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
12. Ear, nose and oropharynx
12.3. Drugs acting on the oropharynx
12.3.1. Drugs for oral ulceration and inflammation
Preferred List
BENZYDAMINE HYDROCHLORIDE
Total Formulary
BETAMETHASONE SODIUM PHOSPHATE (BETNESOL) (Soluble tablets)
Restrictions:
Restricted to use only for oral ulceration
Prescribing Notes:
This is an unlicensed use of betamethasone soluble tablets. The tablets should be dissolved in around 20 ml of water to create a mouthwash, then rinsed around the mouth and not to be swallowed. See BNF for further detail.
12.3.2. Oropharyngeal anti-infective drugs
Preferred List
Total Formulary
12.3.3. Lozenges and sprays
12.3.4. Mouthwashes, gargles, and dentifrices
Preferred List
12.3.5. Treatment of dry mouth
Total Formulary
ARTIFICIAL SALIVA
Restrictions:
Some artificial saliva products can only be prescribed by GPs in line with ACBS approval, i.e. for dry mouth associated only with radiotherapy or sicca syndrome. See BNF for further details.