netFormulary Oxfordshire Clinical Commissioning Group NHS
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 Formulary Chapter 13: Skin - Full Chapter
13.05.01  Expand sub section  Preparations for eczema
Alitretinoin (Toctino®)
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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)
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Formulary
Amber Continuation

Suitable for prescribing in primary care following specialist recommendation.

 
   
 ....
 Non Formulary Items
Ichthammol
(Ichthammol ointment BP 1980)

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Non Formulary
 
Ichthammol
(Zinc and ichthammol cream BP)

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Non Formulary
 
Ichthammol 1% w/w paste

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Non Formulary
 
  
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
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Link to adult BNF
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Link to children's BNF
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Link to SPCs
SMC
Scottish Medicines Consortium
Cytotoxic Drug
Cytotoxic Drug
CD
Controlled Drug
High Cost Medicine
High Cost Medicine
Cancer Drugs Fund
Cancer Drugs Fund
NHSE
NHS England
Homecare
Homecare
CCG
CCG

Traffic Light Status Information

Status Description

Red

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

Amber Continuation

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

Amber Shared Care Protocol

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

Green

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

Brown

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

Black

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

OCCG Green

not used  

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