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Dorset
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
University Hospitals Dorset 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 (non formulary). 



Chapter review date:
Chapter Links...
Link   Acne Vulgaris - primary care treatment pathway
Link   British Association of Dermatology (BAD) list of recommended special order products
Link   Management of psoriasis in adults (September 2019)
Link   Pan Dorset Moisture Pathway October 2018
Link   Rosacea Pathway
 Details...
13.08.01  Expand sub section  Sunscreen preparations
 link Link    Actinic (Solar) Keratosis - Primary Care Treatment Pathway July 2020
13.08.01  Expand sub section  Photodamage
5-aminolevulinic acid hydrochloride  (Ameluz®)
View adult BNF View SPC online  Track Changes 		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 Fluorouracil 5& cream (Efudix®)
View adult BNF View SPC online  Track Changes 		Formulary
Green

Cream, fluorouracil 5%
Excipients include hydroxybenzoates (parabens), polysorbate 60, propylene glycol, stearyl alcohol

 
 
Zyclara®
View adult BNF View SPC online  Track Changes 		Formulary
Red 		Cream, imiquimod 3.75%
DCHFT and RBCH: Not routinely stocked.
 
 
Aldara®
View adult BNF View SPC online View childrens BNF  Track Changes 		Formulary
Green 		Cream, imiquimod 5% 
 
Methyl-5-Aminolevulinate (Metvix®)
View adult BNF View SPC online View childrens BNF  Track Changes 		Formulary
Red

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



 

 
 
 ....
 Non Formulary Items
Ingenol mebutate gel  (Picato®)

View adult BNF View SPC online Track Changes 		Non Formulary

Jan 20 - The European Medicines Agency recommend that patients stop using Picato® (ingenol mebutate), while it continues its review of the medicine's safety. 


27/01/20, Leo Laboratories Ltd (T/A LEO Pharma) is recalling all unexpired stock of the above products from pharmacies and wholesalers as a precautionary measure due to concerns on the possible risk of skin malignancy
Link  Information on the Class II Medicines recall
Solaraze®

View adult BNF View SPC online View childrens BNF Track Changes 		Non Formulary
Black 		Gel, diclofenac sodium 3% in a sodium hyaluronate basis
Excipients include benzyl alcohol
  
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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