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 Formulary Chapter 13: Skin - Full Chapter
Notes:

Please note: Silk garments are non-formulary.

 Details...
13.06  Expand sub section  Acne and rosacea
13.06.01  Expand sub section  Topical preparations for acne
13.06.01  Expand sub section  Benzoyl peroxide and azelaic acid
Azelaic Acid 15% gel (Finacea®)
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Formulary
Green
 
   
Azelaic Acid 20% cream (Skinoren®)
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Formulary
Green
 
   
Benzoyl Peroxide
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Formulary
Green
 
   
Benzoyl Peroxide 3% with Clindamycin 1% (Duac® Once Daily)
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Formulary
Green
 
   
Benzoyl Peroxide 5% with Clindamycin 1% (Duac® Once Daily)
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Formulary
Green
 
   
13.06.01  Expand sub section  Topical antibacterials for acne
Clindamycin 1% topical solution (Dalacin T ®)
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Formulary
Green
 
   
Clindamycin 1% gel (Zindaclin®)
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Formulary
Green

Approved on formulary April 2018

To be reviewed in 12 months to assess clindamycin 1% solution supply issues.

 
   
13.06.01  Expand sub section  Topical retinoids and related preparations for acne to top
Adapalene with benzoyl peroxide (Epiduo®)
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First Choice
Green
  • May be used in preference to antimicrobial-containing agents. 
  • Adapalene
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    Formulary
    Green
    Avoid in pregnancy 
       
    13.06.01  Expand sub section  Other topical preparations for acne
    Nicotinamide 4% gel
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    Formulary
    Amber
  • 3rd Line 
  •    
    13.06.02  Expand sub section  Oral preparations for acne
    13.06.02  Expand sub section  Oral antibiotics for acne
    Doxycycline
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    Formulary
  • Topical treatments should be used first line.
  • Oral antibiotics should be reserved for acne, if topical treatment is not adequately effective or if it is inappropriate.

    Please refer to Antimicrobial guidelines 
  •    
    Lymecycline
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    Formulary
  • Topical treatments should be used first line.
  • Oral antibiotics should be reserved for acne, if topical treatment is not adequately effective or if it is inappropriate.

    Please refer to Antimicrobial guidelines
     
  •    
    Oxytetracycline
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    Formulary
  • Topical treatments should be used first line.
  • Oral antibiotics should be reserved for acne, if topical treatment is not adequately effective or if it is inappropriate.

    Please refer to Antimicrobial guidelines
     
  •    
    Clindamycin
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    Formulary
    Amber
  • Specialist initiation
  • 12 week course 
  •    
    Rifampicin
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    Formulary
    Amber
  • Specialist initiation 
  •    
    Trimethoprim
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    Formulary
    Amber
  • Off label use- Specialist initiation 
  •    
    13.06.02  Expand sub section  Hormone treatment for acne
    Co-Cyprindiol 2000/35
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    Formulary
    Green
  • Prescribe as generic 
  •    
    13.06.02  Expand sub section  Oral retinoid for acne to top
    Isotretinoin
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    Formulary
    Red
  • Dermatologists only.
  • Contraindicated in Pregnancy. 
  •    
    13.06.03  Expand sub section  Topical preparations for rosacea
    Ivermectin 1% cream (Soolantra®)
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    Formulary
    Green
  • For topical treatment of inflammatory lesions of rosacea (papulopustular) in adults.
  • Alternative treatment option to metronidazole 0.75% cream/gel (see section 13.10.1.2) or azelaic acid 15% gel (see section 13.6.1
  •    
    13.06.03  Expand sub section  Brimonidine Tartrate
    Brimonidine tartrate gel (Mirvaso®)
    (3mg/g)
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    Formulary
    Red
  • For facial erythema in rosacea 
  •    
     ....
     Non Formulary Items
    Abrasive Agents  (Brasivol®)

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    Non Formulary
     
    Antibacterials  (Stiemycin®)

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    Non Formulary
     
    Benzoyl Peroxide with antimcrobials  (Quinoderm®)

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    Non Formulary
    Black
     
    Corticosteroids  (Actinac®)

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    Non Formulary
     
    Erythromycin

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    Non Formulary
    Black
     
    Erythromycin 40mg with Zinc Acetate 12mg/mL  (Zineryt®)

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    Non Formulary
    Black
     
    Isotretinoin 0.05% gel

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    Non Formulary
  • Avoid in pregnancy

  • Discontinued. Manufacturer confirmed in April 2017 that production has ceased and that no new batches will be manufactured or shipped.
  •  
    Isotretinoin with antibacterial  (Isotrexin®)

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    Non Formulary
    Black
     
    Salicylic Acid  (Acnisal®)

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    Non Formulary
     
    Salicylic Acid 3% w/w, Sulphur 3% w/w in Aqueous Cream

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    Non Formulary
     
    Salicylic Acid in White Soft Paraffin

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    Non Formulary
     
    Tretinoin with antibacterial  (Aknemycin® Plus)

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    Non Formulary
     
      
    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 children's BNF
    click to search medicines.org.uk
    Link to SPCs
    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

    Green

    Medicines which are suitable for initiation and maintenance prescribing by primary and secondary care clinicians. These medicines should be initiated and prescribed within their licensed indications.  

    Amber

    Initiation and maintenance of prescribing by Specialists and transfer to Primary Care prescribing when appropriate, or initiation and maintenance of prescribing in Primary Care following recommendation from a Specialist.

    Some amber medicines require agreement with the local (internal) medicines committee prior to initiation; others may require a framework to support safe transfer and maintenance of care such as a RICaD or ESCA. The Formulary will be annotated to reflect these requirements.   

    Red

    Medicines for initiation and maintenance prescribing by Specialists only  

    Black

    Non-formulary medicines- medicines not recommended for routine primary care prescribing.  

    Grey

    Positive NICE TA and /or awaiting local clarification on place in therapy ; Please contact your Medicines Optimisation team for more information.  

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