netFormulary Dorset NHS
The Dorset Formulary has been developed in associations with
NHS Dorset Clinical Commissioning Group
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:

Chapter Links...
 Details...
13.02.01  Expand sub section  Emollients
 note 

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. 

 

AproDerm Colloidal Oat Cream®
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First Choice
Green

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 Self Care Medicine - to be purchased when part of routine skin care in the absence of a moderate to severe skin condition. 

 

 
Isopropyl Myristate 15% w/w, Liquid Paraffin 15% w/w (Isomol Gel®)
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First Choice
Green

Prescribe by brand name

A highly moisturising gel for regular and frequent use in eczema, psoriasis and other dry skin conditions.

Self Care Self Care Medicine - to be purchased when part of routine skin care in the absence of a moderate to severe skin condition.

 
Light Liquid Paraffin 63.4% (Oilatum® Cream)
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First Choice
Green

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 Self Care Medicine - to be purchased when part of routine skin care in the absence of a moderate to severe skin condition.

 
White Soft Paraffin 15% w/w and Liquid Paraffin 6% w/w (Epimax®)
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First Choice
Green

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 Self Care Medicine - to be purchased when part of routine skin care in the absence of a moderate to severe skin condition.

 
White Soft Paraffin 50% and Liquid Paraffin 50% (The 50:50 Ointment)
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First Choice
Green

Prescribe by the brand name

Self Care Self Care Medicine - to be purchased when part of routine skin care in the absence of a moderate to severe skin condition.

 
Zeroderm®
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First Choice
Green

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 Self Care Medicine - to be purchased when part of routine skin care in the absence of a moderate to severe skin condition.

 
Diprobase®
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Formulary
Green

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 Self Care Medicine - to be purchased when part of routine skin care in the absence of a moderate to severe skin condition. 

 
   
DoubleBase®
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Formulary
Green

Gel, isopropyl myristate 15%, liquid paraffin 15%

Self Care Self Care Medicine - to be purchased when part of routine skin care in the absence of a moderate to severe skin condition. 

 
   
Emulsifying Ointment BP
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Formulary
Green

Ointment, emulsifying wax 30%, white soft paraffin 50%, liquid paraffin 20%

Excipients include cetostearyl alcohol

Self Care Self Care Medicine - to be purchased when part of routine skin care in the absence of a moderate to severe skin condition.

 
   
Epaderm®
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Formulary
Green

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 Self Care Medicine - to be purchased when part of routine skin care in the absence of a moderate to severe skin condition.

 
   
Hydromol®
(Cream and Ointment)
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Formulary
Green

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 Self Care Medicine - to be purchased when part of routine skin care in the absence of a moderate to severe skin condition. 

 

 
   
Hydrous ointment (oily cream)
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Formulary
Green

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 Self Care Medicine - to be purchased when part of routine skin care in the absence of a moderate to severe skin condition. 

 
   
Liquid and White Soft Paraffin Ointment
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Formulary
Green

Ointment, liquid paraffin 50%, white soft paraffin 50%

Self Care Self Care Medicine - to be purchased when part of routine skin care in the absence of a moderate to severe skin condition.

 
   
Aveeno®
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Formulary
Green

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 Self Care Medicine - to be purchased when part of routine skin care in the absence of a moderate to severe skin condition.

 
   
Cetraben®
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Formulary
Green

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 Self Care Medicine - to be purchased when part of routine skin care in the absence of a moderate to severe skin condition.

 

 
   
13.02.01  Expand sub section  Non-proprietary emollient preparations
13.02.01  Expand sub section  Emollients - with antimicrobials
13.02.01  Expand sub section  Greasy emollients
13.02.01  Expand sub section  Proprietary emollient preparations to top
13.02.01  Expand sub section  Preparations containing urea
Aquadrate®
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Formulary
Green
Cream, urea 10%

DCHFT: Not routinely stocked. 
   
Balneum®
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Formulary
Green
Cream, urea 5%, ceramide 0.1%

Excipients include cetostearyl alcohol, polysorbates, propylene glycol

Not RBCH 
   
Dermatonics Heel Balm®
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Formulary
Green

An alternative to Flexitol® with 25% Urea content

 
   
Eucerin® Intensive
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Formulary
Green
Lotion, urea 10%

Excipients include benzyl alcohol, isopropyl palmitate

Not RBCH
Not DCHFT
Not stocked PGH 
   
Flexitol®
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Formulary
Green

Heel balm, urea 25%
Excipients include benzyl alcohol, cetostearyl alcohol, fragrance, lanolin.

Not RBCH.

 
   
GlucoRx Allpresan® diabetic foam cream
(Basic and intensive versions)
View SPC online  Track Changes
Formulary
Amber

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.

 
   
13.02.01  Expand sub section  With antimicrobials
Dermol® 500
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Formulary
Green

Lotion, benzalkonium chloride 0.1%, chlorhexidine hydrochloride 0.1%, liquid paraffin 2.5%, isopropyl myristate 2.5%

Excipients include cetostearyl alcohol

 
   
Eczmol®
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Formulary
Green
Cream, chlorhexidine gluconate 1 % in emollient basis
Excipients include cetostearyl alcohol

Not DCHFT and RBCH. 
   
13.02.01.01  Expand sub section  Emollient bath and shower preparations
Aqueous Cream, BP
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Formulary
Green

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

 
   
Aveeno®
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Formulary
Amber

Reserved for patients with severe eczema and infants under the age of 1 year. 

Bath oil, colloidal oatmeal, white oat fraction in emollient basis

Excipients include beeswax, 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

 
   
Balneum Plus® bath oil
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Formulary
Amber

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

 
   
Balneum® bath oil
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Formulary
Amber

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

 
   
Cetraben®
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Formulary
Amber

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

 

 
   
Oilatum® Emollient
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Formulary
Amber

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

 
   
13.02.01.01  Expand sub section  With antimicrobials
Dermol 200®
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Formulary
Green
Shower Emollient, benzalkonium chloride 0.1%, chlorhexidine hydrochloride 0.1%, liquid paraffin 2.5%, isopropyl myristate 2.5%

Excipients include cetostearyl alcohol 
   
Dermol 600®
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Formulary
Green
Bath Emollient, benzalkonium chloride 0.5%, liquid paraffin 25%, isopropyl myristate 25%
Excipients include polysorbate 60 
   
Emulsiderm®
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Formulary
Green
Liquid emulsion, benzalkonium chloride 0.5%, liquid paraffin 25%, isopropyl myristate 25%

Excipients include polysorbate 60 
   
Oilatum® Plus
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Formulary
Green
Bath additive, benzalkonium chloride 6%, triclosan 2%, light liquid paraffin 52.5%

Excipients include acetylated lanolin alcohols, isopropyl palmitate 
   
 ....
 Non Formulary Items
Aqueous Cream BP

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Non Formulary Can cause skin reactions due to its preservative so use as a "leave on emollient" not recommended
 
Balneum® Plus cream

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Non Formulary
 
E45®
(All Products)

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Non Formulary
 
Emollient Bath Additive  (Alpha Keri Bath®)

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Non Formulary
 
Emollient Bath Additive  (Dermalo®)

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Non Formulary
 
Emollient Bath Additive  (Diprobath®)

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Non Formulary
 
Emollient Bath Additive  (E45®)

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Non Formulary
 
Emollient Bath Additive  (Imuderm®)

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Non Formulary
 
Emollient Bath Additive  (QV®)

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Non Formulary
 
Emollient Bath Additive  (Zerolatum®)

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Non Formulary
 
Emollient Bath Additives  (Zeroneum®)

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Non Formulary
 
Emollient Bath Additives  (Zerozole®)

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Non Formulary
 
Emollient preparation  (Decubal® Clinic)

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Non Formulary
 
Emollient preparation  (Dermamist®)

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Non Formulary
 
Emollient preparation  (Drapolene®)

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Non Formulary
 
Emollient preparation  (Hewletts®)

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Non Formulary
 
Emollient preparation  (Kamillosan®)

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Non Formulary
 
Emollient preparation  (Keri®)

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Non Formulary
 
Emollient preparation  (Linola® Gamma)

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Non Formulary
 
Emollient preparation  (Lipobase®)

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Non Formulary
 
Emollient preparation  (Neutogena® Dermatological Cream)

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Non Formulary
 
Emollient preparation  (Ultrabase®)

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Non Formulary
 
Emollient preparation  (Vaseline Dermacare®)

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Non Formulary
 
Emollient preparation  (ZeroAQS®)

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Non Formulary
 
Emollient preparation  (Zeroguent®)

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Non Formulary
 
Emollient preparation containing Urea  (Balneum®)

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Non Formulary
 
Emollient preparation containing Urea  (Calmurid®)

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Non Formulary
 
Emollient preparation containing Urea  (E45® Itch Releif Cream)

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Non Formulary
 
Emollient preparation containing Urea  (Nutraplus®)

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Non Formulary
 
Emollient preparation with antimicrobials  (Zerolatum® Plus)

View adult BNF View childrens BNF
Non Formulary
 
Emollin®

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Non Formulary
 
Hydromol® bath and shower

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Non Formulary
 
Hydromol® Intensive

View adult BNF View childrens BNF Track Changes
Non Formulary
 
Lanolin emollient spray

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Non Formulary
 
Oilatum® shower emollient gel

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Non Formulary
 
Proprietary Emollient Preparations  (Doublebase®)

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Non Formulary
 
QV®

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Non Formulary
 
Unguentum M®

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Non Formulary DCHFT: Unguentum M cream on local formulary.
 
Urea 5% Special Preparation

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Non Formulary
 
White Soft Paraffin BP

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Non Formulary DCHFT: On local formulary.
 
Yellow Soft Parrafin BP

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Non Formulary DCHFT: On local formulary.
 
Zerobase®

View adult BNF View childrens BNF
Non Formulary
 
Zerocream®

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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

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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