Greater Glasgow and Clyde Medicines
Key to symbols The medicine should be initiated by, or on the advice of a specialist, but is suitable for continuation by a GP The medicine should only be used and prescribed by a specialist Indicates the preferred choice within a class or group of medicines
The medicine should be initiated by, or on the advice of a specialist, but is suitable for continuation by a GP
The medicine should only be used and prescribed by a specialist
Indicates the preferred choice within a class or group of medicines
12. Ear, nose and oropharynx

12.2. Drugs acting on the nose

12.2.1. Drugs used in nasal allergy

Preferred List
Preferred List First Line
BECLOMETASONE DIPROPRIONATE

Prescribing Notes:

Nasal spray, 50 micrograms/spray.

BNF Link

BUDESONIDE (Rhinocort Aqua) (64 microgram nasal spray)

Restrictions: Not approved for nasal polyps.

BNF Link

Total Formulary
Specialist and GP
AZELASTINE AND FLUTICASONE (nasal spray)

Restrictions: It is restricted to specialist initiation for use in patients who require both a nasal steroid and nasal antihistamine and where compliance is considered to be an issue.

BNF Link

Specialist and GP
FLUTICASONE FUROATE

Restrictions: Restricted to specialist initiation. Restricted to allergic rhinitis patients in whom beclomethasone and budesonide have been ineffective or not tolerated.

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Specialist and GP
FLUTICASONE PROPIONATE

Restrictions: Restricted to specialist initiation where fluticasone nasal sprays should be reserved for patients in whom beclometasone and budesonide have been ineffective or not tolerated. Flixotide NasulesĀ® are not included in the GGC Formulary.

BNF Link

BETAMETHASONE
AZELASTINE
MOMETASONE FUROATE (Nasal spray)

Prescribing Notes:

Mometasone nasal sprays should be reserved for patients for whom preferred list options have been ineffective or not tolerated.

BNF Link

12.2.2. Topical nasal decongestants

Preferred List
XYLOMETAZOLINE HYDROCHLORIDE

Prescribing Notes:

Available as 0.1% nasal drops and a 0.1% nasal spray. Maximum duration for treatment is 7 days as further use can cause rebound congestion.

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Total Formulary
IPRATROPIUM
EPHEDRINE

12.2.3. Nasal preparations for infection

Preferred List
MUPIROCIN (BACTROBAN NASAL)
NASEPTIN

Prescribing Notes:

Cream containing chlorhexidine and neomycin.

BNF Link