Severe psoriasis Reasons for prescribing should be clearly communicated to the patient’s GP Restricted to use in patients patients unresponsive or intolerant of standard therapies. Use as a steroid-sparing immunosuppressant
Zinc paste and ichthammol bandage BP (Ichthopaste®)
Zinc paste bandage BP (Viscopaste PB7®)
Propaderm ointment 1 in 10 (beclometasone dipropionate 0.0025%)
Used as a wet wrap in treatment of eczema in children
Specialist Prescribing only.
The responsibility for prescribing, monitoring, dose adjustment and review should remain with the specialist.
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.
Treatment can be initiated in primary care after a recommendation from an appropriate specialist
Specialist initiation followed by maintenance prescribing in primary care
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