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12. Ear, Nose and Oropharynx
OTC Nasal Sprays
BNF | BNFC | SPC

Tees prescribing grey list

Prescribing of nasal sprays available to purchase over the counter is not supported by Hartlepool & Stockton-on-Tees and South Tees CCGs.

Nasal sprays for the symptomatic relief of hayfever and congestion can be purchased by the patient under self-care with community pharmacist support.

Hayfever Prescribing Guidelines

Beclometasone
BNF | BNFC | SPC

Nasal Spray 50 microgram

Budesonide
BNF | BNFC | SPC

Nasal Spray 64 microgram

Fluticasone Furoate (Avamys)
BNF | BNFC | SPC

27.5 microgram/dose nasal spray

Fluticasone / Azelastine
BNF | BNFC | SPC

Dymista Spray. Rejected 27/11/13 by JCUH D&T due to lack of evidence showing superiority to existing products

Mometasone
BNF | BNFC | SPC

Nasal Spray 50 microgram

Chlorhexidine 0.1% Neomycin 0.5%
BNF | BNFC | SPC

Cream

2nd line in MRSA eradication

Not to be used in patients with peanut allergy

Mupirocin
BNF | BNFC | SPC

2% Nasal Ointment

Reserved for MRSA eradication only

Benzocaine
BNF | BNFC | SPC

Tees prescribing grey list

Prescribing of dental products is not supported by Hartlepool & Stockton-on-Tees and South Tees CCGs.  Consider dental referral.

Dental products should only be prescribed by dentists and GPs should not accept requests to prescribe medicines that the dentist could reasonably prescribe themselves, nor accept requests from patients to issue FP10 prescriptions for items prescribed on a private prescription by their dentist.  Patients should be advised of self-care measures and signposted to purchase over the counter remedies for dental conditions where appropriate.

PrescQIPP bulletin 95: Medicines for dental conditions on FP10

Benzydamine
BNF | BNFC | SPC

Oral Rinse 0.15%

Spray

Tees prescribing grey list

Prescribing of dental products is not supported by Hartlepool & Stockton-on-Tees and South Tees CCGs.  Consider dental referral.

Dental products should only be prescribed by dentists and GPs should not accept requests to prescribe medicines that the dentist could reasonably prescribe themselves, nor accept requests from patients to issue FP10 prescriptions for items prescribed on a private prescription by their dentist.  Patients should be advised of self-care measures and signposted to purchase over the counter remedies for dental conditions where appropriate.

Betamethasone sodium phosphate
BNF | BNFC | SPC

Tees prescribing grey list

Prescribing of dental products is not supported by Hartlepool & Stockton-on-Tees and South Tees CCGs.  Consider dental referral.

Dental products should only be prescribed by dentists and GPs should not accept requests to prescribe medicines that the dentist could reasonably prescribe themselves, nor accept requests from patients to issue FP10 prescriptions for items prescribed on a private prescription by their dentist.  Patients should be advised of self-care measures and signposted to purchase over the counter remedies for dental conditions where appropriate.

Caphosol
BNF | BNFC | SPC

Prevention of chemotherapy & radiotherapy-induced mucositis

Carbenoxolone
BNF | BNFC | SPC

Tees prescribing grey list

Prescribing of dental products is not supported by Hartlepool & Stockton-on-Tees and South Tees CCGs.  Consider dental referral.

Dental products should only be prescribed by dentists and GPs should not accept requests to prescribe medicines that the dentist could reasonably prescribe themselves, nor accept requests from patients to issue FP10 prescriptions for items prescribed on a private prescription by their dentist.  Patients should be advised of self-care measures and signposted to purchase over the counter remedies for dental conditions where appropriate.

PrescQIPP bulletin 95: Medicines for dental conditions on FP10

Carmellose Sodium
BNF | BNFC | SPC

Tees prescribing grey list

Prescribing of dental products is not supported by Hartlepool & Stockton-on-Tees and South Tees CCGs.  Consider dental referral.

Dental products should only be prescribed by dentists and GPs should not accept requests to prescribe medicines that the dentist could reasonably prescribe themselves, nor accept requests from patients to issue FP10 prescriptions for items prescribed on a private prescription by their dentist.  Patients should be advised of self-care measures and signposted to purchase over the counter remedies for dental conditions where appropriate.

PrescQIPP bulletin 95: Medicines for dental conditions on FP10

Choline salicylate
BNF | BNFC | SPC

Oral Gel 8.7%

Tees prescribing grey list

Prescribing of dental products is not supported by Hartlepool & Stockton-on-Tees and South Tees CCGs.  Consider dental referral.

Dental products should only be prescribed by dentists and GPs should not accept requests to prescribe medicines that the dentist could reasonably prescribe themselves, nor accept requests from patients to issue FP10 prescriptions for items prescribed on a private prescription by their dentist.  Patients should be advised of self-care measures and signposted to purchase over the counter remedies for dental conditions where appropriate.

PrescQIPP bulletin 95: Medicines for dental conditions on FP10

Gelclair
BNF | BNFC | SPC

Oral mucositis associated with chemo and radiotherapy

Lidocaine
BNF | BNFC | SPC

Tees prescribing grey list

Prescribing of dental products is not supported by Hartlepool & Stockton-on-Tees and South Tees CCGs.  Consider dental referral.

Dental products should only be prescribed by dentists and GPs should not accept requests to prescribe medicines that the dentist could reasonably prescribe themselves, nor accept requests from patients to issue FP10 prescriptions for items prescribed on a private prescription by their dentist.  Patients should be advised of self-care measures and signposted to purchase over the counter remedies for dental conditions where appropriate.

PrescQIPP bulletin 95: Medicines for dental conditions on FP10

Other Oral Ulceration and Inflammation Preparations
BNF | BNFC | SPC

Tees prescribing grey list

Prescribing of dental products is not supported by Hartlepool & Stockton-on-Tees and South Tees CCGs.  Consider dental referral.

Dental products should only be prescribed by dentists and GPs should not accept requests to prescribe medicines that the dentist could reasonably prescribe themselves, nor accept requests from patients to issue FP10 prescriptions for items prescribed on a private prescription by their dentist.  Patients should be advised of self-care measures and signposted to purchase over the counter remedies for dental conditions where appropriate.

Salicylic Acid
BNF | BNFC | SPC

10mg/ml with rhubarb extract - 10ml

Tees prescribing grey list

Prescribing of dental products is not supported by Hartlepool & Stockton-on-Tees and South Tees CCGs.  Consider dental referral.

Dental products should only be prescribed by dentists and GPs should not accept requests to prescribe medicines that the dentist could reasonably prescribe themselves, nor accept requests from patients to issue FP10 prescriptions for items prescribed on a private prescription by their dentist.  Patients should be advised of self-care measures and signposted to purchase over the counter remedies for dental conditions where appropriate.

PrescQIPP bulletin 95: Medicines for dental conditions on FP10

Tetracaine
BNF | BNFC | SPC

Tees prescribing grey list

Prescribing of dental products is not supported by Hartlepool & Stockton-on-Tees and South Tees CCGs.  Consider dental referral.

Dental products should only be prescribed by dentists and GPs should not accept requests to prescribe medicines that the dentist could reasonably prescribe themselves, nor accept requests from patients to issue FP10 prescriptions for items prescribed on a private prescription by their dentist.  Patients should be advised of self-care measures and signposted to purchase over the counter remedies for dental conditions where appropriate.

Triamcinolone Acetonide
BNF | BNFC | SPC

Tees prescribing grey list

Prescribing of dental products is not supported by Hartlepool & Stockton-on-Tees and South Tees CCGs.  Consider dental referral.

Dental products should only be prescribed by dentists and GPs should not accept requests to prescribe medicines that the dentist could reasonably prescribe themselves, nor accept requests from patients to issue FP10 prescriptions for items prescribed on a private prescription by their dentist.  Patients should be advised of self-care measures and signposted to purchase over the counter remedies for dental conditions where appropriate.

PrescQIPP bulletin 95: Medicines for dental conditions on FP10

Miconazole
BNF | BNFC | SPC

Oral Gel 24mg/ml

Gel not recommended under 4m of age due to choking risk

North East & Cumbria antimicrobial prescribing guideline for primary care

Nystatin
BNF | BNFC | SPC

Suspension 100,000units/ml

Prescribe by brand Nystan as more cost effective

North East & Cumbria antimicrobial prescribing guideline for primary care

Dichlorobenzyl Alcohol
BNF | BNFC | SPC

Tees prescribing grey list

Prescribing of dental products is not supported by Hartlepool & Stockton-on-Tees and South Tees CCGs.  Consider dental referral.

Dental products should only be prescribed by dentists and GPs should not accept requests to prescribe medicines that the dentist could reasonably prescribe themselves, nor accept requests from patients to issue FP10 prescriptions for items prescribed on a private prescription by their dentist.  Patients should be advised of self-care measures and signposted to purchase over the counter remedies for dental conditions where appropriate.

PrescQIPP bulletin 95: Medicines for dental conditions on FP10

Chlorhexidine Gluconate
BNF | BNFC | SPC

Tees prescribing grey list

Prescribing of dental products is not supported by Hartlepool & Stockton-on-Tees and South Tees CCGs.  Consider dental referral.

Dental products should only be prescribed by dentists and GPs should not accept requests to prescribe medicines that the dentist could reasonably prescribe themselves, nor accept requests from patients to issue FP10 prescriptions for items prescribed on a private prescription by their dentist.  Patients should be advised of self-care measures and signposted to purchase over the counter remedies for dental conditions where appropriate.

PrescQIPP bulletin 95: Medicines for dental conditions on FP10

Hexetidine
BNF | BNFC | SPC

Tees prescribing grey list

Prescribing of dental products is not supported by Hartlepool & Stockton-on-Tees and South Tees CCGs.  Consider dental referral.

Dental products should only be prescribed by dentists and GPs should not accept requests to prescribe medicines that the dentist could reasonably prescribe themselves, nor accept requests from patients to issue FP10 prescriptions for items prescribed on a private prescription by their dentist.  Patients should be advised of self-care measures and signposted to purchase over the counter remedies for dental conditions where appropriate.

PrescQIPP bulletin 95: Medicines for dental conditions on FP10

Hydrogen Peroxide
BNF | BNFC | SPC

Tees prescribing grey list

Prescribing of dental products is not supported by Hartlepool & Stockton-on-Tees and South Tees CCGs.  Consider dental referral.

Dental products should only be prescribed by dentists and GPs should not accept requests to prescribe medicines that the dentist could reasonably prescribe themselves, nor accept requests from patients to issue FP10 prescriptions for items prescribed on a private prescription by their dentist.  Patients should be advised of self-care measures and signposted to purchase over the counter remedies for dental conditions where appropriate.

PrescQIPP bulletin 95: Medicines for dental conditions on FP10