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.

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 Details...
13.08.01  Expand sub section  Sunscreen preparations
Anthelios XL melt in cream (Sunscreen SPF 50+)
(ACBS)
View adult BNF
Formulary

Approved for prescribing for (ACBS):

Protection from UV radiation in abnormal cutaneous photosensitivity resulting from genetic disorders or photodermatoses, including vitiligo, and those resulting from radiotherapy; chronic or recurrent herpes simplex labialis

 
   
Sunsense Ultra (Sunscreen SPF 50+)
(ACBS)
View adult BNF
Formulary

Approved for prescribing for (ACBS):

Protection from UV radiation in abnormal cutaneous photosensitivity resulting from genetic disorders or photodermatoses, including vitiligo, and those resulting from radiotherapy; chronic or recurrent herpes simplex labialis

 
   
Reflective (Dundee) sunscreens - coffee, coral, pink, beige
Unlicensed Drug Unlicensed
Amber 2

BAD/APC approved Special

For photosensitivity disorders where the patient is sensitive to visible light, most commonly solar urticaria and porphyrias, particularly erythropoietic protoporphyria.

 
   
13.08.01  Expand sub section  Photodamage
Diclofenac sodium gel 3% (Solaraze)
View adult BNF View SPC online
Formulary

 
   
Cytotoxic Drug Fluorouracil cream 5% (Efudix)
View adult BNF View SPC online
Formulary

To treat actinic keratosis and basal cell carcinoma of the skin.

Apply once or twice a day

 
   
Ingenol mebutate 150 micrograms/g, 500 micrograms/g (Picato)
View adult BNF View SPC online
Formulary
Green

For treating actinic keratosis with small areas of field change up to a maximum of 25cm2

GPs should not re-treat patients who have a recurrence on the same skin area - to refer to secondary care for re-evaluation due to the small risk of progression to squamous cell carcinoma.

 
Link  SE London APC recommendation: Ingenol for non-hyperkeratotic, nonhypertrophic AK in adults.
   
Methyl-5-aminolevulinate cream (Metvix)
View adult BNF View SPC online
Formulary

USE UNDER SPECIALIST SUPERVISION ONLY

Treatment of actinic keratoses, superficial or nodular basal cell carcinoma and Bowen's Disease.

 
   
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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
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Link to adult BNF
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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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