netFormulary Harrogate & Rural District Formulary NHS
Harrogate & District NHS Foundation Trust
Harrogate & Rural District Clinical Commissioning Group
 
 
 Search
 Formulary Chapter 12: Ear, nose and oropharynx - Full Chapter
12.01  Drugs acting on the ear
12.01.01  Otitis externa
Ciprofloxacin 3mg/ml fluocinolone acetonide 0.25mg/ml (Cetraxal Plus)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green

Approved by HaRD Area Prescribing Committee March 2019

 
   
12.01.01  Astringent preparations
Acetic acid solution
View adult BNF View SPC online View childrens BNF
Formulary Solution 3%, 5% 
   
12.01.01  Anti-inflammatory preparations
Betamethasone Sodium Phosphate
View adult BNF View SPC online View childrens BNF
Formulary Ear/Ear/Nose drops 0.1% 
   
Betamethasone Sodium Phosphate 0.1% with Neomycin Sulphate 0.5%
View adult BNF View SPC online View childrens BNF
Formulary Eye/Ear/Nose drops (betamethasone 0.1%/ neomycin 0.5%) 
   
Dexamethasone with Antibacterial (Otomize)
View adult BNF View SPC online View childrens BNF
Formulary Ear spray (dexamethasone 0.1%, neomycin 3250 units/ml, glacial acetic acid 2%) 
   
Flumetasone Pivalate 0.02% with Clioquinol 1% (Locorten-Vioform)
View adult BNF View SPC online View childrens BNF
Formulary Ear drops 
   
Hydrocortisone Acetate 1% with Gentamicin 0.3% (Gentisone HC)
View adult BNF View SPC online View childrens BNF
Formulary Eye/Ear drops

 
   
12.01.01  Anti-infective preparations to top
Clotrimazole (Canesten)
View adult BNF View SPC online View childrens BNF
Formulary Cream 1% 
   
Flumetasone Pivalate 0.02% with Clioquinol 1% (Locorten-Vioform)
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
 
   
Gentamicin 0.3% with Hydrocortisone Acetate 1% (Gentisone HC)
View adult BNF View SPC online View childrens BNF
Formulary  
   
12.01.01  Other aural preparations
12.01.02  Otitis media
12.01.03  Removal of ear wax
Olive Oil
View adult BNF View SPC online View childrens BNF
Formulary  
   
Sodium Bicarbonate
View adult BNF View SPC online View childrens BNF
Formulary Ear drops 5% 
   
12.02  Drugs acting on the nose
12.02.01  Drugs used in nasal allergy to top
12.02.01  Antihistamines
Azelastine Hydrochloride (Rhinolast)
View adult BNF View SPC online View childrens BNF
Formulary Aqueous nasal spray 140micrograms/metered spray 
   
12.02.01  Corticosteroids
Beclometasone Dipropionate (Beconase / Nasobec)
View adult BNF View SPC online View childrens BNF
Formulary Aqueous nasal spray 50micrograms/spray 
   
Betamethasone Sodium Phosphate 0.1%
View adult BNF View SPC online View childrens BNF
Formulary Eye/Ear/Nose drops 
   
Fluticasone Propionate (Flixonase/Nasofan)
View adult BNF View SPC online View childrens BNF
Formulary Aqueous nasal spray 50micrograms/metered spray 
   
Mometasone Furoate (Nasonex)
View adult BNF View SPC online View childrens BNF
Formulary Nasal spray 50micrograms/metered spray 
   
Tiamcinolone Acetonide (Nasacort)
View adult BNF View SPC online View childrens BNF
Formulary Aqueous nasal spray 55micrograms/metered spray 
   
Fluticasone furoate (Avamys)
View adult BNF View SPC online View childrens BNF
Restricted Drug Restricted Nasal spray 27.5micrograms/metered spray

Initiation by ENT and Respiratory Consultants only.  
   
12.02.01  Cromoglicate
12.02.02  Topical nasal decongestants
12.02.02  Sympathomimetics to top
Ephedrine Hydrochloride
View adult BNF View SPC online View childrens BNF
Formulary Nose drops 0.5% 
Link  Drug safety Update - Minimising risk of abuse
   
Xylometazoline Hydrochloride (Otrivine)
View adult BNF View SPC online View childrens BNF
Formulary Nasal drops 0.1%

Paediatric nasal drops 0.05% 
   
12.02.02  Antimuscarinic
Ipratropium Bromide (Rinatec)
View adult BNF View SPC online View childrens BNF
Formulary Nasal spray 0.03% 
   
12.02.03  Nasal preparations for infection
12.02.03  Nasal Staphylococci
Chlorhexidine Hydrochloride 0.1%, Neomycin Suphate 0.5% (Naseptin)
View adult BNF View SPC online View childrens BNF
Formulary Nasal cream

Contains peanut oil 
   
Mupirocin 2% in White Soft Paraffin (Bactroban Nasal)
View adult BNF View SPC online View childrens BNF
Formulary Nasal ointment 2% 
   
12.03  Drugs acting on the oropharynx
12.03.01  Drugs for oral ulceration and inflammation to top
Benzydamine (Difflam)
View adult BNF View SPC online View childrens BNF
Formulary Oral rinse
Spray 
Link  Management of chemotherapy induced mucositis
   
Choline Salicylate (Bonjela Adult)
View adult BNF View SPC online View childrens BNF
Formulary  
   
Doxycycline
View adult BNF View SPC online View childrens BNF
Formulary  
   
Lidocaine Hydrochloride 2%, Chlorhexidine Gluconate Solution 0.25% (Instillagel®)
View adult BNF View SPC online View childrens BNF
Formulary  
   
12.03.02  Oropharyngeal anti-infective drugs
12.03.02  Oropharyngeal Fungal infections
Miconazole (Daktarin)
View adult BNF View SPC online View childrens BNF
Formulary Oral gel 20mg/g 
   
Nystatin (Nystan)
View adult BNF View SPC online View childrens BNF
Formulary Oral solution 100 000units/ml 
   
12.03.02  Oropharyngeal Viral infections
Chlorhexidine Mouthwash
View adult BNF View SPC online View childrens BNF
Formulary Mouthwash 0.2%

Mint flavour 
   
Doxycycline
View adult BNF View SPC online View childrens BNF
Formulary Dispersible tablets 100mg (unlicensed indication)

Use as a mouthwash (third line option after chlorhexidine mouthwash and betamethasone soluble tablets used as a mouthwash) 
   
12.03.03  Lozenges and sprays
Strepsils lozenges
View adult BNF View SPC online View childrens BNF
Formulary Original 
   
12.03.04  Mouthwashes, gargles, and dentifrices to top
Mouthwash tablets
View adult BNF View SPC online View childrens BNF
Formulary  
   
12.03.05  Treatment of dry mouth
12.03.05  Local Treatment
AS saliva Orthana
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
Product is of animal origin (procine) so therefore not suitable for all patient groups. 
   
Glandosane
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
Aerosol spray 
   
BioXtra
View adult BNF View SPC online View childrens BNF  Track Changes
Formulary
Green
 
   
12.03.05  Systemic treatment
 ....
 Non Formulary Items
Aciclovir

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Aluminium Acetate

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Amphotericin  (Fungilin)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Benzocaine

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Betamethasone Sodium Phosphate 0.1% with Neomycin Sulphate 0.5%

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Biotene Oralbalance

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Budesonide

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Caphosol

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Carmellose Sodium  (Orabase)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Carmellose Sodium  (Orahesive®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Cerumol

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Cetylpyridinium, Chlrocresol, Lidocaine  (Anbesol)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Chlorhexidine Gluconate 0.1% with Chlorobutanol 0.5%  (Eludril)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Dexamethasone with Antibactrial  (Sofradex)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Docusate Sodium 0.5%  (Waxsol)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Doxycycline  (Periostat®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Exterol

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Flunisolide  (Syntaris®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Framycetin Sulphate with corticosteroid  (Sofradex)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Gentamicin  (Genticin)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Hydrocortisone with Antibactrial  (Otosporin)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Hydrogen Peroxide

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Luborant

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Molcer

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Neomycin Sulphate 0.5% with Betamethasone Sodium Phosphate 0.1%

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Neomycin Sulphate with corticosteroids  (Betnesol-N®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Neomycin Sulphate with corticosteroids  (Neo-Cortef®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Neomycin Sulphate with corticosteroids  (Otomize)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Neomycin Sulphate with corticosteroids  (Otosporin®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Neomycin Sulphate with corticosteroids  (Tri-Adcortyl Otic)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Otex

View adult BNF View SPC online View childrens BNF
Non Formulary
 
pilocarpine Hydrochloride  (Salagen®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Prednisolone Sodium Phosphate  (Predsol)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Prednisolone Sodium Phosphate 0.5% with Neomycin Sulphate 0.5%  (Predsol-N)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Salicylates - Salicylic acid  (Pyralvex®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Salinum

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Salivix

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Seliveze

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Sodium Chloride Nasal Spray  (Sterimar)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Black

Added as BLACK non-formulary - agreed at APC September 2018

 
Sodium Chloride Nasal Spray  (Sterimar)

View adult BNF View SPC online View childrens BNF Track Changes
Non Formulary
Black

Added as BLACK non-formulary - agreed at APC September 2018

 
Sodium Cromoglicate  (Rynacrom)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
SST

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Thymol

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Tranexamic Acid

View adult BNF View SPC online View childrens BNF
Non Formulary Unlicensed indication
 
Triamcinolone Acetonide with Antibacterial  (Tri-Adcortyl Otic)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
Xerotin(r)  (Xerotin®)

View adult BNF View SPC online View childrens BNF
Non Formulary
 
  
Key
note Notes
Section Title Section Title (top level)
Section Title Section Title (sub level)
First Choice Item First Choice item
Non Formulary Item Non Formulary section
Restricted Drug
Restricted Drug
Unlicensed Drug
Unlicensed
Track Changes
Display tracking information
click to search medicines.org.uk
Link to adult BNF
click to search medicines.org.uk
Link to children's BNF
click to search medicines.org.uk
Link to SPCs
SMC
Scottish Medicines Consortium
Cytotoxic Drug
Cytotoxic Drug
CD
Controlled Drug
High Cost Medicine
High Cost Medicine
Cancer Drugs Fund
Cancer Drugs Fund
NHSE
NHS England
Homecare
Homecare
CCG
CCG

Traffic Light Status Information

Status Description

Amber

Medicines which are suitable to be prescribed in primary care only after specialist recommendation. Ongoing prescribing by primary care includes titration of dose and assessment of efficacy. There is no need for ongoing monitoring other than for general adverse effects as listed in the BNF & SPC.  

Amber Shared Care

Medicines which are suitable to be prescribed in primary care only after specialist recommendation only under a shared care protocol once the patient has been stabilised. Prior agreement must be obtained by the specialist from the primary care provider before prescribing responsibility is transferred. The shared care protocol must be approved by the Harrogate & Rurual District Area Prescribing Committee (HaRD APC).   

Black

Medicines which the Harrogate & Rural District Area Prescribing Committee (HaRD APC) has reviewed and does not recommend for use at present based on a review of clinical and/or cost effectiveness data.   

Green

Medicines suitable for routine use and can be prescribed within primary care within their licensed indication in accordance with nationally recognised formularies e.g. BNF, BNF for Children, Palliative Care Formulary. Primary care prescribers take full responsibility for prescribing.  

Grey

Medicines which the Harrogate & Rural District Area Prescribing Committee (HaRD APC) have not yet reviewed.   

Red

Medicines for hospital use only. The responsibility for initiation and monitoring treatment should rest with an appropriate hospital clinician. The drug should be supplied by the hospital for the duration of the treatment course. Primary care prescriber initiation or continuation of treatemnt is not recommended.  

netFormulary