University Hospitals Birmingham NHS Foundation Trust

Chapters

StatusDrug nameNICE TAsComments
Status: GreenAcetic acid 2% (Earcalm®)

As per antibiotic formulary

Status: GreenBetamethasone 0.1% with neomycin 0.5% eardrops (Betnesol N)
Status: GreenBetamethasone ear drops
Status: GreenCerumol ear drops

Contains arachis (peanut) oil

Status: GreenChloramphenicol 5% ear drops

Only with positive culture/sensitivity data

Status: AmberCiprofloxacin 0.3% drops

Specialist recommendation. Off label use of eye drops in ear.

Status: RedCiprofloxacin 2mg/ml ear drops (Cetraxal®)
Status: GreenClotrimazole 1% solution

Only with positive culture/sensitivity data

Status: RedDexamethasone with antibacterial (Sofradex)
Status: GreenFlumetasone 0.02% with clioquinol 1% (Locorten-Vioform)
Status: GreenGentamicin ear drops

Only with positive culture/sensitivity data

Status: GreenGentisone HC ear drops

Only with positive cultures/sensitivity data

Status: GreenOlive oil ear drops
Status: GreenOtomize ear spray

Second line

Status: GreenSodium bicarbonate 5% ear drops

Drug status key

Formulary drugs are allocated a traffic light status. This provides guidance on where clinical and prescribing responsibilities lie in regard to the initiation and maintenance of prescribing.

Grey

Grey

Positive NICE TA and/or awaiting local clarification on place in therapy. Please contact your medicines optimisation team for more information.

Red

Red

Initiation and maintenance of prescribing by specialists only.

Amber

Amber

Initiation and maintenance of prescribing by specialists and transfer to primary care prescribing when appropriate, or in primary care following a specialists recommendation. Prior to initiation some medicines may require committee agreement or a framework to support safe transfer and maintenance.

Green

Green

Initiation and maintenance of prescribing by specialists, GPs and other qualified clinicians.

Blue

Blue

Under review at University Hospitals Birmingham NHS Foundation Trust.

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