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Kings College Hospital NHS Foundation Trust
Lewisham and Greenwich NHS Trust
 
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 Formulary Chapter 12: Ear, nose and oropharynx - Full Chapter
Notes:

Where a formulary entry does not detail a medicine’s indications for use, the medicine can be assumed to be approved for all licensed indications.

Formulary approved "off-label" use is detailed separately.

 Details...
12.01  Expand sub section  Drugs acting on the ear
12.01.01  Expand sub section  Otitis externa
12.01.01  Expand sub section  Astringent preparations
Acetic acid 2% ear spray
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Formulary  
   
12.01.01  Expand sub section  Anti-inflammatory preparations
Otomize ear spray
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Formulary Contains:
  • Dexamethasone 0.1%
  • Neomycin sulphate 3250 units/mL
  • Glacial acetic acid 2% 
  •    
    Betamethasone 0.1% & neomycin 0.5% drops
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    Formulary  
       
    Betamethasone drops 0.1%
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    Formulary  
       
    Gentisone HC ear drops
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    Formulary Contains:
  • Hydrocortisone acetate 1%
  • Gentamicin sulphate 0.03% 
  •    
    Locorten-Vioform ear drops
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    Formulary Contains:
  • Flumetasone pivalate 0.02%
  • Clipquinol 1% 
  •    
    Prednisolone 0.5% & neomycin sulphate 0.5% ear drops
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    Formulary  
       
    Prednisolone ear drops 0.5%
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    Formulary  
       
    Sofradex drops
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    Formulary Contains:
  • Dexamethasone 0.05%
  • Framycetin sulphate 0.5%
  • Gramicidin 0.005% 
  •    
    12.01.01  Expand sub section  Anti-infective preparations to top
    Chloramphenicol ear drops 10%
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    Formulary

     
       
    Clotrimazole topical solution 1%
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    Formulary  
       
    Gentamicin drops 0.3% (Ear)
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    Formulary  
       
    Ofloxacin ophthalmic solution 0.3%
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    Formulary

    Recognised off-label use in the ear:

    Twice a day or three times a day administration

     
       
    Ciprofloxacin unit dose ear drops 0.2%
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    Formulary
    Green

     
       
    12.01.02  Expand sub section  Otitis media
    12.01.03  Expand sub section  Removal of ear wax
    Olive Oil ear drops
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    Formulary  
       
    Sodium bicarbonate ear drops 5%
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    Formulary  
       
    Waxsol ear drops (Docusate sodium)
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    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
    click to search medicines.org.uk
    Link to adult 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

    Specialist or hospital prescribing only. The responsibility for prescribing, monitoring, dose adjustment and review should remain with the specialist or hospital. In very exceptional circumstances a specialist may discuss individual patient need for a RED drug to be prescribed by a GP and the GP should consider informing the Medicines Management team before a decision is made to prescribe for individual patients.   

    Amber 1

    Treatment can be initiated in primary care after a recommendation from an appropriate specialist  

    Amber 2

    Specialist initiation followed by maintenance prescribing in primary care  

    Amber 3

    Specialist initiation with ongoing monitoring required. After dose stabilisation GPs can be requested to take over prescribing responsibilities using the approved APC shared care documentation  

    Green

    Specialist and non-specialist initiation  

    Grey

    Not recommended for prescribing  

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