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 Formulary Chapter 13: Skin - Full Chapter
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13.02.01  Expand sub section  Emollients
Cetraben
(cream/ointment)
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Formulary
Green

note Consider ExCetra cream as more cost effective alternative to Cetraben cream

Ointment also suitable for use as a soap substitute or as bath additive.

 
   
Diprobase
(ointment)
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Formulary
Green
 
   
Doublebase
(gel)
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Formulary
Green

note Consider Isomol or Zerodouble as more cost effective alternatives.

May also be applied before washing, showering or bathing.

 
   
Emulsifying Ointment
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Formulary
Green
 
   
Epimax/ Diprobase
(cream)
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Formulary
Green

note Also suitable for use as soap substitute.

Epimax first line choice as more cost effective.

 

 
   
Epimax/ Epaderm/ Hydromol
(ointment)
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Formulary
Green

note Epimax ointment 1st line as more cost effective option and same active ingredients as Epaderm.

For use as emollient/bath additive or as barrier cream.

 
   
ExCetra
(cream)
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Formulary
Blue

note Similar to Cetraben cream

 
   
Isomol/Zerodouble
(gel)
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Formulary
Blue

note Also suitable for use as a soap substitute.

Similar to Doublebase gel.

 
   
Liquid paraffin, white soft paraffin 50/50
(ointment)
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Formulary
Green

note Preservative and fragrance free.

Very greasy.

 
   
Lubricating jelly
Formulary
Green
 
   
Propylene glycol in aqueous cream
(20% w/w)
Formulary
Amber Recommended

note From British Association of Dermatologists (BAD) Specials List 2014.

unlicensed Unlicensed. 

Restricted Item Dermatology recommendation only.

Use when urea based products are ineffective, unsuitable or not tolerated.

Can also be used as a barrier cream

 
   
Unguentum M
(cream)
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Formulary
Green

note Consider Zeroguent as a more cost effective alternative

 
   
White Soft Paraffin
(ointment)
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Formulary
Green
 
   
ZeroAQS
(cream)
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Formulary
Blue

note Similar to aqueous cream but does not contain SLS. Suitable for use as leave-on emollient or soap substitute.

 
   
Zerobase
(cream)
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Formulary
Blue

Similar to Diprobase cream

 
   
Zerocream
(cream)
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Formulary
Blue

note Also suitable for use as a soap substitute.

Similar to E45 cream.

 
   
Zeroderm
(ointment)
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Formulary
Blue

note Also suitable for use as a soap substitute or bath additive.

Similar to Epaderm ointment.

 
   
Zeroguent
(cream)
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Formulary
Blue

note Similar to Unguentum M cream

 
   
Epimax Paraffin-free
(ointment)
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Restricted Drug Restricted
Green

Restricted Item For use only in patients intolerant to paraffin-containing products.

Note: MHRA safety warnings re: fire risks also apply to paraffin-free emollients.

 
   
Aqueous Cream
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Restricted Drug Restricted
Green

note Not recommended by dermatology specialists. Consider alternative emollients, e.g. ZeroAQS (does not contain SLS).

 
Link  MHRA Drug Safety Update March 2013: Aqueous cream may cause skin irritation
Link  Patient information: Aqueous cream may cause skin irritation
   
13.02.01  Expand sub section  Emollients - preparations containing urea
Urea 10%
(cream)
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Formulary
Amber Recommended

e.g. Eucerin Intensive® , Udrate®

 
   
Urea 25% (Dermatonics Once)
(Heel Balm)
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Formulary
Green

For use in podiatry only

 
   
Urea 25% (Allpresan Diabetic)
(foam cream)
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Formulary
Blue

For use in podiatry only

 
   
13.02.01  Expand sub section  Emollients - with antimicrobials
Dermol
(500 lotion/cream)
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Formulary
Green

note Note: Contains an antimicrobial. Not recommended for long term use.

Also suitable for use as a soap substitute.

 
   
13.02.01.01  Expand sub section  Emollient bath and shower preparations
 ....
 Non Formulary Items
Colloidal/natural oatmeal
(cream)

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Non Formulary

e.g. Aveeno®/Zeroveen®/Aproderm Oatmeal®/Epimax® Oatmeal

 
Dermalo
(bath additive)

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Non Formulary
Black
 
Dermol 200
(shower emulsion)

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Non Formulary
 
Dermol 600
(bath additive)

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Non Formulary
 
Dermol Wash
(cutaneous emulsion)

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Non Formulary
 
E45
(bath oil/ wash cream)

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Non Formulary
Black
 
E45
(cream)

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Non Formulary
 
Emollient shower and bath products/additives

Non Formulary
Black

All bath and shower emollients have been removed from the formulary in accordance with NHS England guidance on items that should not routinely be prescribed in primary care

note  recommendations: Soap avoidance and ‘Leave-on’ emollient moisturisers can still be used for treating eczema. These emollients can also be used as a soap substitute. Patients should be counselled on the use of any emollients as soap substitutes.

 

 
Emulsiderm Emollient
(bath additive)

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Non Formulary
Black
 
Eucerin Anti-redness
(cream)

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Non Formulary
Black
 
Hydromol
(cream)

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Non Formulary

Ointment is formulary (green)

 
Hydromol
(bath and shower emollient)

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Non Formulary
Black

note Fragrance-free.

 
Oilatum Emollient
(bath additive)

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Non Formulary
Black
 
Zerolatum Emollient
(bath additive)

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Non Formulary
Black
 
  
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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