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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
12.02  Expand sub section  Drugs acting on the nose
12.02.01  Expand sub section  Drugs used in nasal allergy
Azelastine and Fluticasone (Dymista)
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Formulary
Green

Dymista 137micrograms/dose / 50micrograms/dose nasal spray

Second-line option to be considered for prescribing only when OTC products are ineffective or not suitable

 
   
12.02.01  Expand sub section  Antihistamines
12.02.01  Expand sub section  Corticosteroids
Fluticasone furoate (Avamys)
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Second Choice
Green
 
   
Beclometasone Dipropionate (Beconase)
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Formulary
Green
Beconase_Aq Nsl Spy 50mcg (200 D) 22g 
   
Budesonide (Rhinocort Aqua)
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Formulary
Green
Budesonide_Aq Nsl Spy 64mcg (120 D)
Rhinocort Aqua 64_Nsl P/Spy 64mcg (120D) 
   
Ipratropium Bromide (Rinatec)
(For watery Rhinorrhoea ONLY)
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Formulary
Green
Ipratrop Brom_Aq Nsl Spy 21mcg (180D)CFF 
Link  UKMI Q&A: Drug induced hypersalivation
   
Mometasone furoate
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Formulary
Green

Mometasone Fur_Aq N/Spy 50mcg (140 D)

 
   
12.02.01  Expand sub section  Cromoglicate to top
12.02.02  Expand sub section  Topical nasal decongestants
12.02.02  Expand sub section  Sympathomimetics
Ephedrine (7 Day Use ONLY)
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Formulary
Red

Ephed HCl_Nsl Dps 0.5% BP
Ephed HCl_Nsl Dps 1% BP

7 Day Use ONLY

 

 

 
   
Xylometazoline 0.05% (Paediatric) (Otrivine)
(7 Day Use ONLY)
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Formulary
Green

Xylomet HCl_Nsl Dps Paed 0.05%

7 Day Use ONLY

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

 

 

 

 
   
12.02.02  Expand sub section  Antimuscarinic
12.02.03  Expand sub section  Nasal preparations for infection
Sterimar
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Restricted Drug Restricted
Red
 
   
12.02.03  Expand sub section  Nasal Staphylococci to top
Chlorhexidine Hydrochloride 0.1%, Neomycin Suphate 0.5% (Naseptin)
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Formulary
Green

Naseptin_Crm

Contains arachis (peanut) oil, not suitable for patients with an allergy to peanuts.

Patients with soya allergy should also avoid Naseptin®

 
   
Mupirocin 2% in White Soft Paraffin (Bactroban Nasal)
(Reserve for MRSA)
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Formulary
Green
Mupirocin_Nsl Oint 2%
Bactroban_Nsl Oint 2%

Reserve for MRSA 
Link  UKMi memo regarding Bactroban shortage and alternatives
   
Octenidine Hydrochloride  (Octenisan md nasal gel)
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Formulary
Green

Added to formulary as an alternative due to supply issues with Bactroban® nasal ointment

 
   
 ....
 Non Formulary Items
Azelastine and fluticasone  (Dymista)

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Non Formulary
 
Azelastine Hydrochloride  (Rhinolast)

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Non Formulary
 
Beclometasone Dipropionate

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Non Formulary
 
Betamethasone nasal drops

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Non Formulary
 
Betamethasone Sodium Phosphate  (Betnesol®)

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Non Formulary
 
Betamethasone Sodium Phosphate  (Vista-Methasone®)

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Non Formulary
 
Betamethasone Sodium Phosphate 0.1% with Neomycin Sulphate 0.5%

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Non Formulary
 
Budesonide

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Non Formulary
 
Flunisolide  (Syntaris®)

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Non Formulary
 
Fluticasone Propionate

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Non Formulary
 
Fluticasone Propionate  (Flixonase Nasule)

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Non Formulary
 
Fluticasone Propionate  (Nasofan®)

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Non Formulary
 
Mometasone Furoate  (Nasonex)

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Non Formulary
  • Prescribe generically
 
Sodium Cromoglicate  (Rynacrom)

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Non Formulary
 
Sodium Cromoglicate  (Vividrin®)

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Non Formulary
 
Triamcinolone Acetonide  (Nasacort)

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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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