13. Drugs acting on the Skin Emollient and barrier preparations Emollients

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1 13. Drugs acting on the Skin 13.2 Emollient and barrier preparations Emollients Emollient bath additives Barrier preparations aqueous cream Aveeno cream Balneum Plus cream Calmurid cream Cetraben cream Dermol cream Dermol 500 lotion Doublebase Gel Diprobase emulsifying ointment E45 bath oil Hydromol cream Hydromol ointment Lipobase cream Liquid paraffin 50% in white soft paraffin Oilatum QV cream Unguentum M cream white soft paraffin yellow soft paraffin Balneum Plus bath oil (for use in accordance with the Palliative Care Pain and Symptom Control Guidelines) Dermol Bath Emollient E45 Bath Oil Emulsiderm bath emollient Hydromol emollient Oilatum Oilatum Plus QV bath oil Drapolene cream Metanium (Neonatal directorate only) Sudocrem 13.3 Topical local anaesthetics and antipruritics 13.4 Topical corticosteroids - For specialist advice contact dermatology calamine cream calamine lotion crotamiton (Eurax ) - mild Eurax hydrocortisone cream Fluocinolone acetonide % cream Fucidin H cream Fucidin H ointment hydrocortisone 0.5% & 1% hydrocortisone 1% lipocream hydrocortisone 2.5% cream hydrocortisone 2.5% ointment hydrocortisone & clotrimazole (Canesten HC ) hydrocortisone & clioquinol (Vioform-Hydrocortisone ) hydrocortisone & miconazole (Daktacort ) Nystaform HC cream Nystaform HC ointment Timodine cream

2 - moderately potent - potent - very potent Alclometasone dipropionate cream Alclometasone dipropionate ointment Betamethasone valerate 0.025% (Betnovate-RD ) Calmurid HC cream Clobetasone, oxytetracycline & nystatin (Trimovate ) Clobetasone butyrate 0.05% (Eumovate ) Fluocinolone acetonide % cream Fluocinolone acetonide % ointment Fludroxycortide (Haelan cream/ointment and tape) Betamethasone valerate 0.1% (Betnovate-RD ) Betamethasone valerate scalp application Betnovate C cream Betnovate C ointment Betnovate N cream Betnovate N ointment betamethasone & fusidic acid (Fucibet ) Diflucortolone 0.1%cream Diflucortolone 0.1%oily cream Diflucortolone 0.1% ointment Diprosalic scalp application Diprosalic ointment Fluocinolone acetonide 0.025% cream Fluocinolone acetonide 0.025% gel Fluocinolone acetonide 0.025% ointment Fluocinonide FAPG 0.05% cream hydrocortisone butyrate 0.1% (Locoid ) Locoid C cream Locoid C ointment Lotriderm cream Mometasone furoate 0.1% (Elocon ) Synalar C cream Synalar C ointment Synalar N cream Synalar N ointment Triamcinolone & chlortetracycline (Aureocort ) Tri-adcortyl cream Tri-adcortyl ointment Clobetasol shampoo (Etrivex ) Diflucortolone 0.3% ointment Diflucortolone oily cream 0.3% clobetasol propionate 0.05% (Dermovate ) clobetasol propionate scalp application 13.5 Preparations for eczema and psoriasis Preparations for eczema Preparations for psoriasis Ichthopaste bandage Alitretinoin (dermatology only severe hand eczema) acitretin calcipotriol calcipotriol and betametasone ointment (Dovobet ) calcitriol coal tar solution and salicylic acid in Unguentum M Calamine & coal tar ointment Coal tar 0.5% in yellow soft paraffin Coal tar 1% lotion Coal tar in yellow soft paraffin 0.5, 1, 3, 5, 10, 15, 20 & 25% Coal tar paste Coal tar salicyclic acid ointment Coconut oil BP 90g Dithranol cream 0.1, 0.25, 0.5, 1 and 2%

3 Dithranol in lassars paste (various strengths generally for inpatient use) Fumaderm tablets 120mg Fumaderm tablets 30mg Lanolin ointment with salicyclic acid Sebco scalp ointment Tacalcitol 4microgram/g ointment Ung SCC Sal Ung SCC Sal Cap Zinc & salicylic acid paste BP (lassars paste) Drugs affecting the immune response adalimumab - Follow restricted high cost drug procedure when prescribing adalimumab infliximab Follow restricted high cost drug procedure when prescribing infliximab ciclosporin etanercept - Follow restricted high cost drug procedure when prescribing etanercept methoxsalen or methoxypsoralen methotrexate mycophenolate (Consultant Dermatologist only) pimecrolimus 1% cream (Consultant Dermatologists only) tacrolimus 0.03% and 0.1% ointment (Consultant Dermatologists only) -if GP is asked to start treatment please issue Tacrolimus ointment Prescribing Guidelines tacalcitol 13.6 Acne and rosacea Topical preparations for acne Oral preparations for acne adapalene benzoyl peroxide % Clinidamycin 1% lotion Clinidamycin 1% topical solution Isotretinoin 0.05% gel Quinoderm cream tretinoin (Retin-A ) Zineryt topical solution Co-cyprindiol tablets 2000/35 Erythromycin 2% topical solution isotretinoin lymecycline minocycline (Aknemin ) 13.7 Preparations for warts and calluses Condyline (GUM clinic only) Duofilm imiquimod (Aldara ) (GUM clinic only) Silver Nitrate 75% caustic applicator Silver Nitrate 95% caustic applicator Warticon including Warticon Fem (GUM clinic only) 13.8 Sunscreens and camouflagers Sunscreen preparations Beta-carotene 25mg capsules Dundee Reflective sunscreen [unlicensed preparation] E45 Sun Reflective sunscreen RoC Sante Soleil Sunscreen SPF 50+ (Sunsense Ultra)

4 Miscellaneous Uvistat cream and Uvistat Ultrablock cream beta-carotene methyl-5-aminolevulinate (Metvix cream) 13.9 Shampoos and some other scalp preparations Alphosyl 2 in 1 shampoo Capasal shampoo Ceanel Concentrate Coal tar extract 2% shampoo (T-gel ) Compound coconut oil scalp ointment Polytar AF shampoo Selenium 2.5% shampoo Hirsuitism Nizoral Polytar liquid Ung SCC Sal Cap (for scalp) eflornithine (Vaniqa ) cream (second line use for Endocrine, Skin Endocrine clinics and Dr Polson only) -if GP is asked to start treatment please issue Eflornithine cream Prescribing Guidelines Anti-infective skin preparations Antibacterial preparations Antibacterial preparations only used topically Antibacterial preparations also used systemically Antifungal preparations Antiviral preparations Parasiticidal preparations Preps for minor cuts/abrasions mupirocin 2% cream mupirocin 2% ointment polyfax ointment silver sulfadiazine 1% chlortetracycline 3% fusidic acid 2% metronidazole 0.75% gel (Zyomet ) metronidazole 0.8% gel metronidazole 1% cream amorolfine nail lacquer clotrimazole econozole nitrate ketoconazole 2% cream miconazole nitrate nystatin nystaform cream salicylic acid ointment terbinafine 1% cream aciclovir malathion (Derbac M ) (second line treatment for scabies; first line treatment for head lice) phenothrin 0.2% solution permethrin (Lyclear ) (first line treatment for scabies; second line treatment for head lice) cetrimide povidone iodine proflavine cream BPC Disinfectants and cleansers Contact Infection Control for advice Alcohols and saline industrial methylated spirit BP sodium chloride surgical spirit BP

5 Chlorhexidine salts Cationic surfactants and soaps Chlorine and iodine Phenolics Astringents, oxidisers and dyes Preparations for promotion of wound healing Miscellaneous ChloraPrep (A&E department only) chlorhexidine cetrimide povidone-iodine sodium hypochlorite triclosan hydrogen peroxide potassium permanganate (see BNF) glutaraldehyde Antiperspirants aluminium salts glycopyrronium bromide triethanolamine solution Wound Management - contact Tissue Viability Nurse or Pharmacy for advice Miscellaneous Sulfamethoxypridazine (unlicensed Dermatology only) Sulfapyridine (unlicensed Dermatology only)