Download Topical Meds & Prescriptions for Ear/Nasal Infections, Allergies & Dry Mouth and more Slides Medical Records in PDF only on Docsity!
BNF Chapter Formulary Choices Strength and Form Comments 1st line-Betamethasone 0.1% drops, 0.1% ointment 1st line-Gentamicin 0.3% drops 1st line-Flumetasone+Clioquinol 0.02%/1% Drops 1st line-Clotromazole 1% Soln 1st line-Acetic Acid 2% Spray 2nd line-Betamethasone + Neomycin 0.1%/0.5% Drops 2nd line-Prednisolone 0.5% Drops 2nd line-Dexamethasone +Neomycin+Acetic Acid 0.1%/3250u/2%/ml 1st line-Sodium Bicarbonate 5% drops 2nd line-Urea-Hydrogen Peroxide 5% drops 2nd line-Olive Oil
2nd line - Beclometasone Diproprionate 50mcg/dose Nasal Spray 2nd line - Fluticasone Furoate 27.5mcg/dose Nasal Spray
2nd line - Mometasone Furoate 50mcg/dose Nasal Spray
3rd line - Azelastine 140mcg/actuation Nasal Spray
4th line - Dymista® (Fluticasone/Azelastine) 50mcg/137mcg dose Nasal Spray
Ipratropium Bromide 0.03% Nasal Spray
Topical Nasal Decongestants Xylometazoline 0.05% drops, 0.1% Drops 1st line-Mupirocin 2% Nasal Oint 1st line-Chlorhexidine + Neomycin 0.1%/0.5% Nasal Cream
1st line-Hydrocortisone 2.5mg Mucoadhesive Buccal Tabs 2nd line-Benzydamine 0.15% Oral Rinse 1st line-Miconazole 24mg/ml Oral Gel 1st line-Nystatin 100,000iu/ml SF Susp
Otitis Externa
Removal of Ear Wax
Nasal preparations for infection
MHRA Drug Safety Update August 2017 Corticosteroids: rare risk of central serous chorioretinopathy with local as well as systemic administration Drugs used in Nasal Allergy
WECCG and PAH Allergic Rhinitis Pathway
WECCG Summary of antimicrobial prescribing guidance – managing common infections
Drugs for oral ulceration and inflammation
Oropharyngeal anti-infective Drugs
Mouthwashes, gargles and dentifrices 1st line-Chlorhexidine 0.2% Mouthwash
MHRA Drug Safety Update August 2017 Chlorhexidine: reminder of potential for hypersensitivity Treatment of dry mouth 1st line-Artifical Saliva Spray
West Essex CCG Over the Counter Medicines Policy
The prescribing and continuation of fluoride dental products should remain under the close supervision of a dentist who can manage the patient’s oral health. Where a prescription is required (Prescription Only Medicine) this should be issued by a dentist. A dentist is the most appropriate clinician to monitor and assess both the benefits and adverse effects of treatment including the risk of patients developing fluorosis. GP prescribing is not recommended (acute or repeat prescription) If a GP converts a FP10D or a private prescription to an FP10 they are at that point taking clinical responsibility for treatment and monitoring GPs should not accept requests from dentists to prescribe medicines that the dentist could reasonably prescribe themselves. GPs should not accept requests from patients to issue FP10 prescriptions for items prescribed on a private prescription by their dentist during dental treatment as a private patient. Dentists can issue NHS prescriptions for medicines from the Dental Practitioners’ Formulary (DPF, see current BNF) for treatment provided within an NHS contract. Dentists can issue private prescriptions. When a person receives treatment as a private patient, they must always be given a private prescription even if the medicine required is on the DPF list. Fluoride mouthwash, oral drops, tablets and toothpaste are prescribable on form FP10D (NHS dental prescription) or by non-NHS dentists using a Private Prescription. Self-care: An increasing range of dental products, including standard strength fluoride toothpastes, are available for purchase. It is expected that patients will purchase such products after seeking appropriate advice from a dental practitioner or other healthcare professional, where appropriate in line with West Essex CCG Over the Counter Medicines Policy For patients currently receiving products for dental conditions on a GP FP10 prescription, review and signpost patients to appropriate sources of medicines or to their dentist if appropriate. MOPB Feb 20
Fluoride toothpastes, fluoride mouthwashes, fluoride drops and fluoride tablets
