BNF 13: Skin. COMMENTS USAGE.? 1 Dry and Scaling Skin Disorders Barrier Preparations Zinc and castor oil FORMULARY CHOICE RESTRICTED

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1 Colchester Hospital University NHS Foundation Trust does not currently have a Dermatology Department, nor any Dermatology Consultants. Therefore, only those dermatology products that may be utilised and prescribed at ward level or via other specialist clinics are listed below. Patients admitted to the Trust utilising pre-existing dermatology treatments will have these therapies continued on in accordance with best practice. FORMULARY CHOICE RESTRICTED 1 Dry and Scaling Skin Disorders Barrier Preparations Zinc and castor oil ointment Conotrane cream Drapolene cream Mainly used within Paediatrics Metanium ointment Mainly used within Paediatrics Sudocrem cream Mainly used within Paediatrics Emollients Emollient bath and shower products, antimicrobial-containing Dermol 600 bath emollient Dermol 200 shower emollient Emollient bath and shower products, paraffin-containing Aquamax wash Oilatum Plus emollient bath additive Emollient bath and shower products, soya-bean oil-containing Balneum bath oil Balneum Plus bath oil Emollient creams and ointments, antimicrobial-containing Dermol 500 liquid cream Emollient creams and ointments, paraffin-containing Aquamax cream Diprobase cream Doublebase Gel E45 cream Emulsifying Ointment Epaderm ointment Page 1 of 6

2 Oilatum cream Liquid paraffin 50% and white soft paraffin 50% ointment White soft paraffin BP Yellow soft paraffin BP Dermamist spray application Emollients, urea-containing Balneum plus cream Urea 10% cream (Nutraplus ) 2 Infections of the Skin 2.1 Bacterial Skin Infections Antibacterials Polymyxins ointment (Polyfax ) Metronidazole 0.75% gel (Anabact ) 0.75% cream (Rozex ) 0.75% gel (Zyomet ) Mupirocin 2% cream (Bactroban ) 2% ointment (Bactroban ) 2% nasal ointment (Bactroban ) Silver sulfadiazine 1% cream (Flamazine ) 2.2 Fungal Skin Infections Antifungals, Imidazole Clotrimazole 1% cream (Canesten ) 1% solution (Canesten ) Ketoconazole (Nizoral ) 2% cream 2% shampoo Only for use in mupirocin resistant MRSA Only for use in MRSA positive patients Page 2 of 6

3 Miconazole nitrate 2% cream (Daktarin ) 0.16% spray powder (Daktarin ) 2% powder (Daktarin ) Antifungals, Other Terbinafine 1% cream (Lamisil ) 2.3 Parasitic Skin Infections Parasiticides Dimeticone 4% lotion (Hedrin ) Malathion 0.5% liquid (Derbac-M ) Permethrin 1% cream rinse (Lyclear ) 5% cream (Lyclear ) 2.4 Viral Skin Infections Aciclovir 5% cream (Zovirax ) 3 Inflammatory Skin Conditions 3.1 Eczema and Psoriasis Corticosteroids Betamethasone 0.1% cream (Betnovate ) 0.1% ointment (Betnovate ) 0.1% lotion (Betnovate ) 0.025% cream (Betnovate RD ) 0.025% ointment (Betnovate RD ) Clobetasol propionate 0.05% cream (Dermovate ) 0.05% ointment (Dermovate ) Clobetasone butyrate Page 3 of 6 Very potent therapy short term use only

4 0.05% cream (Eumovate ) 0.05% ointment (Eumovate ) Diflucortolone valerate 0.3% oily cream (Nerisone Forte ) 0.3% ointment (Nerisone Forte ) Hydrocortisone 0.5% cream 0.5% ointment 1% cream 1% ointment 1% lipocream (Mildison ) Hydrocortisone butyrate 0.1% lipocream (Locoid ) Mometasone 0.1% cream (Elocon ) 0.1% ointment (Elocon ) Corticosteroid Combinations with Anti-infectives Clobetasone 500microg/g, nystatin unit/g, oxytetracycine 30mg/g cream (Trimovate ) Benzalkonium chloride 1mg/g, hydrocortisone 5mg/g, dimeticone mg/g, nystatin unit/g cream (Timodine ) Hydrocortisone 5mg/g, chlorhexidine 10mg/g, nystatin unit/g cream (Nystaform HC ) Hydrocortisone 10mg/g, clotrimazole 10mg/g cream (Canesten HC ) Hydrocortisone 10mg/g, miconazole 20mg/g (Daktacort ) Page 4 of 6

5 cream ointment 5 Photodamage Antimetabolites Fluorouracil 5% cream (Efudix ) 6 Pruritus Antipruritics Calamine lotion aqueous cream Crotamiton 100mg/g cream Menthol and Derivatives Levomenthol 1% in aqueous cream (Dermacool ) 7.1 Acne Anti-Androgens Co-cyprindiol 2000/35 microg tablet 8 Scalp and Hair Conditions 8.2 Hirsutism Antiprotozoals Eflornithine 11.5% cream (Vaniqa ) Strictly specialist use under dermatology supervision Consultant initiation only 9 Skin cleansers, antiseptics and desloughing agents Antiseptics and Disinfectants Chlorhexidine gluconate 1% obstetric cream 4% hand scrub 0.05% sachet 2% in 70% IPA spray 0.5% in 70% IMS solution Hydrogen peroxide 6% solution (20 vols) 3% solution (10 vols) Page 5 of 6

6 Proflavine cream BPC Potassium permanganate 400mg tablet (Permitabs ) Iodine Products Povidone-iodine 10% antiseptic solution 2.5% dry powder spray 7.5% surgical scrub 10% alcoholic tincture aqueous iodine (Lugol s) 9.1 Minor Cuts and Abrasions Skin Adhesives LiquiBand tissue adhesive 11 Superficial soft-tissue injuries and superficial thrombophlebitis Heparinoids Heparinoid cream 0.3% (Hirodoid ) Page 6 of 6