| Formulary Chapter 13: Skin - Full Chapter
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| 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 (non formulary).
Chapter review date: |
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| Chapter Links... |
 Acne Vulgaris - primary care treatment pathway |
| British Association of Dermatology (BAD) list of recommended special order products |
| Management of psoriasis in adults (September 2019) |
| Pan Dorset Moisture Pathway October 2018 |
| Rosacea Pathway |
| Details... |
| 13.02.01 |
Emollients |
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April 2018: Updated advice.
When considering switching between emollients to first line choices please do not switch stable patients with severe dermatological conditions.
If patients have trialed a first-line choice but this has proven to be less effective or they have not tolerated the first-line product, then the decision to "switch back" remains with the prescriber.
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AproDerm Colloidal Oat Cream®
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First Choice
 
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Prescribe by BRAND
The AproDerm® range is suitable from birth for those suffering from:
Eczema
Psoriasis and
Other Dry Skin Conditions as well as for those requiring a daily moisturiser or pre-bathing emollient
Paraffin free
 Self Care Medicine - to be purchased when part of routine skin care in the absence of a moderate to severe skin condition.
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Isopropyl Myristate 15% w/w, Liquid Paraffin 15% w/w (Isomol Gel®)
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First Choice
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Prescribe by brand name
A highly moisturising gel for regular and frequent use in eczema, psoriasis and other dry skin conditions.
Self Care Medicine - to be purchased when part of routine skin care in the absence of a moderate to severe skin condition.
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Light Liquid Paraffin 63.4% (Oilatum® Cream)
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First Choice
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Prescribe by Brand
Oilatum Cream is indicated in the treatment of contact dermatitis, atopic dermatitis, senile pruritus, ichthyosis and related dry skin conditions.
Self Care Medicine - to be purchased when part of routine skin care in the absence of a moderate to severe skin condition.
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White Soft Paraffin 15% w/w and Liquid Paraffin 6% w/w (Epimax®)
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First Choice
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Prescribe by BRAND.
An emollient for the relief of dry skin in eczema, psoriasis and other dry skin conditions and for use as a soap substitute for skin washing.
Self Care Medicine - to be purchased when part of routine skin care in the absence of a moderate to severe skin condition.
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White Soft Paraffin 50% and Liquid Paraffin 50% (The 50:50 Ointment)
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First Choice
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Prescribe by the brand name
Self Care Medicine - to be purchased when part of routine skin care in the absence of a moderate to severe skin condition.
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Zeroderm®
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First Choice
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Prescribe by Brand
Zeroderm® Ointment is a rich three-in-one emollient that can be used as a leave-on moisturiser, soothing bath treatment and as a moisturising soap substitute. Zeroderm® Ointment is free from additives, preservatives, colours and sodium lauryl sulphate
Used to moisturise and soften dry skin in eczema, dry cases of psoriasis and other dry skin conditions.
Self Care Medicine - to be purchased when part of routine skin care in the absence of a moderate to severe skin condition.
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Cetomacrogol A cream
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Formulary
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For use in genital areas
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Diprobase®
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Formulary
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Cream, cetomacrogol 2.25%, cetostearyl alcohol 7.2%, liquid paraffin 6%, white soft paraffin 15%
Ointment, liquid paraffin 5%, white soft paraffin 95%,
Excipients include cetostearyl alcohol, chlorocresol
DCHFT: Ointment not stocked.
Self Care Medicine - to be purchased when part of routine skin care in the absence of a moderate to severe skin condition.Â
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DoubleBase®
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Formulary
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Gel, isopropyl myristate 15%, liquid paraffin 15%
Self Care Medicine - to be purchased when part of routine skin care in the absence of a moderate to severe skin condition.Â
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Emulsifying Ointment BP
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Formulary
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Ointment, emulsifying wax 30%, white soft paraffin 50%, liquid paraffin 20%
Excipients include cetostearyl alcohol
Self Care Medicine - to be purchased when part of routine skin care in the absence of a moderate to severe skin condition.
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Epaderm®
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Formulary
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Cream, yellow soft paraffin 15%, liquid paraffin 10%, emulsifying wax 5%
Excipients include cetostearyl alcohol, chlorocresol
Ointment, emulsifying wax 30%, yellow soft paraffin 30%, liquid paraffin 40%
Excipients include cetostearyl alcohol
Not stocked at RBCH: use Hydromol ointment
Self Care Medicine - to be purchased when part of routine skin care in the absence of a moderate to severe skin condition.
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Hydromol®
(Cream and Ointment)
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Formulary
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Cream, sodium pidolate 2.5%, liquid paraffin 13.8%
Excipients include cetostearyl alcohol, hydroxybenzoates (parabens)
Ointment, yellow soft paraffin 30%, emulsifying wax 30%, liquid paraffin 40%
Excipients include cetostearyl alcohol
Self Care Medicine - to be purchased when part of routine skin care in the absence of a moderate to severe skin condition.Â
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Hydrous ointment (oily cream)
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Formulary
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Ointment, (oily cream), dried magnesium sulfate 0.5%, phenoxyethanol 1%, wool alcohols ointment 50%, in freshly boiled and cooled purified water.
Not DCHFT and RBCH.
Self Care Medicine - to be purchased when part of routine skin care in the absence of a moderate to severe skin condition.Â
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Liquid and White Soft Paraffin Ointment
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Formulary
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Ointment, liquid paraffin 50%, white soft paraffin 50%
Self Care Medicine - to be purchased when part of routine skin care in the absence of a moderate to severe skin condition.
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Aveeno®
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Formulary
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Cream, colloidal oatmeal in emollient basis
Excipients include benzyl alcohol, cetyl alcohol, isopropyl palmitate
RBCH: Dermatology only
Only to be used under ACBS specified conditions as follows:
Endogenous and exogenous eczema, xeroderma, ichthyosis and senile pruritus associated with dry skin.
Self Care Medicine - to be purchased when part of routine skin care in the absence of a moderate to severe skin condition.
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Cetraben®
(Cream and Ointment)
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Formulary
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Emollient cream; white soft paraffin 13.2%, light liquid paraffin 10.5%
Excipients include cetostearyl alcohol
Hydroxybenzoates (parabens) are no longer included as an excipient as per up to date SPC from manufacturer - BNF in the process of being updated.
Self Care Medicine - to be purchased when part of routine skin care in the absence of a moderate to severe skin condition.
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| 13.02.01 |
Non-proprietary emollient preparations |
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| 13.02.01 |
Emollients - with antimicrobials |
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| 13.02.01 |
Greasy emollients |
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| 13.02.01 |
Proprietary emollient preparations |
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| 13.02.01 |
Preparations containing urea |
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Aquadrate®
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Formulary
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Cream, urea 10%
DCHFT: Not routinely stocked.
 Self Care Medicine for primary care.
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Balneum®
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Formulary
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Cream, urea 5%, ceramide 0.1%
Excipients include cetostearyl alcohol, polysorbates, propylene glycol
Not RBCH
Self Care Medicine for primary care.
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Dermatonics Heel Balm®
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Formulary
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An alternative to Flexitol® with 25% Urea content
Self Care Medicine for primary care.
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Eucerin® Intensive
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Formulary
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Lotion, urea 10%
Excipients include benzyl alcohol, isopropyl palmitate
Not RBCH
Not DCHFT
Not stocked PGH
Self Care Medicine for primary care.
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Flexitol®
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Formulary
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Heel balm, urea 25%
Excipients include benzyl alcohol, cetostearyl alcohol, fragrance, lanolin.
Not RBCH.
Self Care Medicine for primary care.
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GlucoRx Allpresan® diabetic foam cream
(Basic and intensive versions)
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Formulary
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Allpresan diabetic foam cream Basic (5% urea) is a medical device for the specific treatment of dry and sensitive foot skin in patients with diabetes mellitus. Allpresan diabetic foam cream Basic reduces roughness, counteracts pressure marks and smoothes the skin.
Allpresan diabetic foam cream Intensive (10% urea) is a medical device for the specific treatment for very dry to chapped foot skin in patients with diabetes mellitus. Allpresan diabetic foam cream Intensive counteracts pressure marks and helps prevent callouses
Both Allpresan diabetic foam creams can be used on the entire foot, from heel to toe, including between the toes and around wound edges.
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| 13.02.01 |
With antimicrobials |
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Dermol® 500
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Formulary
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Lotion, benzalkonium chloride 0.1%, chlorhexidine hydrochloride 0.1%, liquid paraffin 2.5%, isopropyl myristate 2.5%
Excipients include cetostearyl alcohol
Self Care Medicine for primary care.
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| 13.02.01.01 |
Emollient bath and shower preparations |
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Aqueous Cream, BP
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Formulary
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Cream, emulsifying ointment 30%, (1)phenoxyethanol 1% in freshly boiled and cooled purified water
Excipients include cetostearyl alcohol
Do not use soap or bubble baths etc when you wash as they can dry out the skin and make it more prone to irritation.
Use a leave-on emollient as a soap substitute and continue with standard eczema management, including regular leave-on emollients and topical corticosteroids when required
Self Care Medicine for primary care.
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Balneum Plus® bath oil
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Formulary
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Reserved for patients with severe eczema and infants under the age of 1 year.
Bath oil,soya oil 82.95%, mixed lauromacrogols 15%
Excipients include butylated hydroxytoluene, propylene glycol, fragrance
Do not use soap or bubble baths etc when you wash as they can dry out the skin and make it more prone to irritation.
Use a leave-on emollient as a soap substitute and continue with standard eczema management, including regular leave-on emollients and topical corticosteroids when required
Self Care Medicine for primary care.
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Balneum® bath oil
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Formulary
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Reserved for patients with severe eczema and infants under the age of 1 year.
Bath oil, soya oil 84.75%
Excipients include butylated hydroxytoluene, propylene glycol, fragrance
Do not use soap or bubble baths etc when you wash as they can dry out the skin and make it more prone to irritation.
Use a leave-on emollient as a soap substitute and continue with standard eczema management, including regular leave-on emollients and topical corticosteroids when required
Self Care Medicine for primary care.
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Cetraben®
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Formulary
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Reserved for patients with severe eczema and infants under the age of 1 year.
Emollient bath additive, light liquid paraffin 82.8%
Do not use soap or bubble baths etc when you wash as they can dry out the skin and make it more prone to irritation.
Use a leave-on emollient as a soap substitute and continue with standard eczema management, including regular leave-on emollients and topical corticosteroids when required
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Oilatum® Emollient
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Formulary
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Reserved for patients with severe eczema and infants under the age of 1 year.
Emollient bath additive
Light liquid paraffin 63.4%
Excipients include acetylated lanolin alcohols, isopropyl palmitate, fragrance
DCHFT: Scalp application also on local formulary.
Do not use soap or bubble baths etc when you wash as they can dry out the skin and make it more prone to irritation.
Use a leave-on emollient as a soap substitute and continue with standard eczema management, including regular leave-on emollients and topical corticosteroids when required
Self Care Medicine for primary care.
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| 13.02.01.01 |
With antimicrobials |
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Dermol 200®
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Formulary
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Shower Emollient, benzalkonium chloride 0.1%, chlorhexidine hydrochloride 0.1%, liquid paraffin 2.5%, isopropyl myristate 2.5%
Excipients include cetostearyl alcohol
Self Care Medicine for primary care.
Age restriction of under one year or patients with severe conditions
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Dermol 600®
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Formulary
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Bath Emollient, benzalkonium chloride 0.5%, liquid paraffin 25%, isopropyl myristate 25%
Excipients include polysorbate 60
Self Care Medicine for primary care.
Age restriction of under one year or patients with severe conditions
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Emulsiderm®
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Formulary
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Liquid emulsion, benzalkonium chloride 0.5%, liquid paraffin 25%, isopropyl myristate 25%
Excipients include polysorbate 60
Self Care Medicine for primary care.
Age restriction of under one year or patients with severe conditions
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| Non Formulary Items |
Aqueous Cream BP
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Non Formulary
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Can cause skin reactions due to its preservative so use as a "leave on emollient" not recommended |
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Balneum® Plus cream
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Non Formulary
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Self Care Medicine for primary care. |
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E45®
(All Products)
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Non Formulary
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Self Care Medicine for primary care. |
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Emollient Bath Additive (Alpha Keri Bath®)
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Non Formulary
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Self Care Medicine for primary care. |
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Emollient Bath Additive (Dermalo®)
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Non Formulary
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Self Care Medicine for primary care. |
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Emollient Bath Additive (Diprobath®)
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Non Formulary
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Self Care Medicine for primary care. |
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Emollient Bath Additive (E45®)
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Non Formulary
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Self Care Medicine for primary care. |
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Emollient Bath Additive (Imuderm®)
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Non Formulary
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Emollient Bath Additive (QV®)
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Non Formulary
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Emollient Bath Additive (Zerolatum®)
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Non Formulary
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Self Care Medicine for primary care. |
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Emollient Bath Additives (Zeroneum®)
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Non Formulary
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Self Care Medicine for primary care. |
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Emollient Bath Additives (Zerozole®)
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Non Formulary
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Self Care Medicine for primary care. |
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Emollient preparation (Decubal® Clinic)
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Non Formulary
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Self Care Medicine for primary care. |
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Emollient preparation (Dermamist®)
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Non Formulary
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Emollient preparation (Drapolene®)
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Non Formulary
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Emollient preparation (Hewletts®)
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Non Formulary
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Self Care Medicine for primary care. |
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Emollient preparation (Kamillosan®)
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Non Formulary
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Emollient preparation (Keri®)
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Non Formulary
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Emollient preparation (Linola® Gamma)
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Non Formulary
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Self Care Medicine for primary care. |
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Emollient preparation (Lipobase®)
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Non Formulary
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Self Care Medicine for primary care. |
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Emollient preparation (Neutogena® Dermatological Cream)
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Non Formulary
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Emollient preparation (Ultrabase®)
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Non Formulary
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Self Care Medicine for primary care. |
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Emollient preparation (Vaseline Dermacare®)
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Non Formulary
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Self Care Medicine for primary care. |
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Emollient preparation (ZeroAQS®)
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Non Formulary
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Self Care Medicine for primary care. |
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Emollient preparation (Zeroguent®)
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Non Formulary
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Self Care Medicine for primary care. |
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Emollient preparation containing Urea (Balneum®)
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Non Formulary
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Emollient preparation containing Urea (E45® Itch Releif Cream)
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Non Formulary
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Emollient preparation containing Urea (Nutraplus®)
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Non Formulary
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Self Care Medicine for primary care. |
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Emollin®
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Non Formulary
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Self Care Medicine for primary care. |
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Hydromol® bath and shower
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Non Formulary
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Self Care Medicine for primary care. |
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Hydromol® Intensive
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Non Formulary
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Lanolin emollient spray
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Non Formulary
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Oilatum® Plus
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Non Formulary
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Bath additive, benzalkonium chloride 6%, triclosan 2%, light liquid paraffin 52.5%
Excipients include acetylated lanolin alcohols, isopropyl palmitate
Self Care Medicine for primary care. |
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Oilatum® shower emollient gel
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Non Formulary
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Self Care Medicine for primary care. |
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Proprietary Emollient Preparations (Doublebase®)
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Non Formulary
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QV®
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Non Formulary
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Unguentum M®
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Non Formulary
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DCHFT: Unguentum M cream on local formulary.
Self Care Medicine for primary care. |
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Urea 5% Special Preparation
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Non Formulary
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Self Care Medicine for primary care. |
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White Soft Paraffin BP
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Non Formulary
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DCHFT: On local formulary. |
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Yellow Soft Parrafin BP
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Non Formulary
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DCHFT: On local formulary. |
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Zerobase®
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Non Formulary
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Self Care Medicine for primary care. |
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Zerocream®
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Non Formulary
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Self Care Medicine for primary care. |
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Key |
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Cytotoxic Drug
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Controlled Drug
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High Cost Medicine
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Cancer Drugs Fund
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NHS England |
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Homecare |
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CCG |
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Traffic Light Status Information
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