netFormulary

Lancashire and South Cumbria
Formulary

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.

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

13-08-01 Photodamage

Diclofenac

Formulary

Gel 3%

Tirbanibulin Klisyri^®

Formulary

Ointment 10 mg/g

Fluorouracil Efudix^®

Formulary

Cream 5%

Treatment of superficial pre-malignant skin lesions (e.g. actinic keratosis) - Prescribers should refer patients with skin lesions suggestive of skin cancers using the principles of the NICE suspected cancer guideline. Patients must be counselled in full on the correct use of fluorouracil 5% Cream, its risks and side effects.
Treatment of small superficial basal-cell carcinomas in adults - Only to be prescribed by skin cancer specialists or a suitably qualified GP with specialist interest (GPwSI) with demonstrable clinical skills and competencies, training and experience.

LSCMMG: Fluorouracil 5% Cream NMR

LSCMMG: Imiquimod cream (Aldara) and fluorouracil cream (Efudix) NMR

Fluorouracil Tolak^®

Formulary

Cream 4%

For treatment of non-hyperkeratotic, non-hypertrophic actinic keratosis (Olsen grade I and II) of the face, ears, and/or scalp in adults.

Prescribers should refer patients with skin lesions suggestive of skin cancers using the principles of the NICE suspected cancer guideline. Patients must be counselled in full on the correct use of fluorouracil 4% Cream, its risks and side effects.

Aminolevulinic acid Ameluz^®

Formulary

Gel 78mg/g

Imiquimod

Formulary

Cream 5% (Aldara®) Treatment of actinic keratosis
Cream 5% (Aldara®) Treatment of small superficial basal-cell carcinomas in adults - Only to be prescribed by skin cancer specialists or a suitably qualified GP with specialist interest (GPwSI) with demonstrable clinical skills and competencies, training and experience.
Cream 3.75% (Zyclara®) Treatment of Actinic Keratosis
ial basal cell carcinoma in adults

LSCMMG: Imiquimod cream (Aldara) and fluorouracil cream (Efudix) NMR

Methyl-5-Aminolevulinate Metvix^®

Formulary

Cream 160 mg/g

Fluorouracil with salicylic acid Actikerall^®

Formulary

Solution fluorouracil 0.5%, salicylic acid 10%

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