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 Formulary Chapter 12: Ear, nose and oropharynx - Full Chapter
12.01  Drugs acting on the ear
12.01.01  Otitis externa
12.01.01  Astringent preparations
Acetic Acid 2% (Earcalm ®)
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Formulary
OTC

For self-care & over the counter (OTC) purchase in primary care

 
   
12.01.01  Anti-inflammatory preparations
Betamethasone 0.1% with Neomycin 0.5% ear drops (Betnesol N®)
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Formulary
Green
 
   
Betamethasone ear drops
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Formulary
Green
 
   
Dexamethasone with Antibacterials (ear) (Sofradex®)
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Green
 
   
Flumetasone 0.02% with Clioquinol 1% (Locorten-Vioform®)
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Formulary
Green
 
   
Hydrocortisone Acetate 1% with Gentamicin 0.3% (Gentisone® HC)
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Green
 
   
12.01.01  Anti-infective preparations to top
Clotrimazole
(ear drops)
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Formulary
Green
 
   
12.01.01  Other aural preparations
12.01.02  Otitis media
12.01.03  Removal of ear wax
Olive Oil Ear Drops
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Formulary
OTC

For self-care & over the counter (OTC) purchase in primary care

 
   
Sodium Bicarbonate
(ear drops)
Formulary
OTC

For self-care & over the counter (OTC) purchase in primary care

 
   
12.02  Drugs acting on the nose
12.02.01  Drugs used in nasal allergy to top
Fluticasone + Azelastine (Dymista)
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Green 2

Second line – see BSACI rhinitis guidelines

 
   
12.02.01  Antihistamines
12.02.01  Corticosteroids
Beclometasone Dipropionate
(Nasal spray)
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Green

Beconase 200 dose pack in Primary Care

 
   
Beclometasone Dipropionate (Beconase®)
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Formulary
Green

200 dose pack in Primary Care

 
   
Betamethasone nasal drops
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Formulary
Green
 
   
Betamethasone Sodium Phosphate (Vista-Methasone®)
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Formulary
Green

Prescribe generically

 
   
Fluticasone Propionate
(nasal)
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Restricted Drug Restricted
Amber

For nasal polyps only 

 
   
Fluticasone Propionate (Flixonase Nasule®)
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Restricted Drug Restricted
Amber

For nasal polyps only 

 
   
Mometasone Furoate (Nasonex®)
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Formulary
Green
 
   
12.02.01  Cromoglicate
Sodium Cromoglicate
Formulary
OTC

For self-care & over the counter (OTC) purchase in primary care

 
   
12.02.02  Topical nasal decongestants
12.02.02  Sympathomimetics to top
Ephedrine
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OTC

For self-care & over the counter (OTC) purchase in primary care

 
   
Xylometazoline (Otrivine®)
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OTC

For self-care & over the counter (OTC) purchase in primary care

 
   
12.02.02  Antimuscarinic
Ipratropium Bromide (Rinatec®)
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Formulary
Green
 
   
12.02.03  Nasal preparations for infection
12.02.03  Nasal Staphylococci
Chlorhexidine Hydrochloride 0.1%, Neomycin Suphate 0.5% (Naseptin®)
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Formulary
Green
 
   
Mupirocin 2% (Bactroban Nasal®)
(nasal)
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Formulary
Green

For eradication or decolonisation of MRSA only

 
   
12.03  Drugs acting on the oropharynx
12.03.01  Drugs for oral ulceration and inflammation to top
Benzydamine (Difflam®)
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Formulary
OTC

Mouthwash. For self-care & over the counter (OTC) purchase in primary care 

 
   
Carmellose Sodium (Orabase®)
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Formulary
Green
 
   
Hydrocortisone (Corlan®)
(mouth ulcers)
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Formulary
OTC

available for self care & over the counter purchase in primary care

 
   
12.03.02  Oropharyngeal anti-infective drugs
12.03.02  Oropharyngeal Fungal infections
Miconazole (Daktarin®)
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Formulary
Green
 
   
Nystatin (Nystan®)
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Formulary
Green

Oral solution

 
   
12.03.02  Oropharyngeal Viral infections
12.03.03  Lozenges and sprays
12.03.04  Mouthwashes, gargles, and dentifrices to top
12.03.05  Treatment of dry mouth
12.03.05  Local Treatment
12.03.05  Systemic treatment
 ....
 Non Formulary Items
ACETIC ACID 5% solution in IMS

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Non Formulary
 
Aciclovir

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Non Formulary
 
Almond Oil

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Non Formulary
 
Amphotericin Lozenges  (Fungilin®)

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Non Formulary
 
Anaesthetic throat lozenges  (Tyrozets®)

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Non Formulary
 
Antacid with Oxetacaine

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Non Formulary
 
AS saliva Orthana ®

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Non Formulary
 
Azelastine  (Rhinolast®)

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Non Formulary
 
Benzocaine

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Non Formulary
 
Betamethasone
(mouth ulcers)

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Non Formulary
 
Betamethasone Sodium Phosphate  (Betnesol®)

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Non Formulary
 
Betamethasone Sodium Phosphate  (Vista-Methasone®)

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Non Formulary
 
Betamethasone Sodium Phosphate 0.1% with Neomycin Sulphate 0.5%

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Non Formulary
 
Betamethasone Sodium Phosphate with Antibacterial  (Vista-Methasone N®)

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Non Formulary
 
Biotene Oralbalance ®

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Non Formulary
 
BioXtra ®

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Non Formulary
 
Budesonide

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Non Formulary
 
Budesonide  (Rhinocort Aqua®)

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Non Formulary
 
Caphosol ®

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Non Formulary
 
Carmellose Sodium  (Orahesive®)

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Non Formulary
 
Cerumol ®

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Non Formulary
 
Cetylpyridinium, Chlrocresol, Lidocaine  (Anbesol®)

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Non Formulary
 
Chloramphenicol
(ear drops)

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Non Formulary
 
Chlorhexidine & Chlorobutanol  (Eludril®)
(mouthwash)

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Non Formulary
 
Chlorhexidine mouthwash

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Non Formulary
 
Chlorhexidine mouthwash

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Non Formulary
 
Choline Salicylate  (Bonjela® Adult)

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Non Formulary
 
Ciprofloxacin
(ear drops)

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Non Formulary
 
Dexamethasone with Antibacterial  (Otomize®)

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Non Formulary
 
Docusate 0.5% eardrops  (Waxsol®)

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Non Formulary
 
Doxycycline

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Non Formulary
 
Doxycycline

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Non Formulary
 
Doxycycline  (Periostat®)

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Non Formulary
 
Exterol ®

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Non Formulary
 
Flunisolide  (Syntaris®)

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Non Formulary
 
Flurbiprofen lozenge

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Non Formulary
 
Fluticasone furoate  (Avamys®)

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Non Formulary
 
Fluticasone Propionate  (Nasofan®)

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Non Formulary
 
Gelclair ®

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Non Formulary
 
Gentamicin
(ear drops)

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Non Formulary
 
Glandosane ®

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Non Formulary
 
Glycerol dioleate  (Episil®)

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Non Formulary
 
Hydrocortisone with Antibacterial  (Neo-Cortef®)

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Non Formulary
 
Hydrocortisone with Antibactrial  (Otosporin®)

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Non Formulary
 
Hydrogen Peroxide

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Non Formulary
 
Hydrogen Peroxide  (Peroxyl®)
(mouthwash)

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Non Formulary
 
Lidocaine 10% mouth spray

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Non Formulary
 
Lidocaine 5% ointment
(mouth)

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Non Formulary
 
Lidocaine and Cetylpyridinium  (Dentinox® Teething Gel)

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Non Formulary
 
Lidocaine and Chlorhexidine  (Instillagel®)
(mouth)

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Non Formulary
 
Lidocaine and Phenylephrine  (Cophenalcaine®)

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Non Formulary
 
Luborant ®

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Non Formulary
 
Miconazole  (Loramyc®)

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Non Formulary
 
Molcer ®

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Non Formulary
 
Mouth Swabs

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Non Formulary
 
Neomycin Sulphate with corticosteroids  (Neo-Cortef®)

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Non Formulary
 
Neomycin Sulphate with corticosteroids  (Otosporin®)

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Non Formulary
 
Ofloxacin
(ear drops)

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Non Formulary
 
Otex ®

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Non Formulary
 
pilocarpine Hydrochloride  (Salagen®)

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Non Formulary
 
Povidone Iodine  (Betadine®)

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Non Formulary
 
Prednisolone 0.5% with Neomycin 0.5%  (Predsol-N®)

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Non Formulary
 
Prednisolone ear drops  (Predsol®)

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Non Formulary
 
Salicylates - Salicylic acid  (Pyralvex®)

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Non Formulary
 
Salinum ®

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Non Formulary
 
Saliveze ®

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Non Formulary
 
Salivix ®

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Non Formulary
 
Sodium Chloride
(mouthwash compound BP)

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Non Formulary
 
Sodium Cromoglicate  (Vividrin®)

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Non Formulary
 
SST

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Non Formulary
 
Thymol

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Non Formulary
 
Tranexamic Acid Mouthwash

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Non Formulary
 
Triamcinolone Acetonide  (Nasacort®)

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Non Formulary
 
Triamcinolone Acetonide 0.1% in Adhesive Basis  (Adcortyl in Orabase®)

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Non Formulary
 
Triamcinolone with antibacterial  (Otocomb Otic®)

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Non Formulary
 
Triamcinolone with Antibacterial  (Tri-Adcortyl Otic®)

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Non Formulary
 
Xerotin(r)  (Xerotin®)

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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
click to search medicines.org.uk
Link to adult BNF
click to search medicines.org.uk
Link to children's BNF
click to search medicines.org.uk
Link to SPCs
SMC
Scottish Medicines Consortium
Cytotoxic Drug
Cytotoxic Drug
CD
Controlled Drug
High Cost Medicine
High Cost Medicine
Cancer Drugs Fund
Cancer Drugs Fund
NHSE
NHS England
Homecare
Homecare
CCG
CCG

Traffic Light Status Information

Status Description

Green

Suitable for use in primary care  

Amber

Specialist initiation. Shared care in place  

Red

Red do not use..  

Advice

Some formulations restricted  

Black

NICE "Do not do"  

Green 1

1st line option  

Green 2

2nd line option  

Green 3

3rd line option only  

Not Recomended / Black

Low Value Medicine not recommended for use - see NHSE guidelines  

OTC

This preparation should be bought over the counter for self-care  

Red Amber

Check product description for traffic light status  

Red Black

Low Value Medicine  

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