13. Drugs acting on the Skin
13.2 Emollient and barrier preparations
13.2.1 Emollients aqueous cream Aveeno® cream Balneum ® Plus cream Calmurid® cream Cetraben® cream Dermol cream Dermol 500 lotion Doublebase Gel Diprobase® emulsifying ointment E45® bath oil Hydromol® cream Hydromol® ointment Lipobase® cream Liquid paraffin 50% in white soft paraffin Oilatum® QV cream Unguentum M® cream white soft paraffin yellow soft paraffin
13.2.1.1 Emollient bath additives Balneum Plus® bath oil (for use in accordance with the Palliative Care Pain and Symptom Control Guidelines) Dermol Bath Emollient E45® Bath Oil Emulsiderm® bath emollient Hydromol® emollient Oilatum® Oilatum Plus® (Dermatology only ) QV bath oil
Drapolene cream® 13.2.2 Barrier preparations Metanium® (Neonatal directorate only ) Sudocrem®
13.3 Topical local anaesthetics and antipruritics
calamine cream calamine lotion crotamiton ( Eurax® ) 13.4 Topical corticosteroids - For specialist advice contact dermatology
- mild Eurax hydrocortisone cream Fluocinolone acetonide 0.0025% cream Fucidin H cream Fucidin H ointment hydrocortisone 0.5% & 1% hydrocortisone 1% lipocream hydrocortisone 2.5% cream hydrocortisone 2.5% ointment hydrocortisone & clotrimazole ( Canesten HC® ) hydrocortisone & clioquinol ( Vioform-Hydrocortisone® ) hydrocortisone & miconazole ( Daktacort® ) Nystaform HC cream Nystaform HC ointment Timodine cream
- moderately potent Alclometasone dipropionate cream Alclometasone dipropionate ointment Betamethasone valerate 0.025% ( Betnovate-RD® ) Calmurid HC cream Clobetasone, oxytetracycline & nystatin ( Trimovate® ) Clobetasone butyrate 0.05% ( Eumovate® ) Fluocinolone acetonide 0.00625% cream Fluocinolone acetonide 0.00625% ointment Fludroxycortide ( Haelan® cream/ointment and tape)
- potent Betamethasone valerate 0.1% ( Betnovate-RD® ) Betamethasone valerate scalp application Betnovate C cream Betnovate C ointment Betnovate N cream Betnovate N ointment betamethasone & fusidic acid ( Fucibet® ) Diflucortolone 0.1%cream Diflucortolone 0.1%oily cream Diflucortolone 0.1% ointment Diprosalic scalp application Diprosalic ointment Fluocinolone acetonide 0.025% cream Fluocinolone acetonide 0.025% gel Fluocinolone acetonide 0.025% ointment Fluocinonide FAPG 0.05% cream hydrocortisone butyrate 0.1% ( Locoid® ) Locoid C cream Locoid C ointment Lotriderm cream Mometasone furoate 0.1% ( Elocon® ) (Dermatology only) Synalar C cream Synalar C ointment Synalar N cream Synalar N ointment Triamcinolone & chlortetracycline ( Aureocort® ) Tri-adcortyl cream Tri-adcortyl ointment
- very potent Clobetasol shampoo ( Etrivex®) Diflucortolone 0.3% ointment Diflucortolone oily cream 0.3% clobetasol propionate 0.05% ( Dermovate®) clobetasol propionate scalp application
13.5 Preparations for eczema and psoriasis
13.5.1 Preparations for eczema Ichthopaste® bandage (Dermatology only) Alitretinoin (dermatology only – severe hand eczema) 13.5.2 Preparations for psoriasis acitretin (Dermatology only) calcipotriol ( Dermatology only) calcipotriol and betametasone ointment ( Dovobet ®) (Dermatology only) calcitriol (Dermatology only) coal tar solution and salicylic acid in Unguentum M® (Dermatology only) Calamine & coal tar ointment
Coal tar 0.5% in yellow soft paraffin
Coal tar 1% lotion
Coal tar in yellow soft paraffin 0.5, 1, 3, 5, 10, 15, 20 &
25%
Coal tar paste
Coal tar salicyclic acid ointment
Coconut oil BP 90g
Dithranol cream 0.1, 0.25, 0.5, 1 and 2%
Dithranol in lassars paste ( various strengths generally for in- patient use) Fumaderm tablets 120mg Fumaderm tablets 30mg Lanolin ointment with salicyclic acid Sebco scalp ointment Tacalcitol 4microgram/g ointment Ung SCC Sal ( Dermatology only ) Ung SCC Sal Cap ( Dermatology only ) Zinc & salicylic acid paste BP (lassars paste )
13.5.3 Drugs affecting the immune response adalimumab (Dermatology only) - Follow restricted high cost drug procedure when prescribing adalimumab infliximab ( Dermatology only) Follow restricted high cost drug procedure when prescribing infliximab ciclosporin etanercept (Dermatology only) - Follow restricted high cost drug procedure when prescribing etanercept methoxsalen or methoxypsoralen (Dermatology only) methotrexate mycophenolate ( Consultant Dermatologist only) pimecrolimus 1% cream (Consultant Dermatologists only ) tacrolimus 0.03% and 0.1% ointment (Consultant Dermatologists only ) -if GP is asked to start treatment please issue Tacrolimus ointment Prescribing Guidelines tacalcitol (Dermatology only)
13.6 Acne and rosacea
13.6.1 Topical preparations for acne adapalene benzoyl peroxide 2.5-10% Clinidamycin 1% lotion Clinidamycin 1% topical solution Isotretinoin 0.05% gel Quinoderm® cream tretinoin ( Retin-A® ) (Dermatology only ) Zineryt topical solution
13.6.2 Oral preparations for acne Co-cyprindiol tablets 2000/35 Erythromycin 2% topical solution isotretinoin (Dermatology only ) lymecycline ( Dermatology only ) minocycline ( Aknemin ®) (Dermatology only )
13.7 Preparations for warts and calluses
Condyline® (GUM clinic only ) Duofilm® imiquimod (Aldara®) (GUM clinic only ) Silver Nitrate 75% caustic applicator Silver Nitrate 95% caustic applicator Warticon® including Warticon Fem® (GUM clinic only )
13.8 Sunscreens and camouflagers
13.8.1 Sunscreen preparations Beta-carotene 25mg capsules Dundee Reflective sunscreen [unlicensed preparation] (Dermatology only) E45 Sun® Reflective sunscreen RoC Sante Soleil® Sunscreen SPF 50+ (Sunsense Ultra)
Uvistat® cream and Uvistat® Ultrablock cream Miscellaneous beta-carotene ( Dermatology only ) methyl-5-aminolevulinate (Metvix® cream) (Dermatology only)
13.9 Shampoos and some other scalp preparations
Alphosyl 2 in 1 shampoo Capasal shampoo Ceanel Concentrate® Coal tar extract 2% shampoo (T-gel®) Compound coconut oil scalp ointment (Dermatology only ) Polytar® AF shampoo Selenium 2.5% shampoo
Hirsuitism Nizoral® Polytar® liquid Ung SCC Sal Cap (for scalp) (Dermatology only ) eflornithine ( Vaniqa® ) cream (second line use for Endocrine, Skin Endocrine clinics and Dr Polson only ) -if GP is asked to start treatment please issue Eflornithine cream Prescribing Guidelines
13.10 Anti-infective skin preparations
13.10.1 Antibacterial preparations mupirocin 2% cream 13.10.1.1 Antibacterial preparations only used topically mupirocin 2% ointment polyfax ointment silver sulfadiazine 1%
13.10.1.2 Antibacterial preparations also used chlortetracycline 3% ( Dermatology only ) systemically fusidic acid 2% (Dermatology only ) metronidazole 0.75% gel ( Zyomet®) metronidazole 0.8% gel metronidazole 1% cream
13.10.2 Antifungal preparations amorolfine nail lacquer (Dermatology only ) clotrimazole econozole nitrate ketoconazole 2% cream miconazole nitrate nystatin nystaform cream salicylic acid ointment terbinafine 1% cream
13.10.3 Antiviral preparations aciclovir
13.10.4 Parasiticidal preparations malathion ( Derbac M®) (second line treatment for scabies; first line treatment for head lice) phenothrin 0.2% solution
13.10.5 Preps for minor cuts/abrasions permethrin ( Lyclear® ) (first line treatment for scabies; second line treatment for head lice) cetrimide povidone iodine proflavine cream BPC
13.11 Disinfectants and cleansers – Contact Infection Control for advice
13.11.1 Alcohols and saline industrial methylated spirit BP sodium chloride surgical spirit BP
13.11.2 Chlorhexidine salts ChloraPrep® (A&E department only ) chlorhexidine
13.11.3 Cationic surfactants and soaps cetrimide
13.11.4 Chlorine and iodine povidone-iodine sodium hypochlorite
13.11.5 Phenolics triclosan
13.11.6 Astringents, oxidisers and dyes hydrogen peroxide potassium permanganate
13.11.7 Preparations for promotion of wound healing (see BNF)
13.11.8 Miscellaneous glutaraldehyde
13.12 Antiperspirants
aluminium salts glycopyrronium bromide triethanolamine solution ( Dermatology only)
13.13 Wound Management - contact Tissue Viability Nurse or Pharmacy for advice
13.15 Miscellaneous Sulfamethoxypridazine (unlicensed – Dermatology only ) Sulfapyridine ( unlicensed – Dermatology only )