netFormulary North of Tyne and Gateshead Area Prescribing Committee NHS
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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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13.10.05  Expand sub section  Preparations for minor cuts and abrasions
Bismuth Subnitrate and Iodoform (B.I.P.P.) Paste
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Formulary
Red
  • For use in ENT surgery & epistaxis
    1.25cm x 100cm & 2.5cm x 100cm impregnated gauze
 
   
Drapolene® cream
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Formulary
Green
 
   
Magnesium Sulphate Paste BP
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Formulary
Green
 
   
Proflavine Cream, BPC
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Formulary
Green
 
   
13.10.05  Expand sub section  Collodion
Collodion Flexible BP
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Formulary
Green
  • 2.5% castor oil & colophony 2.5% in a collodion base.
 
   
13.10.05  Expand sub section  Skin tissue adhesive
Fibrin sealant (Artiss®)
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Formulary
Green
  • 2ml, 4ml & 10ml prefilled syringe.
  • For use in plastic surgery to close dead spaces, adhere skin graft, close simple wounds and stabilise bone grafts.
 
   
Fibrin sealant (Bioglue®)
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Formulary
Green
  • For use in neurosurgery and vascular surgery.
 
   
Fibrin sealant (Evicel® Human Fibrin Glue)
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Formulary
Green

2ml and 5ml kit

 
   
Fibrin sealant (Floseal® Matrix sealant)
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Formulary
Green
 
   
Fibrin sealant (Tisseel Lyo® Fibrin Glue)
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Formulary
Green
  • 2ml, 4ml & 10ml kit
  • Also approved for use in the treatment of mesh fixation in hernia repair.
 
   
Histoacryl Blue®
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Formulary
Green
 
   
Indermil X-Fine®
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Formulary
Green
 
   
LiquiBand Optima®
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Formulary
Green
 
   
LiquiBand®
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Formulary
Green
 
   
TachoSil®
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Formulary
Red
  • 4.8 & 9.5 cm 2 Haemostatic (collagen sponge coated with fibrinogen and thrombin) - for use in liver and renal surgery.
 
   
 ....
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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