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 Formulary Chapter 20: Unlicensed Medicines & Off-Label Use - Full Chapter
Notes:

THIS CHAPTER IS UNDER REVIEW AND CURRENTLY ONLY CONTAINS UNLICENSED MEDICINES INFORMATION SPECIFIC TO CUHFT.

FOR FURTHER ADVICE PLEASE CONTACT YOUR LEAD PHARMACIST OR CCG MEDICINES OPTIMISATION TEAM (PRIMARY CARE ENQUIRIES ONLY)

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20.02  Expand sub section  CUH Dermatolgy Specials
 note 

This is a selection of dermatology products approved for use on the CUH formulary that appear on the British Association of Dermatology (BAD) List. Note many of these are 'specials' and unlicensed

Cade oil ointment
(Ointment)
View adult BNF View SPC online View childrens BNF  Track Changes
Restricted Drug Restricted
Red Hospital
  • 12%:6%
  • 6%:3%
  • Only for severe scalp psoriasis.
     
  •    
    Cidofovir cream (in Unguentum M)
    (Cream)
    View adult BNF View SPC online View childrens BNF  Track Changes
    Restricted Drug Restricted
    Red Hospital
  • 1%.
  • Not in BAD list.  
  •    
    Coal tar in yellow soft paraffin
    (Ointment)
    View adult BNF View SPC online View childrens BNF  Track Changes
    Restricted Drug Restricted
    Red Hospital
  • 1%
  • 2%
  • 5%
  • 10%
  • 20%
  • May be long-term or repeated treatment.
     
  •    
    Coal Tar solution in Betnovate
    (Ointment)
    View adult BNF View SPC online View childrens BNF  Track Changes
    Restricted Drug Restricted
    Red Hospital
  • 5% and 10%.  
  •    
    Crude coal tar, salicylic acid 2% in emulsifying ointment
    (Ointment)
    View adult BNF View SPC online View childrens BNF  Track Changes
    Restricted Drug Restricted
    Red Hospital
  • 1%
  • 2%
  • 5%
  • 10%
  • 20%
  • May be long-term or repeated treatment.
     
  •    
    Diphenylcyclopropanone in acetone
    View adult BNF View SPC online View childrens BNF  Track Changes
    Restricted Drug Restricted
    Red Hospital
  • Alopecia arreata.
     
  •    
    Dithranol in Lassarís Paste
    (Paste)
    View adult BNF View SPC online View childrens BNF  Track Changes
    Restricted Drug Restricted
    Red Hospital
  • 0.1%
  • 0.25%
  • 0.5%
  • 1%
  • 2%
  • 4%
  • 8%
  • 12%
  • Occasionally longer term treatment is required.  
  •    
    Formaldehyde (Formalin)
    (Solution )
    View adult BNF View SPC online View childrens BNF  Track Changes
    Restricted Drug Restricted
    Red Hospital

    • 40% diluted to 4% soak.

    • For soaking warts.

     
       
    Glycopyrrolate in cetimacrogol cream
    (Cream)
    View adult BNF View SPC online View childrens BNF  Track Changes
    Restricted Drug Restricted
    Red Hospital
  • 0.5% and 1%.
     
  •    
    Hydroquinone 5%, hydrocortisone 1% and Retin A cream (Pigmanorm)
    (Cream)
    View adult BNF View SPC online View childrens BNF  Track Changes
    Restricted Drug Restricted
    Red Hospital
     
       
    Hydroquinone in aqueous cream
    (Cream)
    View adult BNF View SPC online View childrens BNF  Track Changes
    Restricted Drug Restricted
    Red Hospital
  • 4% 
  •    
    Podophyllum in Tinct Benz Co Paint
    (Paint)
    View adult BNF View SPC online View childrens BNF  Track Changes
    Restricted Drug Restricted
    Red Hospital
  • Not in BAD list.  
  •    
    Propylene glycol in aqueous cream
    (Cream)
    View adult BNF View SPC online View childrens BNF  Track Changes
    Restricted Drug Restricted
    Red Hospital
  • 20% and 40%
  • Short term use.  
  •    
    Propylene glycol in dermovate
    (Cream)
    View adult BNF View SPC online View childrens BNF  Track Changes
    Restricted Drug Restricted
    Red Hospital
  • 20% and 40%. 
  •    
    Salicylic acid and sulphur cream
    (Cream)
    View adult BNF View SPC online View childrens BNF  Track Changes
    Restricted Drug Restricted
    Red Hospital
  • 2%:2%
  • May be long-term or repeated treatment.
  • Not used very often.
     
  •    
    Salicylic acid in aqueous cream
    (Cream)
    View adult BNF View SPC online View childrens BNF  Track Changes
    Restricted Drug Restricted
    Red Hospital
  • 2%
  • May be long-term or a repeated treatment.
     
  •    
    Salicylic acid in Arachis oil
    (Oil)
    View adult BNF View SPC online View childrens BNF  Track Changes
    Restricted Drug Restricted
    Red Hospital
  • 2%
  • Safe combination.
  • Very useful for very thick scaling in the scalp.
  • Washes out easily (compared to Sebco etc) and does not smell.
     
  •    
    Sunscreen (Dundee Formula)
    (Ointment)
    View adult BNF View SPC online View childrens BNF  Track Changes
    Restricted Drug Restricted
    Red Hospital
     
       
    Trichloroacetic acid
    View adult BNF View SPC online View childrens BNF  Track Changes
    Restricted Drug Restricted
    Red Hospital
  • 50%
  • 90%
  • 100% 
  •    
    Urea in half strength Lassarís Paste
    (Paste)
    View adult BNF View SPC online View childrens BNF  Track Changes
    Restricted Drug Restricted
    Red Hospital
  • 20% and 40%.
  • For hair removal.  
  •    
     ....
    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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