North Staffordshire Joint Formulary Formulary


	North Staffordshire Joint Formulary North Staffordshire Clinical Commissioning Group Stoke-on-Trent Clinical Commissioning Group

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Formulary Chapter 13: Skin - Full Chapter

13.02.01

Emollients

Emollients should be applied immediately after washing or bathing to maximise the effect of skin hydration.

Liquid and White Soft Paraffin Ointment (50:50)

Formulary

Very Greasy

Pack size 250g, 500g

Self Care Medicine-Available OTC self care.

Emollin^®spray

Formulary

Very Greasy

Restriction: Under specialist advice only

Pack size 150ml, 240ml

Hydromol ^®ointment

Formulary

Greasy (equivalent to Epaderm® Ointment)

1st line

Pack size 125g, 500g

Cetraben^®ointment

Formulary

Greasy (equivalent to Epaderm® Ointment)

2nd Line

Pack size 125g, 450g

Self Care Medicine-Available OTC for self care.

Epimax^®Isomol Gel

(Formerly known as Isomol Gel)

Formulary

Rich Cream (equivalent to Doublebase®)

1st line

Pack size 100g, 500g

Myribase^®gel

Formulary

Rich Cream (equivalent to Doublebase®)

2nd Line

Pack size 100g, 500g

Epimax ^®Original Cream

(Formerly known as Epimax Cream)

Formulary

Creamy (equivalent to Epaderm® Cream)

1st line

Pack size 100g, 500g

Self Care Medicine-Available OTC for self care.

Cetraben^®cream

Formulary

Creamy (equivalent to Epaderm® Cream)

2nd Line

Pack size 150g, 500g

Self Care Medicine-Avilable OTC self care.

Diprobase ^®cream

Formulary

Creamy (equivalent to Epaderm® Cream)

3rd Line

Pack size 50g, 500g

Self Care Medicine-Available OTC for self care.

Dermol^®cream

Formulary

Creamy with Antimicrobial Effect

Pack size 100g, 500g

Self Care Medicine-Available OTC for self care.

E45^®cream
(Hospital only)

Formulary

Light (low paraffin)

Pack size 50g, 125g, 500g

Exocream^®

Formulary

Light (low paraffin)

Pack size 50g, 500g

ZeroAQS^®cream

Formulary

Light (low paraffin)

Can also be used as a soap substitute

Pack size 500g

Dermol^®500 lotion

Formulary

Light with Antimicrobial Effect

Pack size 500ml

Self Care Medicine-Available OTC self care.

13.02.01

Emollients - preparations containing urea

Aquadrate^®cream
(Urea 10%)

Formulary

Creamy with Urea Content

Pack size 100g

Self Care Medicine-Available OTC for self care.

Balneum^®cream
(Urea 5%)

Formulary

Creamy with Urea Content

Pack size 50g, 500g

Balneum^®Plus cream
(Urea 5% + lauromacrogol 3%)

Formulary

Creamy with Urea Content

Restricted for pruritus

Pack size 100g, 500g

Flexitol ^®heel balm
(Urea 25%)

Formulary

Creamy with Urea Content

For severe hyperkeratosis

Pack size 40g, 75g

13.02.01

Emollients - with antimicrobials

13.02.01.01

Emollient bath and shower preparations

Emollient bath additives should be added to bath water; hydration can be improved by soaking in the bath for 10–20 minutes. Some bath emollients can be applied to wet skin undiluted and rinsed off.

Preparations containing an antibacterial should be avoided unless infection is present or is a frequent complication.

Aqueous cream

First Choice

1st Line

Use only as a soap substitute

Pack size 100g, 500g

Self Care Medicine-Available OTC for self care.

Dermalo^®bath emollient

Second Choice

2nd Line

Pack size 500ml

NHS England has identified this product as an item that should not be routinely prescribed in primary care (Ver. 2, June 2019)

NHS England: Items which should not be routinely prescribed in primary care: Guidance for CCGs

Hydromol ^® bath and shower

Third Choice

3rd Line

Pack size 350ml, 500ml

NHS England has identified this product as an item that should not be routinely prescribed in primary care (Ver. 2, June 2019)

NHS England: Items which should not be routinely prescribed in primary care: Guidance for CCGs

Self Care Medicine-Available OTC for self care.

Dermol^®600 bath emollient

Fourth Choice

Emollient bath and shower preparations with antimicrobial effect

4th Line

Pack size 600ml

NHS England has identified this product as an item that should not be routinely prescribed in primary care (Ver. 2, June 2019)

NHS England: Items which should not be routinely prescribed in primary care: Guidance for CCGs

....

Key

	Notes
	Section Title (top level)
	Section Title (sub level)
	First Choice item
	Non Formulary section
	Restricted Drug
	Unlicensed
	Display tracking information
	Link to adult BNF
	Link to children's BNF
	Link to SPCs
	Scottish Medicines Consortium

	Cytotoxic Drug
	Controlled Drug
	High Cost Medicine
	Cancer Drugs Fund
	NHS England
	Homecare
	CCG
	High Cost Drug Approval System

Traffic Light Status Information

Status	Description
	Medicines that can only be prescribed within Secondary Care. Examples of medicines which fall into this category are: Certain new medicines and new indications for older medicines where there is at present no experience of use in Primary Care. Medicines or dressings not available or prescribable in Primary Care. Where a medicine has been classified as Amber E, but an approved shared-care guideline is not yet available
	Medicines which can be prescribed within Secondary Care, but are only suitable for prescribing in Primary Care after specialist referral. There is no need for approved shared care guidelines for medicines in this category. This replaces Amber 2 on the North Staffs Formulary.
	Medicines which can be prescribed within Secondary Care, but are only considered suitable for prescribing in Primary Care under an approved shared-care agreement (ESCA) or Rationale for Initiation, Continuation and Discontinuation (RICaD). This replaces Amber 1 on the North Staffs Formulary
	Medicines which can be prescribed in either Primary or Secondary Care.
	These medicines have been reviewed by the New Medicines Committee and the Area Prescribing Committee and found not to be suitable for inclusion in the Joint Formulary. Inadequate or weak evidence for efficacy No clearly defined local need Lack of long term safety data No perceived benefit over established formulary alternatives Prescribers can consider these medicines where formulary alternatives are unsuitable, ineffective or not tolerated.