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NHS Herefordshire Clinical Commissioning Group
Wye Valley NHS Trust
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 Formulary Chapter 12: Ear, nose and oropharynx - Full Chapter
12.02.01  Expand sub section  Drugs used in nasal allergy
Fluticasone + Azelastine (Dymista)
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Formulary
Green 2

Second line – see BSACI rhinitis guidelines

 
   
12.02.01  Expand sub section  Antihistamines
12.02.01  Expand sub section  Corticosteroids
Beclometasone Dipropionate
(Nasal spray)
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Formulary
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  Expand sub section  Cromoglicate
Sodium Cromoglicate
Formulary
OTC

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

 
   
 ....
 Non Formulary Items
Azelastine  (Rhinolast)

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Non Formulary
 
Betamethasone Sodium Phosphate  (Betnesol®)

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Non Formulary
 
Budesonide

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Non Formulary
 
Budesonide  (Rhinocort Aqua)

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Non Formulary
 
Flunisolide  (Syntaris)

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Non Formulary
 
Fluticasone furoate  (Avamys)

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Non Formulary
 
Fluticasone Propionate  (Nasofan®)

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Non Formulary
 
Sodium Cromoglicate  (Vividrin®)

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Non Formulary
 
Triamcinolone Acetonide  (Nasacort)

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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
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Link to children's BNF
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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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