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South Staffordshire Joint Formulary
Cannock Chase Clinical Commissioning Group
East Staffordshire Clinical Commissioning Group
South East Staffordshire and Seisdon Peninsula Clinical Commissioning Group
Stafford and Surrounds Clinical Commissioning Group
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 Formulary Chapter 12: Ear, nose and oropharynx - Full Chapter
12.01  Expand sub section  Drugs acting on the ear
12.01.01  Expand sub section  Otitis externa
12.01.01  Expand sub section  Astringent preparations
12.01.01  Expand sub section  Anti-inflammatory preparations
Dexamethasone with Antibacterial (Otomize®)
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Formulary
Green
Otomize_Ear Spy 5ml 
   
Dexamethasone with Antibacterial (Sofradex®)
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Formulary
Green
Sofradex_Ear/Eye Dps 
   
Flumetasone 0.02% with Clioquinol 1%
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Formulary
Green

Flumetasone 0.02% with Clioquinol 1%_Ear Dps

 
   
Hydrocortisone Acetate 1% with Gentamicin 0.3% (Gentisone® HC)
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Formulary
Green

Gentisone HC_Ear Dps

Note: more expensive

 
   
12.01.01  Expand sub section  Anti-infective preparations to top
Ciprofloxacin Eye Drops
(Specialist initiation-first-treatment)
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Unlicensed Drug Unlicensed
Green
Ciprofloxacin_Eye Dps 0.3%

Local antimicrobial guidelines recommend an aminoglycoside antibiotic (contraindicated if the tympanic membrane is perforated), with or without a corticosteroid, as second line to a non-aminoglycoside antibiotic and a corticosteroid e.g.flumetasone–clioquinol (Locorten–Vioform®)


 
   
12.01.01  Expand sub section  Other aural preparations
12.01.02  Expand sub section  Otitis media
12.01.03  Expand sub section  Removal of ear wax
Olive Oil Ear Drops
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Formulary
Green

Olive Oil_Ear Dps

Only remove if deaf or obscures ear drum
Remove by syringing when softened or under direct vision using a Jobson-horn probe

 

    Self Care Self Care Medicine -Available OTC for self-care. For the removal of earwax. Allow to warm to room temperature before use.

 
   
Sodium Bicarbonate 5%
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Formulary
Green

Sod Bicarb_Ear Dps 5%

Only remove if deaf or obscures ear drum
Remove by syringing when softened or under direct vision using a Jobson-horn probe

 

   Self Care Self Care Medicine-Available OTC for self-care. For the removal of ear wax

 
   
 ....
 Non Formulary Items
Acetic Acid 2%  (Earcalm ®)

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Non Formulary
 
ACETIC ACID 5% solution in IMS

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Non Formulary
 
Almond Oil

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Non Formulary

 Self Care Self Care Medicine-Available OTC for self-care

 
Betamethasone 0.1% with Neomycin 0.5% ear drops  (Betnesol N®)

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Non Formulary
 
Betamethasone ear drops

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Non Formulary
 
Betamethasone Sodium Phosphate  (Vista-Methasone®)

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Non Formulary
 
Betamethasone Sodium Phosphate with Antibacterial  (Vista-Methasone N®)

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Non Formulary
 
Cerumol®

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Non Formulary

Self Care Self Care Medicine-Available OTC for self-care

 
Chloramphenicol

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Non Formulary
 
Clotrimazole  (Canesten®)

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Non Formulary
 
Docusate Sodium 0.5%  (Waxsol®)

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Non Formulary
 
Exterol®

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Non Formulary
 
Gentamicin  (Genticin®)

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Non Formulary
 
Hydrocortisone with Antibacterial  (Neo-Cortef®)

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Non Formulary
 
Hydrocortisone with Antibactrial  (Otosporin®)

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Non Formulary
 
Molcer®

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Non Formulary
 
Neomycin Sulphate with corticosteroids  (Neo-Cortef®)

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Non Formulary
 
Neomycin Sulphate with corticosteroids  (Otosporin®)

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Non Formulary
 
Otex®

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Non Formulary
 
Prednisolone 0.5% with Neomycin 0.5%  (Predsol-N®)

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Non Formulary
 
Prednisolone ear drops  (Predsol®)

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Non Formulary
 
Triamcinolone with Antibacterial  (Tri-Adcortyl Otic®)

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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
SMC
Scottish Medicines Consortium
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

Red

Drugs which require special consideration. These are drugs for Consultant Prescribing ONLY. They should not be prescribed in Primary Care.  

Amber

Drugs that should be initiated by a Specialist but are suitable for continuation in Primary Care. For some drugs there may be a Ricad in place to aid the transition to primary care.  

Amber E

Drugs that should be initiated by a Specialist but are suitable for continuation in Primary Care but also require and ESCA (Shared Care Agreement)   

Green

Suitable first-line drugs for implementation in Primary Care  

On Formulary

South Staffs Formulary Choice  

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