Ear Drops - 0.1%

Ear Drops - 0.5%

Ear Drops - 0.3%

5% (or 10%) ear drops (in propylene glycol)

1% solution

Ear Drops

Eye/ear drops containing dexamethasone 0.05%, framycetin sulphate 0.5% & gramicidin 0.005%

Ear Spray

Ear Drops

Ear drops containing hydrocortisone 1%, neomycin sulph. 0.439% & polymyxin B sulph. 10,000 units/ml

2% Spray (EarCalm)^OTC

Flumetasone/Clioquinol 0.02% w/v / 1% w/v Ear Drops solution

Ear Drops^OTC

^{Should be purchased for self-care. Drops containing simple remedies such as olive oil, almond oil and sodium bicarbonate are available.}

^{The County Durham and Tees Valley APC Do Not Prescribe List and Grey List can be accessed online at: https://medicines.necsu.nhs.uk/download/tees-prescribing-grey-list/}

Ear Drops - 5%^OTC

^{Ear wax softening drops should be purchased for self-care. Drops containing simple remedies such as olive oil, almond oil and sodium bicarbonate are available.}

^{The County Durham and Tees Valley APC Do Not Prescribe List and Grey List can be accessed online at: https://medicines.necsu.nhs.uk/download/tees-prescribing-grey-list/}

Nasal Spray - 50 microgram^OTC

Nasal sprays for the symptomatic relief of hayfever and congestion can be purchased by the patient under self-care with community pharmacist support.

The County Durham and Tees Valley APC Do Not Prescribe List and Grey List can be accessed online at: https://medicines.necsu.nhs.uk/download/tees-prescribing-grey-list/

0.1% eye/ear/nose drops (betamethasone sod. phos.)

27.5 microgram / dose nasal spray.

N.B. Take care to avoid confusion with fluticasone propionate

50 microgram / dose nasal spray^OTC

400 microgram unit dose nasal drops

N.B. Take care to avoid confusion with fluticasone furoate

Nasal sprays for the symptomatic relief of hayfever and congestion can be purchased by the patient under self-care with community pharmacist support.

The County Durham and Tees Valley APC Do Not Prescribe List and Grey List can be accessed online at: https://medicines.necsu.nhs.uk/download/tees-prescribing-grey-list/

Nasal Spray - 50 microgram^OTC

Nasal sprays for the symptomatic relief of hayfever and congestion can be purchased by the patient under self-care with community pharmacist support.

The County Durham and Tees Valley APC Do Not Prescribe List and Grey List can be accessed online at: https://medicines.necsu.nhs.uk/download/tees-prescribing-grey-list/

55 microgram metered dose nasal spray^OTC

Nasal sprays for the symptomatic relief of hayfever and congestion can be purchased by the patient under self-care with community pharmacist support.

The County Durham and Tees Valley APC Do Not Prescribe List and Grey List can be accessed online at: https://medicines.necsu.nhs.uk/download/tees-prescribing-grey-list/

0.1% nasal spray (140 micrograms/metered spray)

Nasal Spray - 4%

Dymista Nasal Spray

One actuation (0.14 g) delivers 137 micrograms azelastine hydrochloride (= 125 micrograms azelastine) and 50 micrograms fluticasone propionate.

For use in allergic and non-allergic rhinitis plus chronic rhinitis with an agreed pathway for use in place to support use. To be used in primary care after failure of treatment with an intranasal steroid (INS) or antihistamine, or INS plus oral antihistamine prior to referral to secondary care. Use should be reviewed in primary care after three months and the Dymista® stopped if not working before considering referral to secondary care.

Nasal Spray - 0.1%^OTC

Nasal sprays for the symptomatic relief of hayfever and congestion can be purchased by the patient under self-care with community pharmacist support.

The County Durham and Tees Valley APC Do Not Prescribe List and Grey List can be accessed online at: https://medicines.necsu.nhs.uk/download/tees-prescribing-grey-list/

Nasal Spray - 0.03%^OTC

Nasal sprays for the symptomatic relief of hayfever and congestion can be purchased by the patient under self-care with community pharmacist support.

The County Durham and Tees Valley APC Do Not Prescribe List and Grey List can be accessed online at: https://medicines.necsu.nhs.uk/download/tees-prescribing-grey-list/

0.9% nasal drops^OTC

Nasal sprays for the symptomatic relief of hayfever and congestion can be purchased by the patient under self-care with community pharmacist support.

The County Durham and Tees Valley APC Do Not Prescribe List and Grey List can be accessed online at: https://medicines.necsu.nhs.uk/download/tees-prescribing-grey-list/

0.5% & 1% nasal drops

Nasal Ointment - 2% 

First choice for use in MRSA eradication.

Cream

MRSA Only

Paste 1.25cm x 100cm & 2.5cm x 100cm impregnated gauze

Oral Rinse - 0.15%^OTC

Spray^OTC

Can be purchased by the patient under self-care with community pharmacist support.

Dental products should only be prescribed by dentists and GPs should not accept requests to prescribe medicines that the dentist could reasonably prescribe themselves, nor accept requests from patients to issue FP10 prescriptions for items prescribed on a private prescription by their dentist. 

The County Durham and Tees Valley APC Do Not Prescribe List and Grey List can be accessed online at: https://medicines.necsu.nhs.uk/download/tees-prescribing-grey-list/

Paste^OTC containing carmellose sodium 16.7%, pectin 16.7%
& gelatin 16.7% in plastibase

Can be purchased by the patient under self-care with community pharmacist support.

Dental products should only be prescribed by dentists and GPs should not accept requests to prescribe medicines that the dentist could reasonably prescribe themselves, nor accept requests from patients to issue FP10 prescriptions for items prescribed on a private prescription by their dentist. 

The County Durham and Tees Valley APC Do Not Prescribe List and Grey List can be accessed online at: https://medicines.necsu.nhs.uk/download/tees-prescribing-grey-list/

Mucoadhesive Buccal Tablets - 2.5mg^OTC

MHRA Drug Safety Update (Dec 2018): Hydrocortisone muco-adhesive buccal tablets: should not be used off-label for adrenal insufficiency in children due to serious risks.

Can be purchased by the patient under self-care with community pharmacist support.

Dental products should only be prescribed by dentists and GPs should not accept requests to prescribe medicines that the dentist could reasonably prescribe themselves, nor accept requests from patients to issue FP10 prescriptions for items prescribed on a private prescription by their dentist. 

The County Durham and Tees Valley APC Do Not Prescribe List and Grey List can be accessed online at: https://medicines.necsu.nhs.uk/download/tees-prescribing-grey-list/

Oral Gel - 8.7% (Bonjela)^OTC

Can be purchased by the patient under self-care with community pharmacist support.

Dental products should only be prescribed by dentists and GPs should not accept requests to prescribe medicines that the dentist could reasonably prescribe themselves, nor accept requests from patients to issue FP10 prescriptions for items prescribed on a private prescription by their dentist. 

The County Durham and Tees Valley APC Do Not Prescribe List and Grey List can be accessed online at: https://medicines.necsu.nhs.uk/download/tees-prescribing-grey-list/

0.2% gel & 0.025% mouthwash (Gengigel)

For limited second-line use on specialist advice in the treatment of orofacial granulomatosis, severe oral ulceration and mucositis secondary to mmunosuppression where conventional treatments are unsuitable or
have failed.

MuGard®
Restricted to use in patients who are currently on sunitinib (Sutent®) treatment, and is cheaper than treatment that is currently used.

1 dose=1 x 15ml Caphosol A + 1 x 15ml Caphosol B mixed
together

For limited use in patients having chemo-radiotherapy or radiotherapy to malignancies of the oral cavity, hypopharnyx and oro-pharynx on specialist recommendation.

20mg tablets

For Periodontitis

 Unlicensed preparation

Used in patients receiving radiotherapy only

Usual dose is 5-10ml tds (prior to meals)  

To treat Oral mucositis associated with chemo and radiotherapy

Oral Gel - 24mg/ml

Gel not recommended under 4m of age due to choking risk

MHRA Drug Safety Update (June 2016): Topical miconazole, including oral gel: reminder of potential for serious interactions with warfarin

MHRA Drug Safety Update (Sept 2017): Miconazole (Daktarin): over-the-counter oral gel contraindicated in patients taking warfarin

Suspension - 100,000units/ml

50mg muco-adhesive buccal tablets

Restricted to use in immunocompromised patients with severe oropharyngeal candidiasis, where the use of other antifungal agents e.g. nystatin, fluconazole is not appropriate and for use on the advice of microbiologists.

Mouthwash - 0.2%^OTC

Dental Gel - 1%^OTC

Can be purchased by the patient under self-care with community pharmacist support.

Dental products should only be prescribed by dentists and GPs should not accept requests to prescribe medicines that the dentist could reasonably prescribe themselves, nor accept requests from patients to issue FP10 prescriptions for items prescribed on a private prescription by their dentist. 

The County Durham and Tees Valley APC Do Not Prescribe List and Grey List can be accessed online at: https://medicines.necsu.nhs.uk/download/tees-prescribing-grey-list/

2% oral gel^u

For hospital use in the prevention of ventilator-associated pneumonia in adult patients who are ventilated (for >48 hours).

0.1% mouthwash^OTC

Can be purchased by the patient under self-care with community pharmacist support.

Dental products should only be prescribed by dentists and GPs should not accept requests to prescribe medicines that the dentist could reasonably prescribe themselves, nor accept requests from patients to issue FP10 prescriptions for items prescribed on a private prescription by their dentist. 

The County Durham and Tees Valley APC Do Not Prescribe List and Grey List can be accessed online at: https://medicines.necsu.nhs.uk/download/tees-prescribing-grey-list/

ENT, maxillofacial or haematology only

Made to order by pharmacy aseptic unit so order in good time

Injection (500mg/5ml) can be diluted with equal parts water

One Tablet can also be crushed in 10mls water 

Oral Spray

Preferred to Glandosane as it is less likely to damage tooth enamel

Patients should be advised of self-care measures and signposted to purchase over the counter remedies where appropriate.

Oralbalance Gel

Prescribable on the NHS in primary care as a Borderline Substance.

Patients should be advised of self-care measures and signposted to purchase over the counter remedies where appropriate.

Spray

Patients should be advised of self-care measures and signposted to purchase over the counter remedies where appropriate.

Sugar-free pastilles containing malic acid

Patients should be advised of self-care measures and signposted to purchase over the counter remedies where appropriate.

5mg tablets

Treatment to be initiated with specialist advice.

Salivary gel and toothpaste.

The gel, but not the toothpaste, is prescribable on the NHS in primary care as a Borderline Substance.

Patients should be advised of self-care measures and signposted to purchase over the counter remedies where appropriate.