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 Formulary Chapter 12: Ear, nose and oropharynx - Full Chapter
12.01.01  Expand sub section  Otitis externa
12.01.01  Expand sub section  Astringent preparations
12.01.01  Expand sub section  Anti-inflammatory preparations
Dexamethasone with Antibacterial (Sofradex)
(ear / eye drops)
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Formulary
Green

 

  • Dexamethasone 0.05%, Framycetin Sulphate 0.5%, Gramicidin 0.005%
  • Refer to Antimicrobial Prescribing Guidelines for acute otitis externa treatment options

September 2020 - Shortage of Sofradex ear/eye drops

  • Sanofi are out of stock until December 2020 

 

 
Link  Antimicrobial Prescribing Guidance 2020
   
Hydrocortisone Acetate with Gentamicin (Gentisone HC)
(ear drops)
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Formulary
Green

 

  • Hydrocortisone Acetate 1% with Gentamicin 0.3%
  • Refer to Antimicrobial Prescribing Guidelines for acute otitis externa treatment options

 

 
Link  Antimicrobial Prescribing Guidance 2020
   
Betamethasone 0.1% with Neomycin 0.5% ear drops (Betnesol N)
(ear drops)
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Formulary
Green

 

  • Second line for treatment of acute otitis externa
  • For first line options refer to Antimicrobial Prescribing Guidance
 
Link  Antimicrobial Prescribing Guidance 2020
   
Betamethasone ear drops
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Formulary
Green

  • Eye, ear or nose drops 0.1%.

  • Intermittent supply problems. 


 

 
   
Prednisolone ear drops (Predsol)
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Formulary
Green

  • For eye or ear drops 0.5%.

 
   
12.01.01  Expand sub section  Anti-infective preparations
12.01.01  Expand sub section  Other aural preparations to top
 ....
 Non Formulary Items
Dexamethasone with Antibacterial  (Otomize)
(ear spray)

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Non Formulary
Grey

 

  • Dexamethasone 0.1%, Neomycin Sulphate 3250 units per mL and Glacial Acetic Acid 2%
  • Refer to Antimicrobial Prescribing Guidelines for acute otitis externa treatment options
Link  Antimicrobial Prescribing Guidance 2020
 
  
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
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Link to adult BNF
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Link to children's BNF
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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

Traffic Light Status Information

Status Description

OTC

Available Over the Counter. Consider Self Care   

Green

Formulary - Can be prescribed in both secondary and primary care.   

Advice

Formulary - Specialist Advice, secondary care advice provided for primary care initiation.  

Amber No SCG

Formulary - Specialist initiation without shared care guidance.  

Amber SCG

Formulary - Specialist initiation with shared care guidance.  

Red Hospital

Restricted - Hospital only, not to be prescribed in primary care.  

Switch

Not recommended for prescribing. Switch to alternative cost-effective option.   

Black

Not recommended for prescribing in primary or secondary care.  

Grey

Not recommended as no formal application made for addition to the formulary. Contact relevant pharmacy team for further information.   

Non Formulary

Non-Formulary (category under review).  

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