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Sunderland Joint Formulary
NHS Sunderland Clinical Commissioning Group
South Tyneside and Sunderland NHS Foundation Trust
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 Formulary Chapter 13: Skin - Full Chapter
13.11  Expand sub section  Skin cleansers, antiseptics, and desloughing agents
Alcohol hand rub gel
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Formulary
Green
 
   
Alcohol impregnated wipes
((Clini-wipes, Alcowipes))
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Formulary
Green

contains 70% isopropyl alcohol or methylated spirit

 
   
Industrial Methylated Spirit BP
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Formulary
Green

70% liquid

 
   
Skin preparation swabs Sterets
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Formulary
Green

containing 70% isopropyl alcohol

 
   
Sodium Chloride
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Formulary
Green

Sterile solution - bottles 25ml & 100ml sachets (Normosol) & 45ml plastic ampoules/pods (Miniversol)

 
   
Water for irrigation
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Formulary
Green
 
   
13.11.01  Expand sub section  Alcohols and saline
13.11.02  Expand sub section  Chlorhexidine salts
Chlorhexidine Acetate 1% Dusting Powder
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Formulary
Green
 
   
Chlorhexidine Gluconate
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Formulary
Green

0.02% & 0.05% solutions, 25ml & 100ml sachets

0.5% solution in 70% methylated spirit (pink, colourless & red staining)

2.5% in 70% methylated spirit wipes

0.5% hand rub (contains 70% isopropyl alcohol + emollients)

4% surgical scrub

2% in 70% isopropyl alcohol wipes (Sanicloth & Clinell)

skin swabs & skin cleanser 

3ml & 10.5ml applicators (Chloraprep)

1% Obstetric cream

4% scrub 100ml and 500ml (used as a soap substitute in patients with hidradenitis under special advice)

 
   
Prontosan
(To be prescribed/ used only on the advice of tissue viability specialists)
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Formulary
Green

solution containing Betadine 0.1% (surfactant) and Polyhexadine 0.1% (a chlorhexadine polymer). Mainly for use from 40ml plastic ampoules. Also available as gel.

 
   
13.11.03  Expand sub section  Cationic surfactants and soaps
13.11.04  Expand sub section  Iodine and Chlorine to top
Povidone-Iodine
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Formulary
Green

2.5% dry powder spray

10% alcoholic solution

7.5% surgical scrub

10% antiseptic solution (aqueous)

 
   
Sodium dichloroisocyanurate
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Formulary
Green

500mg & 5g solution tablets: Granules.

 
   
Sodium Hypochorite 1% sterilising Solution 1%
Unlicensed Drug Unlicensed
Green
 
   
13.11.05  Expand sub section  Phenolics
Triclosan (Manusept®)
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Formulary
Green
 
   
Triclosan 1% (Skinsan®)
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Formulary
Green
 
   
Triclosan 2% (Aquasept®)
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Formulary
Green
 
   
13.11.06  Expand sub section  Oxidisers, and dyes
Potassium Permanganate Solution
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First Choice
Green

Solution Tablets - 400mg

 
Hydrogen Peroxide 1% cream (Crystacide®)
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Formulary
Green
 
   
Silver Nitrate Pencil
(used on advice from dermatologists)
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Formulary
Green

40%, 75% and 95%

 
   
Bonney’s Blue
(for limited use in some operating theatres only)
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Unlicensed Drug Unlicensed
Red

Paint containing brilliant green and crystal violet

 
   
Crystal Violet
(for limited use in some operating theatres / critical care areas only)
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Unlicensed Drug Unlicensed
Red

0.5% paint

 
   
Magenta paint BPC (Castellani’s paint)
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Unlicensed Drug Unlicensed
Red

Paint containg magenta 0.4% boric acid 0.8% phenol 0.0004%, resorcinol 8%, acetone and alcohol (or industrial methylated spirit)

 
   
13.11.07  Expand sub section  Desloughing agents
‘Free Range’ Larvae
(Sterile larvae (maggots) used for the management of sloughy wounds.)
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Formulary
Green +
 
   
BioFOAM dressing
(maggots that are enclosed in net pouches)
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Formulary
Green +
 
   
13.11.07  Expand sub section  Desloughing agents
13.11.07  Expand sub section  Growth factor to top
 ....
 Non Formulary Items
Bacaplermin  (Regranex®)

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Non Formulary
 
Becaplermin

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Non Formulary
 
Cetrimide

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Non Formulary
 
Chlorhexidine  (Cepton®)

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Non Formulary
 
Chlorhexidine  (Hibi®)

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Non Formulary
 
Chlorhexidine 0.015% with Cetrimide 0.15%  (Tisept®)

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Non Formulary
 
Chlorhexidine 0.05%  (Unisept®)

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Non Formulary
 
Chlorhexidine 0.5% (Aqueous)

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Non Formulary
 
Chlorhexidine 2% in Isopropyl Alcohol 70%  (ChloraPrep®)

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Non Formulary
 
Chlorhexidine 4%

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Non Formulary
 
Chlorhexidine Concentrates  (Hibitane 5% Concentrate®)

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Non Formulary
 
Chlorhexidine Concentrates with cetrimide  (Hibicet Hospital Concentrate®)

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Non Formulary
 
Chlorhexidine Solution 2.5% (≡ Chlorhexidine 0.5%) (Alcoholic)

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Non Formulary
 
Chlorhexidine with cetrimide  (Travasept®)

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Non Formulary
 
Hibitane Obstetric®

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Non Formulary
 
Hydrogen Peroxide Solution BP

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Non Formulary
 
Potassium Permanganate  (Permitabs®)

Non Formulary
 
Povidone-Iodine  (Savlon® Dry Antiseptic)

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Non Formulary
 
Sodium Chloride  (Flowfuser®)

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Non Formulary
 
Sodium Chloride  (Irriclens®)

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Non Formulary
 
Sodium Chloride  (Miniversol®)

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Non Formulary
 
Sodium Chloride  (Stericlens®)

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Non Formulary
 
Sodium Chloride  (Steripod®)

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Non Formulary
 
Sodium Chloride 0.9%

Non Formulary
 
Sterile Larvae (Maggots)  (LarvE®)

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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 SPCs
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

Red

Drugs for hospital use or use by a specialist within specialist centre only. Initiation and monitoring of treatment should remain under the total responsibility of the appropriate hospital clinician or specialist. These drugs should only be prescribed under the direct supervision of that clinician or specialist and are not suitable for shared care arrangements. The drug should be supplied via the hospital or specialist centre for the duration of treatment.   

Amber

These are specialist drugs which must be initiated by secondary care specialist prescribers, but with the potential to transfer prescribing to primary care within written and agreed shared care protocols and according to the agreed process for transfer of care. For these drugs, in order to ensure patient safety, some aspects of care must remain with the specialist due to their complexity e.g. monitoring of disease or drug response. Other more routine aspects can be transferred to the GP e.g. monitoring of adverse effects and supply of the medicine. The specific responsibilities of the specialist and GP are defined in the shared care agreement for each drug. Shared care agreements are still under development for some amber drugs. Until these are available, it would be expected that any shared care request from secondary care to a GP would be accompanied by written information which defines prescribing and monitoring responsibilities. The hospital specialist should also provide the GP with enough information and support to allow the safe transfer and ongoing management of prescribing into primary care.   

Green +

Drugs which should usually be initiated in secondary care, or by a specialist clinician, but can be safely maintained in primary care with very little or no monitoring required. In some cases there may be a further restriction for use outlined - these will be defined in each case.  

Green

These are defined as new and established drugs, which may be prescribed, initiated, changed or maintained on FP10 by the GP and, if appropriate, discontinued without recourse to secondary care. N.B. DRUGS NOT IDENTIFIED IN THE FORMULARY BY A RED, AMBER OR GREEN+ SYMBOL ARE CLASSIFIED AS GREEN.   

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