University Hospitals Birmingham NHS Foundation Trust

Chapters

StatusDrug nameNICE TAsComments
Status: GreenAdapalene

Avoid in pregnancy

Status: GreenAdapalene with benzoyl peroxide (Epiduo®)

First choice

Status: GreenAzelaic acid 15% gel
Status: GreenAzelaic acid 20% cream (Skinoren®)
Status: GreenBenzoyl peroxide
Status: GreenBenzoyl peroxide 5% with clindamycin 1% (Duac®) once daily
Status: RedBrimonidine 3mg/g (Mirvaso®)
Status: AmberClindamycin

12 week course. Specialist initiation.

Status: GreenClindamycin 1% topical solution
Status: GreenCo-Cyprindiol 2000/35
Status: GreenDoxycycline
Status: RedIsotretinoin capsules

Contraindicated in pregnancy

Status: GreenIvermectin 1% cream
Status: GreenLymecycline
Status: AmberNicotinamide 4% gel
Status: GreenOxytetrecycline
Status: AmberRifampicin
Status: AmberTrimethoprim

Off-label use. Specialist initiation.

Drug status key

Formulary drugs are allocated a traffic light status. This provides guidance on where clinical and prescribing responsibilities lie in regard to the initiation and maintenance of prescribing.

Grey

Grey

Positive NICE TA and/or awaiting local clarification on place in therapy. Please contact your medicines optimisation team for more information.

Red

Red

Initiation and maintenance of prescribing by specialists only.

Amber

Amber

Initiation and maintenance of prescribing by specialists and transfer to primary care prescribing when appropriate, or in primary care following a specialists recommendation. Prior to initiation some medicines may require committee agreement or a framework to support safe transfer and maintenance.

Green

Green

Initiation and maintenance of prescribing by specialists, GPs and other qualified clinicians.

Blue

Blue

Under review at University Hospitals Birmingham NHS Foundation Trust.

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