Lancashire and South Cumbria
Formulary
 
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13 Skin

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/

Dermatology prescribing may require use of expensive unlicensed
creams and ointments (known as ‘Specials’). Please consult the revised British Association of Dermatologists (BAD) list of preferred Specials (2018) for advice on appropriate product choice.

Specials Recommended by the British Association of Dermatologists for Skin Disease

Several medicines in the skin chapter are available for purchase over the counter and may be appropriate for self care. Please consult the local OTC policy for more details.

LSCMMG: Over The Counter (OTC) Items That Should Not Be Routinely Prescribed In Primary Care Policy 

 

13-11-06 Oxidisers, and dyes

Hydrogen Peroxide Crystacide®
Formulary

Cream 1%


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Potassium Permanganate Permitabs®
Formulary

Solution tablets 400mg

Primary Care :  Potassium permanganate should always be prescribed for a named patient by a primary care prescriber, experienced in the treatment of dermatological conditions and use of potassium permanganate.
 
Secondary Care:- Potassium permanganate concentrate should always be prescribed for a named patient by a specialist in dermatology, a clinician working under the guidance of a dermatologist, or specialist tissue viability staff only.
 
Note:  A risk assessment must be completed if potassium permanganate is to be used in a patient's home.
 
Potassium permanganate is for external use only. Oral ingestion can cause fatality due to local inflammatory reactions that block the airways or cause perforations of the gastrointestinal tract, or through toxicity and organ failure. Potassium permanganate is subject to the requirements of Control of Substances Hazardous to Health including: separate storage, additional hazard labelling, and issue only to staff and patients who have been educated to understand its safe use. Accidental ingestion should be treated as a medical emergency.
Link  BAD and NHS England & NHS Improvement guidance on the safe use of potassium permanganate soaks
Link  BAD: Potassium permanganate solution soaks
Link  NHS Central alerting system

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