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Guy's and St Thomas' NHS Foundation Trust
Kings College Hospital NHS Foundation Trust
Lewisham and Greenwich NHS Trust
 
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 Formulary Chapter 13: Skin - 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.

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 Details...
13.02.01  Expand sub section  Emollients (can be used as a soap substitute in the bath or shower)
Liquid and White Soft Paraffin Ointment (50:50)
View adult BNF
First Choice
Green

First line choice if a very greasy emollient is required

 
Emulsifying Ointment BP
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First Choice
Green

First line choice if a greasy emollient is required

 
Epimax cream
View adult BNF
First Choice
Green

First line option if a cream or gel type emollient is required

 
Isomol gel
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First Choice
Green

First line option if a cream or gel type emollient is required

 
ZeroAQS cream
View adult BNF
First Choice
Green

First line option if a cream or gel type emollient is required

 
QV lotion
View adult BNF
First Choice
Green

First line choice where a lotion type emollient is required

 
Aproderm ointment (colloidal oat ointment)
View adult BNF
Second Choice
Green

Second line option where a greasy emollient is required

 
   
Epimax ointment
View adult BNF
Second Choice
Green

Second line option where a greasy emollient is required

 
   
Hydromol ointment
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Second Choice
Green

Second line option where a greasy emollient is required

 
   
Zeroderm ointment
View adult BNF
Second Choice
Green

Second line option where a greasy emollient is required

 
   
Aproderm cream or gel (colloidal oat emollient)
View adult BNF
Second Choice
Green

Second line option if a cream or gel type emollient is required

 
   
Aquamax cream
View adult BNF
Second Choice
Green

Second line option if a cream or gel type emollient is required

 
   
ExCetra cream
View adult BNF
Second Choice
Green

Second line option if a cream or gel type emollient is required

 
   
Zerobase cream
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Second Choice
Green

Second line option if a cream or gel type emollient is required

 
   
Zerocream cream
View adult BNF
Second Choice
Green

Second line option if a cream or gel type emollient is required

 
   
E45 lotion
View adult BNF
Second Choice
Green

Second line choice where a lotion type emollient is required

 
   
Zerodouble gel
View adult BNF
Third Choice
Green

Third line option if a cream or gel type emollient is required

 
   
Emollin spray
View adult BNF
Restricted Drug Restricted
Amber 1

For very painful/fragile skin where there is difficulty with ‘hands-on’ application of creams and ointments only

 
   
Propylene glycol 20% w/w in aqueous cream (100g)
Unlicensed Drug Unlicensed
Amber 2

BAD/APC approved Special

As a moisturiser, to use on very dry skin conditions.

 
   
13.02.01  Expand sub section  Emollients - preparations containing urea
 note  Useful where a keratolytic is required, e.g. hyperkeratosis, ichthyosis, extremely dry and/or fissured skin on hands and feet
Balneum cream (5% urea)
View adult BNF View SPC online
First Choice
Amber 1

First line choice if a urea containing emollient is required

 
Flexitol cream (10% or 25% urea)
View adult BNF
Second Choice
Amber 1

Second choice if a urea containing emollient is required

 
   
Calmurid cream (10% urea and 5% lactic acid)
View adult BNF View SPC online
Restricted Drug Restricted
Green

Restricted to use in patients with a confirmed paraffin allergy

 
   
Nutraplus cream (10% urea)
View adult BNF View SPC online
Restricted Drug Restricted
Green

Restricted to use in patients with a confirmed paraffin allergy

 
   
13.02.01  Expand sub section  Emollients - with antimicrobials
 note  Can be used as a soap substitute in the bath or shower.  Short term use to wash and/or as a leave on skin emollient during infection only
Dermol 500 lotion
View adult BNF View SPC online
First Choice
Amber 1

First line emollient with antibacterial

 
Dermol cream
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Second Choice
Amber 1

Second line emollient with antibacterial

 
   
Eczmol cream
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Third Choice
Amber 1

Third line emollient with antibacterial

 
   
13.02.01.01  Expand sub section  Emollient bath and shower preparations
 note  Use any cream or ointment as a soap substitute in the bath or shower except for preparations containing urea. The following should only be prescribed as a soap substitute where other emollients are unsuitable or not tolerated.
Note: Risk of slipping in bath

LPL 63.4%
View adult BNF
First Choice
Amber 1

First line bath/shower emollient

 
Hydromol bath and shower emollient
View adult BNF
Second Choice
Amber 1

Second line line bath/shower emollient

 
   
Dermol 600 bath emollient
View adult BNF View SPC online
Formulary
Amber 1

Contains an antimicrobial

 
   
 ....
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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