NHS Greater Glasgow & Clyde Area Drug and Therapeutics Committee
Greater Glasgow and Clyde Prescribing
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13 Skin

13.4 Topical corticosteroids

Topical corticosteroid preparations that do not contain lanolin should be used where available. Patients prescribed topical steroids should have their treatment reviewed regularly to avoid unnecessary long-term use. Very potent steroids should not routinely be prescribed on repeat prescription without a dermatologist review.

13.4.1 Mildly potent

Preferred list
HYDROCORTISONE (1% cream and ointment)

Prescribing Notes:

Other strengths of hydrocortisone cream or ointment are considered to be non-Formulary.

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/5842.htm#_5842

13.4.2 Mildly potent with antimicrobials

Preferred list
DAKTACORT (cream and ointment)

Prescribing Notes:

Contains hydrocortisone and miconazole.

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/5856.htm

Total Formulary

13.4.3 Mildly potent with crotamiton

Total Formulary

13.4.4 Moderately potent

Preferred list
CLOBETASONE BUTYRATE (EUMOVATE) (cream and ointment)

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/5895.htm

Total Formulary
BETAMETHASONE VALERATE (BETNOVATE-RD) (cream and ointment)

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/5879.htm

13.4.5 Moderately potent with antimicrobial

Preferred list
TRIMOVATE

Prescribing Notes:

This is a moderately potent topical corticosteroid with anti-infective agents (clobetasone butyrate, oxytetracycline and nystatin).

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/106271.htm

13.4.6 Potent

Preferred list
BETAMETHASONE VALERATE (BETNOVATE)

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/5878.htm

Total Formulary
MOMETASONE FUROATE (ELOCON) (cream, ointment and scalp application)

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/5927.htm

BETAMETHASONE DIPROPRIONATE (DIPROSONE) (cream, ointment and lotion)

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/5880.htm#_5880

FLUTICASONE PROPIONATE (CUTIVATE) (CREAM AND OINTMENT)

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/19234.htm#_19234

HYDROCORTISONE BUTYRATE (LOCOID)

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/5869.htm#_5869

FLUOCINOLONE ACETONIDE (SYNALAR) (GEL)

Restrictions: Restricted to patients who are unsuitable for other topical preparations

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/5905.htm

DIFLUCORTOLONE VALERATE (NERISONE) (cream, ointment and oily cream)

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/5901.htm#_5901

13.4.7 Potent with antimicrobials

Preferred list
BETAMETHASONE VALERATE AND CLIOQUINOL (cream, ointment)

Prescribing Notes:

This is a potent topical corticosteroid with an anti-infective agent (betamethasone valerate and clioquinol).

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/PHP19085-betamethasone-and-clioquinol-non-proprietary.htm#PHP19085-betamethasone-and-clioquinol-non-proprietary

Total Formulary
FUCIBET (cream, lipid cream)

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/5886.htm

13.4.8 Potent with salicylic acid

Total Formulary

13.4.9 Very potent

Total Formulary
CLOBETASOL PROPIONATE (CREAM, OINTMENT, FOAM, SCALP APPLICATION, SHAMPOO)

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/5890.htm

DIFLUCORTOLONE VALERATE (NERISONE FORTE) (ointement and oily cream)

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/5902.htm#_5902

13.4.9.1 Very potent with antimicrobial

Total Formulary
CLOBETASOL WITH NEOMYCIN AND NYSTATIN (cream and ointment)

BNF Link: http://www.medicinescomplete.com/mc/bnf/current/215462.htm#_215462