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Joint Formulary
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 Formulary Chapter 12: Ear, nose and oropharynx - Full Chapter
12.01.01  Expand sub section  Otitis externa
12.01.01  Expand sub section  Astringent preparations
12.01.01  Expand sub section  Anti-inflammatory preparations
Betamethasone sodium phosphate 0.1% + Neomycin 0.5% drops
(Ear)
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Formulary
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NOTE: There is more than one monograph for this medicine, click here to search for formulary status and its use for other indications. 

Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • No restriction stated
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • No restriction stated
 
Betamethasone sodium phosphate 0.1% drops
(Ear)
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Formulary
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NOTE: There is more than one monograph for this medicine, click here to search for formulary status and its use for other indications. 

Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • No restriction stated
  • RNOH:
    • No restriction stated 
  • UCLH:
  • WH:
    • No restriction stated
 
Dexamethasone + Framycetin + Gramicidin drops
(Sofradex)
(Ear)
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Formulary
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NOTE: There is more than one monograph for this medicine, click here to search for formulary status and its use for other indications. 

Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • No restriction stated
  • RNOH:
    • No restriction stated
  • UCLH:
  • WH:
    • Non-formulary
 
Dexamethasone + Neomycin + Glacial Acetic Acid ear spray
(Otomize)
(Ear)
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Formulary
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Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • No restriction stated
  • RNOH:
    • No restriction stated
  • UCLH:
  • WH:
    • Restricted to ENT department use only
 
Dexamethasone 0.1% + Ciprofloxacin 0.3% ear drops
(Cilodex)
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Formulary
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Approved for treatment of acute otitis externa with perforated/damaged tympanic membrane (JFC March 2018)

Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • Non-formulary
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • As above
 
Flumetasone 0.02% + Clioquinol 1% ear drops
(Locorten-Vioform)
(Ear)
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Formulary
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Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • Non-formulary
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • No restriction stated
 
Prednisolone 0.5% drops
(formerly Predsol)
(Ear)
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Formulary
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Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • No restriction stated
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • No restriction stated
 
Prednisolone 0.5% with Neomycin 0.5%
(Predsol-N)
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Restricted Drug Restricted
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • No restriction stated
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary
 
12.01.01  Expand sub section  Anti-infective preparations
12.01.01  Expand sub section  Other aural preparations to top
 ....
 Non Formulary Items
Hydrocortisone 1% + Gentamicin 0.3% ear drops
(Gentisone HC)
(Ear)

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Non Formulary

Not recommended for acute otitis externa; alternative steroids + aminoglycoside containing drops including Sofradex and Otomize are preferred (JFC March 2018).

Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Non-formulary
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • 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
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Link to adult BNF
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Link to children's BNF
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Link to SPCs
Homecare
Homecare

Traffic Light Status Information

Status Description

GP - Amber

Medicines that should be initiated by a specialist. Prescribing can be transferred to primary care once the patient has been stabilised.

Shared care: For drugs with regular, ongoing need for monitoring and/or assessment of efficacy or toxicity. Prior agreement must be obtained by the specialist from the primary care provider before prescribing responsibility is transferred. The shared care protocol must have been agreed by the relevant secondary care trust Drugs and Therapeutics Committee(s) (DTC) and approved by the North Central London JFC.

Fact sheet: For drugs with some concerns surrounding safety or efficacy but do not require regular monitoring and/or monitoring of effectiveness/toxicity.

  

GP - Red

Medicines which should normally be prescribed by specialists only (hospital only).

For patients already receiving prescriptions in primary care - continue. No new patients to receive prescriptions in primary care.

See link for the complete NCL Red List https://www.ncl-mon.nhs.uk/wp-content/uploads/2017/08/ncl_red_list.pdf

  

Black

Medicines not recommended for routine use in primary or secondary care.

Medicines, which the North Central London JFC has actively reviewed and does not recommend for use at present due to limited clinical and/or cost effective data.

  

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