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Southampton Joint Formulary
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 Formulary Chapter 12: Ear, nose and oropharynx - Full Chapter
12.03.01  Expand sub section  Drugs for oral ulceration and inflammation
Benzydamine (Difflam)
(oral rinse/spray)
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First Choice
Green

Self Care Available OTC

 
Choline salicylate (Bonjela )
(gel)
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First Choice
Green

Self Care Available OTC 

Red Triangle For adults and children over 16 years only

 
Antacid with oxetacaine
(oral suspension)
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Formulary
Amber Recommended

unlicensed unlicensed special

Restricted Item For treatment of symptoms of oral mucositis and oesophageal lesions causing painful swallowing when recommended by cancer care specialist only.

Replaces Mucaine suspension (discontinued)

 
Link  NHS Greater Glasgow and Clyde Palliative Care Drug Monograph: Antacid and Oxetacaine oral suspension
   
Betamethasone 500microgram
(soluble tablet)
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Formulary
Amber Recommended

unlicensed Use for treatment of oral ulceration or inflammation is off label. For use as a mouthwash only - not to be swallowed.

 
Link  British Society for Oral Medicine: Betamethasone soluble tablets used as a mouthwash
   
Hydrocortisone 2.5mg
(muco-adhesive buccal tablets)
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Formulary
Amber Recommended

Self Care Available OTC

 
Link  MHRA Drug Safety Update Dec 2018. Hydrocortisone muco-adhesive buccal tablets: should not be used off-label for adrenal insufficiency in children
   
Orabase
(paste)
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Formulary
Amber Recommended

Self Care Available OTC

 
   
Cocaine 5%
(Mouthwash)
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Formulary
Red

unlicensed Unlicensed

 
   
 ....
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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