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 Formulary Chapter 12: Ear, nose and oropharynx - Full Chapter
12.02.01  Expand sub section  Drugs used in nasal allergy
Azelastine and fluticasone (Dymista)
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Formulary
Advice

  • Status Ratified by C&P CCG JPG at the March 2019 meeting. 

 
   
12.02.01  Expand sub section  Antihistamines
Azelastine Hydrochloride (Rhinolast®)
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Formulary
Green

  • Status Ratified by C&P CCG JPG at the March 2019 meeting. 

 
   
12.02.01  Expand sub section  Corticosteroids
Beclometasone Dipropionate
(Nasal spray)
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Formulary
OTC

  • Nasal spray 50micrograms per spray 

  • Suitable for self care - patients aged 18 years and over may purchase from a Community Pharmacy. 


 

 
   
Mometasone Furoate (Nasonex®, Clarinaze® (OTC))
(mometasone furoate 50 micrograms/metered spray.)
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Formulary
Green

  • Suitable for self care - patients aged 18 years and over may purchase from a Community Pharmacy. 



  • RPH and NWAFT: Formulary.



  • CUHFT: Specialist advice/initiation via Lloyds OP.



  • Non formulary at all other trusts.





 

 
   
Betamethasone Sodium Phosphate
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Formulary
Green

  • Drops (for ear, eye, or nose) 0.1%

 
   
Fluticasone Propionate (Flixonase Nasule®)
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Formulary
Green

 

  • Recommended second line after mometasone nasal spray for the management of nasal polyps in chronic rhinosinusitis. Flixonase (fluticasone proprionate) nasules should be prescribed for a 6-week course and if treatment successful patient can then be switched back to a nasal steroid spray. 
  • For the treatment of oral lichen planus see link below.
  • Not recommended for any other indication.
 
Link  Flixonase® Nasules for the management of oral lichen planus in adults and children 16 years and over
Link  Link to reviews
   
Fluticasone Propionate
(Nasal spray)
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Restricted Drug Restricted
Red Hospital

  • Suitable for self care - patients aged 18 years and over may purchase from a Community Pharmacy. 



  • NWAFT: Formulary.



  • Non-formulary at all other Trusts and in Primary Care

 
   
12.02.01  Expand sub section  Cromoglicate
Sodium Cromoglicate (Rynacrom®)
 Track Changes
Formulary
Green

  • Sodium cromoglicate 4% (5.2 mg/spray).

 
   
 ....
 Non Formulary Items
Budesonide

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Non Formulary
Grey

Rhinocort Aqua® 64micrograms per spray
Budesonide 100micrograms per spray

 
Fluticasone furoate  (Avamys®)

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Non Formulary
Black

 

  • Fluticasone furoate 27.5 micrograms/metered spray.
  • Avamys is more expensive than current formulary choices. 

 

 
Triamcinolone Acetonide

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Non Formulary
Grey

Nasacort® triamcinolone acetonide 55 micrograms/metered spray.

 
  
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
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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