Sussex Partner 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

Imiquimod

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

May damage latex condoms and diaphragms.

PURPLE - for external Genital Warts, Perianal Warts & Basal Cell Carcinoma.

GREEN - for photodamage.

Actinic Keratosis preferred options based on PCDS flow chart

For photodamage Imiquimod cream should be applied in a thin layer to the lesion 3 times per week (example: Monday, Wednesday, and Friday; or Tuesday, Thursday, and Saturday) prior to normal sleeping hours, and should remain on the skin for 8 hours; during this time, showering or bathing should be avoided. After this period it is essential that imiquimod cream is removed with mild soap and water.

Aldara is a branded option commissioned for prescribing.
Excipients - benzyl alcohol, cetostearyl alcohol, hydroxybenzoates, polysorbates, stearyl alcohol.

Imiquimod 5% cream 250mg sachets

Podophyllotoxin

{ Value = NICE, Index = 0 } { Value = EMC, Index = 3 }
For external genital warts.
Applied weekly in clinic (or at a general practitioner’s surgery by a trained nurse after screening for other sexually transmitted diseases)
Patients should receive treatment via a GUM clinic, as Practices may not have appropriately trained nurses or be able to provide the weekly clinics required for this treatment.

Warticon and Condyline are branded options commissioned for prescribing.

Podophyllotoxin 0.15% cream

Pack
5 gram

Podophyllotoxin 0.5% solution

Pack
4 ml
3 ml

Podophyllum resin

{ Value = NICE, Index = 0 } { Value = EMC, Index = 3 }
For external genital warts
Applied weekly in a clinic (or at a GP's surgery by a trained nurse after screening for other sexually transmitted diseases

Podophyllin paint

Pack
10 ml
1 ml

Salicylic acid

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

Silver nitrate

{ Value = NICE, Index = 0 } { Value = EMC, Index = 3 }
Silver nitrate sticks are used for cauterisation in theatre and umbilical granulomas in primary care

Silver nitrate 40% caustic pencils

Pack
1 applicator

Silver nitrate 75% caustic pencils

Pack
50 applicator
100 applicator

Silver nitrate 95% caustic pencils

Pack
1 applicator
12 applicator
6 applicator

Silver nitrate 75% caustic applicators

Pack
100 applicator
50 applicator

Silver nitrate 95% caustic applicators

Pack
100 applicator