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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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13.02.01  Expand sub section  Emollients (can be used as a soap substitute in the bath or shower)
Aproderm ointment
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Formulary
Green

Greasy emollient for very dry skin or acute flares

 
   
Emulsifying Ointment BP
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Formulary
Green

Greasy emollient for very dry skin or acute flares

 
   
Epimax ointment
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Formulary
Green

Greasy emollient for very dry skin or acute flares

 
   
Hydromol ointment
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Formulary
Green

Greasy emollient for very dry skin or acute flares

 
   
Liquid and White Soft Paraffin Ointment (50:50)
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Formulary
Green

Greasy emollient for very dry skin or acute flares

 
   
Zeroderm ointment
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Formulary
Green

Greasy emollient for very dry skin or acute flares

 
   
Aproderm cream
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Formulary
Green

Moderately greasy emollient for dry skin

 
   
Aquamax cream
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Formulary
Green

Moderately greasy emollient for dry skin

 
   
Epimax cream
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Formulary
Green

Moderately greasy emollient for dry skin

 
   
Epimax oatmeal cream
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Formulary
Green

Moderately greasy emollient for dry skin

 
   
ExCetra cream
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Formulary
Green

Moderately greasy emollient for dry skin

 
   
ZeroAQS cream
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Formulary
Green

Moderately greasy emollient for dry skin

 
   
Zerobase cream
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Formulary
Green

Moderately greasy emollient for dry skin

 
   
Zerocream cream
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Formulary
Green

Moderately greasy emollient for dry skin

 
   
Aproderm gel
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Formulary
Green

Mildly greasy emollient for moderate/mild dry skin 

   
Isomol gel
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Formulary
Green

Mildly greasy emollient for moderate/mild dry skin

 
   
Zerodouble gel
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Formulary
Green

Mildly greasy emollient for moderate/mild dry skin

 
   
E45 lotion
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Formulary
Green

Least greasy emollient for moderate/mild dry skin

 
   
QV lotion
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Formulary
Green

Least greasy emollient for moderate/mild dry skin

 
   
Aproderm Colloidal Oat Cream
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Formulary
Green

Paraffin free emollient

Restricted to use where paraffin sensitivity is confirmed

 
   
Epimax paraffin free cream
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Formulary
Green

Moderately greasy emollient for dry skin

Restricted to use where paraffin sensitivity is confirmed 
   
Epimax paraffin free ointment
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Formulary
Green

Greasy emollient for very dry skin or acute flares

Restricted to use where paraffin sensitivity is confirmed

 
   
Emollin spray
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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)
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Formulary
Amber 1

Do not use cream if peanut/soya allergy as contains glycine soya oil

 
   
Dermatonics Once Heel Balm (25% urea)
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Formulary
Amber 1

 
   
Flexitol cream (10% or 25% urea)
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Formulary
Amber 1

 
   
Hydromol Intensive (10% urea)
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Formulary
Amber 1

 
   
ImuDERM cream (5% urea)
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Formulary
Amber 1

 
   
Aquadrate cream (10% urea)
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Formulary
Amber 1

 
   
13.02.01  Expand sub section  Emollients - with antimicrobials
 note 

Short term use only.  To wash and/or as a leave-on emollient during skin infection only (long term on dermatology recommendation only)

Dermol 500 lotion
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Formulary
Amber 1

 
   
Dermol cream
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Formulary
Amber 1

 
   
Eczmol cream
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Formulary
Amber 1

 
   
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.  For use in exceptional circumstances only.
Note: Risk of slipping in bath

Hydromol bath and shower emollient
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Second Choice
Amber 1

Second line line bath/shower emollient

 
   
LPL 63.4%
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Formulary
Amber 1

 

 
   
Oilatum emollient with bath additive
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Formulary
Amber 1


 
   
QV gentle wash
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Formulary
Amber 1


 
   
 ....
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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