North East and North Cumbria
ICS Formulary
 
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12 Ear, nose and oropharynx
12-03-01 Drugs for oral ulceration and inflammation

Benzydamine Mouthwash & Spray Difflam®
Formulary

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Betamethasone
Formulary
  • Soluble tablets 500 micrograms
  • Used as mouth gargle

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Caphosol®
Formulary
  • For limited use in patients having chemo-radiotherapy or radiotherapy to malignancies of the oral cavity, hypopharynx and oro-pharynx.
  • Trusts encouraged to prescribe enough between chemotherapy and radiotherapy appointments in secondary care in anticipation of mucositis developing.

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Choline Salicylate Bonjela® Adult
Formulary

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Doxycycline 20mg tablets
Formulary
  • Treatment of periodontitis.

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Gelclair®
Formulary
  • Trusts encouraged to prescribe enough between chemotherapy and radiotherapy appointments in secondary care in anticipation of mucositis developing.

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Hyaluronan
Formulary
  • 0.2% gel and 0.025% mouthwash.
  • For limited second-line use on specialist advice in the treatment of
    orofacial granulomatosis, severe oral ulceration and mucositis secondary
    to immunosuppression where conventional treatments are unsuitable or
    have failed.

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Hydrocortisone 2.5mg Lozenges
Formulary
Link  MHRA Drug Safety Update (Dec 2018): Hydrocortisone muco- adhesive buccal tablets: should not be used off-label for adrenal insufficiency in children due to serious risks.

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