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 Formulary Chapter 13: Skin - Full Chapter
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13.02.01  Expand sub section  Emollients
 note 

Products for mild dry skin can all be purchased OTC in accordance with the NHSE Guidance

Prescriptions for the treatment of mild dry skin should not routinely be offered in primary care as the condition is appropriate for self-care. https://www.nhs.uk/conditions/emollients/

If prescribed, please adhere to the formulary choices below.

Preparations marked ACBS are regarded as drugs when prescribed in accordance with the advice of the Advisory Committee on Boarderline Substances for the clinical conditions indicated.

http://www.ppa.org.uk/ppa/edt_intro.htm  See part Part XV of the Drug Tariff

Fire hazard with emollients - updated information Dec 2018

Warnings about the risk of severe and fatal burns are being extended to all paraffin-based emollients regardless of paraffin concentration. Data suggest there is also a risk for paraffin-free emollients. Advise patients who use these products not to smoke or go near naked flames, and warn about the easy ignition of clothing, bedding, dressings, and other fabric that have dried residue of an emollient product on them.

13.02.01  Expand sub section  Heavy Emollients for severe dry skin
13.02.01  Expand sub section  Medium Emollients for mild to moderate dry skin
Aquamax Cream
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First Choice
Green

OTC Patients should be advised to purchase if appropriate.

  • Cream
  • Indication: Eczema, psoriasis and other dry skin conditions
  • White soft paraffin 20%, Liquid paraffin 8%
  • £3.99 500g DT 01/2019
  • Adults & Children: Apply as required
 
ExCetra Cream
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First Choice
Green

OTC Patients should be advised to purchase if appropriate.

  • Cream
  • Indication: Dry skin conditions
  • White soft paraffin 13.2%, Light liquid paraffin 10.5%
  • £2.95 500g DT 01/2019
  • Adults & Children: Apply as required
  • Similar to: Cetraben Cream
 
Isomol Gel
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First Choice
Green

OTC Patients should be advised to purchase if appropriate.

  • Gel
  • Indication: Dry skin conditions including eczema
  • Liquid paraffin 15%, Isopropyl myristate 15%
  • £2.92 500g DT 01/2019
  • Adults & Children: Apply as required
  • Similarto: Doublebase Gel & Zerodouble Gel
 
Epaderm Cream
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Third Choice
Green

OTC Patients should be advised to purchase if appropriate.

  • Cream
  • Indication: Dry skin conditions
  • Yellow soft paraffin, liquid paraffin, emulsifying wax
  • £7.01 500g DT 01/2019
  • Adults & Children: Apply as directed or use as a skin cleanser
 
   
Emollin
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Formulary
Green

OTC Patients should be advised to purchase if appropriate.

  • Spray
  • Indication: Dry, scaly, sensitive or sore skin
  • For hard to reach areas (eg legs/back for Elderly Patients)
  • Liquid paraffin 50%, White soft paraffin 50%
  • £6.39 240ml aerosol DT 01/2019
  • Adults & Children: Spray evenly on affected area
 
   
13.02.01  Expand sub section  Light Emollients for mild dry skin
13.02.01  Expand sub section  Preparations containing Urea for dry scaly skin to top
13.02.01  Expand sub section  Antimicrobial Emollients
13.02.01.01  Expand sub section  Emollient bath and shower preparations
 note 

Non-formulary - based on current evidence bath and shower emollients may offer little or no benefit.

Use an emollient as a soap substitute - most emollients can be used in this way

 ....
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

Black

Comment : Not to be routinely commissioned (prescribed) in any care setting (primary or secondary care). This may be due to a lack of good clinical evidence, cost effectiveness, concerns over safety or due to the availability of more suitable alternatives. As such, drugs classified as Black should be considered as non-formulary.   

Red

Initiation : Specialist only
Repeat Prescribing : Specialist
Monitoring : Specialist
Comment : Prescribing must be in line with any specific treatment criteria outlined. In exceptional circumstances a GP may be asked to prescribe the specialist must provide adequate information and support.   

Amber

Initiation : Specialist only
Repeat Prescribing : Primary care OR specialist
Monitoring : Primary care OR specialist
Comment : Monitoring according to Effective Shared Care Agreement (ESCA) for stabilised patients only. GP agreement should be requested by specialist and confirmed/declined by GP on a patient-by-patient basis.   

Blue

Initiation/Recommendation : Specialist only
Repeat Prescribing : Primary care
Monitoring : Primary care
Comment : Should be initiated or recommended by a specialist. Monitoring of either medicine or disease does not require specialist skills or equipment   

Green

Initiation : Primary care or specialist
Repeat Prescribing : Primary care
Monitoring : Primary care
Comment : Suitable for non specialist initiation   

OTC

Patients should be advised to purchase if approriate.  

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