netFormulary South East London Joint Medicines Formulary NHS
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.

 Details...
13.06.01  Expand sub section  Topical preparations for acne
13.06.01  Expand sub section  Benzoyl peroxide and azelaic acid
Azelaic acid cream 20% (acne)
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Formulary

 
   
Benzoyl peroxide 3% with clindamycin 1% gel
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Formulary  
   
Benzoyl peroxide 5% with clindamycin 1% gel
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Formulary  
   
Benzoyl peroxide cream 4%, 5%, 10%
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Formulary  
   
Benzoyl peroxide gel 5%
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Formulary  
   
13.06.01  Expand sub section  Topical antibacterials for acne
Clindamycin lotion 1%, topical solution 1%, gel 1%
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Formulary  
   
Erythromycin 40mg with zinc acetate 12mg/mL (Zineryt)
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Formulary USE ON SPECIALIST ADVICE 
   
Erythromycin solution 2%
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Formulary  
   
13.06.01  Expand sub section  Topical retinoids and related preparations for acne
Adapalene 0.1%, with benzoyl peroxide 2.5% gel
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Formulary  
   
Adapalene cream, gel 0.1%
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Formulary  
   
Isotretinoin 0.05% with erythromycin 2% gel
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Formulary  
   
Tretinoin 0.025% with erythromycin 4% solution
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Formulary  
   
13.06.01  Expand sub section  Other topical preparations for acne to top
Salicylic acid 2% w/w and sulphur 2% w/w in aqueous cream
Unlicensed Drug Unlicensed
Amber 2

BAD/APC approved Special

For scaly, inflamed conditions of the face or scalp, such as treatment of seborrhoeic dermatitis.

 
   
 ....
 Non Formulary Items
Brimonidine gel  (Mirvaso)

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Non Formulary
Grey
Link  SE London APC recommendation: Brimonidine for facial erythema in rosacea (not recommended)
 
  
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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