Local Minor Ailment Service Formulary

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1 Local Minor Ailment Service Formulary Pharmacy and Prescribing Team Revised 2013 Reference: MAS Version 1 Supersedes: None Page 1 of 17 Date approved: 25 th October 2013 Review date: October 2016

2 Contents Section 1 Gastrointestinal 3 Indigestion 3 Infant Colic 3 Constipation 3 Diarrhoea 4 Haemorrhoids 4 Mouth ulcers/teething 4 Oral Thrush 5 Section 2 Respiratory 6 Hay Fever 6 Cough 6 Nasal Congestion 6 Section 3 Central Nervous System 8 Pain 8 Travel Sickness/Nausea and Vomiting 8 Section 4 Infection 9 Fungal 9 Vaginal Candidiasis 9 Athlete's Foot 9 Viral 9 Cold sores 9 Warts and verrucae 9 Parasitic 10 Threadworms 10 Head lice 10 Crab/Pubic lice 10 Scabies 10 Section 5 Urinary Tract Disorders 11 Section 6 Skin 12 Acne 12 Eczema/Allergy 12 Boils 13 Section 7 Vitamins 14 Pregnancy 14 Section 8 Eyes 15 Section 9 Ear 16 Section 10 Homeopathy 17 Reference: MAS Version 1 Supersedes: None Page 2 of 17

3 Section 1 Gastrointestinal Indigestion BNF Section Aluminium and magnesium containing antacids Mucogel Liquid 500ml BNF Section Other drugs for dyspepsia and gastro-oesophageal reflux disease Gastrocote Tablets 100 Peptac Liquid 500ml Gastrocote Liquid 500ml Infant Colic BNF Section Simeticone alone Infacol Liquid 50ml BNF Section Bulk forming laxatives Constipation Ensure adequate fluid intake. Not to be taken immediately before going to bed. Ispaghula Husk 3.4G/3.5G 30/60 BNF Section Stimulant laxatives Bisacodyl 10mg Supps 12 Bisacodyl 5mg Tablets 28 Glycerin 4g Suppositories (Adult) 12 Senna syrup 7.5mg/5ml 100ml Senna Tabs 7.5mg 30 Docusate capsules, liquid 30, 300ml Reference: MAS Version 1 Supersedes: None Page 3 of 17

4 BNF Section Osmotic laxatives Lactulose Solution 300ml/500ml Diarrhoea BNF Section 1.4 Antimotility drugs In adults and children over 12 years. Maximum strength 2mg, maximum dose 4mg and maximum daily dose 12mg. Loperamide 2mg Capsules 12 BNF Section Oral rehydration therapy Dioralyte Oral Powder 6/20 Rehidrat Oral Powder 16/24 Haemorrhoids BNF Section Soothing haemorrhoidal preparations Anusol Cream 23g Anusol Ointment 25g Anusol Suppositories 12 BNF Section Compound haemorrhoidal preparations with corticosteroids Anusol Plus HC Ointment Anusol Plus HC Suppositories 12 Mouth Ulcers/Teething BNF Section Drugs for oral ulceration and inflammation Benzydamine 0.15% Mouthwash 300ml Benzydamine 0.15% Spray 30ml Chlorehexidine 0.2% Mouthwash 300ml Choline Salicylate Gel (over 16 years old) Hydrocortisone 2.5mg Pellets 20 Anbesol Adult Strength Gel 10g Bonjela Teething Gel Calgel Teething Gel 10g Reference: MAS Version 1 Supersedes: None Page 4 of 17

5 Oral Thrush BNF Section Oropharyngeal Anti-Infective Drugs Miconazole Oral Gel Reference: MAS Version 1 Supersedes: None Page 5 of 17

6 Section 2 Respiratory Hay Fever BNF Section Antihistamines Non sedating antihistamines Cetirizine 10mg Tablets 30 Cetirizine Oral Soln.1mg/1ml 200ml Loratadine Tablets 10mg 30 Loratadine Syrup 5mg/5ml 100ml Sedating antihistamine Drowsiness may affect performance of skilled tasks (e.g. driving); sedating effects enhanced by alcohol. Chlorphenamine 4mg Tablets 30 Chlorphenamine Syrup 2mg/5ml 150ml BNF Section Other anti-inflammatory preparations Sodium Cromoglicate 2% Eye Drops (endorse as Opticrom Allergy ) 5ml/10ml BNF Section Nasal Allergy Steroid Nasal Spray Beclometasone Nasal Spray (prescribe as brand or supplier) 100 or 180 doses BNF Section 3.8 Aromatic Inhalations Cough and Nasal Congestion Menthol Crystals 5g Reference: MAS Version 1 Supersedes: None Page 6 of 17

7 BNF Section Cough Suppressants See guidance in BNF section for prescribing for children. Supply in original patient pack. Pholcodine Linctus 5mg/5ml (see BNF guidance on age) 200ml BNF Section Expectorants and demulcent cough preparations Simple SF Linctus (over 12 years of age) Simple Paediatric SF Linctus 200ml Dispense up to 200ml BNF Section 3.10 Systemic Nasal Decongestants Pseudoephedrine 30mg/5ml Elixir 100ml Pseudoephedrine 60mg Tablets 12 BNF Section Topical Nasal decongestants Xylometazoline 0.1% Nasal Drops Xylometazoline 0.1% Nasal Spray Xylometazoline 0.05% Paediatric Nasal Drops(over 6 years of age) 10ml 10ml 10ml Reference: MAS Version 1 Supersedes: None Page 7 of 17

8 Section 3 Central Nervous System BNF Section Non Opioid analgesics Pain Ibuprofen 200mg Tablets Up to 48 pack Ibuprofen 400mg Tablets Up to 48 pack Ibuprofen SF Suspension 100mg/5ml 100ml,150ml Paracetamol 500mg Tablets 32 Paracetamol SF 120mg/5ml Suspension 100ml Paracetamol SF 250mg/5ml Suspension 100ml Paracetamol Soluble Tablets 120mg 16 Paracetamol Soluble Tablets 500mg 24 Co-Codamol 8/500 Tablets (2 nd line agent after 32 paracetamol) Travel Sickness BNF Section 4.6 Drugs used in nausea and vertigo Promethazine Teoclate 25mg Tablets (Avomine ) 10 Promethazine SF Elixir 5mg/5ml 100ml Nausea and Vomiting BNF Section 4.6 Drugs used in nausea and vertigo Domperidone 10mg tablets (prescribe as Motilium 10 ) 10 Reference: MAS Version 1 Supersedes: None Page 8 of 17

9 Section 4 Infection Fungal Infections Vaginal Candidiasis BNF Section 5.2 Antifungal Drugs Can be sold to the public for vaginal candidiasis in women aged years, in a container or packaging containing not more than 150mg and labelled to show a maximum dose of 150mg. Fluconazole 150mg Capsules (endorse brand) 1 BNF Section Anti-infective drugs Clotrimazole Vaginal Tablets 500mg 1 Clotrimazole 1% Cream 20g Clotrimazole 2% Cream (Canesten Thrush Cream ) 20g Clotrimazole Vaginal Cream 10% (Canesten Internal Cream ) 5g Athlete's Foot BNF Section Antifungal preparations Clotrimazole 1% Cream 20g Miconazole 2% Cream 30g Miconazole Spray Powder (Daktarin Aktiv ) 100g Terbinafine 1% Cream (only if other treatments ineffective) 7.5g Cold Sores BNF sections and Viral Infection Aciclovir 5% Cream 2g Reference: MAS Version 1 Supersedes: None Page 9 of 17

10 Warts and Verrucae BNF Section 13.7 Preparations for warts and callouses Glutarol Solution Veracur Gel Occlusal Application Salatac Gel 10ml 10ml 8g Threadworms BNF Section Drugs for Threadworms Parasitic Infection All family members should be treated at the same time, even if they have no symptoms, to prevent reinfection. Mebendazole Tablets 100mg (Ovex / Pripsen ) 1 Mebendazole Suspension 100mg/5ml (Ovex ) 30ml Head Lice BNF Section Parasiticidal Preparations If a course of treatment (two applications, one week apart) fails to cure, a different insecticide should be used for the next treatment. (Refer to NHS Ayrshire & Arran Head Lice Policy) Malathion 0.5% Liquid (Derbac M ) Dimeticone lotion 4% (Hedrin ) 50ml/200ml 50ml/150ml Crab/Pubic Lice BNF Section Parasiticidal Preparations A different insecticide should be used if a course of treatment (two applications, one week apart) fails. Permethrin (Lyclear dermal cream) Malathion 0.5% Liquid (Derbac M ) 30g 50ml/200ml Scabies BNF Section Parasiticidal Preparation Permethrin (Lyclear Dermal Cream) Malathion 0.5% Liquid (Derbac M ) 30g 50ml/200ml Reference: MAS Version 1 Supersedes: None Page 10 of 17

11 Section 5 Urinary Tract Disorders Alkalinisation of Urine BNF Section Potassium Citrate effervescent tablets(effercitrate ) 12 Potassium Citrate solution 200ml Reference: MAS Version 1 Supersedes: None Page 11 of 17

12 Section 6 Skin Acne BNF Section Topical Preparations for acne Benzoyl peroxide 2.5% Aquagel (endorse as Panoxyl ) Benzoyl peroxide 5% Aquagel (endorse as Panoxyl ) Benzoyl peroxide 10% Aquagel (endorse as Panoxyl ) 40g 40g 40g Eczema/Allergy BNF Section Emollients Emulsifying Ointment Hydrous Ointment Liquid paraffin and White soft paraffin 50/50 Paraffin White Soft Doublebase gel Epaderm ointment Diprobase Dermamist spray (expensive, use in special circumstances) 500g 500g 250g 500g 100g 50g/500g 50g/500g 250ml BNF Section Emollient Bath Additives Use fragrance free only. Oilatum Fragrance free Junior bath additive Dermol 600 bath emollient Dermol 200 shower emollient Diprobath Emulsiderm Hydromol Oilatum Plus bath additive 150ml/250ml/ 300ml/600ml 600ml 200ml 500ml 300ml 150ml/350ml 500ml BNF Section Barrier Preparations Drapolene Siopel Sudocrem Vasogen Zinc and Castor Oil 100g/200mg 50g 60g/125g 50g/100g 50g/100g Reference: MAS Version 1 Supersedes: None Page 12 of 17

13 BNF Section 13.3 Topical local anaesthetics and antipruritics Calamine Lotion Eurax Cream Eurax Lotion Calamine Aqueous Cream 200ml 30g/100g 100ml 100g BNF Section 13.4 Topical corticosteroids Hydrocortisone 1% Cream Clobetasone 0.05% Cream (prescribe as Eumovate Eczema & Dermatitis ) Canesten- hydrocortisone cream Daktacort HC cream BNF Section 13.9 Shampoos and scalp preparations Polytar Liquid Capasal Shampoo Ketoconazole Shampoo (prescribe as Nizoral Antidandruff ) Alphosyl 2in 1 shampoo Sebco ointment 150ml/250ml 250ml 60ml/100ml 125ml/250ml 40g/100g BNF Section Preparations for Boils Magnesium Sulphate Paste 50g Reference: MAS Version 1 Supersedes: None Page 13 of 17

14 Section 7 Vitamins BNF Section Drugs used in megaloblastic anaemias For use by females before conception and during pregnancy until week 12 of pregnancy. Folic Acid 400microgram Tablets 90 Reference: MAS Version 1 Supersedes: None Page 14 of 17

15 Section 8 Eyes This section has been arranged to reflect the locally agreed referral system between Community Pharmacists and Optometrists and as agreed nationally between Community Pharmacy Scotland and Optometry Scotland. BNF Section 11.3 Anti-Infective Eye Preparations Propamidine Isetionate Eye Drops (Brolene ) Propamidine Isetionate Eye ointment (Brolene ) Chloramphenicol Eye Drops (PGD in place) Chloramphenicol Eye Ointment (Golden Eye Ointment) 10mls 5g 10mls 4g BNF Section 11.4 Corticosteroids and other anti-inflammatory preparations Antazoline Sulphate Eye Drops (Otrivine Antistin ) Sodium Cromoglicate 2% Eye Drops (endorse Opticrom Allergy ) Lodoxamide (Alomide Allergy ) 10ml 5ml/10ml 5ml BNF Section 11.8 Miscellaneous Ophthalmic Preparations Carbomers (Gel Tears / Liposic Gel/ Liquivisc Gel/ Viscotears Gel) Hydroxyethylcellulose (Minims Artificial Tears ) Hypromellose (Hypromellose/ Tears Naturale / Isopto Alkaline / Isopto Plain Liquid Paraffin Eye Ointment (Lacrilube ) Paraffin Yellow Soft (Simple Eye Ointment) Polyvinyl alcohol (Liquifilm Tears/ Sno Tears ) Sodium Chloride Eye Drops (Minims Saline ) 10g 20 x 0.5ml 10ml/15ml 3.5g/5g 4g 15mls/10mls 20 x 0.5mls Reference: MAS Version 1 Supersedes: None Page 15 of 17

16 Section 9 Ear BNF Section Removal of Ear wax Almond Oil Cerumol Ear Drops Sodium Bicarbonate 5% Ear Drops 10ml 11ml 10ml Reference: MAS Version 1 Supersedes: None Page 16 of 17

17 Section 10 Homeopathy It is recommended that homeopathic products registered for use in the UK, are only prescribed by pharmacists who have appropriate knowledge or competence in this area. Reference: MAS Version 1 Supersedes: None Page 17 of 17

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