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

13.2.2 Barrier preparations

Drapolene cream
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
13.5.2 Preparations for psoriasis

Ichthopaste bandage (Dermatology only)

Alitretinoin (dermatology only severe hand eczema)
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 inpatient 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)

Miscellaneous

Uvistat cream and Uvistat Ultrablock cream

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
13.10.1.1 Antibacterial preparations only used topically

mupirocin 2% cream
mupirocin 2% ointment
polyfax ointment
silver sulfadiazine 1%

13.10.1.2 Antibacterial preparations also used

systemically

chlortetracycline 3% (Dermatology only)

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)