Common medications available over the counter (OTC) for minor ailments Acute pain, headache, temperature aracetamol 500mg tablets Ibuprofen 200mg, 400mg Ibuprofen 100mg/5ml Liquid Co-codamol 8/500mg aracetamol 120mg/5ml suspension (from 3 months) aracetamol 250mg/5ml suspension (from 6 years old) Anadin Mandanol Disprol anadol Hedex Anadin Ibuprofen Nurofen Calprofen Cuprofen Anadin Joint pain Migraleve Yellow tabs aracodol Calpol Medinol Sootheze six plus product information Long term conditions requiring regular pain relief Long term conditions requiring regular pain relief Asthma Unstable high blood pressure Taking anticoagulants Stomach ulcers/problems Children under 3 months Not for use in Chicken ox Severe Liver disease Children under 2 months Babies born before 37 weeks Babies weighing less than 4 kg ( packs of 16) (up to 32) (200mg packs of 16) (400mg up to 32 (up to 32 rescribing of OTC list age 1 of 8
Ibuprofen 5% gel Diclofenac 2.32% and 3% gel Fenbid Ibuleve Nurofen Voltarol Emulgel Solaraze product information Children under 14 yrs Broken/infected skin Asthma Hayfever/Allergies Aspirin 300mg dispersible tablets Chlorphenamine 4mg tablets Chlorphenamine 2mg/5ml solution Loratidine 10mg tablets Acrivastine 8mg capsules Anadin original Disprin Allercalm iriton Hayleve Allerief iriton Clarityn Allergy Clarityn Rapide Benadryl Allergy relief Benadryl plus Asthma eptic ulceration Third trimester pregnancy Haemophilia Current Anticoagulant therapy Children under 1 yrs Children with Asthma Children taking Monoamine oxidase inhibitors Adults over 65 yrs atients with kidney problems ( packs of 16) (other pack sizes) (pack size 10 (other pack sizes) (pack size 12 (other pack sizes) Cetirizine 10mg tablets Benadryl Zirtek Allergy (pack size 14 Cetirizine 1mg/ml solution solution Benadryl Allergy relief solution (pack size 70ml) (other pack sizes) Zirtek iriteze ollenshield Beclomethasone 0.05% Nasal Beconase Children under 18 yrs (100 spray pack) rescribing of OTC list age 2 of 8
Athletes foot Cold sores Spray Sodium cromoglycate 2% eye drops Miconazole 2% cream 0.16% powder Terbinafine hydrochloride 1% Aciclovir cream 5% Nasobec ollenase Allercrom Optrex allergy Catacrom allergy relief Opticrom hayfever Daktarin Daktarin aktiv Lamisil AT cream, gel, spray Scholl advanced cream, powder, spray Virasorb Zovirax Lypsyl product information Children under 6 yrs Diabetic patients Diabetic patients Immunocompromised & terminally ill Only for face and lips (180 spray pack) (cream) (powder) (only if specified for cold sore) Conjunctivitis (uncomplicated/bacterial) Chloramphenical 0.5% eye drops Chloramphenical 1% eye ointment Brochlor Golden eye Lumicare Optrex Children under 2 yrs Cystitis Sodium Citrate 4g sachet otassium Citrate 1.5g liquid 3g sachet 1.5g tablet (effervescent) Cystocalm Cymalon CanesOasis Cymaclear Cystopurin Effercitrate Men and Diabetic patients Heart disease, hypertension, renal disease Children under 6 yrs History of kidney disease rescribing of OTC list age 3 of 8
Diarrhoea Diarrhoea Oral rehydration solutions/sachets Loperamide 2mg caps Dioralyte relief sachets Electrolade sachets Imodium Diocalm ultra Entrocalm Diah-limit product information atients with liver or kidney disease atients on low potassium/sodium diets atients with diabetes Inflammatory bowel disease ost bowel surgery ost pelvic radiation Colorectal cancer (pack size 6 capsules) (other pack sizes) Ear wax Head lice Haemorrhoids Olive oil drops Arachis oil/chlorobutanol hemihydrate drops Docusate sodium 0.5% drops Acetic Acid 2% 1 st line Dimeticone gel, lotion or spray 4% 2 nd line - Malathion Aqueous lotion 0.5% Zinc oxide Cerumol Waxsol EarCalm Hedrin Lyclear Nitrid Derbac-M Nyda Anusol cream and ointment Haemorrhoid relief Germoloids cream and ointment No restrictions Babies under 6 months Rectal bleeding or blood in stools (Olive oil) (all other ear drops/sprays) (100ml pack) (other pack size) Indigestion, Dyspepsia Heartburn, Upset stomach Sodium Alginate Calcium carbonate Sodium Bicarbonate Gaviscon 250 tablets Gaviscon cool Gaviscon Double action Rennie Gaviscon Infant Babies under 12 months Babies born before 37 weeks Children over 2 yrs rescribing of OTC list age 4 of 8
Bismuth subsalicylate epto-bismol Sesnsitive aspirin product information Indigestion, Dyspepsia Heartburn, Upset stomach Infant colic Nappy rash Nasal congestion Scabies Esomeprazole 20mg tablets Nexium Control Children under 18 yrs Adults over 55 yrs Jaundice or liver disease antoprazole 20mg tablets antoloc Control Children under 18 yrs Adults over 55 yrs Jaundice or liver disease Ranitidine 75mg tablets Zantac Gavilast Ranicalm eptic ulceration Elderly taking NSAIDs Simeticone 40mg/ml Infacol No restrictions Dimeticone 42mg/5ml Dentinox Fructose, glucose-galactose or sucrose intolerant patients (contains sucrose) Titanium dioxide, titanium Metanium No restrictions peroxide, titanium salicylate Zinc oxide, Benzyl alcohol, Sudocrem No restrictions benzyl benzoate, lanolin Sodium chloride 0.9% nasal Snufflebabe nasal drops No restrictions drops, spray Calpol soothe and care drops and spray Mandanol nasal drops ermethrin 5% dermal cream Lyclear Babies under 2 months Lythrin Crotamiton 10% cream Eurax Children under 3 yrs (pack size 12 rescribing of OTC list age 5 of 8
Teething, sore mouth conditions (i.e ulcers) Teething, sore mouth conditions (i.e ulcers) Threadworms Thrush/oral thrush Lidocaine Hydrochloride, Chlorocresol, Cetylpyridinium Chloride Choline salicylate, cetalkonium chloride Bonjela Anbesol Orajel product information Active peptic ulceration Bonjela teething gel Bonjela teething Babies under 2 months Heart disease, Liver disease Mebendazole 100mg tablets Ovex (only licensed brand) Children under 2 yrs Clotrimazole 1 % cream Canesten Adults over 65 yrs Clotrimazole 2% cream Clotrimazole 10% intravaginal cream Clotrimazole 500mg pessary and Clotrimazole 2% cream Fluconazole 150mg capsule and clotrimazole 2% cream Canesten thrush combi Canesten Duo Adults over 60 yrs Children under 2 yrs Adults over 65 yrs Lactose intolerance Adults over 60 yrs Fluconazole 150mg capsule Canesten Thrush Lactose intolerance Adults over 60 yrs Miconazole 2% oral gel (15g) Daktarin oral gel Children under 4 months, atients taking warfarin rescribing of OTC list age 6 of 8
Sore throat Minor skin complaints (Dermatitis, mild to moderate dry skin etc) Warts/Verrucas Benzydamine Clobetasone 0.05% cream Crotamiton 10% Crotamiton 10%, Hydrocortisone 0.25% Emollient creams, lotions, gels Difflam Spray Difflam Oral rinse Eumovate eczema & dermatitis cream Eurax Eurax HC E45, Doublebase, Isomol gel, Diprobase Cetraben product information Children under 12yrs Broken or inflamed skin Children under 3 yrs Broken or inflamed skin No restrictions Urea 5%, lauromacrogals 3% E45 itch relief Broken or inflamed skin Calamine lotion No restrictions Colloidal oatmeal ointment Aveeno No restrictions Verruca gel - Salicyclic acid, lactic acid Wart paint/ointment - Salicyclic acid, lactic acid Bazuka Extra strength gel Bazuka Gel Bazuka treatment gel Salactol Occlusal Salatac Verrugon ointment Scholl Freeze Bazuka Sub zero Diabetic atients Face, neck, ano-genital area Moles, birthmarks, hairy warts or skin lesions Broken skin Diabetic patients Face, neck, ano-genital area Moles, birthmarks, hairy warts or skin lesions Broken skin Impaired peripheral blood circulation Children under 4 yrs Diabetic atients Face, neck, ano-genital area Moles, birthmarks, hairy warts or skin (Eurax) (Eurax HC) (Bazuka treatment gel) rescribing of OTC list age 7 of 8
product information lesions Broken skin Title olicy on rescribing of Medicines that are Available for urchase (Self-Care) Document reference rescribingmedicinesotcol201708v6.0final Author Medicines Optimisation Team, Mid Essex CCG Reference NHS England, Midlands and East, Medical Director letter rescribing of medicines available to purchase over the counter 16/08/2016 Approved by Mid Essex Medicines Management Committee Date approved August 2017 Next review date August 2019 revious version January 2014 April 2015 July 2015 October 2016 April 2017 Key Changes Changes to format Minor change - Combined with restricted OTC guide Format change standardised to prescribing policy statement Addition of common OTC medications and restrictions for their OTC use Update G support from the NHS England East of England Medical Director rescribing of OTC list age 8 of 8