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Ear
Ear / Otitis externa
  aluminium acetate On Formulary
  Ear drops
Otinova (Kestrel Medical Ltd)
  betamethasone On Formulary
Betesil Medicated Plaster - Inflammatory Skin Disorders (November 2022)

Approved at NEL FPG (Nov 2022)

Betesil® 2.250mg medicated plaster is the only potent corticosteroid indicated in adults for the treatment of inflammatory skin disorders.

The plaster is licensed to use for a maximum of 30 days at a time, with a maximum of 6 plasters being used at any one time. Plasters may be changed once every 24 hours.

Amber-may be prescribed by or on the advice of a specialist 

  Soluble tablet
Betamethasone (Non-proprietary)
  Solution for injection
Betamethasone (Non-proprietary)
  Ear/eye/nose drops solution
Betnesol (RPH Pharmaceuticals AB)
Vistamethasone (Martindale Pharmaceuticals Ltd)
  Medicated plaster
Betesil (Derma UK Ltd)
  Cutaneous ointment
Betamethasone (Non-proprietary)
Audavate (Accord-UK Ltd)
Betnovate (GlaxoSmithKline UK Ltd)
Diprosone (Organon Pharma (UK) Ltd)
  Cutaneous foam
Bettamousse (RPH Pharmaceuticals AB)
  Cutaneous cream
Betamethasone (Non-proprietary)
Audavate (Accord-UK Ltd)
Betnovate (GlaxoSmithKline UK Ltd)
Diprosone (Organon Pharma (UK) Ltd)
  Cutaneous liquid
Betacap (Dermal Laboratories Ltd)
Betnovate (GlaxoSmithKline UK Ltd)
Diprosone (Organon Pharma (UK) Ltd)
  betamethasone with neomycin On Formulary
  Ear/eye/nose drops solution
Betnesol-N (RPH Pharmaceuticals AB)
  Cutaneous ointment
Betamethasone with neomycin (Non-proprietary)
  Cutaneous cream
Betamethasone with neomycin (Non-proprietary)
  chloramphenicol On Formulary
Chloramphenicol

For treatment guidelines refer to MicroGuide

  Powder for solution for injection
Chloramphenicol (Non-proprietary) On Formulary
  Ear drops
Chloramphenicol (Non-proprietary)
  Eye drops
Chloramphenicol (Non-proprietary)
Eykappo (Aspire Pharma Ltd)
  Eye ointment
Chloramphenicol (Non-proprietary)
  Oral capsule
Chloramphenicol (Non-proprietary)
  ciprofloxacin On Formulary
Bone and joint treatment

Refer to Bone and Joint section of body systems on MicroGuide

Intravenous ciprofloxacin

Hospital only medicine.

Fluoroquinolone antibiotics

March 2019 Drug safety update

  Oral suspension
Ciproxin (Bayer Plc) On Formulary
  Infusion
Ciprofloxacin (Non-proprietary)
  Solution for infusion
Ciprofloxacin (Non-proprietary)
  Ear drops
Cetraxal (Aspire Pharma Ltd) On Formulary
  Eye drops
Ciloxan (Novartis Pharmaceuticals UK Ltd)
  Oral tablet
Ciprofloxacin (Non-proprietary)
  ciprofloxacin with dexamethasone On Formulary
  Ear drops
Ciprofloxacin with dexamethasone (Non-proprietary)
  ciprofloxacin with fluocinolone acetonide On Formulary
  Ear drops
Cetraxal Plus (Aspire Pharma Ltd)
  clotrimazole On Formulary
  Pessary
Canesten (Bayer Plc)
  Spray
Canesten (Bayer Plc)
  Cutaneous or ear solution
Canesten (Bayer Plc)
  Cutaneous cream
Clotrimazole (Non-proprietary)
Canesten (Bayer Plc)
  Vaginal cream
Canesten (Bayer Plc)
  dexamethasone with framycetin sulfate and gramicidin On Formulary
  Ear/eye drops solution
Sofradex (Neon Healthcare Ltd)
  dexamethasone with glacial acetic acid and neomycin sulfate On Formulary
  Spray
Otomize (Teva UK Ltd) On Formulary
  flumetasone pivalate with clioquinol Off Formulary
  Ear drops
Flumetasone pivalate with clioquinol (Non-proprietary)
  framycetin sulfate On Formulary
  gentamicin On Formulary
  Solution for injection
Gentamicin (Non-proprietary)
Cidomycin (Advanz Pharma)
Cystic Fibrosis Drug Doses

  Infusion
Gentamicin (Non-proprietary)
  Ear/eye drops solution
Gentamicin (Non-proprietary)
  gentamicin with hydrocortisone On Formulary
  Ear drops
Gentamicin with hydrocortisone (Non-proprietary)
  hydrocortisone with neomycin and polymyxin B sulfate On Formulary
  Ear drops
Otosporin (Phoenix Labs Ltd)
  prednisolone On Formulary
Prednisolone GR non- formulary

Prednisolone G/R tablets are non-formulary, predisolone normal release should be used instead

  Soluble tablet
Prednisolone (Non-proprietary)
  Gastro-resistant tablet
Prednisolone (Non-proprietary)
PREDNISOLONE

Second line for glucocorticoid replacement (usual dose 5mg in the morning and 2.5mg in the evening)

Polycystic Ovary Syndrome (PCO): reverse circadian rhythm dosing (2.5mg on rising and 5mg at bedtime)

Steroid therapy for supression of ACTH secretion

In adrenal hyperplasia, adrenal carcinoma, polycystic ovaries and ectopic ACTH secretion, Prednisolone is used in doses reverse to replacement therapy i.e. two-thirds of the dose before bedtime (to supress the normal cortisol surge beginning at 3am). Some corticosteroid is required during the day and the remaining one-third of the dose is given at the time of waking.

Dilacort (Crescent Pharma Ltd)
  Oral solution
Prednisolone (Non-proprietary)
  Ear/eye drops solution
Prednisolone (Non-proprietary)
  Eye drops
Prednisolone (Non-proprietary) On Formulary
PREDNISOLONE

0.3% preservative-free eye drops also available

Pred Forte (AbbVie Ltd)
PREDNISOLONE

0.3% preservative-free eye drops also available

  Suppository
Prednisolone (Non-proprietary)
  Enema
Prednisolone (Non-proprietary)
  Oral tablet
Prednisolone (Non-proprietary)
  Rectal foam
Prednisolone (Non-proprietary)
Ear / Otitis media
  ciprofloxacin with dexamethasone On Formulary
  Ear drops
Ciprofloxacin with dexamethasone (Non-proprietary)
  ciprofloxacin with fluocinolone acetonide On Formulary
  Ear drops
Cetraxal Plus (Aspire Pharma Ltd)
  phenazone with lidocaine
  Ear drops
Otigo (Renascience Pharma Ltd)
Ear / Removal of earwax
  almond oil On Formulary
  Form unstated
Almond oil (Non-proprietary)
  docusate sodium On Formulary
  Oral solution
Docusate sodium (Non-proprietary)
Docusol (Typharm Ltd)
  Ear drops
Molcer (Wallace Manufacturing Chemists Ltd)
Waxsol (Viatris UK Healthcare Ltd)
  Enema
Norgalax (Essential Pharma Ltd)
  Oral capsule
Dioctyl (Teofarma S.r.l.)
  olive oil On Formulary
  Ear drops
Olive oil (Non-proprietary) On Formulary
Cerumol (Thornton & Ross Ltd)
KliarVax (Essential-Healthcare Ltd)
Otadrop (JFA Medical Ltd)
St George's (St Georges Medical Ltd)
  Spray
Earol (HL Healthcare Ltd)
  sodium bicarbonate On Formulary
Medicine Shortage: Sodium Bicarbonate Polyfusor 500mls - 1.26%, 1.40%, 2.74%, 8.4%.

There is a national drug shortage for Sodium Bicarbonate Polyfusor 500mls - 1.26%, 1.40%, 2.74%, 8.4%. This shortage is anticipated to last until October 2020. Please see the memo attached regarding this shortage, which will provide further information.

Sodium Bicarbonate Intravenous Infusion

FOR HOSPITAL USE ONLY

  Gastro-resistant capsule
Nephrotrans (Medice UK Ltd)
  Oral solution
Sodium bicarbonate (Non-proprietary)
SODIUM BICARBONATE

Not routinely used for alkalinisation of urine

EssCarb (Essential-Healthcare Ltd)
Thamicarb (Thame Laboratories Ltd)
  Solution for injection
Sodium bicarbonate (Non-proprietary)
  Infusion
Sodium bicarbonate (Non-proprietary)
  Ear drops
Sodium bicarbonate (Non-proprietary) On Formulary
KliarVax Sodium Bicarbonate (Essential-Healthcare Ltd)
  Oral tablet
Sodium bicarbonate (Non-proprietary)
EssCarb (Essential-Healthcare Ltd)
  Oral capsule
Sodium bicarbonate (Non-proprietary)
EssCarb (Essential-Healthcare Ltd)
  urea hydrogen peroxide On Formulary
  Ear drops
Otex (Diomed Developments Ltd)