoject® injection is the first choice brand of injection which should be used in Oxfordshire*

For use in adults and paediatrics line with Shared Care Protocol for:

  • Dermatology
  • Neurology
  • Gastroenterology
  • Respiratory

Rheumatology

For rheumatology please prescribe in line with Shared Care Protocol here. 

APCO September 2019

Opthalmology

For opthalmology (ocular inflammation) please prescribe in line with Shared Care Protocol here. 

APCO May 2019.

 
   
Pimecrolimus 1% cream (Elidel®)
View adult BNF View SPC online View childrens BNF
Formulary
Amber Continuation

For moderate atopic eczema on the face and neck of children aged 2-16 yrs in line with NICE TA82 in the following situations:

    • When children require long term or frequent use of mild topical steroids
    • For atopic eczema that has not been controlled by topical corticosteroids
    • If there is a risk of important adverse effects from topical corticosteroids.



Usually short term treatment, stop if no response after 6 weeks.

See Guidelines for the use of Corticosteroids in Atopic Eczema.

APCO July 2011. 

 
Link  NICE TA82: Pimecrolimus and tacrolimus for atopic dermatitis (eczema)
   
Risankizumab (Skyrizi®)
View adult BNF View SPC online View childrens BNF
Formulary
Red

For treating moderate to severe plaque psoriasis as per NICE TA596. 

APCO September 2019.

 
Link  NICE TA596: Risankizumab for treating moderate to severe plaque psoriasis
   
Secukinumab (Cosentyx®)
View adult BNF View SPC online View childrens BNF
Formulary
Red
High Cost Medicine
BlueTeq

For the treatment of:

    • Active ankylosing spondylitis as per NICE TA407 (APCO September 2015).
    • Moderate to severe plaque psoriasis as per NICE TA350 (APCO November 2016).
    • With Certolizumab pegol for treating active psoriatic arthritis after inadequate response to DMARDs as per NICE TA445 (APCO July 2017). Funded by specialised commissioning. 

 

 
Link  NICE TA350: Plaque Psoriasis
Link  NICE TA407: Secukinumab for active ankylosing spondylitis after treatment with non-steroidal anti-inflammatory drugs or TNF-alpha inhibitors
Link  NICE TA445: Certolizumab pegol and secukinumab for treating active psoriatic arthritis after inadequate response to DMARDs
   
Tacrolimus Ointment (Protopic®)
View adult BNF View SPC online View childrens BNF
Formulary
Amber Continuation

Suitable for continuation in primary care following specialist initiation by a dermatologist for treating moderate to severe atopic dermatitis. 

Suitable for continuation in primary care following specialist initiation by a dermatologist for psoriasis of flexures/gentials in line with Psoriasis Treatment Pathway and NICE CG153.

APCO March 2018.

 
Link  NICE TA82: Pimecrolimus and tacrolimus for atopic dermatitis (eczema)
   
Tildrakizumab (Ilumetri®)
View adult BNF View SPC online View childrens BNF
Formulary
Red
High Cost Medicine

For treating moderate to severe plaque psoriasis as per NICE TA575.

APCO May 2019.

 
Link  NICE TA575: Tildrakizumab for treating moderate to severe plaque psoriasis
   
Ustekinumab (Stelara®)
(Dermatology)
View adult BNF View SPC online View childrens BNF
Formulary
Red
High Cost Medicine
BlueTeq

For the treatment of:

    • Moderate to severe psoriasis as per NICE TA180 (APCO May 2017). Also see Clinical Commissioning Policy 266D.
    • Plaque psoriasis in children and young people as per NICE TA455. Funded by specialised commissioning (APCO September 2017).

 

 
Link  MHRA: Risk of exfoliative dermatitis with ustekinumab
Link  NICE TA180: Psoriasis - ustekinumab
Link  NICE TA455: Adalimumab, etanercept and ustekinumab for treating plaque psoriasis in children and young people
   
13.06  Acne and rosacea
Ivermectin cream (Soolantra®)
(Rosacea)
View adult BNF View SPC online View childrens BNF
Formulary
Amber Continuation

Can be prescribed for mild to moderate Rosacea following specialist recommendation, in line with Guidelines for Antibiotic Prescribing in the Community 2018.

APCO September 2018.

 
Link  NICE new medicine summary: Inflammatory lesions of papulopustular rosacea
   
13.06.01  Topical preparations for acne to top
13.06.01  Benzoyl peroxide and azelaic acid
Benzoyl Peroxide 4% cream (Brevoxyl®)
View adult BNF View SPC online View childrens BNF
First Choice
Green

For treatment of acne vulgaris in line with Guidelines for Antibiotic Prescribing in the Community 2018.

Available to purchase over the counter. 

 

 
Azelaic Acid 15% gel (Finacea®)
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Formulary
Green

For treatment of mild & localised papulopustular in line with  Guidelines for Antibiotic Prescribing in the Community 2018.

Second line treatment for acne vulgaris. 

APCO September 2018. 

 
   
Benzoyl Peroxide 5% with Clindamycin 1% (Duac® Once Daily)
(Gel )
View adult BNF View SPC online View childrens BNF
Formulary
Green

For the treatment of acne vulgaris, in line with Guidelines for Antibiotic Prescribing in the Community 2018.

APCO September 2018. 

 
   
13.06.01  Topical antibacterials for acne
13.06.01  Topical retinoids and related preparations for acne
Adapalene (Differin®)
(Cream/ gel)
View adult BNF View SPC online View childrens BNF
Formulary
Green

For the treatment of acne vulgaris, in line with Guidelines for Antibiotic Prescribing in the Community 2018.

APCO September 2018. 

 
   
Adapalene with Benzoyl Peroxide (Epiduo®)
View adult BNF View SPC online View childrens BNF
Formulary
Green

For the treatment of acne vulgaris, in line with Guidelines for Antibiotic Prescribing in the Community 2018.

APCO September 2018. 

 
   
Isotretinoin (Isotrex® gel)
View adult BNF View SPC online View childrens BNF
Formulary
Red

Specialist prescribing only.

APCO May 2011.

 
   
13.06.01  Other topical preparations for acne
Brimonidine gel (Mirvaso®)
(Rosacea)
View adult BNF View SPC online View childrens BNF
Formulary
Green

For predominant erythema in acne rosacea, in line with Guidelines for Antibiotic Prescribing in the Community 2018.

APCO September 2018. 

 
Link  MHRA Safety Update: Risk of systemic cardiovascular effects; not to be applied to damaged skin
   
13.06.02  Oral preparations for acne to top
13.06.02  Oral antibiotics for acne
Oxytetracycline
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First Choice
Green

First line treatment for moderate acne vulgaris, in line with Guidelines for Antibiotic Prescribing in the Community 2018.

APCO September 2018.

 
Lymecycline
View adult BNF View SPC online View childrens BNF
Second Choice
Green

Second line treatment for moderate acne vulgaris, in line with Guidelines for Antibiotic Prescribing in the Community 2018.

APCO September 2018. 

 
   
Doxycycline
View adult BNF View SPC online View childrens BNF
Second Choice
Green

Second line treatment for moderate acne vulgaris, in line with Guidelines for Antibiotic Prescribing in the Community 2018.

APCO September 2018. 

 
   
Erythromycin
View adult BNF View SPC online View childrens BNF
Third Choice
Green

Alternative regimen for moderate acne vulgaris, in line with Guidelines for Antibiotic Prescribing in the Community 2018.

APCO September 2018. 

 
   
13.06.02  Hormone treatment for acne
Co-Cyprindiol 2000/35
(Cyproterone Acetate 2mg with Ethinylestradiol 35micrograms)
 (Dianette®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Brown

MHRA advice:
The benefits of co-cyprindiol outweigh the risks in women of reproductive age for the treatment of skin conditions related to androgen sensitivity (eg. severe acne withor without seborrhoea) and hirsutism:

  • Co-cyprindiol provides effective contraception in these women. An additional hormonal contraceptive should not be used in combination with co-cyprindiol. 
  • The need to continue treatment should be evaluated periodically by the treating physician.
  • The risk of VTE is rare but this remains an important side effect, and healthcare professionals should themselves be vigilant for signs and counsel patients to remain vigilant for signs and symptoms.


CSM Advice: Co-cyprindiol is licensed for use in women with severe acne which has not responded to oral antibacterials and for moderately severe hirsutism; it should not be used solely for contraception. It is contra-indicated in those with a personal or close family history of venous thromboembolism. Women with severe acne or hirsutism may have an inherently increased risk of cardiovascular disease.

 
Link  MHRA: Updated prescribing information regarding risks and benefits (July 2013)
   
13.06.02  Oral retinoid for acne
Isotretinoin (Capsules)
View adult BNF View SPC online View childrens BNF
Formulary
Red

For prescribing by dermatologists only in secondary care for severe acne or acne unresponsive to oral antibiotics after 6 months.

NB. Women of child-bearing potential should be on at least one, or preferably two, complementary forms of effective contraception (e.g. barrier and hormonal) for at least 1 month before starting treatment, during treatment, and for at least 1 month after stopping treatment. 

APCO May 2011.

 
Link  British Association of Dermatologists: Advice on safe use of isotretinoin
Link  MHRA: Oral retinoids - pregnancy prevention reminder
Link  MHRA: Reminder of possible risk of psychiatric disorders with isotretinoin
Link  MHRA: Risk of serious skin reactions with isotretinoin
   
13.07  Preparations for warts and calluses
Salicylic Acid 12% with Lactic Acid 4% (Salatac® gel)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Brown

For treatment of warts, verrucas, corns and calluses.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

 
   
Salicylic Acid 16.7% with Lactic Acid 16.7% (Salactol® paint)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Brown

For the treatment of warts, particularly plantar warts, verrucas, corns and calluses.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

 
   
13.07  Anogenital warts to top
Podophyllotoxin (Warticon®)
View adult BNF View SPC online View childrens BNF
Formulary
Green

For treating condylomata acuminata affecting the penis or the female external genitalia. Available in podophyllotoxin 0.15% cream and podophyllotoxin 0.5% solution. 

Refer to GU medicine for advice, for use by a clinician experienced in its use.

 
   
Imiquimod 5% cream (Aldara®)
View adult BNF View SPC online View childrens BNF
Formulary

Green For superficial basal cell carcinoma.

APCO September 2011.

Red Secondary care use only for patients with recalcitrant external anogenital warts (initiation by GUM consultants only).

APCO August 2007.

 

 

 
   
13.08  Sunscreens and camouflagers
13.08.01  Sunscreen preparations
 note 
  • Sunscreen preparations are regarded as drugs when prescribed for skin protection against ultraviolet radiation in abnormal cutaneous photosensitivity resulting from genetic disorders or photodermatoses, including vitiligo, those resulting from radiotherapy and chronic or recurrent herpes simplex labialis.
  • Prescriptions used in this way should be marked "ACBS" (Advisory Committee on Borderline Substances).
Borderline Substances (Anthelios® XL SPF 50+ Melt - in cream)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Brown

For specific ACBS conditions in line with Sunscreen Policy:

    • Abnormal cutaneous photosensitivity resulting from genetic disorder –albinism, xeroderma pigmentosum.
    • Vitiligo.
    • Photodermatoses resulting from radiotherapy.
    • Lupus, both cutaneous and systemic.



APCO May 2016.

 
   
Sunsense® Ultra Lotion
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Brown

For specific ACBS conditions in line with Sunscreen Policy:

    • Abnormal cutaneous photosensitivity resulting from genetic disorder –albinism, xeroderma pigmentosum.
    • Vitiligo.
    • Photodermatoses resulting from radiotherapy.
    • Lupus, both cutaneous and systemic.



APCO May 2016.

 
   
Uvistat®
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Brown

For specific ACBS conditions in line with Sunscreen Policy:

    • Abnormal cutaneous photosensitivity resulting from genetic disorder –albinism, xeroderma pigmentosum.
    • Vitiligo.
    • Photodermatoses resulting from radiotherapy.
    • Lupus, both cutaneous and systemic.



APCO May 2016.

 
   
13.08.01  Photodamage
Cytotoxic Drug Fluorouracil cream (Efudix®)
View adult BNF View SPC online View childrens BNF
First Choice
Green

First-line for multiple lesions in line with Oxfordshire Solar Keratosis Primary Care Treatment Pathway.

APCO November 2015.

 
Imiquimod 5% cream  (Aldara®)
(Actinic Keratosis)
View adult BNF View SPC online View childrens BNF
Third Choice
Green

Third-line for multiple lesions in line with Oxfordshire Solar Keratosis Primary Care Treatment Pathway.

APCO November 2015.

 
   
Fluorouracil and Salicylic acid (Actikerall® cutaneous solution)
(Actinic Keratosis)
View adult BNF View SPC online View childrens BNF
Formulary
Green

For single lesions or hyperkeratotic lesion in line with Oxfordshire Solar Keratosis Primary Care Treatment Pathway.

APCO November 2015.

 
   
Methyl-5-Aminolevulinate (Metvix®)
View adult BNF View SPC online View childrens BNF
Formulary
Red

For prescribing by dermatologists only in secondary care. For photochemotherapy combining long-wave ultraviolet A radiation with a psoralen (PUVA) treatment only. 

 
   
Actinica lotion
View adult BNF View SPC online View childrens BNF
Formulary
Red

For prescribing by dermatologists only in secondary care. For daylight photodynamic therapy (PDT). 

APCO March 2018.

 
   
P20 cream (SPF 50)
View adult BNF View SPC online View childrens BNF
Formulary
Red

For prescribing by dermatologists only in secondary care. For daylight photodynamic therapy (PDT). 

 
   
13.08.02  Camouflagers
 note 

All camouflage products are not recommended for prescribing in line with Clinical Commissioning Policy 6h. Available to purchase in line with Clinical Commissioning Policy 88D.

APCO July 2017.

13.09  Shampoos and other preparations for scalp and hair conditions to top
Selenium Sulphide (Selsun® Shampoo)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Brown

Available to purchase over the counter for treatments of seborrheic dermatitis or psoriasis in line with Clinical Commissioning Policy 88D.

For treatment of Pityriasis Versicolor, see Guidelines for Antibiotic Prescribing in the Community 2018.

 
Ketoconazole 2%
(Shampoo)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Brown

For treatment of Pityriasis Versicolor, see Guidelines for Antibiotic Prescribing in the Community 2018. (unlicensed indication – BNF for children is from 5 years).

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

 
   
Capasal®
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Brown

Available to purchase over the counter for treatments of seborrheic dermatitis or psoriasis in line with Clinical Commissioning Policy 88D.

 
   
Coal Tar Extract 5% (Alcoholic) (Alphosyl 2 in 1®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Brown

Available to purchase over the counter for treatments of seborrheic dermatitis or psoriasis in line with Clinical Commissioning Policy 88D.

 
   
E45® Dry Scalp Shampoo
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Brown

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D. No prescribing except where required for a chronic skin condition or for skin care in the elderly who would otherwise be at risk of skin breakdown.

APCO September 2018.

 
   
Oilatum® Scalp Treatment Shampoo
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Brown

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D. No prescribing except where required for a chronic skin condition or for skin care in the elderly who would otherwise be at risk of skin breakdown.

APCO September 2018.

 

 
   
Other scalp preparations (Cocois®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Brown

Available to purchase over the counter for treatments of seborrheic dermatitis or psoriasis in line with Clinical Commissioning Policy 88D.

 
   
Shampoos (T/Gel®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Brown

Available to purchase over the counter for treatments of seborrheic dermatitis or psoriasis in line with Clinical Commissioning Policy 88D.

 
   
13.09  Hirsutism
13.09  Androgenetic alopecia
13.10  Anti-infective skin preparations
13.10.01  Antibacterial preparations
13.10.01.01  Antibacterial preparations only used topically to top
Mupirocin 2% (Bactroban®)
(skin)
View adult BNF View SPC online View childrens BNF
Formulary
Green

Reserve mupirocin for MRSA, in line with Guidelines for Antibiotic Prescribing in the Community 2018.

NB. Ointment licensed in children – age range not specified by manufacturer. Cream licensed from 1 year.

 
   
Silver Sulfadiazine (Flamazine®)
View adult BNF View SPC online View childrens BNF
Formulary
Green

For burns, leg ulcers or pressure sores and finger-tip injuries.

Avoid use on large areas - systemic absorption may approach therapeutic levels (side-effects and interactions as per other sulfonamides including blood dyscrasias).

 
   
13.10.01.02  Antibacterial preparations also used systemically
Fusidic Acid 2% (Fucidin®)
View adult BNF View SPC online View childrens BNF
Formulary
Green

For treatment of impetigo if localised lesions, in line with Guidelines for Antibiotic Prescribing in the Community 2018.

 
   
Metronidazole topical 0.75%
(Rosacea)
View adult BNF View SPC online View childrens BNF
Formulary
Green

First line treatment of mild & localised papulopustular rosacea, in line with Guidelines for Antibiotic Prescribing in the Community 2018.

Acea®, Anabact®, Rozex® brands are more cost-effective. 

Other more expensive brands include (non-formulary): Zyomet® gel, Metrosa® gel, Rosiced® cream, Metrogel®, Metrotop®, Noritate®.

 
   
13.10.02  Antifungal preparations
Amorolfine (Loceryl®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Brown

Treatment for superficial onychomycosis (fungal nail infection) in line with Guidelines for Antibiotic Prescribing in the Community 2018.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

 
Link  PrescQIPP: Topical antifungal nail treatment review
   
Clotrimazole 1%
(skin)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Brown

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

See Guidelines for Antibiotic Prescribing in the Community 2018.

 
   
Miconazole 2%
(Skin)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Brown

For cutaneous candidiasis - apply until 10 days after lesions healed. Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

See Guidelines for Antibiotic Prescribing in the Community 2018.

 
Link  MHRA 2016: Reminder of potential for serious interactions with warfarin
   
Ketoconazole
(Cream)
View adult BNF View SPC online View childrens BNF
Formulary
Amber Continuation

For continuation following specialist recommendation for seborrhoeic dermatitis and pityriasis versicolor.

 
   
Terbinafine 1% cream
(skin)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Brown

 For treatment of fungal / dermatophyte infection of the skin, in line with Guidelines for Antibiotic Prescribing in the Community 2018.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

 

 
   
13.10.03  Antiviral preparations
Aciclovir (Zovirax®)
(Cream )
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Brown

Cold sores resolve after 7–10d without treatment. Topical over the counter antivirals (aciclovir) can be purchased in line with Clinical Commissioning Policy 88D.

See Guidelines for Antibiotic Prescribing in the Community 2018.

 
   
13.10.04  Parasiticidal preparations
 note 
Suitable quantities of parasiticidal preparations:
 

Area of body

Skin creams

Lotions

Cream rinses

Scalp (head lice)

50–100 mL

50–100 mL

Body (scabies)

30–60 g

100 mL

Body (crab lice)

30–60 g

100 mL

These amounts are usually suitable for an adult for single application.

Permethrin 5% (Lyclear® Dermal Cream)
View adult BNF View SPC online View childrens BNF
First Choice
Green

First line treatment for scabies, in line with Guidelines for Antibiotic Prescribing in the Community 2018.

 
Malathion 0.5% (Derbac-M®)
(Aqueous liquid)
View adult BNF View SPC online View childrens BNF
Second Choice
Green

For the treatment of scabies if allergic to permethrin, in line with Guidelines for Antibiotic Prescribing in the Community 2018.

 
   
Ivermectin
(Oral)
View adult BNF View SPC online View childrens BNF
Unlicensed Drug Unlicensed
Red

Secondary care prescribing only.

APCO July 2010.

 
Link  NICE Evidence Summary: Oral Ivermectin for difficult-to-treat scabies.
   
13.10.05  Preparations for minor cuts and abrasions to top
13.10.05  Collodion
Collodion Flexible BP
View adult BNF View SPC online View childrens BNF
Formulary
Green

Flexible collodion may be used to seal minor cuts and wounds that have partially healed.

 
   
13.10.05  Skin tissue adhesive
Histoacryl®
View adult BNF View SPC online View childrens BNF
Formulary
Red

Histoacryl® tissue adhesive is restricted to secure paediatric epidurals only in secondary care.

 
   
13.11  Skin cleansers, antiseptics, and desloughing agents
13.11.01  Alcohols and saline
Sodium Chloride (Normasol®)
View adult BNF View SPC online View childrens BNF
Formulary
Green
 
   
Sodium Chloride 0.9%
Formulary
Green
 
   
13.11.02  Chlorhexidine salts to top
Chlorhexidine 0.5% (Hibi® Liquid Hand Rub+)
View adult BNF View SPC online View childrens BNF
Formulary

To be used undiluted for hand and skin disinfection.

 
   
Chlorhexidine 4% solution
View adult BNF View SPC online View childrens BNF
Formulary

For pre-operative hand and skin preparation and for general hand disinfection.

Brands include Hydrex® surgical scrub and Hibiscrub® cleansing solution. Can be purchased over the counter.

 

 
   
Chlorhexidine 0.015% with Cetrimide 0.15% (Tisept®)
View adult BNF View SPC online View childrens BNF
Formulary

To be used undiluted for general skin disinfection and wound cleansing.

 
   
Chlorhexidine Solution 2.5% (≡ Chlorhexidine 0.5%) (Alcoholic)
(Hydrex®)
View adult BNF View SPC online View childrens BNF
Formulary

For pre-operative skin disinfection.

 
   
Hibitane Obstetric®
View adult BNF View SPC online View childrens BNF
Formulary

For use in obstetrics and gynaecology as an antiseptic and lubricant (for application to skin around vulva and perineum and to hands of midwife or doctor).

Cream contains Chlorhexidine Gluconate Solution 5% (≡ Chlorhexidine Gluconate 1%).

 
   
13.11.03  Cationic surfactants and soaps
Cetrimide
View adult BNF View SPC online View childrens BNF
Formulary

For skin disinfection.

Ingredient of Tisept® and Travasept® 100.

 
   
13.11.04  Iodine and Chlorine
Povidone-Iodine (Betadine®, Videne® or Savlon® Dry)
View adult BNF View SPC online View childrens BNF
Formulary
Green

For skin disinfection, particularly minor wounds and infections.

 
   
13.11.05  Phenolics
13.11.06  Oxidisers, and dyes
Hydrogen Peroxide 1% (Crystacide® cream)
View adult BNF View SPC online View childrens BNF
Formulary
Green

For superficial bacterial skin infection.

 
   
Hydrogen Peroxide Solution BP
View adult BNF View childrens BNF
Formulary
Green

Solution 6% or 3% for skin disinfection, particularly cleansing and deodorising wounds and ulcers.




Can be purchased over the counter. 


 
Link  MHRA: Hydrogen peroxide- reminder of risk of gas embolism when used in surgery.
   
Potassium Permanganate (Permitabs®)
Formulary
Green

1 tablet dissolved in 4 litres of water provides a 0.01% (1 in 10,000) solution.

It is for external use only and can be fatal if ingested orally.

 
Link  Patient Safety Alert: Risk of death or serious harm from accidental ingestion of potassium permanganate preparations.
   
13.11.07  Desloughing agents to top
Sterile Larvae (Maggots) (LarvE®)
View adult BNF View SPC online View childrens BNF
Formulary
Amber Continuation

MUST be discussed and authorised by TV team before ordering (oxfordhealth.tissueviability@nhs.net or tissueviability@oxfordhealth.nhs.uk).

Please see OCCG Wound Management Formulary.

APCO May 2015.

 
   
13.11.07  Desloughing agents
13.11.07  Growth factor
13.12  Antiperspirants
Aluminimum Chloride Hexahydrate 20% in Alcoholic Base (Driclor®)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Brown

For hyperhidrosis as per  Clinical Commissioning Policy 70C.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

 
   
Aluminimum Salts (Anhydrol® Forte)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted
Brown

For hyperhidrosis as per  Clinical Commissioning Policy 70C.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

 
   
13.13  Topical circulatory preparations
 note 

These preparations are used to improve circulation in conditions such as bruising, superficial thrombophlebitis, chilblains and varicose veins but are of little value. Chilblains are best managed by avoidance of exposure to cold; neither systemic nor topical vasodilator therapy is established as being effective.

13.14  dermatology specials to top
13.14.01  Emollients and barriers
13.14.02  Steroid combinations
13.14.03  Tars
13.14.04  Ichthammol
13.14.05  Dithranol preparations to top
13.14.06  Keratolytics
13.14.07  Miscellaneous
 ....
 Non Formulary Items
Abrasive Agents  (Brasivol®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Acriflavine Solution

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

Not recommended due to lack of evidence.

APCO September 2013.

 
Alclometasone Dipopionate  (Modrasone®)

View adult BNF View SPC online View childrens BNF
Non Formulary

Moderately potent

 
Alcohol
(Surgical spirit BP)

View adult BNF View SPC online View childrens BNF
Non Formulary

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

 
Allpresan® foam cream
(Basic and Intensive)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

Not recommended due to lack of evidence. See Emollient Prescribing Guidelines.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

APCO March 2020.

 
Alpha Keri Bath®
(Emollient bath additive)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

Not recommended due to lack of evidence.

See Emollients Prescribing Guidelines.

APCO March 2020.

 
Alphosyl HC® cream

View adult BNF View SPC online View childrens BNF
Non Formulary

Discontinued in 2012. 

 
Aluminimum Salts  (ZeaSORB®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Aminolevulinic acid
(Actinic keratosis)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
AproDerm® colloidal cream

View adult BNF View SPC online View childrens BNF
Non Formulary

Epimax® Oatmeal Cream is the most cost-effective formulation. See Emollient Prescribing Guidelines.

APCO March 2020.

 

 
Aquadrate® cream

View adult BNF View SPC online View childrens BNF
Non Formulary

Not recommended as there are more cost effective alternatives available. See Emollient Prescribing Guideline.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

 
Aquamax® cream

View adult BNF View SPC online View childrens BNF
Non Formulary

Cream is in a tub therefore prone to contamination.

 
AquaMax® wash

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

Not recommended due to lack of evidence. See Emollients Prescribing Guidelines.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

APCO March 2020.

 
Aqueous Cream BP

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

See Emollient Prescribing Guidelines.

No longer recommended for prescribing as an emollient or soap substitute as it contains 'SLS' which is skin irritant.

APCO January 2017.

Link  UKMI Q&A: Why is aqueous cream no longer recommended as a leave on moisturiser?
 
Aveeno® Cream

View adult BNF View SPC online View childrens BNF
Non Formulary

Epimax® Oatmeal Cream is the most cost-effective formulation. See Emollient Prescribing Guidelines.

APCO March 2020.

 

 
Azelaic Acid 20% cream  (Skinoren®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Bacaplermin

View adult BNF View SPC online View childrens BNF
Non Formulary

Discontinued. 

 
Balneum® Emollient bath additive

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

Not recommended due to lack of evidence. See Emollients Prescribing Guidelines.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

APCO March 2020.

 
Balneum® Plus cream
(Emollient preparation containing Urea)

View adult BNF View SPC online View childrens BNF
Non Formulary

Not recommended as there are more cost effective alternatives available.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

 
Barrier preparation  (Cavilon® Film)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

Replaced by Medi Derma S® as less expensive and with similar efficacy.

APCO March 2014.

 
Barrier preparation  (Conotrane®)

View adult BNF View SPC online View childrens BNF
Non Formulary

For nappy and urinary rash and pressure sores.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

 
Barrier preparation  (Drapolene®)

View adult BNF View SPC online View childrens BNF
Non Formulary

Not suitable for prescribing as not in the Drug Tariff.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

 
Barrier preparation  (Medicaid®)

View adult BNF View SPC online View childrens BNF
Non Formulary

For nappy rush, minor burns and abrasions. 

Not suitable for prescribing as not in the Drug Tariff. 

 
Barrier preparation  (Metanium®)

View adult BNF View SPC online View childrens BNF
Non Formulary

For nappy rash. Not suitable for prescribing as not in the Drug Tariff.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

 
Barrier preparation  (Morhulin®)

View adult BNF View SPC online View childrens BNF
Non Formulary

For minor wounds, varicose ulcers, pressure sores, eczema, and nappy rash.

Not suitable for prescribing as not in the Drug Tariff. 

 
Barrier preparation  (Siopel®)

View adult BNF View SPC online View childrens BNF
Non Formulary

For protection against water-soluble irritants. Contains arachis (peanut) oil. 

Consider Medi-Derma S® or Medihoney® as per Clinical Commissioning Policy 88D.

 
Barrier preparation  (Sprilon®)

View adult BNF View SPC online View childrens BNF
Non Formulary

For urinary rash, pressure sores, leg ulcers, moist eczema, fissures, fistulae and ileostomy care. NB. Flammable.

Consider Medi-Derma S® or Medihoney® as per OCCG Wound Management Formulary.

 
Barrier preparation  (Sudocrem®)

View adult BNF View SPC online View childrens BNF
Non Formulary

Not suitable for prescribing as not in the Drug Tariff.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

 
Barrier preparation  (Vasogen®)

View adult BNF View SPC online View childrens BNF
Non Formulary

Not suitable for prescribing as not in the Drug Tariff.

 
Benzoic Acid
(Benzoic acid ointment compound bp (whitfields cream))

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Benzoyl Peroxide  (PanOxyl®)

View adult BNF View SPC online View childrens BNF
Non Formulary

Discontinued 

 
Benzyl Benzoate Application BP 25%

View adult BNF View SPC online View childrens BNF
Non Formulary

For treatment of scabies. Benzyl benzoate is an irritant and should be avoided in children; it is less effective than malathion and permethrin.

 
Betamethasone (as Dipropionate) 0.05%  (Diprosone®)

View adult BNF View SPC online View childrens BNF
Non Formulary

Potent

 
Betamethasone Esters  (Betacap®)

View adult BNF View SPC online View childrens BNF
Non Formulary

Scalp application.

Potent. 

 
Betamethasone Esters  (Betesil®)
(Medicated plaster)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

Lack of comparative clinical and cost effectiveness data.

Potent

APCO March 2010. 

 
Betamethasone Esters  (Bettamousse®)

View adult BNF View SPC online View childrens BNF
Non Formulary

Scalp application.

Potent

 
Borderline Substances  (Delph® sun lotion)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

See Sunscreen Policy.

APCO May 2016.

 
Borderline Substances  (SpectraBAN® sunscreen)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

See Sunscreen Policy.

APCO May 2016.

 
Botulinum toxin type A
(Hyperhidrosis)

View adult BNF View SPC online View childrens BNF
Non Formulary

Not normally funded for severe hyperhidrosis due to limited robust evidence. In line with Clinical Commissioning Policy 70C

 
Bromelain  (NexoBrid®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Calcipotriol 50micrograms/g with Betamethasone 0.05%  (Dovobet®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

Prescribe Calcipotriol (Dovonex®) and a topical steroid preparation separately as this is more cost effective.

APCO July 2017. 

 
Camouflagers  (Dermablend®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

In line with Clinical Commissioning Policy 6h and Clinical Commissioning Policy 88D.

APCO July 2017.

 
Cetraben® Cream

View adult BNF View SPC online View childrens BNF
Non Formulary

Not recommended. Prescribe Epimax® ExCetra cream which is equivalent and more cost-effective. See Emollient Prescribing Guidelines.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

APCO March 2020.

 
Cetraben®Bath additive

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

Not recommended due to lack of evidence. See Emollients Prescribing Guidelines.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

APCO March 2020.

 
Chlorhexidine  (Cepton®)

View adult BNF View SPC online View childrens BNF
Non Formulary

Skin wash (red solution) containing chlorhexidine gluconate 1%. For use as skin wash in acne.

Lotion, blue, chlorhexidine gluconate 0.1%. For skin disinfection in acne.

 
Chlorhexidine  (CX Antiseptic Dusting Powder®)

View adult BNF View SPC online View childrens BNF
Non Formulary

Dusting powder containing chlorhexidine acetate 1%. Use for skin disinfection.

Available to purchase in pharmacies. 

 
Chlorhexidine 0.05%  (Unisept®)

View adult BNF View SPC online View childrens BNF
Non Formulary

For cleansing and disinfecting wounds and burns and swabbing in obstetrics.

 
Chlorhexidine 0.05% (Aqueous)

View adult BNF View SPC online View childrens BNF
Non Formulary

Pink solution. For cleansing and disinfecting wounds and burns.

 
Chlorhexidine 2% in Isopropyl Alcohol 70%  (ChloraPrep®)

View adult BNF View SPC online View childrens BNF
Non Formulary

For skin disinfection before invasive procedures.

 
Chlorhexidine Concentrates  (Hibitane 5% Concentrate®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Chlorhexidine Concentrates with cetrimide  (Hibicet Hospital Concentrate®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Chlorhexidine with cetrimide  (Travasept®)

View adult BNF View SPC online View childrens BNF
Non Formulary

Discontinued.

 
Cidofovir in Unguentum M

View adult BNF View SPC online View childrens BNF
Non Formulary

1% cream. 

 
Clindamycin 1%  (Dalacin T®)

View adult BNF View SPC online View childrens BNF
Non Formulary

See Guidelines for Antibiotic Prescribing in the Community 2018.

 
Clindamycin/ tretinoin gel  (Treclin®)

View adult BNF View SPC online View childrens BNF
Non Formulary

See Guidelines for Antibiotic Prescribing in the Community 2018.

 
Clobetasol propionate 0.05%  (Clarelux®)
(Foam)

View adult BNF View SPC online View childrens BNF
Non Formulary

Apply directly to scalp lesions (foam begins to subside immediately on contact with skin). NB. Flammable.

Very potent

 
Clobetasol Propionate with neomycin and nystatin

View adult BNF View SPC online View childrens BNF
Non Formulary

Dermovate NN® brand was discontinued July 2011. It was re-launched later as generic cream or ointment but costing £87 per 30g tube!

Very potent

 
Coal Tar 10%  (Carbo-Dome®)

View adult BNF View SPC online View childrens BNF
Non Formulary

Discontinued.

 
Coal Tar in Lassars Paste

View adult BNF View SPC online View childrens BNF
Non Formulary

2%, 4% & 5%

 
Coal Tar in Unguentum M

View adult BNF View SPC online View childrens BNF
Non Formulary

2%, 5% & 10%.

 
Corticosteroids  (Actinac®)

View adult BNF View SPC online View childrens BNF
Non Formulary

Discontinued.

 
Covermark®

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

In line with Clinical Commissioning Policy 6h and Clinical Commissioning Policy 88D.

APCO July 2017.

 
Cyclomethicone 50% / Isopropyl myristate 50% solution  (Full Marks solution)

View adult BNF View SPC online View childrens BNF
Non Formulary

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

 
Dequalinium chloride  (Fluomizin®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Dermacolor®

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

In line with Clinical Commissioning Policy 6h and Clinical Commissioning Policy 88D.

APCO July 2017.

 
Dermatonics® Heel Balm

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

Due to lack of good quality evidence comparing emollients. Can be purchased over the counter supported by Clinical Commissioning Policy 88d.

APCO September 2011.

 
Diclofenac Sodium 3% gel  (Solaraze®)

View adult BNF View SPC online View childrens BNF
Non Formulary

Not recommended due to lack of evidence.

 
Dimeticone 4%  (Hedrin®)

View adult BNF View SPC online View childrens BNF
Non Formulary

For treatment of head lice.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

 
Diprobase® Cream

View adult BNF View SPC online View childrens BNF
Non Formulary

Consider Epimax® Original cream which has the same ingredients and is a more cost effective alternative. See Emollient Prescribing Guidelines

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

APCO March 2020.

 
Diprobase® Ointment

View adult BNF View SPC online View childrens BNF
Non Formulary

Not recommended as there are more cost effective alternatives available.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

 
Dithranol  (Micanol®)

View adult BNF View SPC online View childrens BNF
Non Formulary

Dithrocream® is more cost-effective.

NB. At the end of contact time, use plenty of lukewarm (not hot) water to rinse off cream; soap may be used after the cream has been rinsed off; use shampoo before applying cream to scalp and if necessary after cream has been rinsed off.

 
Dithranol  (Psorin®)

View adult BNF View SPC online View childrens BNF
Non Formulary

Dithrocream® is more cost-effective.

Available as ointment or scalp gel. 

 
Dithranol Ointment BP

View adult BNF View SPC online View childrens BNF
Non Formulary
 
DoubleBase Dayleve® Gel

View adult BNF View SPC online View childrens BNF
Non Formulary

Formulation designed to offer the convenience of as little as twice daily application.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

 
Doublebase® Emollient Bath Additive

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

Not recommended due to lack of evidence. See Emollients Prescribing Guidelines.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

APCO March 2020.

 
Doublebase® Emollient Shower Gel

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

Not recommended due to lack of evidence. See Emollients Prescribing Guidelines.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

APCO March 2020.

 
Doublebase® Emollient Wash Gel

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

Not recommended due to lack of evidence. See Emollients Prescribing Guidelines.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

APCO March 2020.

 
DoubleBase® Gel

View adult BNF View SPC online View childrens BNF
Non Formulary

Consider Epimax® Isomol gel which has similar ingredients and is a more cost effective alternative. See Emollient Prescribing Guidelines.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

APCO March 2020.

 
Doxepin  (Xepin®)
(topical)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Dundee reflective sun creams  (Dundee Block®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

See Sunscreen Policy.

APCO May 2016.

 
E45® Cream

View adult BNF View SPC online View childrens BNF
Non Formulary

Relatively short barrier protection effect. Contains parabens (skin sensitiser).

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

 
Econazole 1%  (Pevaryl®)
(skin cream)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Econazole Nitrate 1%  (Pevaryl®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Efalizumab  (Raptiva®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

NICE has withdrawn its guidance on the use of efalizumab for the treatment of adults with psoriasis.

APCO March 2009.

 
Eflornithine  (Vaniqa®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

For facial hirsutism in line with Clinical Commissioning Group 76C.

APCO September 2005.

 
Emollient Bath Additive  (Aveeno®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

Not recommended due to lack of evidence. See Emollients Prescribing Guidelines.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

APCO March 2020.

 
Emollient Bath Additive  (Dermalo®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

Not recommended due to lack of evidence. See Emollients Prescribing Guidelines.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

APCO March 2020.

 
Emollient Bath Additive  (Diprobath®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

Not recommended due to lack of evidence. See Emollients Prescribing Guidelines.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

APCO March 2020.

 
Emollient Bath Additive  (E45®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

Not recommended due to lack of evidence. See Emollients Prescribing Guidelines.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

APCO March 2020.

 
Emollient Bath Additive  (Imuderm®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

Not recommended due to lack of evidence. See Emollients Prescribing Guidelines.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

APCO March 2020.

 
Emollient Bath Additive  (Oilatum®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

Not recommended due to lack of evidence. See Emollients Prescribing Guidelines.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

APCO March 2020.

 
Emollient Bath Additive  (QV®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

Not recommended due to lack of evidence. See Emollients Prescribing Guidelines.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

APCO March 2020.

 
Emollient Bath Additive  (Zerolatum®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

Not recommended due to lack of evidence. See Emollients Prescribing Guidelines.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

APCO March 2020.

 
Emollient Bath Additive with Antimicrobials  (Dermol®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

Not recommended due to lack of evidence. See Emollients Prescribing Guidelines.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

APCO March 2020.

 
Emollient Bath Additive with Antimicrobials  (Dermol®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

Not recommended due to lack of evidence. See Emollients Prescribing Guidelines.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

APCO March 2020.

 
Emollient Bath Additive with Antimicrobials  (Emulsiderm®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

Not recommended due to lack of evidence. See Emollients Prescribing Guidelines.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

APCO March 2020.

 
Emollient Bath Additives  (Zeroneum®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

Not recommended due to lack of evidence. See Emollients Prescribing Guidelines.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

APCO March 2020.

 
Emollient Bath Additives  (Zerozole®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

Not recommended due to lack of evidence. See Emollients Prescribing Guidelines.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

APCO March 2020.

 
Emollient preparation  (Decubal® Clinic)

View adult BNF View SPC online View childrens BNF
Non Formulary

Not suitable for prescribing as not in the Drug Tariff.

 
Emollient preparation  (Dermamist® 10% spray)

View adult BNF View SPC online View childrens BNF
Non Formulary

Consider Emollin spray but only for difficult to reach areas or patients unable to use alternative preparations. See Emollient Prescribing Guidelines.

 

 
Emollient preparation  (Drapolene® Cream)

View adult BNF View SPC online View childrens BNF
Non Formulary

Not suitable for prescribing as not in the Drug Tariff. 

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

 
Emollient preparation  (Epaderm® Cream)

View adult BNF View SPC online View childrens BNF
Non Formulary

Not recommended as more cost effective alternatives available.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

 
Emollient preparation  (Epaderm® Ointment)

View adult BNF View SPC online View childrens BNF
Non Formulary

Consider Epimax ointment® as a more cost effective alternative. See Emollient Prescribing Guidelines.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

APCO March 2020.

 
Emollient preparation  (Hewletts® Cream)

View adult BNF View SPC online View childrens BNF
Non Formulary

Not suitable for prescribing as not in the Drug Tariff.

 
Emollient preparation  (Kamillosan®)

View adult BNF View SPC online View childrens BNF
Non Formulary

Not suitable for prescribing as not in the Drug Tariff.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

 
Emollient preparation  (Keri®)

View adult BNF View SPC online View childrens BNF
Non Formulary

Not suitable for prescribing as not in the Drug Tariff.

 
Emollient preparation  (Linola® Gamma)

View adult BNF View SPC online View childrens BNF
Non Formulary

Not suitable for prescribing as not in the Drug Tariff.

 
Emollient preparation  (Lipobase® Cream)

View adult BNF View SPC online View childrens BNF
Non Formulary

Not recommended as there are more cost effective alternatives available.

 
Emollient preparation  (Neutogena® Dermatological Cream)

View adult BNF View SPC online View childrens BNF
Non Formulary

Not recommended as there are more cost effective alternatives available.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

 
Emollient preparation  (Ultrabase® Cream)

View adult BNF View SPC online View childrens BNF
Non Formulary

Not recommended as there are more cost effective alternatives available.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

 
Emollient preparation  (Vaseline Dermacare®)

View adult BNF View SPC online View childrens BNF
Non Formulary

Not suitable for prescribing as not in the Drug Tariff.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

 
Emollient preparation  (ZeroAQS® Cream)

View adult BNF View SPC online View childrens BNF
Non Formulary

Claims to mimic Aqueous cream (no SLS). Not recommended as the cream is in a tub therefore prone to contamination.

 
Emollient preparation  (Zeroguent® Cream)

View adult BNF View SPC online View childrens BNF
Non Formulary

Not recommended as there are more cost effective alternatives available.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

 
Emollient preparation containing Urea  (Calmurid® Cream)

View adult BNF View SPC online View childrens BNF
Non Formulary

Not recommended as there are more cost effective alternatives available.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

 
Emollient preparation containing Urea  (E45® Itch Relief Cream)

View adult BNF View SPC online View childrens BNF
Non Formulary

Consider imuDERM® as a more cost effective alternative.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

 
Emollient preparation containing Urea  (Nutraplus® Cream)

View adult BNF View SPC online View childrens BNF
Non Formulary

Not recommended as there are more cost effective alternatives available.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

 
Emollient preparation with antimicrobials  (Eczmol® Cream)

View adult BNF View SPC online View childrens BNF
Non Formulary

Consider Dermol as a more cost effective alternative only under these conditions:

  • Reserve for where there is a concern about Staph colonisation.
  • Intermittent use can reduce frequency of infection related flares of atopic eczema.
  • This should be targeted and short term use only.

 
Emollient preparation with antimicrobials  (Zerolatum® Plus)
(Bath)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

Not recommended due to lack of evidence. See Emollients Prescribing Guidelines.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

APCO March 2020.

 
Emulsifying Ointment BP

View adult BNF View SPC online View childrens BNF
Non Formulary

Not recommended as contains 3% sodium lauryl sulphate which can be irritant to normal skin.

Link  MHRA: Fire Risk - Paraffin-based skin emollients on dressings or clothing
 
Enopen® Cream

View adult BNF View SPC online View childrens BNF
Non Formulary

Not recommended as there are more cost effective alternatives available.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

 
Erythromycin 40mg with Zinc Acetate 12mg/mL  (Zineryt®)

View adult BNF View SPC online View childrens BNF
Non Formulary

See Guidelines for Antibiotic Prescribing in the Community 2018.

 
Eucerin® Intensive Cream

View adult BNF View SPC online View childrens BNF
Non Formulary

Not recommended as there are more cost effective alternatives available.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

 
Eumocream®

View adult BNF View SPC online View childrens BNF
Non Formulary

Not recommended as there are more cost effective alternatives available.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

 
Finasteride  (Propecia®)

View adult BNF View SPC online View childrens BNF
Non Formulary

Not NHS Not prescribable under the NHS for the treatment of androgentic alopecia.

 
Flexitol® Heel Balm

View adult BNF View SPC online View childrens BNF
Non Formulary

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

APCO September 2011.

 
Flucinolone Acetonide 0.00625%  (Synalar 1 in 4 Dilution®)

View adult BNF View SPC online View childrens BNF
Non Formulary

Moderately potent

 
Flucinolone Acetonide 0.025% with Neomycin Sulphate 0.5%  (Synalar N®)
(Cream/ Ointment)

View adult BNF View SPC online View childrens BNF
Non Formulary

Potent

 
Flucinonide 0.05%  (Metosyn®)
(FAPG cream/ Ointment )

View adult BNF View SPC online View childrens BNF
Non Formulary

Potent

 
Flucortolone  (Ultralanum Plain®)

View adult BNF View SPC online View childrens BNF
Non Formulary

Moderately potent

 
Fludroxycortide  (Haelan® tape)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

Not recommended for eczema and cracked heels due to lack of evidence of cost effectiveness. 

APCO May 2013.

Not recommended for keloid scars in line Clinical Commissioning Group 6J

APCO July 2013.

 
Fluocinolone acetonide 0.025% with Clioquinol 3%  (Synalar C®)

View adult BNF View SPC online View childrens BNF
Non Formulary

Potent

 
Formaldehyde  (Veracur®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Fumaderm®

Non Formulary
Black

Replaced by licensed Skilarence® for psoriasis.

APCO January 2018.

Link  Fumaderm - Information for patients
Link  UKMI Q&A: Fumaderm® - what is the evidence in psoriasis?
 
Glutaraldehyde  (Glutarol®)

View adult BNF View SPC online View childrens BNF
Non Formulary

10% solution.

 
Glycopyrronium bromide
(Hyperhidrosis)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

Not recommended for hyperhidrosis as insufficient evidence to support use.

APCO September 2013.

 
Green tea leaves extract 10% ointment  (Catephen®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Griseofulvin  (Grisol AF®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Heparinoid 0.3%  (Hirudoid®)

View adult BNF View SPC online View childrens BNF
Non Formulary

For superficial soft-tissue injuries and superficial thrombophlebitis. BNF advises this therapy is NOT established as being effective.

 
Hydrocortisone 0.1% Cream  (Dioderm®)

View adult BNF View SPC online View childrens BNF
Non Formulary

Although this contains only 0.1% hydrocortisone, the formulation is designed to provide a clinical activity comparable to that of Hydrocortisone Cream 1%.

 
Hydrocortisone 1%  (Mildison®)
(Lipocream)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Hydrocortisone 1% with Clioquinol 3%  (Vioform-Hydrocortisone®)

View adult BNF View SPC online View childrens BNF
Non Formulary

Discontinued in July 2009. 

 
Hydrocortisone 1%, Urea 10% and Lactic Acid 5%  (Calmurid HC®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Hydrocortisone Butyrate  (Locoid Crelo® lotion)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Hydrocortisone Butyrate 0.1% with Chlorquinaldol 3%  (Locoid C®)

View adult BNF View SPC online View childrens BNF
Non Formulary

Discontinued. 

 
Hydrocortisone with antimicrobials  (Econacort®)

View adult BNF View SPC online View childrens BNF
Non Formulary

Mild with antimicrobials

 
Hydromol® bath and shower

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

Not recommended due to lack of evidence. See Emollients Prescribing Guidelines.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

APCO March 2020.

 
Hydromol® Cream

View adult BNF View SPC online View childrens BNF
Non Formulary

Contains sodium pyrollidine carboxylate that is a natural moisturising factor and parabens (skin sensitiser). More cost effective alternatives available.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

 
Hydromol® Ointment

View adult BNF View SPC online View childrens BNF
Non Formulary

Consider Epimax® ointment as a more cost effective alternative. See Emollient Prescribing Guidelines.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

APCO March 2020.

 
Ichthammol
(Ichthammol ointment BP 1980)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Ichthammol
(Zinc and ichthammol cream BP)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Ichthammol 1% w/w paste

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Idoxuridine in Dimethyl Sulfoxide  (Herpid®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Imiquimod 3.75% cream  (Zyclara®)
(Actinic Keratosis)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

Not recommended due to insufficient evidence of advantage over other treatment options or cost efficacy.

APCO May 2007.

 
Indermil®

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Industrial Methylated Spirit BP

View adult BNF View SPC online View childrens BNF
Non Formulary

70% Bottle
70% Spray

 
Ingenol mebutate  (Picato®)

View adult BNF View SPC online View childrens BNF
Non Formulary

 

Actinic keratosis guideline pending update. Marketing authorisation is currently suspended as a precautionary measure due to growing concerns on the possible risk of skin malignancy. The EMA continues to investigate.

APCO March 2020.

 

 
Isotretinoin with erythromycin  (Isotrexin®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Keromask®

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

In line with Clinical Commissioning Policy 6h and Clinical Commissioning Policy 88D.

APCO July 2017.

 
Lanolin emollient spray
(Evolve plus)

View adult BNF View SPC online View childrens BNF
Non Formulary

Not suitable for prescribing as not in the Drug Tariff.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

 
LiquiBand®

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Liquid and White Soft Paraffin Ointment (50:50)

View adult BNF View SPC online View childrens BNF
Non Formulary

Prescribe as Fifty:50® ointment as a more cost effective brand.

Link  MHRA: Fire Risk - Paraffin-based skin emollients on dressings or clothing
 
Magnesium Sulphate Paste BP

View adult BNF View SPC online View childrens BNF
Non Formulary

Available to purchase over the counter.

 
Minoxidil  (Regaine®)

View adult BNF View SPC online View childrens BNF
Non Formulary

Not NHS Not prescribable under the NHS for the treatment of androgentic alopecia.

Available to purchase over the counter. 

 
Neomycin Sulphate  (Cicatrin®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Neomycin Sulphate  (Graneodin®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Neomycin Sulphate 0.5%
(Neomycin cream BPC)

View adult BNF View SPC online View childrens BNF
Non Formulary

If large areas of skin are being treated ototoxicity may be a hazard, particularly in children, in the elderly, and in those with renal impairment.

 
Nicotinamide 4% gel  (Nicam®)

View adult BNF View SPC online View childrens BNF
Non Formulary

Available to purchase over the counter. 

 
Nystatin
(skin)

View adult BNF View SPC online View childrens BNF
Non Formulary

Nystatin as is NOT effective against dermatophytes.

 
Nystatin with Chlorhexidine cream  (Nystaform®)

View adult BNF View SPC online View childrens BNF
Non Formulary

Cream 30g
Nystatin 100,000 units/g with Chlorhexidine Hydrochloride 1%

Link  MHRA alert: Anaphylaxis risk with chlorhexidine
 
Oilatum® Plus
(Emollient bath additive)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

Not recommended due to lack of evidence. See Emollients Prescribing Guidelines.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

APCO March 2020.

 
Oilatum® Shower emollient gel

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

Not recommended due to lack of evidence. See Emollients Prescribing Guidelines.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

APCO March 2020.

 
Other scalp preparations  (Polytar Plus®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Penciclovir  (Vectavir®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Permethrin 1%  (Lyclear® Creme Rinse)

View adult BNF View SPC online View childrens BNF
Non Formulary

Not recommended for treatment of head lice due to insufficient contact time.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

 
Phenothrin  (Full Marks®)

View adult BNF View SPC online View childrens BNF
Non Formulary

Discontinued.

 
Podophyllotoxin  (Condyline®)

View adult BNF View SPC online View childrens BNF
Non Formulary

Contains podophyllotoxin 0.5%.

 
Podophyllum
(Podophyllum paint compound BP)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Podophyllum

View adult BNF View SPC online View childrens BNF
Non Formulary

25% in Tincture Benzoin Compound
25% in 90% IMS

For external genital warts. 

 
Polyfax®

View adult BNF View SPC online View childrens BNF
Non Formulary

Contains Polymyxin B Sulphate 10,000 units with Bacitracin Zinc 500 units/g. 

 
Polytar®

View adult BNF View SPC online View childrens BNF
Non Formulary

Discontinued by manufacturer in 2015. 

 
Potassium hydroxide 5% solution  (Molludab®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

Not recommended for Molluscum Contagiosum due to limited evidence.

Can be purchased.

APCO September 2014

 
Proflavine Cream, BPC

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

Not recommended due to lack of evidence.

APCO September 2013.

 
QV® cream

View adult BNF View SPC online View childrens BNF
Non Formulary

Not recommended as there are more cost effective alternatives available.  Contains parabens (skin senitiser).

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

 
Retapamulin  (Altargo®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

Not recommended due to limited comparative clinical and cost effectiveness data.

APCO May 2008.

 
Salicylic Acid  (Occlusal®)

View adult BNF View SPC online View childrens BNF
Non Formulary

26% cutaneous solution.

Can be purchased in pharmacies. 

 
Salicylic Acid  (Phytex®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Salicylic Acid  (Verrugon®)

View adult BNF View SPC online View childrens BNF
Non Formulary

50% ointment.

Can be purchased in pharmacies. 

 
Salicylic Acid 11% with Lactic Acid 4%  (Cuplex Verruca® gel)

View adult BNF View SPC online View childrens BNF
Non Formulary

For the treatment of plantar and mosaic warts, corns, calluses.



Can be purchased in pharmacies. 

 
Salicylic Acid 16.7% with Lactic Acid 15%  (Duofilm®)

View adult BNF View SPC online View childrens BNF
Non Formulary

Paint containing salicylic acid 16.7% andlactic acid 16.7%.

Can be purchased in pharmacies. 

 
Salicylic Acid 2% solution

View adult BNF View SPC online View childrens BNF
Non Formulary

Available to purchase over the counter. 

 
Salicylic Acid 3% w/w, Sulphur 3% w/w in Aqueous Cream

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Salicylic Acid 3% w/w, Sulphur 3% w/w in Aqueous Cream

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Salicylic Acid in White Soft Paraffin

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Salicylic Acid in White Soft Paraffin

View adult BNF View SPC online View childrens BNF
Non Formulary

2%, 5%, 10%

 
Salicylic Acid in White Soft Paraffin

View adult BNF View SPC online View childrens BNF
Non Formulary

2% w/w, 5% w/w, 10% w/w.

 
Salicylic Acid with podophyllum  (Posalfflin®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Shampoos  (Betadine®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Shampoos  (Ceanel Concentrate®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Shampoos  (Clinitar®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Shampoos  (Dermax®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Shampoos  (Meted®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Shampoos  (Pentrax®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Shampoos  (Polytar AF®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Shampoos  (Psoriderm®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Silver Nitrate 40% pencil with potassium nitrate 60%  (AVOCA®)

View adult BNF View SPC online View childrens BNF
Non Formulary

Caustic pencil

 
Silver Nitrate 95% with Potassium Nitrate 5%  (AVOCA®)

View adult BNF View SPC online View childrens BNF
Non Formulary

Caustic pencil

 
Skin Salvation Cream®

View adult BNF View SPC online View childrens BNF
Non Formulary

Not recommended as there are more cost effective alternatives available.

 
Skin tissue adhesive  (Dermabond ProPen®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Skin tissue adhesive  (Epiglu®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Sodium Chloride  (Flowfuser®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Sodium Chloride  (Irriclens®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Sodium Chloride  (Miniversol®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Sodium Chloride  (Stericlens®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Sodium Chloride  (Steripod®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Sodium Hypochorite Solution 1%  (Milton®)

Non Formulary
 
Sorbaderm®

View adult BNF View SPC online View childrens BNF
Non Formulary

Consider Medi-Derma S® or Medihoney® as per OCCG Wound Management Formulary.

 
Sulconazole Nitrate  (Exelderm®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Sunscreen  (E45 Sun®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

See Sunscreen Policy.

APCO May 2016.

 
Sunscreen  (Roc®)

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

See Sunscreen Policy.

APCO May 2016.

 
Tacalcitol  (Curatoderm®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Tars
(Calamine and coal tar ointment)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Tars
(Coal tar and salicylic acid ointment)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Tars
(Coal tar paste BP)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Tars  (Clinitar®)

View adult BNF View SPC online View childrens BNF
Non Formulary

Discontinued in the UK. 

 
Tars  (Zinc and Coal Tar Paste®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Tars - bath preparations
(Coal tar solution BP)

View adult BNF View SPC online View childrens BNF
Non Formulary

Contains coal tar 20% and polysorbate ‘80’ 5%.

 
Tars - bath preparations  (Pinetarsol®)

View adult BNF View SPC online View childrens BNF
Non Formulary

No longer available in the UK. 

 
Tars - bath preparations  (Psoriderm®)

View adult BNF View SPC online View childrens BNF
Non Formulary

Bath emulsion containing coal tar 40%.

 
Tars - bath preparations  (Polytar Emollient®)

View adult BNF View SPC online View childrens BNF
Non Formulary

Bath additive containing coal tar solution 2.5%, arachis (peanut) oil extract of coal tar 7.5%, tar 7.5%, cade oil 7.5% and light liquid paraffin 35%.

 
Tazarotene 0.05%  (Zorac®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Terra-Cortril®
(Ointment)

View adult BNF View SPC online View childrens BNF
Non Formulary

Contains hydrocortisone 1% and oxytetracycline (as hydrochloride) 3%

 
Tioconazole  (Trosyl®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Tretinoin with clindamycin  (Treclin®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Tretinoin with erythromycin  (Aknemycin® Plus)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Tri-Adcortyl®

View adult BNF View SPC online View childrens BNF
Non Formulary

Discontinued. 

 
Trichloroacetic Acid

View adult BNF View SPC online View childrens BNF
Non Formulary

Solutions 30%, 50%, 90%.

 
Triclosan  (Manusept®)

View adult BNF View SPC online View childrens BNF
Non Formulary

Discontinued in 2008.

 
Triclosan 1%  (Skinsan®)

View adult BNF View SPC online View childrens BNF
Non Formulary

Triclosan has been used for disinfection of the hands and wounds, and for disinfection of the skin before surgery.

 
Triclosan 2%  (Aquasept®)

View adult BNF View SPC online View childrens BNF
Non Formulary

Discontinued.

 
Triclosan 2%  (Ster-Zac Bath Concentrate®)

View adult BNF View SPC online View childrens BNF
Non Formulary

Triclosan has been used for disinfection of the hands and wounds, and for disinfection of the skin before surgery.

 
Undecenoates  (Monphytol®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Undecenoates  (Mycota®)

View adult BNF View SPC online View childrens BNF
Non Formulary

For athletes foot only, available to purchase over the counter in line with Clinical Commissioning Policy 88D.

See Oxfordshire Adult Antimicrobial Prescribing Guidelines for Primary Care.

For paediatric, see Oxfordshire Paediatric Antimicrobial Prescribing Guidelines for Primary Care.

 
Unguentum M® Cream

View adult BNF View SPC online View childrens BNF
Non Formulary

Not recommended as there are more cost effective alternatives available.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

 
Veil®

View adult BNF View SPC online View childrens BNF
Non Formulary
Black

In line with Clinical Commissioning Policy 6h and Clinical Commissioning Policy 88D.

APCO July 2017.

 
White Soft Paraffin BP

View adult BNF View SPC online View childrens BNF
Non Formulary

White petroleum jelly unlikely to be tolerated as a leave on emollient.

Link  MHRA: Fire Risk - Paraffin-based skin emollients on dressings or clothing
 
Yellow Soft Parafin BP

View adult BNF View SPC online View childrens BNF
Non Formulary

Yellow petroleum jelly unlikely to tolerated as a leave on emollient.

Link  MHRA: Fire Risk - Paraffin-based skin emollients on dressings or clothing
 
Zerobase® Cream

View adult BNF View SPC online View childrens BNF
Non Formulary

Consider Epimax® Original cream which has similar ingredients and is a more cost effective alternative. See Emollient Prescribing Guidelines.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

 

 
Zerocream®

View adult BNF View SPC online View childrens BNF
Non Formulary

See Emollient Prescribing Guidelines.

Mimics E45.

APCO March 2020.

 
Zeroderm® ointment

View adult BNF View SPC online View childrens BNF
Non Formulary

Epimax® ointment is more cost-effective.  

See Emollient Prescribing Guidelines.

APCO March 2020.

 
Zerodouble® Gel

View adult BNF View SPC online View childrens BNF
Non Formulary

Consider Epimax® Isomol gel which has similar ingredients and is a more cost effective alternative. See Emollient Prescribing Guidelines.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

APCO March 2020.

 
Zeroveen® Cream

View adult BNF View SPC online View childrens BNF
Non Formulary

Not included in the Emollient Prescribing Guidelines.

 

 

 
Zinc and Caster Oil Ointment BP

View adult BNF View SPC online View childrens BNF
Non Formulary

For nappy and urinary rash. 

Consider Medi-Derma S® or Medihoney® as per OCCG Wound Management Formulary.

Can be purchased over the counter, in line with Clinical Commissioning Policy 88D.

 
  
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  

netFormulary