| Formulary Chapter 13: Skin - Full Chapter
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| Notes: |
Only high cost medicines to be supplied within our health economy are listed on BSW Formulary, but patients may also have access to more specialised, high cost medicines via other specialist centres, if eligible.
Dermatology-related Prescribing Guidance
Please see our Prescribing Guidelines page for all prescribing guidance relating to this chapter.
Dermatology-related Shared Care Agreements
Please see our Shared Care Agreements page for all shared care agreements (SCAs) relating to this chapter.
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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/
Dermatology Specials Approved List: see section 13.14
Please note that any specials listed in the BAD list are deemed to be RED on this formulary, so that specialists can prescribe them only.
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| Details... |
| 13.06.01 |
Topical preparations for acne |
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| 13.06.01 |
Benzoyl peroxide and azelaic acid |
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Topical antibacterials for acne |
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Clindamycin 1%
(Aqueous solution)
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Formulary
 
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- 10% aqueous Solution
- Topical antibiotics should not be used in isolation; use in combination with retinoids or benzoyl peroxide topically if possible.
- Resistance is more likely with topical antibiotics and topical clindamycin can cause resistance to oral erythromycin. Only use topical clindamycin if retinoids/BPO aren't tolerated and the patient does not want to take an oral antibiotic (or has contra-indications).
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 BSW Acne Prescribing Guidelines
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Clindamycin/ tretinoin
(Gel)
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Formulary
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- Gel Tretinoin 0.025% and Clindamycin 1% 30g
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BSW Acne Prescribing Guidelines
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Erythromycin 40mg with Zinc Acetate 12mg/mL
(Topical lotion)
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Formulary
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- Topical lotion, powder for reconstitution, erythromycin 40mg/ml, Zinc acetate 12mg/ml 30ml, 90ml
- Apply twice daily
- Note that this product is not in local acne guidance due to high resistance levels. It was on the 3Ts and SFT formularies for children under 12 with acne only.
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| 13.06.01 |
Topical retinoids and related preparations for acne |
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| 13.06.01 |
Other topical preparations for acne |
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| Non Formulary Items |
Antibacterials
(Stiemycin®)
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Non Formulary
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Antibacterials
(Zindaclin®)
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Non Formulary
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Key |
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Cytotoxic Drug
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Controlled Drug
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High Cost Medicine
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Cancer Drugs Fund
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NHS England |
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Homecare |
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CCG |
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High Cost Drug Approval System |
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Traffic Light Status Information
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