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Joint Formulary
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 Formulary Chapter 13: Skin - Full Chapter
13.08.01  Expand sub section  Sunscreen preparations
Sunscreen
(Anthelios XL 50+ comfort cream)
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Formulary
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Approved for ACBS indication 'photosensitive dermatoses and photodermatoses' (JFC April 2016). 

Anthelios XL SPF 50+ Comfort Cream presents in a small pack size and therefore may be most useful for frequent application to face and the back of hands (areas that are most exposed to the sun) whilst Uvistat may be beneficial for application to larger areas.

Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Restricted to dermatology
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • See indication above 
 
Sunscreen (Uvistat)
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Formulary
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Approved for ACBS indications = photosensitive dermatoses and photodermatoses (JFC April 2016). 

Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • Only Uvistat Cream SPF 30 is kept
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Cream 100 UVB-SPF 50 only
 
13.08.01  Expand sub section  Photodamage
5-aminolevulinic acid 78mg/g gel
(Ameluz)
(Actinic keratosis)
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Formulary
GP - Red
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Approved for first-line treatment in actinic keratosis and superficial basal cell carcinoma (JFC June 2019).

Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • First-line treatment of actinic keratosis and basal cell carcinoma
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • First-line treatment of actinic keratosis and basal cell carcinoma
 
Diclofenac 3% gel
(Solaraze)
(Actinic keratosis)
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Restricted Drug Restricted
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Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • Restricted to Dermatologists
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary
 
Fluorouracil 0.5% + Salicylic acid 10% solution
(Actikerall)
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Restricted Drug Restricted
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Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • Restricted to dermatology
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • Non-formulary
 
Fluorouracil 5% cream
(Efudix)
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Formulary
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Provider notes

  • NMUH:
    • No restriction stated
  • RFL:
    • Restricted to Dermatology only
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • No restriction stated
 
Methyl-5-aminolevulinate 160 mg/g cream
(Metvix)
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Formulary
GP - Red
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Approved for first-line treatment for Bowen's disease and second-line treatment for AK and BCC (JFC June 2019).

Provider notes

  • NMUH:
    • Non-formulary
  • RFL:
    • First-line treatment for Bowen's disease and second-line treatment for AK and BCC
  • RNOH:
    • Non-formulary
  • UCLH:
  • WH:
    • First-line treatment for Bowen's disease and second-line treatment for AK and BCC
 
 ....
 Non Formulary Items
Dundee reflective sun creams
(Dundee Block)

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Non Formulary
Ingenol mebutate 150/g gel
(Picato)

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Non Formulary
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Not approved for actinic keratoses (March 2013)

Sunscreen (Delph®)

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Non Formulary
Sunscreen (E45 Sun)

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Non Formulary
Sunscreen (Roc)

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Non Formulary
Sunscreen (SpectraBan)

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Non Formulary
Sunscreen
(Sunsense Ultra)

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Non Formulary

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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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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