KCC Referral
Management System
Shared Care
Guidelines
Care Home
Resources
Local Resource
Packs
Chronic Pain
in Cornwall
Diabetes Resources
Respiratory Resources
Flu Resource Pack
Patient Group Direction (PGD)
Palliative Care Resources
Search   
        Click to View ALL BNF
 >>  >> 
   (Click to View Drug List)


Cost
Packs
Items
Other - Cost: £652,109,405.62 Empagliflozin (Jardiance) - Cost: £7,788,101.39 Edoxaban (Lixiana) - Cost: £8,056,980.75 Influenza vaccine (Fluad) - Cost: £13,930,057.90 Beclometasone / Formoterol MDI (Fostair) - Cost: £17,160,087.08 Rivaroxaban (Xarelto) - Cost: £20,491,468.20 Apixaban (Eliquis) - Cost: £33,811,997.20
Formulary Notes (BNF Chapter)
Formulary Notes (BNF Section)
NICE Guidance (1)
Other Links (1)
Important Local Documents (5)
Notes for: Skin
Last edited [16/11/2021 14:55:40]


NHS Kernow emollient prescribing guideline September 2021

NHS Kernow moisture associated skin damage pathway September 2021

Fire risk with paraffin-containing products


Management of skin conditions

    With skin disease it is extremely important to consider patient acceptability of a product to maximise patient compliance. There is a wide range of products available and patient acceptance of individual products is very variable.
    Where a consultant or GP with specialist interest asks a GP to prescribe a non-formulary agent they should check that formulary agents have been tried and not tolerated by the patient

    Greasy preparations (ointments) are often preferable to creams in most circumstances because:

    • They contain fewer skin sensitisers
    • They are more hydrating (ie water retaining)
    • There is better penetration of active ingredients

    However, patient preference or activity may necessitate a combination of ointments and creams, for example, patients may prefer to apply creams during the day and use ointments at night, or different preparations on different parts of the body.

    Application technique: It is important to educate patients with the correct application technique. Ointments and creams should be applied down the direction of hair growth. They should also be smeared on and not rubbed in.

    Pot Hygiene: When supplying patients with pots of emollient, it is important to educate them about the hygiene required. Patients should be advised to decant from the pot onto plate/bowl etc. using a spoon or a spatula. Hands should not be put into the pot as this will lead to the introduction of foreign particles.

    In many cases generic prescribing will be difficult because products contain a combination of active ingredients. In this chapter brand names are used for products which should not be prescribed generically.

    Extemporaneous preparations: A product should only be extemporaneously prepared when there is no product with a marketing authorisation available. Depending on the formulation this may be done in a pharmacy, or by a specials manufacturer, usually depending on the formulation. Where a specials manufacturer prepares the product, additional charges will be incurred. The cost can, and usually does, exceed £100 for a cream. The cost is usually the same whether 500 g or 50 g of a product is ordered. Specials all have a very short shelf life with an expiry date of a maximum of 28 days from manufacture.

    A range (but not all) of specials preferred by the British Association of Dermatologists has been approved for use within Cornwall & IoS mainly for prescribing by secondary care. The website also lists various clinical guidelines.



     

    Cornwall Joint Formulary Recommended Choices     (...Top)
    Displaying 36 Drugs

    Key:
    First Line Drugs First Line Drugs
    Second Line Drugs Second Line Drugs
    Specialist Initiated Drugs Specialist Initiated Drugs
    Hospital Only Drugs Hospital Only Drugs
    Discouraged Discouraged
    No comment available No comment available
    Antibiotics Antibiotics

    NameTariffBNF Sub Paragraph
    Hydrocortisone Cream
    0.5 % (15g) Pack of 15
    £1.28PCT FORMULARY STATUS: First Line Drugs [Notes:] Mild Potency Topical CorticosteroidsView BNF Article on 'Hydrocortisone Cream'View SPC on 'Hydrocortisone Cream'View PIL on 'Hydrocortisone Cream'
    Mild Potency
    Betamethasone Ointment (Betnovate)
    0.1 % ointment Pack of 30
    £1.43PCT FORMULARY STATUS: First Line Drugs [Notes:] Potent Topical CorticosteroidsView BNF Article on 'Betamethasone Ointment'View SPC on 'Betamethasone Ointment'View PIL on 'Betamethasone Ointment'
    Potent
    Betamethasone / Clioquinol (Betnovate-C)
    30 g Cream Pack of 30
    £1.76PCT FORMULARY STATUS: First Line Drugs [Notes:] Corticosteroid & Antimicrobial Combination - Potent Topical CorticosteroidsView BNF Article on 'Betamethasone / Clioquinol'View SPC on 'Betamethasone / Clioquinol'View PIL on 'Betamethasone / Clioquinol'
    Corticosteroid & Antimicrobial Combination - Potent
    Betamethasone / Clioquinol (Betnovate-C)
    30 g Ointment Pack of 30
    £1.76PCT FORMULARY STATUS: First Line Drugs [Notes:] Corticosteroid & Antimicrobial Combination - Potent Topical CorticosteroidsView BNF Article on 'Betamethasone / Clioquinol'View SPC on 'Betamethasone / Clioquinol'View PIL on 'Betamethasone / Clioquinol'
    Corticosteroid & Antimicrobial Combination - Potent
    Miconazole/ HC (Daktacort)
    2 %: 1% cream Pack of 30
    £1.82PCT FORMULARY STATUS: First Line Drugs [Notes:] Corticosteroid & Antimicrobial Combination - Mild Potency Topical CorticosteroidsView BNF Article on 'Miconazole/ HC'View SPC on 'Miconazole/ HC'View PIL on 'Miconazole/ HC'
    Corticosteroid & Antimicrobial Combination - Mild Potency
    Clobetasone Cream (Eumovate Cream)
    0.05 % cream Pack of 30
    £1.86PCT FORMULARY STATUS: First Line Drugs [Notes:] Moderate Potency Topical CorticosteroidsView BNF Article on 'Clobetasone Cream'View SPC on 'Clobetasone Cream'View PIL on 'Clobetasone Cream'
    Moderate Potency
    Clobetasone Ointment (Eumovate Ointment)
    0.05 % oint Pack of 30
    £1.86PCT FORMULARY STATUS: First Line Drugs [Notes:] Moderate Potency Topical CorticosteroidsView BNF Article on 'Clobetasone Ointment'View SPC on 'Clobetasone Ointment'View PIL on 'Clobetasone Ointment'
    Moderate Potency
    Clotrimazole/ Hydrocortisone Cream (Canesten HC Cream)
    1 % / 1% (30g tube) Pack of 30
    £2.42PCT FORMULARY STATUS: First Line Drugs [Notes:] Corticosteroid & Antimicrobial Combination - Mild Potency Topical CorticosteroidsView BNF Article on 'Clotrimazole/ Hydrocortisone Cream'View SPC on 'Clotrimazole/ Hydrocortisone Cream'View PIL on 'Clotrimazole/ Hydrocortisone Cream'
    Corticosteroid & Antimicrobial Combination - Mild Potency
    Miconazole/ HC (Daktacort)
    2 %: 1% ointment Pack of 30
    £2.50PCT FORMULARY STATUS: First Line Drugs [Notes:] Corticosteroid & Antimicrobial Combination - Mild Potency Topical CorticosteroidsView BNF Article on 'Miconazole/ HC'View SPC on 'Miconazole/ HC'View PIL on 'Miconazole/ HC'
    Corticosteroid & Antimicrobial Combination - Mild Potency
    Hydrocortisone Cream
    1 % (30g) Pack of 30
    £2.80PCT FORMULARY STATUS: First Line Drugs [Notes:] Mild Potency Topical CorticosteroidsView BNF Article on 'Hydrocortisone Cream'View SPC on 'Hydrocortisone Cream'View PIL on 'Hydrocortisone Cream'
    Mild Potency
    Betamethasone Cream (Betnovate-RD)
    0.025 % cream Pack of 100
    £3.15PCT FORMULARY STATUS: First Line Drugs [Notes:] Moderate Potency Topical CorticosteroidsView BNF Article on 'Betamethasone Cream'View SPC on 'Betamethasone Cream'View PIL on 'Betamethasone Cream'
    Moderate Potency
    Betamethasone / Salicylic acid (Diprosalic ointment)
    0.05 % / 3% Ointment (30g Unit) Pack of 30
    £3.18PCT FORMULARY STATUS: First Line Drugs [Notes:] Potent Topical CorticosteroidsView BNF Article on 'Betamethasone / Salicylic acid'View SPC on 'Betamethasone / Salicylic acid'View PIL on 'Betamethasone / Salicylic acid'
    Potent
    Hydrocortisone Ointment
    1 % (30g) Pack of 30
    £3.20PCT FORMULARY STATUS: First Line Drugs [Notes:] Mild Potency Topical CorticosteroidsView BNF Article on 'Hydrocortisone Ointment'View SPC on 'Hydrocortisone Ointment'View PIL on 'Hydrocortisone Ointment'
    Mild Potency
    Timodine Cream
    30 g tube Pack of 30
    £3.37PCT FORMULARY STATUS: First Line Drugs [Notes:] Corticosteroid & Antimicrobial Combination - Mild Potency Topical CorticosteroidsView BNF Article on 'Timodine Cream'View SPC on 'Timodine Cream'View PIL on 'Timodine Cream'
    Corticosteroid & Antimicrobial Combination - Mild Potency
    Betamethasone Scalp Lotion (Betacap)
    0.1 % Lotion Pack of 100
    £3.75PCT FORMULARY STATUS: First Line Drugs Topical CorticosteroidsView BNF Article on 'Betamethasone Scalp Lotion'View SPC on 'Betamethasone Scalp Lotion'View PIL on 'Betamethasone Scalp Lotion'
    Betamethasone Cream (Betnovate)
    100 g Cream Pack of 100
    £4.05PCT FORMULARY STATUS: First Line Drugs Topical CorticosteroidsView BNF Article on 'Betamethasone Cream'View SPC on 'Betamethasone Cream'View PIL on 'Betamethasone Cream'
    Fluocinolone acetonide (Synalar)
    0.025 % gel (30g tube) Pack of 1
    £4.14PCT FORMULARY STATUS: First Line Drugs [Notes:] Potent Topical CorticosteroidsView BNF Article on 'Fluocinolone acetonide'View SPC on 'Fluocinolone acetonide'View PIL on 'Fluocinolone acetonide'
    Potent
    Mometasone Cream
    0.1 % cream Pack of 100
    £8.17PCT FORMULARY STATUS: First Line Drugs Topical CorticosteroidsView BNF Article on 'Mometasone Cream'View SPC on 'Mometasone Cream'View PIL on 'Mometasone Cream'
    Mometasone Ointment
    0.1 % ointment Pack of 100
    £8.43PCT FORMULARY STATUS: First Line Drugs Topical CorticosteroidsView BNF Article on 'Mometasone Ointment'View SPC on 'Mometasone Ointment'View PIL on 'Mometasone Ointment'
    Clobetasol Cream (Dermovate Cream)
    0.05 % cream Pack of 30
    £2.69PCT FORMULARY STATUS: Second Line Drugs [Notes:] Very Potent Topical CorticosteroidsView BNF Article on 'Clobetasol Cream'View SPC on 'Clobetasol Cream'View PIL on 'Clobetasol Cream'
    Very Potent
    Clobetasol Ointment (Dermovate Ointment)
    0.05 % oint Pack of 30
    £2.69PCT FORMULARY STATUS: Second Line Drugs [Notes:] Very Potent Topical CorticosteroidsView BNF Article on 'Clobetasol Ointment'View SPC on 'Clobetasol Ointment'View PIL on 'Clobetasol Ointment'
    Very Potent
    Clobetasol Scalp (Dermovate Scalp)
    0.05 % soln (30 ml unit) Pack of 30
    £3.07PCT FORMULARY STATUS: Second Line Drugs [Notes:] Very Potent Topical CorticosteroidsView BNF Article on 'Clobetasol Scalp'View SPC on 'Clobetasol Scalp'View PIL on 'Clobetasol Scalp'
    Very Potent
    Betamethasone Lotion (Betnovate)
    0.1 % Lotion Pack of 100
    £4.58PCT FORMULARY STATUS: Second Line Drugs Topical CorticosteroidsView BNF Article on 'Betamethasone Lotion'View SPC on 'Betamethasone Lotion'View PIL on 'Betamethasone Lotion'
    Fusidic Acid - HC Cream (Fucidin H Cream)
    30 g tube Pack of 30
    £6.02PCT FORMULARY STATUS: Second Line Drugs [Notes:] Mild Potency Topical CorticosteroidsView BNF Article on 'Fusidic Acid - HC Cream'View SPC on 'Fusidic Acid - HC Cream'View PIL on 'Fusidic Acid - HC Cream'
    Mild Potency
    Fusidic Acid / Betamethasone Cream (FuciBET)
    30 g tube Pack of 30
    £6.38PCT FORMULARY STATUS: Second Line Drugs [Notes:] Corticosteroid & Antimicrobial Combination - Potent Topical CorticosteroidsView BNF Article on 'Fusidic Acid / Betamethasone Cream'View SPC on 'Fusidic Acid / Betamethasone Cream'View PIL on 'Fusidic Acid / Betamethasone Cream'
    Corticosteroid & Antimicrobial Combination - Potent
    Betamethasone Scalp (Bettamousse)
    0.1 % scalp mousse Pack of 100
    £9.75PCT FORMULARY STATUS: Second Line Drugs [Notes:] Potent Topical CorticosteroidsView BNF Article on 'Betamethasone Scalp'View SPC on 'Betamethasone Scalp'View PIL on 'Betamethasone Scalp'
    Potent
    Betamethasone/ Salicylic Acid Scalp (Diprosalic Scalp Application)
    100 ml Pack of 100
    £10.10PCT FORMULARY STATUS: Second Line Drugs [Notes:] Potent Topical CorticosteroidsView BNF Article on 'Betamethasone/ Salicylic Acid Scalp'View SPC on 'Betamethasone/ Salicylic Acid Scalp'View PIL on 'Betamethasone/ Salicylic Acid Scalp'
    Potent
    Clobetasone + Oxytetracycline + Nystatin (Trimovate Cream)
    30 g tube Pack of 30
    £12.45PCT FORMULARY STATUS: Second Line Drugs [Notes:] Corticosteroid & Antimicrobial Combination - Moderate Potency Topical CorticosteroidsView BNF Article on 'Clobetasone + Oxytetracycline + Nystatin'View SPC on 'Clobetasone + Oxytetracycline + Nystatin'View PIL on 'Clobetasone + Oxytetracycline + Nystatin'
    Corticosteroid & Antimicrobial Combination - Moderate Potency
    Hydrocortisone Ointment
    0.5 % (15g) Pack of 15
    £44.00PCT FORMULARY STATUS: Second Line Drugs [Notes:] Mild Potency Topical CorticosteroidsView BNF Article on 'Hydrocortisone Ointment'View SPC on 'Hydrocortisone Ointment'View PIL on 'Hydrocortisone Ointment'
    Mild Potency
    Hydrocortisone 17 Butyrate (Locoid)
    0.1 % ointment (30g tube) Pack of 30
    £1.60PCT FORMULARY STATUS: Specialist Initiated Drugs [Notes:] Potent Topical CorticosteroidsView BNF Article on 'Hydrocortisone 17 Butyrate'View SPC on 'Hydrocortisone 17 Butyrate'View PIL on 'Hydrocortisone 17 Butyrate'
    Potent
    Betamethasone / Clotrimazole Cream (Lotriderm)
    30 g cream Pack of 30
    £6.34PCT FORMULARY STATUS: Specialist Initiated Drugs [Notes:] Potent Topical CorticosteroidsView BNF Article on 'Betamethasone / Clotrimazole Cream'View SPC on 'Betamethasone / Clotrimazole Cream'View PIL on 'Betamethasone / Clotrimazole Cream'
    Potent
    Fludroxycortide (Haelan)
    7.5 x 50cm Fludroxycortide Tape Pack of 1
    £9.27PCT FORMULARY STATUS: Specialist Initiated Drugs [Notes:] Moderate Potency Topical CorticosteroidsView BNF Article on 'Fludroxycortide'View SPC on 'Fludroxycortide'View PIL on 'Fludroxycortide'
    Moderate Potency
    Fludroxycortide (Haelan)
    7.5 x 200cm Fludroxycortide Tape Pack of 1
    £24.95PCT FORMULARY STATUS: Specialist Initiated Drugs [Notes:] Moderate Potency Topical CorticosteroidsView BNF Article on 'Fludroxycortide'View SPC on 'Fludroxycortide'View PIL on 'Fludroxycortide'
    Moderate Potency
    Clobetasol/ Neomycin/ Nystatin
    30 g Cream Pack of 30
    £91.18PCT FORMULARY STATUS: Specialist Initiated Drugs [Notes:] Very Potent Topical CorticosteroidsView BNF Article on 'Clobetasol/ Neomycin/ Nystatin'View SPC on 'Clobetasol/ Neomycin/ Nystatin'View PIL on 'Clobetasol/ Neomycin/ Nystatin'
    Very Potent
    Hydrocortisone Ointment
    2.5 % (15g) Pack of 15
    £24.46PCT FORMULARY STATUS: Discouraged [Notes:] Mild Potency Topical CorticosteroidsView BNF Article on 'Hydrocortisone Ointment'View SPC on 'Hydrocortisone Ointment'View PIL on 'Hydrocortisone Ointment'
    Mild Potency
    Hydrocortisone Cream
    2.5 % (15g) Pack of 15
    £54.94PCT FORMULARY STATUS: Discouraged [Notes:] Mild Potency Topical CorticosteroidsView BNF Article on 'Hydrocortisone Cream'View SPC on 'Hydrocortisone Cream'View PIL on 'Hydrocortisone Cream'
    Mild Potency

     
    © Kernow Clinical Commissioning Group 2021 - All Rights Reserved
    The Sedgemoor Centre, Priory Road, St Austell, Cornwall, PL25 5AS