Search
13. Skin
Betamethasone
BNF | BNFC | SPC

Potent:

As Valerate Cream 0.1% - 30g, 100g

As Valerate Ointment 0.1% - 30g, 100g

Scalp Application 0.1% - 100ml

As Dipropionate Cream, Ointment 0.05% - 30g, 100g

 

Moderate Potency:

As Valerate Cream 0.025% - 100g

As Valerate Ointment 0.025% - 100g

 

 

 

 

Clobetasol Propionate
BNF | BNFC | SPC

Very potent

Cream 0.05% - 30g, 100g

Ointment 0.05% - 30g, 100g

Scalp application 0.05% - 30ml, 100ml

Clobetasone Butyrate
BNF | BNFC | SPC

Moderate Potency

Cream 0.05% - 30g, 100g

Ointment 0.05% - 30g, 100g

Hydrocortisone
BNF | BNFC | SPC

Mild potency

Cream - 0.1%, 0.5%, 1%, 2.5%

Ointment - 0.5% & 1%, 2.5%

 

Acitretin
BNF | BNFC | SPC

Psoriasis

Capsules 10mg, 25mg

Consultant only

Alitretinoin
BNF | BNFC | SPC

Tariff Excluded; CCG Commissioned

Capsules 10mg, 30mg

Consultant only

Approved: NICE TA177

Calcipotriol
BNF | BNFC | SPC

Ointment 50 microgram/g - 30g

Scalp Solution 50 microgram/ml - 60ml, 120ml

Calcipotriol 50microgram/g, Betamethasone 0.05%
BNF | BNFC | SPC

Ointment - 30g

Gel - 60g

Foam - 60g

Usual duration of therapy is 4-8 weeks. This can be repeated on the advice of a specialist

Dithranol
BNF | BNFC | SPC

Cream 0.1%, 0.25%, 0.5%, 1%, 2% - 50g

Please note data sheet recommendation for short contact use

Fumaric acid esters (Fumaderm)
BNF | BNFC | SPC

Unlicensed imported tablets

Psoriasis

Azathioprine – see 8.2.1
BNF | BNFC | SPC
Ciclosporin – see 8.2.2
BNF | BNFC | SPC

Capsules 25mg, 50mg

Shared Care

Dermatology Shared Care Guideline

Nephrology Shared Care Guideline

Rheumatology Shared Care Guideline

Important safety information: Patients should be stabilised on a particular brand of oral ciclosporin because switching between formulations without close monitoring may lead to clinically important changes in the blood-ciclosporin concentration

Methotrexate – see 10.1.3
BNF | BNFC | SPC
Pimecrolimus
BNF | BNFC | SPC

Cream 1% - 30g, 60g, 100g

Prescribed in accordance with NICE TA82 and initiated by a specialist

Tacrolimus
BNF | BNFC | SPC

Ointment 0.03% & 0.1% - 30g, 60g

Prescribed in accordance with NICE TA82 and initiated by a specialist

Brodalumab
BNF | BNFC | SPC

Tariff-Excluded; CCG Commissioned

Approved - NICE TA511

Dupilumab
BNF | BNFC | SPC

Tariff Excluded; CCG Commissioned (dermatology)

Approved: NICE TA534 - Dupilumab for treating moderate to severe atopic dermatitis

Guselkumab
BNF | BNFC | SPC

Tariff Excluded; CCG Commissioned

Approved: NICE TA521 - Guselkumab for treating moderate to severe plaque psoriasis (in adults who are candidates for systemic therapy).

Ixekizumab
BNF | BNFC | SPC

Tariff-Excluded; CCG commissioned

Approved: NICE TA442 - Ixekizumab for treating moderate to severe plaque psoriasis

Approved: NICE TA537 - Ixekizumab for treating active psoriatic arthritis after inadequate response to DMARDs

Silk Garments (Dermasilk, Dreamsilk, Skinnies Silk)
BNF | BNFC | SPC
Adapalene
BNF | BNFC | SPC

0.1% Cream - 45g

Gel - 45g

Benzoyl Peroxide
BNF | BNFC | SPC
Benzoyl Peroxide with Clindamycin
BNF | BNFC | SPC

Antibacterial agent not for continual use

3%/1% - 30g

5%/1% - 30g, 60g

Clindamycin
BNF | BNFC | SPC

Aqueous Lotion 1% - 30ml

Alcoholic Solution 1% - 30ml

Antibacterial agent not for continual use

North East & Cumbria antimicrobial prescribing guideline for primary care

Co‐cyprindiol
BNF | BNFC | SPC

2000mcg/35mcg Tablets

For use in women only

Isotretinoin
BNF | BNFC | SPC

Oral Capsules Only - 5mg, 20mg

Consultant Dermatologist only

Lymecycline
BNF | BNFC | SPC
Sunscreens
BNF | BNFC | SPC

Tees prescribing grey list

Prescribing of sunscreens is not supported by Hartlepool & Stockton-on-Tees CCGs.

Prescribing sunscreens is not a cost-effective use of NHS resources.

For patients having treatment that may render them susceptible to sunlight, sunscreens should only be prescribed as per ACBS indications.

PrescQIPP bulletin 138: Use of sunscreens for approved indications

Diclofenac Sodium Gel 3%
BNF | BNFC | SPC

50g

Solaraze

For use in elderly patients intolerant of 5FU

Amorolfine 5% nail lacquer cream
BNF | BNFC | SPC

Tees Do Not Prescribe/Grey List

Systemic treatments are more effective. Nail lacquers and solutions are expensive. Amorolfine nail lacquer (pack size 3mls) is available OTC for mild cases and for treatment of a maximum of two nails.

PrescQIPP briefing 55: Topical antifungal nail treatment review

Clotrimazole
BNF | BNFC | SPC

1% Cream - 20g, 50g

1% Solution - 20ml

1% Spray (AF) - 25ml

North East & Cumbria antimicrobial prescribing guideline for primary care

Ketoconazole
BNF | BNFC | SPC
Aciclovir
BNF | BNFC | SPC

Cream 5% - 2g, 10g

Idoxuridine in Dimethyl Sulfoxide
BNF | BNFC | SPC
Molludab Topical Solution
BNF | BNFC | SPC

For the treatment of molluscum contagiosum

Tees Do Not Prescribe/Grey List

Glycopyrrolate
BNF | BNFC | SPC

Cream, 0.5%

Diabetic gustatory sweating