Lancashire and South Cumbria
Formulary
 
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13 Skin

Dermatology prescribing may require use of expensive unlicensed
creams and ointments (known as ‘Specials’). Please consult the revised British Association of Dermatologists (BAD) list of preferred Specials (2018) for advice on appropriate product choice.

Specials Recommended by the British Association of Dermatologists for Skin Disease

Several medicines in the skin chapter are available for purchase over the counter and may be appropriate for self care. Please consult the local OTC policy for more details.

LSCMMG: Over The Counter (OTC) Items That Should Not Be Routinely Prescribed In Primary Care Policy 

13-05-02 Preparations for psoriasis

Dimethyl Fumarate Skilarence®
Formulary

Tablets 30mg, 120mg

The MHRA recommends that patients and their carers should be counselled on the risk of progressive multifocal leukoencephalopathy and advised to seek immediate medical attention if symptoms develop.

Link  NICE TA475: Dimethyl fumarate for treating moderate to severe plaque psoriasis

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Ixekizumab  Taltz®
Formulary

Injection pre-filled pen 80mg/1ml
Injection pre-filled syringe 80mg/1ml

Under expert supervision.

Link  NICE TA442: Ixekizumab for treating moderate to severe plaque psoriasis
Link  NICE TA537: Ixekizumab for treating active psoriatic arthritis after inadequate response to DMARDs

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Spesolimab Spevigo®
Formulary

Solution for infusion 450mg/7.5ml

Under expert supervision.

Link  NICE TA1070: Spesolimab for treating generalised pustular psoriasis flares

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Methoxypsoralen
Formulary
Bath lotion 1.2%
Gel 0.005%
Tablets 10mg

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