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Medicines Management & Pharmacy Services (MMPS) Topical Available at Leeds Teaching Hospitals Information

Mild to Moderate Potency ( Potent and very potent on the following page)

Mild Corticosteroids: Brand Name Active Ingredients Formulation Dioderm ® 0.1% Cream Hydrocortisone Hydrocortisone 0.5% Cream and Ointment Hydrocortisone Hydrocortisone 1% *suggested first line formulary choice* Cream and Ointment Hydrocortisone Hydrocortisone 2.5% Cream Mild Corticosteroids with Antimicrobials Brand Name Active Ingredients Formulation Canestan HC ® Hydrocortisone 1%, Clotrimazole 1% Cream Daktacort ® Hydrocortisone 1%, nitrate 2% Cream and Ointment Fucidin H ® Hydrocortisone 1%, Fusidic acid 2% Cream Hydrocortisone 0.5%,Nystatin 100,000units/g, Benzalkonium Timodine ® chloride 0.2%, Dimeticone ‘350’ 10% Cream

Moderate Corticosteroids Brand Name Active Ingredients Formulation Betnovate RD ® 0.025% *suggested first line formulary choice* Ointment Eumovate ® butyrate 0.05% Cream and Ointment Fludroxycortide Fludroxycortide 0.0125% Cream, Ointment, Tape

Moderate Corticosteroids with Antimicrobials Brand Name Active Ingredients Formulation Trimovate ® 0.05%, Oxytetracycline 3%, Cream Nystatin 100,000 units/g

Potent and Very Potent (mild and moderate potency on previous page)

Potent Corticosteroids Brand Name Active Ingredients Formulation Betnovate ® 0.1% *suggested first line formulary choice* Scalp application Betamethasone Betamethasone valerate 0.1% *suggested first line formulary choice* Cream and ointment Cutivate ® propionate 0.05% Cream Cutivate ® 0.005% Ointment Elocon ® furoate 0.1% Lotion, Cream Mometasone Mometasone 0.1% Cream and Ointment Metosyn ® 0.05% Cream and Ointment Synalar ® acetonide 0.025% Cream, Gel, Ointment

Potent Corticosteroids with Antimicrobials Brand Name Active Ingredients Formulation Betamethasone Betamethasone valerate 0.1%, Clioquinol 3% with Clioquinol Cream and Ointment Betamethasone with Neomycin Betamethasone valerate 0.1%, Neomycin sulphate 0.5% Cream and Ointment Fucibet ® Betamethasone valerate 0.1%, Fusidic acid 2% Cream Synalar-C ® 0.025%, Clioquinol 3% Ointment Synalar-N ® Fluocinolone acetonide 0.025%, Neomycin sulphate 0.5% Cream and Ointment

Other Potent Combination Preparations Brand Name Active Ingredients Formulation Diprosalic ® Betamethasone dipropionate 0.05%, Salicylic Acid 3% Ointment, Scalp application Betamethasone dipropionate 0.05%, Dovobet ® Calcipotriol 50micrograms/g Ointment

Very Potent Corticosteroids Brand Name Active Ingredients Formulation Dermovate ® propionate 0.05% Scalp application, ointment Clobaderm ® 0.05% Cream and Ointment

Very Potent Corticosteroids with Antimicrobials Brand Name Active Ingredients Formulation Clobetasol NN ® Clobetasol propionate 0.05%, Neomycin sulphate 0.5%, Ointment Nystatin 100,000 units/g

Note: Prescribe new supplies of topical products (emollients and corticosteroids) for use after a skin infection has cleared, and advise the patient to discard the old products. Contamination of emollient preparations with S. aureus and Pseudomonas aeruginosa has been reported.

Further formulary options are available in primary care: http://nww.lhp.leedsth.nhs.uk/leedspathways/files/Dermatology/%20Ladder.pdf

References and Provenance  MiDatabank 139761/146204/150219/153510 Date Produced: 30/12/14 last updated 11 April 2019 Next Review Date: April 2022 Author: Jade Atkinson, pre-registration trainee Pharmacy Technician Quality Assurance Check and updated by: Helen Taylor, Pharmacy Technician,Leeds Medicines Formulary Manager Produced by The Leeds Medicines Advice Service For further information contact [email protected] ext 65377

This information has been prepared by Leeds Medicines Management and Pharmacy Services for use by health care professionals at Leeds Teaching Hospitals NHS Trust