nhs forth valley formulary 11 - Community Pharmacy

Forth Valley Formulary Eleventh Edition 2012/13Chapter/Section/Drug Primary Care AcuteCHPsMentalHealthSpecialtiesServices13.4 Haelan ® Tape Elocon® (Once daily application) Synalar® gel - for scalp use Trimovate® Canesten HC® Daktacort® Fucibet® Fucidin H® Timodine® Betnovate C® 13.5 Preparations for eczema and psoriasisComment Extemporaneous preparations of "nostrums" containing Ichthammol, Coal Tar orSalicylic acid are no longer "cheap" options. It is highly likely that these will requireto be produced by a "Specials" manufacturer at very high cost (upwards of 10 timesthe expected cost). Therefore, wherever possible prescribe proprietary preparationswhich correspond the closest to the formulation and strength required.13.5.1 Preparations for eczemaIchthammol ointment Zinc paste and ichthammol bandage Alitretinoin (Restricted use consultant dermatologists only)13.5.2 Preparations for psoriasisCalcipotriol Calcitriol Ointment Coal tar (Extemporaneous coal tar products Acute Service use only)Carbo-Dome® Alphosyl HC® Exorex® - lotion (2 nd line) Dovobet® (follow SMC guidance) Dithranol Salicylic acid (as part of extemporaneous preparation) (see comments above)AcitretinCiclosporin Methotrexate Comment Ciclosporin and Methotrexate – Near patient testing under supervision of consultant dermatologist13.5.3 Drugs affecting the immune responseTacrolimus - ointment (in accordance with SMC guidance)Etanercept (Enbrel®)Ustekinumab (Stelara®)Adalimumab (Humira®)13.6 Acne and rosacea13.6.1 Topical preparations for acneBenzoyl peroxide (Panoxyl®) Benzoyl peroxide and clindamycin gel (Duac®)Benzoyl peroxide and erythromycin gel (Benzamycin®)Azelaic acid (2 nd line) Clindamycin Page 43