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 Formulary Chapter 13: Skin - Full Chapter
Notes:

North of Tyne and Gateshead Guidelines for the Management of Acne (from 12 years of age)

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13.04  Expand sub section  Topical corticosteriods.
Betamethasone (as Dipropionate) 0.05% with Salicylic Acid 2% (Diprosalic®)
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Formulary
Green
  • Scalp application
 
   
Betamethasone (as Dipropionate) 0.05% with Salicylic Acid 3% (Diprosalic®)
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Formulary
Green
  • Ointment
 
   
Betamethasone (as Valerate) 0.025% (Betnovate-RD®)
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Formulary
Green

MODERATELY POTENT

  • Cream and ointment
 
   
Betamethasone (as Valerate) 0.1%
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Green

POTENT

  • Cream, ointment & scalp application
 
   
Betamethasone (as Valerate) 0.1% with Clioquinol 3% (Betnovate C®)
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Green

POTENT

  • Cream and ointment
 
   
Betamethasone (as Valerate) 0.1% with Fucidic Acid 2% (Fucibet®)
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Formulary
Green

POTENT

 
   
Betamethasone (as Valerate) 0.1% with Neomycin Sulphate 0.5% (was Betnovate-N®)
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Formulary
Green

POTENT

Cream and ointment

 
   
Clobetasol Propionate 0.05% (Dermovate®)
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Formulary
Green

VERY POTENT
Cream, ointment & scalp application

 
   
Clobetasol Propionate with neomycin and nystatin (Dermovate-NN®)
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Formulary
Green

VERY POTENT

Ointment

 
   
Clobetasone Butyrate 0.05% (Eumovate®)
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Formulary
Green

MODERATELY POTENT

Cream, ointment & scalp application

 
   
Fludroxycortide  (Haelan®)
(Tape)
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Formulary
Green

MODERATELY POTENT

 
   
Fluocinolone Acetonide 0.025% (Synalar®)
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Formulary
Green

POTENT
Cream, ointment & gel

 
   
Hydrocortisone 0.25% Crotamiton 10% (Eurax-HC®)
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Formulary
Green

MILD

  • Cream
 
   
Hydrocortisone 0.5%, 1% & 2.5%
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Formulary
Green

MILD
Cream and ointment

 
   
Hydrocortisone 1% with Clotrimazole 1% (Canesten HC®)
(Cream)
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Formulary
Green

MILD

 

 
   
Hydrocortisone 1% with Miconazole Nitrate 2% (Daktacort®)
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Formulary
Green

MILD

  • Cream and ointment
 
   
Hydrocortisone Acetate 1% with Fusidic Acid 2% (Fucidin H®)
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Formulary
Green

MILD

 
   
Hydrocortisone Butyrate 0.1% cream (Locoid®)
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Formulary
Green

POTENT

 
   
Nystaform-HC®
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Formulary
Green

MILD

  • Cream and ointment
 
   
Timodine®
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Formulary
Green

MILD

  • Cream
 
   
Trimovate® cream
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Formulary
Green

MODERATELY POTENT

  • Containing clobetasone 0.5%, oxytetracycline3% and nystatin 100,000units/g
 
   
13.04  Expand sub section  Topical corticosteriod preparation potencies
 ....
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

Drugs for hospital use only. The responsibility for initiation and monitoring treatment should rest with an appropriate hospital clinician and the drug should be supplied through the hospital throughout the duration of treatment. In some very exceptional circumstances (e.g. due to distance from the hospital, storage, supply or mobility/transport problems) it may be appropriate for the GP to be asked to prescribe a Red drug. This should be negotiated on an individual patient basis and should only be done with the GP’s prior informed agreement where the roles of the GP and hospital services are clearly defined and agreed. The GP should not feel under pressure to prescribe in these circumstances.   

Amber

Drugs initiated by hospital specialist, but where continuing treatment by GPs may be appropriate under a shared care arrangement. The specialist should send the GP a copy of the shared care agreement to sign. The GP should sign the shared care agreement, or indicate they do not want to be part of such an agreement, and return a copy back to the specialist. Shared care guidelines are available or are being developed for most of the drugs listed as Amber. If no shared care guideline is available, the hospital specialist should provide the patient’s GP with sufficient information and support to allow treatment to be continued and managed safely in primary care.  

Green plus

Drugs normally recommended or initiated by hospital specialist, but where the provision of an information leaflet may be appropriate to facilitate continuing treatment by GPs. Many of these information sheets are in the process of development.  

Green

Drugs where prescribing by GPs is appropriate. Drugs not classified as Red, Amber or Green Plus (formerly blue in North of Tyne) are generally classified as ‘Green’ by default. The Green drugs listed here include those products normally initiated by hospital specialists where there was a need for discussion and debate as to the category in which they should be placed.  

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