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

13.4. 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

13.4.2. Mildly potent with antimicrobials

Preferred List
DAKTACORT (cream and ointment)

Prescribing Notes:

Contains hydrocortisone and miconazole.

BNF Link

Total Formulary
NYSTATIN, CHLORHEXIDINE, HYDROCORTISONE (cream)

Restrictions:

Products contain nystatin 100,00 units, chlorhexidine hydrochloride 1% w/w and hydrocortisone 0.5% w/w.

BNF Link

FUCIDIN H (cream)
CANESTEN HC (cream)

13.4.3. Mildly potent with crotamiton

Total Formulary
EURAX-HYDROCORTISONE

13.4.4. Moderately potent

Preferred List
Preferred List First Line
CLOBETASONE BUTYRATE (EUMOVATE) (cream and ointment)
Total Formulary
BETAMETHASONE VALERATE (BETNOVATE-RD) (cream and ointment)

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

13.4.6. Potent

Preferred List
BETAMETHASONE VALERATE (BETNOVATE)
Total Formulary
HYDROCORTISONE BUTYRATE (LOCOID)
FLUTICASONE PROPIONATE (CUTIVATE) (CREAM AND OINTMENT)
BETAMETHASONE DIPROPRIONATE (DIPROSONE) (cream, ointment and lotion)
DIFLUCORTOLONE VALERATE (NERISONE) (cream, ointment and oily cream)
FLUOCINOLONE ACETONIDE (SYNALAR) (GEL)

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

BNF Link

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

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

Total Formulary
FUCIBET (cream, lipid cream)
Lotriderm (cream)

13.4.9. Very potent

Total Formulary
CLOBETASOL PROPIONATE (CREAM, OINTMENT, FOAM, SCALP APPLICATION, SHAMPOO)
DIFLUCORTOLONE VALERATE (NERISONE FORTE) (ointement and oily cream)

13.4.9.1. Very potent with antimicrobial

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

13.4.8. Potent with salicylic acid

Total Formulary
DIPROSALIC