Acitretin is teratogenic and must not be given to women of childbearing potential unless they use effective contraception and then only after detailed assessment and explanation by the physician. Prescriptions should be supplied in accordance with the Pregnancy Prevention Programme.
Neotigason is a branded option commissioned for prescribing.
| Pack |
|---|
| 60 capsule |
| Pack |
|---|
| 60 capsule |
| Pack |
|---|
| 30 capsule |
| Pack |
|---|
| 30 capsule |
| Pack |
|---|
| 4 tablet |
| Pack |
|---|
| 4 tablet |
| Pack |
|---|
| 19 tablet |
| 56 tablet |
POTENT.
Indicated for the short-term topical treatment of tinea infections due to Trichophyton rubrum; T.mentagrophytes; Epidermophyton floccusum and Microsporum canis; candidiasis due to Candida albicans.
Lotriderm is a branded option commissioned for prescribing.
Excipients: include benzyl alcohol, cetostearyl alcohol, propylene glycol.
| Pack |
|---|
| 30 gram |
POTENT.
Indicated for the treatment of inflammatory dermatoses that are normally responsive to topical corticosteroid therapy, and it is also effective in the less responsive conditions, such as psoriasis of the scalp, chronic plaque psoriasis of the hands and feet, but excluding widespread plaque psoriasis.
Diprosalic is a branded option commissioned for prescribing.
| Pack |
|---|
| 30 gram |
| 100 gram |
| Pack |
|---|
| 60 ml |
| 100 ml |
Antimicrobial/steroid combination products - POTENT. First Choice.
Should only be prescribed for infected dermatoses, as a course used twice daily for 7-10 days. It should not be used for intermittent therapy due to risk of provoking Fucibet resistance.
Fucibet is a branded option commissioned for prescribing.
Excipients: include benzyl alcohol, cetostearyl alcohol, propylene glycol.
| Pack |
|---|
| 30 gram |
| 60 gram |
Betnovate-RD, Betnovate, Betacap & Bettamousse are branded options commissioned for prescribing.
MODERATE POTENCY. First Choice.
Excipients: cetostearyl alcohol, chlorocresol.
| Pack |
|---|
| 100 gram |
MODERATE POTENCY. First Choice.
| Pack |
|---|
| 100 gram |
POTENT.
Excipients may differ depending on generic or proprietary preparation.
| Pack |
|---|
| 15 gram |
| 30 gram |
| 100 gram |
POTENT.
| Pack |
|---|
| 100 ml |
POTENT.
| Pack |
|---|
| 30 gram |
| 100 gram |
POTENT.
| Pack |
|---|
| 50 ml |
| 60 ml |
| 100 ml |
| 120 ml |
POTENT.
| Pack |
|---|
| 100 gram |
POTENT.
Second Line.
Betnovate C is a branded option commissioned for prescribing.
Stains clothing.
Excipients may differ depending on generic preparation.
Excipients: cetostearyl alcohol, chlorocresol.
| Pack |
|---|
| 30 gram |
| Pack |
|---|
| 30 gram |
SPECIALIST INITIATED OR RECOMMENDED - Coastal West Sussex and Crawley, Horsham & Mid-Sussex.
Not listed - Brighton & Hove and East Sussex.
POTENT.
| Pack |
|---|
| 4 plaster |
| 8 plaster |
| Pack |
|---|
| 2 pre-filled disposable injection |
| Pack |
|---|
| 2 pre-filled disposable injection |
Maximum application: Adults: 100g weekly, Child over 12 years 75g weekly, Child 6-12 years 50g weekly.
Reclassification of Dovonex Psoriasis Ointment approved by MHRA August 2017. Dovonex Psoriasis Ointment to be available to buy from pharmacies.
Dovonex is a branded option commissioned for prescribing.
Excipients: include disodium edetate, propylene glycol.
| Pack |
|---|
| 30 gram |
| 60 gram |
| 120 gram |
| 240 gram |
Dovobet® is licensed for the initial topical treatment of plaque psoriasis. However whether mild to moderate or stable plaque psoriasis in adults is being treated, application should not exceed 30% of total body surface.
The recommended duration of treatment with Dovobet® should not normally exceed 4 weeks. When more than one calcipotriol preparation is used together, the maximum total of calcipotriol in any one week should not exceed 5mg e.g. 60ml scalp solution with 30g ointment OR 60g ointment with 30ml scalp solution.
Dovobet and Enstilar are branded options commissioned for prescribing.
| Pack |
|---|
| 30 gram |
| 60 gram |
| 120 gram |
| Pack |
|---|
| 30 gram |
| 60 gram |
| 120 gram |
| Pack |
|---|
| 60 gram |
| 120 gram |
| Pack |
|---|
| 60 gram |
| 120 gram (2 x 60g) |
Silkis is a branded option commissioned for prescribing.
| Pack |
|---|
| 30 gram |
| 100 gram |
| Pack |
|---|
| 2 pre-filled disposable injection |
VERY POTENT.
Restricted for use with specialist dermatology advice only.
Indicated for the short-term treatment only of severe resistant inflammatory skin disorders such as recalcitrant eczemas associated with infection and unresponsive to less potent corticosteroids, or psoriasis associated with infection.
| Pack |
|---|
| 30 gram |
MODERATE POTENCY.
Indicated for the treatment and management of steroid responsive dermatoses where candidal or bacterial infection is present, suspected or likely to occur.
For short term use only.
Trimovate is a branded option commissioned for prescribing.
| Pack |
|---|
| 1 gram |
| 30 gram |
VERY POTENT. First choice.
Prescribe by brand.
Dermovate, Clarelux & Etrivex are branded options commissioned for prescribing.
Excipients: beeswax(or beeswax substitute), cetostearyl alcohol, chlorocresol, propylene glycol.
| Pack |
|---|
| 30 gram |
| 100 gram |
Excipients: propylene glycol.
| Pack |
|---|
| 25 gram |
| 30 gram |
| 100 gram |
| Pack |
|---|
| 30 ml |
| 100 ml |
Etrivex®, Clarelux®.
| Pack |
|---|
| 100 gram |
For the treatment of moderate scalp psoriasis in adults.
Excipients: Ethanol, Coco alkyl dimethyl betaine, Sodium laurethsulfate, Polyquaternium-10, Sodium citrate, Citric acid monohydrate.
| Pack |
|---|
| 125 ml |
| 500 ml |
Indicated for the treatment of psoriasis of the skin and scalp.
For children under 12 years of age and the elderly the emulsion may be diluted by mixing with a few drops of freshly boiled and cooled water in the palm of the hand.
Prescribe by brand name only.
Exorex & Psoriderm are branded options commissioned for prescribing.
| Pack |
|---|
| 100 ml |
| 250 ml |
| Pack |
|---|
| 225 ml |
| Pack |
|---|
| 250 ml |
T/Gel
| Pack |
|---|
| 250 ml |
| 100 gram |
| 125 ml |
Polytar
| Pack |
|---|
| 250 ml |
| 125 ml |
Dithrocream is a branded option commissioned for prescribing.
Excipients: Cetostearyl alcohol, chlorocresol.
Suitable for overnight treatment.
| Pack |
|---|
| 50 gram |
Suitable for overnight treatment.
| Pack |
|---|
| 50 gram |
Suitable for overnight treatment.
| Pack |
|---|
| 50 gram |
Apply once daily and leave on for maximum of 1 hour.
| Pack |
|---|
| 50 gram |
Apply once daily and leave on for maximum of 1 hour.
| Pack |
|---|
| 50 gram |
| Pack |
|---|
| 2 pre-filled disposable injection |
| Pack |
|---|
| 2 pre-filled disposable injection |
| Pack |
|---|
| 2 pre-filled disposable injection |
| Pack |
|---|
| 2 pre-filled disposable injection |
| 6 pre-filled disposable injection |
MODERATE POTENCY. Second line.
Prescribe by brand.
Not licensed for use on the face.
Available OTC in smaller pack size.
Excipients: cetostearyl alcohol, beeswax substitute, chlorocresol.
| Pack |
|---|
| 30 gram |
| 100 gram |
| Pack |
|---|
| 30 gram |
| 100 gram |
MODERATE POTENCY.
For hypergranulation.
| Pack |
|---|
| 20 cm |
| 40 cm |
| 50 cm |
| 80 cm |
| 200 cm |
POTENT.
Fluocinolone acetonide is indicated for the treatment of severe inflammatory skin disorders such as eczemas and psoriasis.
Not licensed for use in children under 1 year.
Synalar is a branded option commissioned for prescribing.
Excipients: include hydroxybenzoates (parabens), propylene glycol.
| Pack |
|---|
| 30 gram |
| 100 gram |
| Pack |
|---|
| 30 gram |
| 60 gram |
| Pack |
|---|
| 30 gram |
| 100 gram |
| Pack |
|---|
| 1 pre-filled disposable injection |
| Pack |
|---|
| 15 gram |
| 30 gram |
| Pack |
|---|
| 15 gram |
| 30 gram |
Not licensed to use on the face.
Available OTC in smaller pack size.
| Pack |
|---|
| 10 gram |
| 15 gram |
| 30 gram |
| 50 gram |
Not licensed to use on the face.
Available OTC in smaller pack size.
| Pack |
|---|
| 15 gram |
| 30 gram |
| 50 gram |
| Pack |
|---|
| 100 gram |
MILD POTENCY.
Antimicrobial/steroid combination products.
Canesten HC is a branded option commissioned for prescribing.
| Pack |
|---|
| 15 gram |
| 30 gram |
| Pack |
|---|
| 30 gram |
| 60 gram |
Daktacort is a branded option commissioned for prescribing.
Daktacort 2%/1% cream is available OTC in smaller pack size of 15g with the exemption for lymphoedema or history of lower limb cellulitis.
Excipients: butylated hydroxyanisole, disodium edetate.
| Pack |
|---|
| 15 gram |
| 30 gram |
| Pack |
|---|
| 30 gram |
Indicated for the treatment of chronic lichenified eczema.
| Pack |
|---|
| 1 bandage |
| Pack |
|---|
| 2 pre-filled disposable injection |
| 1 pre-filled disposable injection |
| Pack |
|---|
| 1 pre-filled disposable injection |
| Pack |
|---|
| 2 pre-filled disposable injection |
| Pack |
|---|
| 2 pre-filled disposable injection |
POTENT. Second Choice.
ELOCON brand - Not Recommended. Prescribe generically.
Excipients: stearyl alcohol, beeswax, propylene glycol.
| Pack |
|---|
| 30 gram |
| 100 gram |
ELOCON brand - Not Recommended. Prescribe generically.
Excipients: beeswax, propylene glycol.
| Pack |
|---|
| 15 gram |
| 30 gram |
| 50 gram |
| 100 gram |
Excipients: include propylene glycol.
| Pack |
|---|
| 30 ml |
Nemolizumab with topical corticosteroids or calcineurin inhibitors, or both, can be used as an option to treat moderate to severe atopic dermatitis. It can be used in people 12 years and over with a body weight of 30 kg or more when systemic treatment is suitable, only if:
- the atopic dermatitis has not responded to at least 1 systemic immunosuppressant, or these treatments are not suitable, and
- a biological medicine would otherwise be offered (NICE TA1077)
| Pack |
|---|
| 1 pre-filled disposable injection |
GREEN - for use in East Sussex Only.
Not commissioned for use in West Sussex or Brighton & Hove.
| Pack |
|---|
| 30 gram |
Indication - Atopic dermatitis.
| Pack |
|---|
| 30 gram |
| 60 gram |
| 100 gram |
| Pack |
|---|
| 1 pre-filled disposable injection |
| Pack |
|---|
| 1 pre-filled disposable injection |
Indication: Atopic dermatitis.
Not recommended for first line use or mild disease.
It is recommended that GP's use tacrolimus in the following situations:
* when two topical steroids have failed to alleviate symptoms
* for facial eczema/psoriasis
* when topical steroids have failed and maintenance is required with a non-steroid preparation
* on advice of clinicians with experience in the diagnosis and treatment of atopic dermatitis
| Pack |
|---|
| 30 gram |
| 60 gram |
| Pack |
|---|
| 30 gram |
| 60 gram |
| Pack |
|---|
| 1 pre-filled disposable injection |
| 2 pre-filled disposable injection |
| Pack |
|---|
| 30 gram |
| Pack |
|---|
| 4 pre-filled disposable injection |
| Pack |
|---|
| 2 pre-filled disposable injection |