Lancashire and South Cumbria
Formulary
 
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12 Ear, nose and oropharynx

This chapter of the formulary is under continual development, please let the team know if you have any comments about the contents: mlcsu.lscformulary@nhs.net. 

For more information about the formulary development process, please see: https://www.lancsmmg.nhs.uk/lancashire-and-south-cumbria-icb-formulary-development/

12-02-01 Corticosteroids

Beclometasone Dipropionate
First Choice
Aqueous nasal spray 50micrograms/metered spray

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Betamethasone nasal drops
First Choice
Ear/eye/nose drops 0.1%

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Fluticasone furoate Avamys®
Second Choice
Nasal spray 27.5micrograms/metered spray

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Fluticasone Propionate Flixonase Nasule®
Second Choice

Nasal drops 400micrograms/unit dose 
 
Consider alternative treatment if no improvement after 4–6 weeks

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Mometasone Furoate Nasonex®
Second Choice
Nasal spray 50micrograms/metered spray

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Fluticasone Propionate Flixonase®
Formulary

Nasal spray 50microgram per dose

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