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

12.3. Drugs acting on the oropharynx

12.3.1. Drugs for oral ulceration and inflammation

Preferred List
BENZYDAMINE HYDROCHLORIDE

Prescribing Notes:

Used for painful inflammatory conditions of the mouth and throat.

BNF Link

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.

BNF Link

CHOLINE SALICYLATE

12.3.2. Oropharyngeal anti-infective drugs

Preferred List
MICONAZOLE (Oral gel)

Restrictions: The muco-adhesive buccal tablets are non-Formulary.

BNF Link

NYSTATIN
Total Formulary
AMPHOTERICIN

12.3.3. Lozenges and sprays

12.3.4. Mouthwashes, gargles, and dentifrices

Preferred List
CHLORHEXIDINE GLUCONATE
Total Formulary
SODIUM CHLORIDE
HYDROGEN PEROXIDE

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.

BNF Link