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Birmingham, Sandwell, Solihull and environs APC Formulary
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 Formulary Chapter 12: Ear, nose and oropharynx - Full Chapter
Notes:
 
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12.03.01  Expand sub section  Drugs for oral ulceration and inflammation
Benzydamine 0.15% oral rinse
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Formulary
Green
 
Link  BSOL CCG: Conditions for which over the counter items (OTC) should not routinely be prescribed in primary care
Link  Conditions for which over the counter items should not routinely be prescribed in primary care: Guidance for CCGs
   
Benzydamine 0.15% oral spray
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Formulary
Green
 
Link  BSOL CCG: Conditions for which over the counter items (OTC) should not routinely be prescribed in primary care
Link  Conditions for which over the counter items should not routinely be prescribed in primary care: Guidance for CCGs
   
Bonjela Junior Dental Gel (Bonjela® Junior)
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Formulary
Green
  • From 3 months of age 
  • Link  BSOL CCG: Conditions for which over the counter items (OTC) should not routinely be prescribed in primary care
    Link  Conditions for which over the counter items should not routinely be prescribed in primary care: Guidance for CCGs
       
    Caphosol®
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    Formulary
    Red
  • Oncology and haematology use 
  •    
    Choline Salicylate dental gel
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    Formulary
    Green
  • For patients over 16 years 
  • Link  BSOL CCG: Conditions for which over the counter items (OTC) should not routinely be prescribed in primary care
    Link  Conditions for which over the counter items should not routinely be prescribed in primary care: Guidance for CCGs
       
    Gelclair®
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    Formulary
    Red
  • Oncology and haematology use only 
  •    
    Hydrocortisone 2.5mg buccal tablets
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    Formulary
    Amber
  • Specialist Recommendation 
  •    
    Lidocaine 10% mouth spray
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    Restricted Drug Restricted
    Red
  • Hospital only 
  •    
    Orabase Protective Paste
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    Formulary
    Green
     
       
    Orahesive Powder
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    Formulary
    Green
     
       
     ....
     Non Formulary Items
    Antacid with Oxetacaine

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    Non Formulary
     
    Benzocaine

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    Non Formulary
     
    Cetylpyridinium, Chlrocresol, Lidocaine  (Anbesol®)

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    Non Formulary
     
    Doxycycline

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    Non Formulary
     
    Doxycycline  (Periostat®)

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    Non Formulary
     
    Flurbiprofen lozenge

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    Non Formulary
     
    Lidocaine 5% ointment

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    Non Formulary
     
    Lidocaine and Cetylpyridinium  (Dentinox® Teething Gel)

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    Non Formulary
     
    Lidocaine and Chlorhexidine  (Instillagel®)

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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
     
      
    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 children's BNF
    click to search medicines.org.uk
    Link to SPCs
    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

    Traffic Light Status Information

    Status Description

    Prescribing in children

    The APC notes that the informed use of unlicensed medicines or of licensed medicines for unlicensed applications (‘off-label’ use) is often necessary in paediatric practice.

    The APC advises GPs to consider specialist prescribing recommendations for Green and Amber medicines that are not subject to ESCAs or RICaDs in combination with the information provided in the BNFC which goes beyond that of marketing authorisations. The BNFC has been designed for rapid reference and the information presented has been carefully selected to aid decisions on prescribing.

      

    Green

    Medicines which are suitable for initiation and maintenance prescribing by primary and secondary care clinicians. These medicines should be initiated and prescribed within their licensed indications.  

    Amber

    Initiation and maintenance of prescribing by Specialists and transfer to Primary Care prescribing when appropriate, or initiation and maintenance of prescribing in Primary Care following recommendation from a Specialist.

    Some amber medicines require agreement with the local (internal) medicines committee prior to initiation; others may require a framework to support safe transfer and maintenance of care such as a RICaD or ESCA. The Formulary will be annotated to reflect these requirements.   

    Red

    Medicines for initiation and maintenance prescribing by Specialists only  

    Black

    Non-formulary medicines- medicines not recommended for routine primary care prescribing.  

    Grey

    Positive NICE TA and /or awaiting local clarification on place in therapy ; Please contact your Medicines Optimisation team for more information.  

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