12: Ear, nose, and oropharynx
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1 Original Date of issue: 30/03/2006 Last eviewed: 01/05/2011 Version:2 Page 1 of 5 12: Ear, nose, and oropharynx 12.1 Drugs acting on the ear Otitis externa Astringent preparations Aluminium Acetate ear drops. These are not stocked but are bought in as a special if required. Anti-inflammatory preparations Anti-infective preparations Combination products Betamethasone 0.1% Eye/Ear/Nose Drops Gentamicin 0.3% Ear Drops Chloramphenicol 5% Ear Drops Betamethasone 0.1%, neomycin sulphate 0.5% Eye/Ear/Nose Drops Hydrocortisone acetate 1%, gentamicin 0.3% Ear drops Dexamethasone 0.1%, neomycin sulphate 3250units/ml, glacial acetic acid 2% Flumetasone pivulate 0.02%, clioquinol 1% Hydrocortisone 1%, Neomycin Sulphate 3400 units, polymixin B sulphate units/ml Dexamethasone (sodium Brand Name / Comments Betnesol Vistamethasone Genticin Ear/Eye drops Betnesol N Vista-Methasone N Gentisone HC Ear Drops Otomize Ear Spray (pump action aerosol unit) Locorten - Vioform Ear drops Contra indicated in iodine sensitivity Otosporin Ear Drops Sofradex Eye/Ear Drops
2 Original Date of issue: 30/03/2006 Last eviewed: 01/05/2011 Version:2 Page 2 of 5 metasulphobenzoate), 0.05% framycetin sulphate 0.5%, gramicidin 0.005% Ciprofloxacin 0.3% ear drops C Clotrimazole 1% Solution (Canestan) Otitis media NIL emoval of ear wax Cerumol Ear Drops (11ml) Exterol Ear Drops (8ml) Olive Oil Ear Drops (10ml) Sodium Bicarbonate 5% Ear Drops (10ml) Boric acid 5% in 40% IMS ear drops (5ml) 12.2 Drugs acting on the nose Drugs used in nasal allergy Beclometasone Nasal spray (50micrograms/spray) Budesonide Nasal Spray (100micrograms/spray) Flunisolide Nasal Spray (25micrograms/spray) Fluticasone propionate Aqueous Nasal Spray (50micrograms/spray) (Flixonase) Fluticasone furoate aqueous Nasal Spray (27.5micrograms/spray) (Avamys) Mometasone Furoate Aqueous Nasal Spray (50micrograms/spray) (Nasonex) Sodium Cromoglicate 4% Aqueous Nasal Spray (ynacrom) Triamcinolone Nasal Spray (55micrograms/spray) (Nasacort)
3 Original Date of issue: 30/03/2006 Last eviewed: 01/05/2011 Version:2 Page 3 of 5 Fluticasone propionate 400mcg/ unit Aqueous Nasal Drops Topical nasal decongestants Ephedrine Nasal Drops (0.5%, 1%) Sodium Chloride Nasal Drops 0.9% Xylometazoline Nose Drops (0.1%) Xylometazoline Nose Drops Paediatric (0.05%) Nasal preparations for infection and epistaxis Betamethasone 0.1%, neomycin 0.5% Eye/Ear/Nose Drops (Betnesol N) BIPP (1.25cm x 1m, 2.5cm x 1m) Nasal staphylococci Bactroban Nasal Ointment 3g (mupirocin 2%) Naseptin Nasal Cream 15g (chlorhexidine hydrochloride 0.1%, neomycin sulphate 0.5%) Nasal rinses Sterimar nasal rinse (50ml, 100ml) 12.3 Drugs acting on the oropharynx Drugs for oral ulceration and inflammation Benzydamine 0.15% Oral inse (Difflam) (200ml,300ml) Benzydamine 0.15% Oral Spray (Difflam) (30ml) Bonjela teething Gel (15g) Orabase paste (30g)
4 Original Date of issue: 30/03/2006 Last eviewed: 01/05/2011 Version:2 Page 4 of 5 Bonjela Oral Gel For patients over 16 years only Gelclair 15ml sachets ENT, Oncology and Haematology use only Orapharyngeal anti-infective drugs First line Second line Nystatin 100,000units/ml SF Suspension (30ml) Amphotericin Lozenges (10mg) Miconazole 20mg/g Oral Gel (80g) Daktarin Nystatin 100,000units Pastilles Comments Miconazole 20mg/g Oral Gel (15g) Available for ward 17 only Lozenges and sprays Hydrocortisone Lozenges (2.5mg) Tyrozets Lozenges Mouthwashes, gargles, and dentifrices Chlorhexidine Gluconate 0.2% Mouthwash (300ml) (original or mint) Chlorhexidine Gluconate 0.1% Dental gel (50g) Hexetidine 0.1% Mouthwash (Oraldene) (200ml)
5 Original Date of issue: 30/03/2006 Last eviewed: 01/05/2011 Version:2 Page 5 of Treatment of dry mouth Biotene oral gel Glandasone Spray AS Saliva Orthana Spray (50ml) eserved for Oncologists, Haematologists and ENT consultants only
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