BNF 13: Skin Colchester Hospital University NHS …

1 Page 1 of 6 BNF 13: Skin Last updated: September 12th 2017 BNF 13: Skin Colchester Hospital University nhs foundation trust does not currently have a Dermatology Department, nor any Dermatology Consultants. Therefore, only those dermatology products that may be utilised and prescribed at ward level or via other specialist clinics are listed below. Patients admitted to the trust utilising pre-existing dermatology treatments will have these therapies continued on in accordance with best practice. FORMULARY CHOICE RESTRICTED COMMENTS 1 Dry and Scaling Skin Disorders Barrier Preparations Zinc and castor oil ointment No Conotrane cream No Drapolene cream No Mainly used within Paediatrics Metanium ointment No Mainly used within Paediatrics Sudocrem cream No Mainly used within Paediatrics Emollients Emollient bath and shower products, antimicrobial-containing Dermol 600 bath emollient No Dermol 200 shower emollient No Emollient bath and shower products, paraffin-containing Aquamax wash No Oilatum Plus emollient bath additive No Emollient bath and shower products.

2 Soya-bean oil-containing Balneum bath oil No Balneum Plus bath oil No Emollient creams and ointments, antimicrobial-containing Dermol 500 liquid cream No Emollient creams and ointments, paraffin-containing Aquamax cream No Diprobase cream No Doublebase Gel No E45 cream No Emulsifying Ointment No Epaderm ointment No Page 2 of 6 BNF 13: Skin Last updated: September 12th 2017 FORMULARY CHOICE RESTRICTED COMMENTS Oilatum cream No Liquid paraffin 50% and white soft paraffin 50% ointment No White soft paraffin BP No Yellow soft paraffin BP No Dermamist spray application No Emollients, urea-containing Balneum plus cream No Urea 10% cream (Nutraplus ) No 2 Infections of the Skin Bacterial Skin Infections Antibacterials Polymyxins ointment (Polyfax ) Yes Only for use in mupirocin resistant MRSA Metronidazole gel (Anabact ) cream (Rozex ) gel (Zyomet ) No Mupirocin 2% cream (Bactroban ) 2% ointment (Bactroban ) 2% nasal ointment (Bactroban )

3 Yes Only for use in MRSA positive patients Silver sulfadiazine 1% cream (Flamazine ) No Fungal Skin Infections Antifungals, Imidazole Clotrimazole 1% cream (Canesten ) 1% solution (Canesten ) No Ketoconazole (Nizoral ) 2% cream 2% shampoo No Page 3 of 6 BNF 13: Skin Last updated: September 12th 2017 FORMULARY CHOICE RESTRICTED COMMENTS Miconazole nitrate 2% cream (Daktarin ) spray powder (Daktarin ) 2% powder (Daktarin ) No Antifungals, Other Terbinafine 1% cream (Lamisil ) No Parasitic Skin Infections Parasiticides Dimeticone 4% lotion (Hedrin ) No Malathion liquid (Derbac-M ) No Permethrin 1% cream rinse (Lyclear ) 5% cream (Lyclear ) No Viral Skin Infections Aciclovir 5% cream (Zovirax ) No 3 Inflammatory Skin Conditions Eczema and Psoriasis Corticosteroids Betamethasone cream (Betnovate ) ointment (Betnovate ) lotion (Betnovate ) cream (Betnovate RD ) ointment (Betnovate RD )

4 No Clobetasol propionate cream (Dermovate ) ointment (Dermovate ) No Very potent therapy short term use only Clobetasone butyrate No Page 4 of 6 BNF 13: Skin Last updated: September 12th 2017 FORMULARY CHOICE RESTRICTED COMMENTS cream (Eumovate ) ointment (Eumovate ) Diflucortolone valerate oily cream (Nerisone Forte ) ointment (Nerisone Forte ) No Hydrocortisone cream ointment 1% cream 1% ointment 1% lipocream (Mildison ) Hydrocortisone butyrate lipocream (Locoid ) No Mometasone cream (Elocon ) ointment (Elocon ) No Corticosteroid Combinations with Anti-infectives Clobetasone 500microg/g, nystatin 100000unit/g, oxytetracycine 30mg/g cream (Trimovate ) No Benzalkonium chloride 1mg/g, hydrocortisone 5mg/g, dimeticone 350 100mg/g, nystatin 100000unit/g cream (Timodine )

5 No Hydrocortisone 5mg/g, chlorhexidine 10mg/g, nystatin 100000unit/g cream (Nystaform HC ) No Hydrocortisone 10mg/g, clotrimazole 10mg/g cream (Canesten HC ) No Hydrocortisone 10mg/g, miconazole 20mg/g (Daktacort ) No Page 5 of 6 BNF 13: Skin Last updated: September 12th 2017 FORMULARY CHOICE RESTRICTED COMMENTS cream ointment 5 Photodamage Antimetabolites Fluorouracil 5% cream (Efudix ) Yes Strictly specialist use under dermatology supervision 6 Pruritus Antipruritics Calamine lotion aqueous cream No Crotamiton 100mg/g cream No Menthol and Derivatives Levomenthol 1% in aqueous cream (Dermacool ) No Acne Anti-Androgens Co-cyprindiol 2000/35 microg tablet No 8 Scalp and Hair Conditions Hirsutism Antiprotozoals Eflornithine cream (Vaniqa )

6 Yes Consultant initiation only 9 Skin cleansers, antiseptics and desloughing agents Antiseptics and Disinfectants Chlorhexidine gluconate 1% obstetric cream 4% hand scrub sachet 2% in 70% IPA spray in 70% IMS solution No Hydrogen peroxide 6% solution (20 vols) 3% solution (10 vols) No Page 6 of 6 BNF 13: Skin Last updated: September 12th 2017 FORMULARY CHOICE RESTRICTED COMMENTS Proflavine cream BPC No Potassium permanganate 400mg tablet (Permitabs ) No Iodine Products Povidone-iodine 10% antiseptic solution dry powder spray surgical scrub 10% alcoholic tincture aqueous iodine (Lugol s) No Minor Cuts and Abrasions Skin Adhesives LiquiBand tissue adhesive No 11 Superficial soft-tissue injuries and superficial thrombophlebitis Heparinoids Heparinoid cream (Hirodoid ) No