Sussex Formulary

Drug Status Key

  • Non-Specialist Drugs
  • Specialist recommendation (or initiation where noted)
  • Specialist Initiation WITH Shared Care Guidelines
  • Specialist ONLY Drugs
  • Mixed Status - See individual drug entries for more details

Preferences

  • First Line
  • Second Line
  • Third Line
  • No Preference

See PHE for guidance on treatment of acute otitis externa

BNF hosts antimicrobial summary guidance on behalf of NICE and PHE - BNF Publications

Acetic acid

Over the Counter { Value = NICE, Index = 0 } { Value = EMC, Index = 3 }

Betamethasone

{ Value = NICE, Index = 0 } { Value = EMC, Index = 3 }

First line for non-infected inflammatory conditions. Prolonged use of topical corticosteroids should be avoided.

Betamethasone 0.1% ear/eye/nose drops

Pack
5 ml
10 ml

Betamethasone + Neomycin

{ Value = MHRA Warning Exists, Index = 4 } { Value = NICE, Index = 0 } { Value = EMC, Index = 3 }

Ciprofloxacin + Dexamethasone

{ Value = NICE, Index = 0 } { Value = EMC, Index = 3 }

For patients where there is or is suspected perforation of the drum and possible granulation of tissue that would benefit from addition of a steroid

Ciprofloxacin 0.3% / Dexamethasone 0.1% ear drops

Pack
5 ml

Clotrimazole

Over the Counter { Value = NICE, Index = 0 } { Value = EMC, Index = 3 }

Flumetasone + Clioquinol

{ Value = MHRA Warning Exists, Index = 4 } { Value = NICE, Index = 0 } { Value = EMC, Index = 3 }

Gentamicin

{ Value = MHRA Warning Exists, Index = 4 } { Value = NICE, Index = 0 } { Value = EMC, Index = 3 }

Gentamicin + Hydrocortisone

{ Value = MHRA Warning Exists, Index = 4 } { Value = NICE, Index = 0 } { Value = EMC, Index = 3 }

Otomize

{ Value = MHRA Warning Exists, Index = 4 } { Value = NICE, Index = 0 } { Value = EMC, Index = 3 }

Otosporin

{ Value = MHRA Warning Exists, Index = 4 } { Value = NICE, Index = 0 } { Value = EMC, Index = 3 }

Prednisolone

{ Value = NICE, Index = 0 } { Value = EMC, Index = 3 }

Second line for non-infected inflammatory conditions. Prolonged use of topical corticosteroids should be avoided.

Prednisolone sodium phosphate 0.5% ear/eye drops

Pack
10 ml

Sofradex

{ Value = NICE, Index = 0 } { Value = EMC, Index = 3 }

Less suitable for prescribing because of risk of pseudomonal resistance.

Sofradex ear/eye drops

Pack
8 ml

Pseudoephedrine

{ Value = NICE, Index = 0 } { Value = EMC, Index = 3 }

Patients should be advised to purchase OTC if appropriate.

GREEN - in Brighton & Hove

NOT RECOMMENDED- in Crawley, Horsham & Mid Sussex

 

Pseudoephedrine hydrochloride 60mg tablets

Pack
100 tablet
12 tablet
24 tablet
500 tablet
120 tablet

Pseudoephedrine 30mg/5ml oral solution

Pack
100 ml
1000 ml
2000 ml

Pseudoephedrine 30mg/5ml oral solution sugar free

Pack
140 ml
2000 ml
100 ml