13 Skin. To be used in conjunction with NICE guidance/guidelines, the British National Formulary for adults and/or children and

Transcription

1 13 Skin To be used in conjunction with NICE guidance/guidelines, the British National Formulary for adults and/or children and British Association of Dermatologists guidelines Index 13.1 Management of skin conditions 13.2 Emollient and barrier preparations 13.3 Topical local anaesthetics and antipruritics 13.4 Topical corticosteroids 13.5 Preparations for eczema and psoriasis 13.6 Acne and rosacea 13.7 Preparations for warts and calluses 13.8 Sunscreens and camoflagers 13.9 Shampoos and other preparations for scalp and hair conditions Anti-infective skin preparations Skin cleansers, antiseptics and desloughing agents Antiperspirants Topical circulatory preparations

2 13.1 Management of skins conditions BNF guidance

3 13.2 Emollient and barrier preparations Emollients Aqueous cream 30g & 500g Mar13 safety alert Aveeno Balneum Balneum Plus Dermol Cream 100g & 300g Bath oil 250ml Lotion 400ml Bath oil 500ml Bath oil 500ml Cream 500g Cream 500g Lotion ml Shower emollient ml Bath emollient ml 1 st line cream & soap substitute st choice if antibiotic required Calmurid Cream 100g (urea 10% & lactic acid 5%) Cetraben Cream 500g Diprobase Cream 50g & 500g Ointment 50g Diprobath Bath additive 500ml Doublebase Gel 500g 1 st line greasy gel

4 Shower gel 200ml emollient E 45 Cream 50g & 500g Emulsifying ointment 500g 1 st line soap substitute Epaderm Ointment 500g Hydromol Intensive cream 100g HC Intensive cream 100g Ointment 500g Liquid paraffin & White Equal parts ointment 500g soft paraffin Oilatum Cream 1050g Emollient bath additive 250ml & 500ml Plus 1 st choice if antibiotic required Shower gel 150g Plus bath additive 500ml Junior bath additive (fragrance free) 500ml Propylene glycol 20% in Cream 200g Unguentum merck Unguentum merck Cream 500g Urea Eucerin 10% cream 100g White soft paraffin Ointment 500g 1 st line greasy ointment emollient Barrier preparations Conotrane Cream 100g & 500g No more effective than traditional

5 Metanium Siopel Sprilon Sudocrem Ointment 30g Cream 50g (dimethicone % & cetrimide 0.3% in arachis oil) Aerosol spray 115g Cream 60g zinc preps

6 13.3 Topical local anaesthetics and antipruritics Topical local anaesthetics and antipruritics Calamine Aqueous 100g cream Calamine BP Lotion 200ml 1 st line Crotamiton 10% cream 30g & 100g Doxepin 5% cream 30g Ethyl Chloride Cryogesic can aerosol 100ml Menthol in Aqueous cream 1% & 2% cream 500g (dermacool)

7 13.4 Topical corticosteroids Topical Corticosteroids Beclomethasone dipropionate & salicylic acid Betamethasone Diprosalic Beclomethasone dipropionate 0.05% & salicylic acid 2% scalp application 100ml Beclomethasone dipropionate 0.05% & salicylic acid 3% ointment 30g & 100g Betnovate RD 0.025% cream & ointment 100g Betacap 0.1% scalp application 100ml 0.1% foam 100g 0.1% cream & ointment 30g & 100g Betnovate C cream & ointment 30g Betnovate N cream & ointment 30g Clobetasol Propionate 0.1% with Fusidic Acid 2% (Fucibet) cream 30g Dermovate 0.05% cream & ointment 30g & 100g 0.05% scalp application 30ml 0.5mg with Neomycin & Nystatin

8 5mg/100000units per g cream & ointment 30g Clobetasone Butyrate Eumovate 0.05% cream & ointment 30g & 100g Trimovate 0.05% with oxytetracycline 3% & nystatin units/g cream 30g Clotrimazole & Hydrocortisone 1% clotrimazole & 1% hydrocortisone (Canesten HC) cream 30g Coal Tar in Betnovate in Ung Merck 7% coal tar in 25% betnovate in ung merck 200g 7% coal tar in 50% betnovate in ung merck 200g Crotamiton & Hydrocortisone Eurax HC Crotamiton 10% & Hydrocortisone 0.25% cream 15g Dermovate in Ung Merck 0.05% dermovate ointment 10% in ung merck Dermovate & Propylene Glycol 60% dermovate cream 60% & propylene glycol 40% Fludroxycortide Flurandrenolone (Haelan) tape 200cm x 7.5cm Fluocinolone Acetonide % cream 50g 0.025% cream & gel 30g Fusidic acid & Hydrocortisone Fucidin H Fusidic Acid 2% & 1% hydrocortisone cream 30g Hydrocortisone 0.5% cream & ointment 15g

9 1% cream 15g & ointment 30g 2.5% cream 15g Hydrocortisone Butyrate Miconazole Nitrate & Hydrocortisone Mometasone Furoate Timodine 0.5% with nystatin units/g, benzalkonium 0.2% & dimeticone % cream 30g Locoid 0.1% cream 30g 0.1% lipocream 30g Daktacort 2% miconazole & 1% hydrocortisone cream 30g 0.1% cream & ointment 30g & 100g 0.1% scalp application 30ml

10 13.5 Preparations for eczema and psoriasis Preparations for eczema Alitretinoin 10mg & 30mg capsules x 30 Preparations for psoriasis Acitretin 10mg & 25mg capsues x 60 Calcipotriol 0.005% ointment 30g & 120g 50mcg in 1ml scalp application 60ml 50mcg with betamethasone 0.5mg in 1g gel & ointment 60g (Dovobet) Calcitriol 3mcg/g ointment 100g Coal Tar Carbo-dome 10% cream 100g Double strength (coal tar strong) solution 500ml Exorex 5% lotion 100ml Dithranol Dithrocream 0.1% cream 50g Dithrocream forte 0.5% cream 50g Methoxypsoralen -5 20mg tablets x % bath lotion 30ml Pimecrolimus 0.03% ointment 60g 1% cream 60g Salicylic Acid 5% in white soft paraffin ointment 50g, 100g, 200g & 300g Unlicensed specials

11 Tacalcitol Tacrolimus 2% ointment 450g 4mcg in 1g ointment 30g 0.03% & 0.1% ointment 60g

12 13.6 Acne and rosacea Topical preparations for acne Adapalene Azelaic Acid Benzoyl Peroxide Clindamycin Isotretinoin Tretinoin Zineryt 0.1% cream & gel 45g Finacea 15% gel 30g Sknoren 20% cream 30g Panoxyl wash 10% lotion 150ml 5% aqueous gel 40g 1% gel 30g 1% lotion 60ml Duac 1% clindamycin & benzoyl peroxide 5% gel 25g & 50g 0.05% gel 30g tube Isotrexin 0.05% isotretinoin & erythromycin 2% gel 30g 0.025% gel 60g Topical application 30ml Oral preparations for acne Isotretinoin 5mg & 20mg capsules x 56

13 13.7 Preparations for warts and calluses Preparations for warts and calluses Glutaraldehyde 10% solution 10ml Formaldehyde 0.75% gel 15g (Veracur) Imiquimod 5% cream 12 sachet pack Podophyllotoxin Warticon 0.15% cream 5g Salicylic Acid 10% in white soft paraffin ointment 100g, 200g, 300g & 500g 16.7% and lactic acid 16.7% paint 10ml (Salactol) 26% in polyacrylic solution paint 10ml (Occlusal) 50% ointment 6g tube (Verrugon) Silver Nitrate 75% caustic applicators 100/box

14 13.8 Sunscreens and camoflagers Sunscreen preparations Diclofenac & Sodium Hyaluronate Uvistat 3% / 2.5% gel 50g (Solaraze) Sunscreen SPF 50 cream 125g

15 13.9 Shampoos and other preparations for scalp and hair conditions Shampoos and other preparations for scalp and hair conditions Capasal Shampoo 250ml Ceanel Concentrate shampoo 150ml Coal Tar Alphosyl 2 in 1 alcoholic coal tar extract 5% shampoo 250ml T/Gel coal tar extract 2% shampoo 125ml Minoxidil 5% solution 60ml Triple pack 5% solution 3 x60ml Polytar Liquid 150ml Selenium Sulphide 2.5% shampoo 150ml

16 13.10 Anti-infective skin preparations Antibacterials Fusidic Acid Metronidazole Mupirocin Polyfax Silver Sulphadiazine 2% cream 15g Anabact 0.75% gel 30g Rosex 0.75% cream 30g 2% ointment & cream 15g Ointment 20g 1% cream 50g & 250g Antifungals Amorolfine Clotrimazole Ketoconazole Miconazole Terbinafine Tioconazole 5% paint 5ml 1% spray solution 40ml 1% topical solution 20ml 2% cream 30g 20mg/ml shampoo 120ml 2% powder 20g 2% cream 30g 1% cream 15g & 30g 28% paint 12ml Antivirals Aciclovir 5% cream 2g 7 10g

17 Parasiticidal preparations Malathion Permethrin 0.5% aqueous solution 50ml & 200ml 5% cream 30g 1% crème rinse 59ml Preparations for minor cuts and abrasions Collodion flexible methylated BP Proflavine Savlon 100ml bottle Cream 100g Cream 30g

18 13.11 Skin cleansers, antiseptics, and desloughing agents Alcohols and saline Sodium Chloride 0.9% Water (sterile for topical irrigation) 25 x 25ml & 10 x 100ml sachet 10ml sterile pack 500ml & 1000ml bottle Chlorhexidine salts Chlorhexidine Acetate Chlorhexidine Gluconate 0.05% 1000ml sterile solution 1% dusting powder 15g 0.05% 10 x 100ml & 25 x 25ml (pink) 1% obstetric cream 250ml In detergent 4% surgical scrub 500ml Iodine Povidone Iodine 2.5% spray powder can 100g 7.5% surgical scrub 500ml 10% aqueous solution 500ml (antiseptic solution) Phenolics Octenisan Skin cleanser 150ml & 500ml

19 Oxidisers and dyes Hydrogen Peroxide 3% (10 volumes) solution 200ml 6% (20 volumes) solution 200ml 1% cream 25g Potassium Permanganate 400mg tablets x 30 Desloughing agents Eusol Cream 100g Larvae (sterile) 1 pack containing approx 300 Named patient orders

20 13.12 Antiperspirants Antiperspirants Aluminium Chloride in Alcohol Zeasorb 20% solution 75ml Dusting powder 50g

21 13.13 Topical circulatory preparations Topical circulatory preparations Hirudoid Cream 0.3% 50g