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 Formulary Chapter 13: Skin - Full Chapter
Notes:

Dermatology services are provided by visiting consultants from Salford Royal Foundation Trust, and choice of therapy is therefore guided by SRFT's formulary. To confirm the formulary status of a product, please see http://www.srft.nhs.uk/for-professionals/formulary/
 Details...
13.11  Expand sub section  Skin cleansers, antiseptics, and desloughing agents
13.11.01  Expand sub section  Alcohols and saline
Industrial Methylated Spirit BP
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Formulary  
   
Sodium Chloride 0.9%
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Formulary Solution 
   
13.11.02  Expand sub section  Chlorhexidine salts
 note  Order through NHS Supplies. (Other brands may be available).
Hibiscrub (Chlorhexidine)
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Formulary  
   
CX Antiseptic Dusting Powder (Chlorhexidine)
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Formulary  
   
Hibitane Obstetric
(Chlorhexidine)
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Formulary Cream 
   
Unisept (Chlorhexidine Gluconate 0.05%)
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Formulary Sachets 
   
13.11.03  Expand sub section  Cationic surfactants and soaps
13.11.04  Expand sub section  Iodine and Chlorine to top
Povidone-Iodine (Betadine or Videne)
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Formulary  
   
13.11.05  Expand sub section  Phenolics
Triclosan 2% (Aquasept)
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Formulary Usage has been replaced by Hibiscrub 
   
13.11.06  Expand sub section  Oxidisers, and dyes
Crystacide (Hydrogen Peroxide 1%)
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Formulary Cream 
   
Hydrogen Peroxide Solution BP
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Formulary  
   
Potassium Permanganate (Permitabs)
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Formulary Solution tablets 
Link  NHS Patient Safety Alert (2014): Risk of death or serious harm from accidental ingestion of potassium permanganate
   
13.11.07  Expand sub section  Desloughing agents
 ....
 Non Formulary Items
Potassium Permanganate Solution

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Non Formulary
 
Povidone-Iodine  (Savlon Dry Antiseptic)

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Non Formulary DISCONTINUED
 
Triclosan  (Manusept)

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Non Formulary
 
Triclosan 1%  (Skinsan)

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Non Formulary
 
Triclosan 2%  (Ster-Zac Bath Concentrate)

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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

Amber

Drugs designated amber are suitable for shared care arrangements under a shared care protocol. Prescribing may be transferred from secondary to primary care once the patient is stabilised and agreed shared care arrangements have been established. Alternatively primary care may initiate under the supervision of secondary care if this option is given in the shared care document. It is recommended that shared care arrangements should be drawn up following local discussion and agreement by prescribing parties.   

Black

These products have been reviewed by the GM Joint Formulary Group and have been deemed not suitable for prescribing for adults in primary or secondary care within Greater Manchester. These decisions have been made on the basis of safety, efficacy and cost-effectiveness of the products.  

Green

Not used   

Green 1

Drugs designated green1 are suitable for initiation and ongoing prescribing within primary care.   

Green 2

Drugs designated green2 can be initiated by primary care following written or verbal advice from a specialist and then be subsequently safely prescribed in primary care with little or no monitoring required.  

Green 3

Drugs designated green3 are suitable for on-going prescribing within primary care after specialist initiation and an initial review (unless specified) in secondary care. Little or no monitoring is required.  

Grey

Not suitable for routine prescribing but may be suitable for a defined patient population. Whilst prescribers should think very carefully before prescribing or recommending any of the products on the grey list, there may be exceptional instances when the use of one of these products is necessary for a particular patient.   

Red

Drugs designated red are considered to be specialist medicines and prescribing responsibility for these medicines should normally remain with the consultant or specialist clinician. These drugs should not be initiated or prescribed in primary care. It is recommended that the supply of these specialist medicines should be organised via the hospital pharmacy, this may include arranging for supply via a home care company.   

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