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 Formulary Chapter 13: Skin - Full Chapter
13.06.01  Expand sub section  Topical preparations for acne
13.06.01  Expand sub section  Benzoyl peroxide and azelaic acid
Benzoyl Peroxide 4% cream (Brevoxyl®)
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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 )
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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  Expand sub section  Topical antibacterials for acne
13.06.01  Expand sub section  Topical retinoids and related preparations for acne
Adapalene (Differin®)
(Cream/ gel)
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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®)
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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)
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Formulary
Red

Specialist prescribing only.

APCO May 2011.

 
   
13.06.01  Expand sub section  Other topical preparations for acne to top
Brimonidine gel (Mirvaso®)
(Rosacea)
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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
   
 ....
 Non Formulary Items
Abrasive Agents  (Brasivol®)

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Non Formulary
 
Azelaic Acid 20% cream  (Skinoren®)

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Non Formulary
 
Benzoyl Peroxide  (PanOxyl®)

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Non Formulary

Discontinued 

 
Clindamycin 1%  (Dalacin T®)

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Non Formulary

See Guidelines for Antibiotic Prescribing in the Community 2018.

 
Clindamycin/ tretinoin gel  (Treclin®)

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Non Formulary

See Guidelines for Antibiotic Prescribing in the Community 2018.

 
Corticosteroids  (Actinac®)

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Non Formulary

Discontinued.

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

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Non Formulary

See Guidelines for Antibiotic Prescribing in the Community 2018.

 
Isotretinoin with erythromycin  (Isotrexin®)

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Non Formulary
 
Nicotinamide 4% gel  (Nicam®)

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Non Formulary

Available to purchase over the counter. 

 
Salicylic Acid 2% solution

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Non Formulary

Available to purchase over the counter. 

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

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Non Formulary
 
Salicylic Acid in White Soft Paraffin

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Non Formulary
 
Tretinoin with clindamycin  (Treclin®)

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Non Formulary
 
Tretinoin with erythromycin  (Aknemycin® Plus)

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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
Display tracking information
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Link to adult BNF
click to search medicines.org.uk
Link to children's BNF
click to search medicines.org.uk
Link to SPCs
SMC
Scottish Medicines Consortium
Cytotoxic Drug
Cytotoxic Drug
CD
Controlled Drug
High Cost Medicine
High Cost Medicine
Cancer Drugs Fund
Cancer Drugs Fund
NHSE
NHS England
Homecare
Homecare
CCG
CCG

Traffic Light Status Information

Status Description

Red

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

Amber Continuation

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

Amber Shared Care Protocol

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

Green

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

Brown

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

Black

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

OCCG Green

not used  

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