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.

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.

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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.