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Southampton Joint Formulary
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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)
(nasal spray)
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Third Choice
Green

Third line therapy for allergic rhinitis where response to treatment with other therapies, including combination of oral antihistamines and intranasal corticosteroids, was inadequate or not tolerated

 
   
12.02.01  Expand sub section  Corticosteroids
Beclometasone Dipropionate
(Nasal spray)
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First Choice
Green

First line for adults in nasal allergy

 
Mometasone Furoate
(nasal spray)
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First Choice
Green

First line for children and for treatment of nasal polyps in adults

Second line to beclometasone propionate in adults for seasonal allergic or perennial rhinitis

 

 
Betamethasone eye/ear/nose drops
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Formulary
Green
 
   
Fluticasone furoate (Avamys)
(nasal spray)
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Formulary
Green

Second or third line for nasal allergy for patients who do not respond to beclometasone dipropionate, or who need a different device.

 
   
Fluticasone propionate (Flixonase Nasule Drops)
(nasal drops)
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Formulary
Amber Recommended

For treatment of symptoms of severe chronic rhinosinusitis with nasal polyps as second line option if control with glucocorticoid nasal sprays is insufficient.

unlicensed unlicensed in children under 16 years old.

 
   
 ....
 Non Formulary Items
Budesonide  (Rhinocort Aqua)

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Non Formulary
 
  
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
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Link to adult BNF
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Link to children's BNF
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Link to SPCs
Cytotoxic Drug
Cytotoxic Drug
CD
Controlled Drug
High Cost Medicine
High Cost Medicine

Traffic Light Status Information

Status Description

Green

Suitable for prescribing by all in both primary and secondary care.  

Amber Recommended

Specialist recommended but suitable for continuation in primary care.  

Amber Initiation

Specialist initiated but suitable for continuation in primary care.  

Amber SCG

Specialist initiated and for continuation in primary care under a locally approved shared care guideline.  

Red

Suitable for prescribing in specialist settings (secondary care) only.   

Red Specialist Centre

Secondary care medicines to be used under specialised commissioning arrangements only.  

Blue

For primary care, either via FP10 or supplied through specialist services. These products may be stocked by hospital pharmacies only for supply to primary care units/wards or for continuing supplies for patients admitted on therapy.  

Black

Not recommended for use.  

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