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Royal United Hospitals Bath NHS Foundation Trust
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 Formulary Chapter 12: Ear, nose and oropharynx - Full Chapter
Notes:

ENT related prescribing guidance

Please see our Prescribing Guidelines page for a full list of guidance available.

ENT Shared Care Agreements

There are no shared care agreements available for ENT.

Self-care

Many of the products in this chapter are available for purchase over-the-counter, and patients are encouraged to self-care, with the support of their community pharmacist, in the first instance.

For further information on self-care & the NHS, please refer to https://www.england.nhs.uk/medicines/conditions-for-which-over-the-counter-items-should-not-routinely-be-prescribed/

 Details...
12.03.01  Expand sub section  Drugs for oral ulceration and inflammation
Benzydamine 
(oral)
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Formulary
Self
  • oral rinse 0.15% 300ml
  • oromucosal spray 0.15% 30ml
 
   
Caphosol ®
(Medical Device)
(mouthwash)
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Formulary
Red
  • GWH only: Restricted for use in patients undergoing autologous stem cell transplant only. Consultant haematologist prescription only.
 
   
Carmellose Sodium (Orabase®)
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Formulary
Self
  • Please note: Patients should self-care in the first instance
 
   
Choline Salicylate 
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Formulary
Self
  • Please note: Patients should self-care in the first instance
  • 8.7% dental gel 15g
 
   
Gelclair ®Oral gel sachet
(Medical device)
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Formulary
Red
  • GWH and RUH 
  • Contains sodium hyaluronate and polyvinylpyrrolidone
  • Used as a mouthwash for oropharyngeal lesions in Oncology patients
 
   
Hydrocortisone muco-adhesive buccal tablets

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Formulary
Green
  •  2.5mg   (as sodium succinate)  
  • P medicine can be purchased OTC
 
Link  MHRA DSU Hydrocortisone muco-adhesive buccal tablets: should not be used off-label for adrenal insufficiency in children due to serious risks Dec 2018
   
Lidocaine 5% ointment
(mouth)
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Formulary
Red
  • GWH only
 
   
Antacid with Oxetacaine
((Magnesium Hydroxide & Aluminium Hydroxide))
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Unlicensed Drug Unlicensed
Red
  • Oral suspension: Each 5ml contains 10mg Oxetacaine, Aluminium hydroxide equivalent to 200mg aluminium oxide + 100mg magnesium hydroxide 150ml bottle.
  • Not on formulary in GWR and SFT
  • RUH only - Antacid and anaesthetic relief of oesophageal pain in palliative care patients (unlicensed)

 

 
   
 ....
 Non Formulary Items
Anaesthetic throat lozenges
(Tyrozets®)

View SPC online
Non Formulary
 
Benzocaine 

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Non Formulary
 
Carmellose Sodium (Orahesive®)

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Non Formulary
 
Cetylpyridinium, Chlrocresol, Lidocaine
(Anbesol®)

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Non Formulary
 
Doxycycline (Periostat®)

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Non Formulary
 
Flurbiprofen lozenge


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Non Formulary
 
Glycerol dioleate  (Episil®)

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Non Formulary
 
Lidocaine 10% mouth spray


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Non Formulary
 
Lidocaine and Cetylpyridinium
(Dentinox® Teething Gel)

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Non Formulary
 
Lidocaine and Chlorhexidine
(Instillagel®)
(mouth)

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Non Formulary
 
Lidocaine and Phenylephrine
(Cophenalcaine®)

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Non Formulary
 
Salicylates - Salicylic acid
(Pyralvex®)

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Non Formulary
 
Triamcinolone Acetonide 0.1% in Adhesive Basis
(Adcortyl in Orabase®)

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Non Formulary

 

This product was discontinued in the UK in March 2009

 
  
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 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
Blueteq
High Cost Drug Approval System

Traffic Light Status Information

Status Description

Red

RED - Hospital only – to be prescribed by a specialist and supplied from secondary care ONLY throughout treatment.  

Amber

Amber medicines are considered suitable for GP prescribing following specialist initiation or recommendation.  

Amber with Shared Care

Shared Care - these medicines require specialist initiation and stabilisation. Ongoing division of responsibility for drug and disease monitoring between specialist and GP by a Shared Care Guideline (SCG). If no SCG in place status reverts to red.  

Green

These medicines are appropriate for initiation in both primary and secondary care. Prescribing is appropriate within licensed or local recommendations.  

Self

Suitable for patient to be directed to buy themselves  

Grey

Not currently used. We intend to include this TLS in future to highlight where a decision to use this medicine is under review.   

Black

Not currently used. We intend to include this TLS in future to highlight where a decision has been made by either or both the local or national NHS not to routinely commission this preparation for its licensed indications. Do not prescribe.  

Red Specialist Centre

Not currently used. We intend to include this TLS in future to highlight where this medicine and indication is ONLY available through a Specialist Centre according to a NICE Highly Specialised Technology or NHSE Specialised Commission Circular / Policy.  

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