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 Formulary Chapter 13: Skin - Full Chapter
13.02.01  Expand sub section  Emollients
Epimax® Original cream
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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
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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
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Second Choice
Green

See Emollient Prescribing Guidelines.

Equivalent to Cetraben®.

APCO March 2020.

 
   
Emollient preparation containing Urea (Balneum® cream)
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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
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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
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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
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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
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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
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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
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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
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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
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Restricted Drug Restricted
Green

See Emollient Prescribing Guidelines.

May be suitable where flammability is an issue.

APCO March 2020. 

 
   
Epimax® Oatmeal Cream
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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  Expand sub section  Emollients - preparations containing urea
13.02.01  Expand sub section  Emollients - with antimicrobials
13.02.01.01  Expand sub section  Emollient bath and shower preparations
 ....
 Non Formulary Items
Allpresan® foam cream
(Basic and Intensive)

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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)

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Non Formulary
Black

Not recommended due to lack of evidence.

See Emollients Prescribing Guidelines.

APCO March 2020.

 
AproDerm® colloidal cream

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Non Formulary

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

APCO March 2020.

 

 
Aquadrate® cream

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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

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Non Formulary

Cream is in a tub therefore prone to contamination.

 
AquaMax® wash

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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

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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

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Non Formulary

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

APCO March 2020.

 

 
Balneum® Emollient bath additive

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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)

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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.

 
Cetraben® Cream

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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

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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.

 
Dermatonics® Heel Balm

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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.

 
Diprobase® Cream

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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

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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.

 
DoubleBase Dayleve® Gel

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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

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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

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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

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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

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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.

 
E45® Cream

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Non Formulary

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

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

 
Emollient Bath Additive  (Aveeno®)

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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®)

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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®)

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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®)

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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®)

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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®)

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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®)

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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®)

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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®)

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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®)

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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®)

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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®)

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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®)

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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)

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Non Formulary

Not suitable for prescribing as not in the Drug Tariff.

 
Emollient preparation  (Dermamist® 10% spray)

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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)

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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)

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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)

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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)

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Non Formulary

Not suitable for prescribing as not in the Drug Tariff.

 
Emollient preparation  (Kamillosan®)

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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®)

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Non Formulary

Not suitable for prescribing as not in the Drug Tariff.

 
Emollient preparation  (Linola® Gamma)

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Non Formulary

Not suitable for prescribing as not in the Drug Tariff.

 
Emollient preparation  (Lipobase® Cream)

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Non Formulary

Not recommended as there are more cost effective alternatives available.

 
Emollient preparation  (Neutogena® Dermatological Cream)

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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)

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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®)

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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)

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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)

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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)

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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)

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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)

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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)

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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)

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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

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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

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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.

 
Eucerin® Intensive Cream

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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®

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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.

 
Flexitol® Heel Balm

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Non Formulary

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

APCO September 2011.

 
Footmender All in One Diabetic®

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Non Formulary
Black

Not recommended. See Emollients Prescribing Guidelines.

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

APCO January 2021.

 
Hydromol® bath and shower

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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

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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

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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.

 
Lanolin emollient spray
(Evolve plus)

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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.

 
Liquid and White Soft Paraffin Ointment (50:50)

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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
 
Oilatum® Plus
(Emollient bath additive)

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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

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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.

 
QV® cream

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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.

 
Skin Salvation Cream®

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Non Formulary

Not recommended as there are more cost effective alternatives available.

 
Unguentum M® Cream

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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.

 
White Soft Paraffin BP

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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

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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

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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®

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Non Formulary

See Emollient Prescribing Guidelines.

Mimics E45.

APCO March 2020.

 
Zeroderm® ointment

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Non Formulary

Epimax® ointment is more cost-effective.  

See Emollient Prescribing Guidelines.

APCO March 2020.

 
Zerodouble® Gel

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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

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Non Formulary

Not included in the Emollient Prescribing Guidelines.

 

 

 
  
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