netFormulary NHS
Milton Keynes Formulary
Milton Keynes University Hospital NHS Foundation Trust
Bedfordshire, Luton and Milton Keynes Clinical Commissioning Group
Milton Keynes Community Health Services
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 Formulary Chapter 12: Ear, nose and oropharynx - Full Chapter
12.03.01  Expand sub section  Drugs for oral ulceration and inflammation
Benzydamine (Difflam®)
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Formulary
Green
  • Difflam oral rinse 0.15%
  • Difflam® spray 0.15%     

Notes:

  • Benzydamine is useful to treat discomfort in a variety of ulcerative conditions. It may cause stinging, often reduced by dilution with an equal volume of water.
 
   
Carmellose Sodium (Orabase®)
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Formulary
Green

Orabase® protective paste

Notes:

  • Orabase® is cheap and effective in providing mechanical protection of oral and perioral lesions.
 
   
Hydrocortisone (Corlan®)
(mouth ulcers)
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Formulary
Green

Buccal tablets 2.5mg      

 
Link  MHRA (Dec18): Hydrocortisone muco-adhesive buccal tablets: should not be used off-label for adrenal insufficiency in children due to serious risks
   
Choline Salicylate (Bonjela® Adult)
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Restricted Drug Restricted
Green

Bonjela Dental gel 8.714%   

Notes: 

  • For use in adults and children over 16 years only   
  • Should NOT be prescribed in Primary Care or at Discharge
  • Advise patient to purchase, unless prescription is for long-term regular use
 
   
 ....
 Non Formulary Items
Anaesthetic throat lozenges  (Tyrozets®)

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Non Formulary
 
Antacid with Oxetacaine

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Non Formulary
 
Benzocaine

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Non Formulary
 
Betamethasone
(mouth ulcers)

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Non Formulary
 
Caphosol®

Non Formulary
 
Cetylpyridinium, Chlrocresol, Lidocaine  (Anbesol®)

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Non Formulary
 
Doxycycline

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Non Formulary
 
Doxycycline  (Periostat®)

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Non Formulary
 
Flurbiprofen lozenge

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Non Formulary
 
Gelclair®

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Non Formulary
 
Glycerol dioleate  (Episil®)

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Non Formulary
 
Lidocaine 10% mouth spray

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Non Formulary
 
Lidocaine 5% ointment
(mouth)

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Non Formulary
 
Lidocaine and Chlorhexidine  (Instillagel®)
(mouth)

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Non Formulary
Link  MHRA alert: Anaphylaxis risk with chlorhexidine
 
Lidocaine and Phenylephrine  (Cophenalcaine®)

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Non Formulary
 
Lidocaine mouth gel  (Teething Gel)

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Non Formulary
 
Salicylates - Salicylic acid  (Pyralvex®)

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Non Formulary
 
Triamcinolone Acetonide 0.1% in Adhesive Basis  (Adcortyl in Orabase®)

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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
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Link to children's BNF
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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

Green

Routine prescribing within licensed indication  

Amber 1

Specialist recommendation followed by GP initiation and continuation  

Amber 2

Specialist or GP initiation in line with local guideline after 1st line failure followed by GP continuation   

Amber 3

Specialist initiation and stabilisation followed by GP continuation  

Amber SCG

Specialist initiation and stabilisation followed by GP continuation in line with an agreed shared care guideline  

Red

Hospital or specialist prescribing only  

Red Red

These medicines have been evaluated and rejected by MKPAG and are NOT approved for use within MK. They are not recommended for use because of lack of clinical effectiveness, cost effectiveness or safety.  

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