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
13. Skin

13.10. Anti-infective skin preparations

13.10.1. Antibacterial preparations

13.10.1.1. Antibacterial preparations only used topically

Preferred List
HYDROGEN PEROXIDE (CRYSTACIDE) (1% CREAM)
MUPIROCIN (BACTROBAN)

Prescribing Notes:

Used in MRSA eradication therapy as outlined by Infection Control guidelines.  For nasal preparations, see section 12.2.3.

BNF Link

Total Formulary
POLYFAX (OINTMENT)

13.10.1.2. Antibacterial preparations also used systemically

Preferred List
FUSIDIC ACID (FUCIDIN)

Prescribing Notes:

For oral preparations, see section 5.1.7.

BNF Link

METRONIDAZOLE

Prescribing Notes:

For topical preparations, please refer to 13.6.1.  Metronidazole is available in a range of topical preparations, some of which are licensed for acne rosacea. Consult BNF for further information.

BNF Link

Total Formulary
Specialist and GP
DAPSONE

Restrictions:

Restricted to specialist initiation for licensed indications. 

Prescribing Notes:

For indications other than dermatology please refer to section 5.1.10

BNF Link

13.10.2. Antifungal preparations

Preferred List
CLOTRIMAZOLE (1% cream)
MICONAZOLE (2% cream)

Restrictions:

Restrictions: Excludes Daktarin® powder.

BNF Link

Total Formulary
NYSTATIN, CHLORHEXIDINE (NYSTAFORM)

Prescribing Notes:

Contains nystatin and chlorhexidine hydrochloride

BNF Link

TERBINAFINE

13.10.3. Antiviral preparations

Preferred List
ACICLOVIR (5% cream)

Prescribing Notes:

For oral preparations, see 5.3.2.1 and for eye ointment, see 11.3.3.

BNF Link

Total Formulary
PENCICLOVIR

13.10.4. Parasiticidal preparations

For the treatment of head lice, please refer to the NHSGGC Head Lice Service protocol available on StaffNet (Cut and paste the following link into your web browser to access): http://www.staffnet.ggc.scot.nhs.uk/Acute/Division%20Wide%20Services/Pharmacy%20and%20Prescribing%20Support%20Unit/Community%20Pharmacy/Documents/Head%20Lice%20guidance%20notes%20August%202009.doc
Preferred List
DIMETICONE (HEDRIN) (LOTION)

Prescribing Notes:

Preparations contain 4% dimeticone. Hedrin® does not contain a chemical insecticide, but works by encapsulating the head lice, preventing them from functioning.

BNF Link

PERMETHRIN
Total Formulary
MALATHION
IVERMECTIN (tablets)

Restrictions:

Restricted to use as a 3rd line treatment option for scabies when a total of 2 courses of either malathion or permethrin have been ineffective or not tolerated.

This preparation may be the only available licensed scabies treatment while there are intermittent supply issues with permethrin and malathion. (May 2024)

Prescribing Notes:

Oral tablets are a licensed formulation in the UK since 2023; the online BNF may not yet reflect this. (May 2024)

 

BNF Link

13.10.5. Preparations for minor cuts and abrasions

Preferred List
MAGNESIUM SULPHATE (PASTE)