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 Formulary Chapter 12: Ear, nose and oropharynx - Full Chapter
12.01.03  Expand sub section  Removal of ear wax
 note 

This can be self managed.

OTC products available and Olive oil and Sodium Bicarbonate are available on Pharmacy First scheme

Olive Oil Ear Drops
View adult BNF View SPC online View childrens BNF
First Choice
Green

Available OTC

Encourage self care

Pharmacy First

 

 
Cerumol ®
View adult BNF View SPC online View childrens BNF
Second Choice
Green

Contains Arachis oil - Peanut allergy

Available OTC - encourage self care

 
Sodium Bicarbonate
(ear drops)
View adult BNF View SPC online View childrens BNF
Second Choice
Green

Available OTC

Encourage self care

Pharmacy First

 
Urea Hydrogen peroxide
(Exterol ® Otex®)
View adult BNF View SPC online View childrens BNF
Second Choice
Green

Available OTC

Encourage Self Care

 
Acetic Acid 2%
(Earcalm ®)
View adult BNF View SPC online View childrens BNF
Third Choice
Green

EarCalm should be used for keratin debris removal

Available OTC

Encourage self care

 
 ....
Key
note Notes
Section Title Section Title (top level)
Section Title Section Title (sub level)
First Choice Item First Choice item
Non Formulary Item Non Formulary section
Restricted Drug
Restricted Drug
Unlicensed Drug
Unlicensed
Track Changes
Display tracking information
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Link to adult BNF
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Link to children's BNF
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Link to SPCs
SMC
Scottish Medicines Consortium
Cytotoxic Drug
Cytotoxic Drug
CD
Controlled Drug
High Cost Medicine
High Cost Medicine
Cancer Drugs Fund
Cancer Drugs Fund
NHSE
NHS England
Homecare
Homecare
CCG
CCG

Traffic Light Status Information

Status Description

Green

Drugs that may be initiated, stabilised and maintained by primary, secondary or tertiary care Secondary and tertiary care prescribing may be continued by primary care. [this does not indicate first/second line choice]  

Green Hospital

Items used by the Hospital but would not normally be continued into primary care. Primary care prescribers can change to GREEN first or second.   

Green plus

Initiation of drugs by primary care following written advice from secondary/ tertiary care advice.  

Yellow

Drugs that may be continued in primary care following initiation and stabilisation in secondary/tertiary care  

Amber

Items requiring a shared care agreement. These items should be initiated and stabilised by secondary or tertiary care. The GP should only be asked to take over prescribing through a formal shared care agreement. Secondary care will be expected to continue prescribing until the agreement is made.  

Red

Hospital/ Trust ONLY. These are items the secondary and tertiary care are responsible for prescribing and will need to continue to prescribe for long term maintenance. These items will NOT be prescribed in primary care. But primary care should be informed the patient is receiving these items. This will include NHSE funded items requiring repatriation.  

GP - Black

Items covered by NHSE ‘Should not prescribe in primary care list’ – See CCG policy on Drugs of limited clinical value  

GP - Grey

Grey List: Items covered by NHSE ‘Should not prescribe in primary care list’ that are not to be routinely prescribed but may be suitable in a defined population – See CCG policy on Drugs of limited clinical value  

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