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The Dorset Formulary has been developed in associations with
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Dorset County Hospital NHS Foundation Trust
Dorset Healthcare University NHS Foundation Trust
Poole Hospital NHS Foundation Trust
Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust
 
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 Formulary Chapter 13: Skin - Full Chapter
Notes:

Please note all items listed in the British Association of Dermatology specials list are classified as having a 'red' traffic light status except for Pigmanorm and Dundee sunscreen - please refer to individual entries for these items.



Chapter review date:

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 Details...
13.08.01  Expand sub section  Sunscreen preparations
Anthelios XL
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Formulary
Green

Anthelios® XL SPF 50+ Melt-in cream is a borderline substance and regarded as a drug when prescribed for skin protection against ultraviolet radiation and/or visible light in abnormal cutaneous photosensitivity causing severe cutaneous reactions in genetic disorders (including xeroderma pigmentosum and porphyrias), severe photodermatoses (both idiopathic and acquired) and in those with increased risk of ultraviolet radiation causing severe adverse effects due to chronic disease (such as haematological malignancies), medical therapies and/or procedures . Preparations with SPF less than 30 should not normally be prescribed.

Self Care Self Care Medicine for primary care

 
   
Dundee reflective sun creams (Dundee Block)
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Formulary
Red

When prescribed for skin protection against ultraviolet radiation and/or visible light in abnormal cutaneous photosensitivity causing severe cutaneous reactions in genetic disorders (including xeroderma pigmentosum and porphyrias), severe photodermatoses (both idiopathic and acquired) and in those with increased risk of ultraviolet radiation causing severe adverse effects due to chronic disease (such as haematological malignancies), medical therapies and/or procedures.

Self Care Self Care Medicine for primary care.

 
Link  Commissioning statement for Dundee sunscreen
   
Sunsense Ultra
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Formulary
Green

DCHFT: On local formulary.
Sunsense® Ultra is included as a borderline substance and regarded as a drug when prescribed for skin protection against ultraviolet radiation and/or visible light in abnormal cutaneous photosensitivity causing severe cutaneous reactions in genetic disorders (including xeroderma pigmentosum and porphyrias), severe photodermatoses (both idiopathic and acquired) and in those with increased risk of ultraviolet radiation causing severe adverse effects due to chronic disease (such as haematological malignancies), medical therapies and/or procedures. Preparations with SPF less than 30 should not normally be prescribed

Self Care Self Care Medicine for primary care..

 
   
Uvistat
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Formulary
Green

Uvistat® Lipscreen SPF 50 and Uvistat® Suncream SPF 30 and 50 are borderline substances and are regarded as drugs when prescribed for skin protection against ultraviolet radiation and/or visible light in abnormal cutaneous photosensitivity causing severe cutaneous reactions in genetic disorders (including xeroderma pigmentosum and porphyrias), severe photodermatoses (both idiopathic and acquired) and in those with increased risk of ultraviolet radiation causing severe adverse effects due to chronic disease (such as haematological malignancies), medical therapies and/or procedures. Preparations with SPF less than 30 should not normally be prescribed

Self Care Self Care Medicine for primary care.

 
   
13.08.01  Expand sub section  Photodamage
5-aminolevulinic acid hydrochloride  (Ameluz)
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Restricted Drug Restricted
Red

Poole

Treatment of actinic keratosis (AK) of mild to moderate severity on the face and scalp (Olsen grade 1 to 2) and of field cancerization in adults.

Treatment of superficial and/or nodular basal cell carcinoma (BCC) unsuitable for surgical treatment due to possible treatment-related morbidity and/or poor cosmetic outcome in adults.

 
   
Actikerall
View adult BNF View SPC online  Track Changes
Formulary
Green

Solution, fluorouracil 0.5%, salicylic acid 10%

Not stocked at RBCH

 
   
Cytotoxic Drug Efudix
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Formulary
Green
Cream, fluorouracil 5%
Excipients include hydroxybenzoates (parabens), polysorbate 60, propylene glycol, stearyl alcohol 
   
Ingenol mebutate gel (Picato)
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Formulary
Green
Use within the local guidance for Actinic Keratosis.

Gel, ingenol mebutate 150 micrograms/g
Excipients include benzyl alcohol

Not stocked at RBCH
DCHFT: Not routinely stocked. 
   
Zyclara
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Formulary
Red
Cream, imiquimod 3.75%
DCHFT and RBCH: Not routinely stocked.
 
   
Aldara
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Formulary
Green
Cream, imiquimod 5% 
   
Methyl-5-Aminolevulinate (Metvix)
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Formulary
Red

Poole: Treatment of Bowen's Disease - Used in photodyamic therapy


 

 
   
 ....
 Non Formulary Items
Borderline Substances  (Delph®)

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Non Formulary
 
Borderline Substances  (SpectraBan)

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Non Formulary

Self Care Self Care Medicine for primary care.

 
Solaraze

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Non Formulary
Black
Gel, diclofenac sodium 3% in a sodium hyaluronate basis
Excipients include benzyl alcohol
 
Sunscreen  (Anthelios XL)

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Non Formulary

Self Care Self Care Medicine for primary care.

 
Sunscreen  (E45 Sun)

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Non Formulary

Self Care Self Care Medicine for primary care.

 
Sunscreen  (Roc)

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Non Formulary

Self Care Self Care Medicine for primary care.

 
  
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

May be initiated, stabilised and maintained in primary, secondary or tertiary care  

Amber

Amber drug - without shared care  

Amber SCG

Amber drug - with shared care guideline  

Red

For secondary or tertiary care initiation and long-term maintenance of prescribing  

Black

Not recommended  

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